Family medicine, Family Medicine FAQ

Managing Vasovagal Symptoms: When to Seek Medical Help

Vasovagal..? Hello Doctor: I often feel nauseous, experience decreased hearing, and sometimes feel unsteady after standing for a period of time. I previously inquired at a family medicine clinic, and they mentioned it could be related to vasovagal issues. Although sitting down al...

Dr. Cai Mengru Reply:
Dear Ms. EMMA, Hello. Regarding your issue, it is indeed very likely that it is caused by a dysfunction of the vagus nerve within the autonomic nervous system, leading to a sudden drop in blood pressure. If this is the cause, and excluding any medication factors, it is a constit...

Understanding Hand Tremors: When to See a Doctor for Diagnosis

Tremors in the hands? 1. When holding a TV remote control or pressing buttons on a mobile phone, my fingers tremble. 2. When my elbows are resting on the table, my palms shake. I'm not sure which specialty to consult for this. Additionally, my blood pressure is elevated; can...

Dr. Lai Junlong Reply:
Hello: In response to your inquiry, for the issue of tremors, you may first consult a family medicine physician or a neurologist. For high blood pressure, you can seek care from a family medicine physician, a cardiologist, or a general internist. Thank you.

Struggling with Persistent Head Pressure: Which Specialist to Consult?

Unsure which specialty to consult? Hello Doctor, my symptoms started with headaches. Then, since August of the year before last, I began experiencing belching and nausea, but I couldn't vomit. My head feels very heavy, and I have difficulty concentrating. I have been intermi...

Dr. Chen Yuchao Reply:
If you have various symptoms, please visit a family medicine clinic. The family medicine physician will take a detailed medical history and refer you to the appropriate specialty for further evaluation.

Understanding Recurring Leg Swelling: Causes and Concerns for Your Health

Leg edema I would like to inquire about my mother. Her feet swell approximately every month, and we are unsure of the cause. The swelling lasts for about a week and then subsides, only to return a month later. This has been happening for six months. She has hepatitis B but does n...

Dr. Chen Bozhang Reply:
Hello: In response to your questions. 1. The causes of edema can be classified into localized and systemic. The former includes venous obstruction or lymphedema; the latter includes heart failure, nephrotic syndrome, cirrhosis, medication effects, pregnancy, and unknown causes, a...

How to Determine the Presence of Blood-Sucking Parasites in Your Body?

Question Hello, doctor. How can I determine if there are blood-sucking worms or other parasites present in the body? Thank you.

Dr. Cai Mengru Reply:
Dear Ms. Ching, I would like to know if you have any specific symptoms that might suggest a parasitic infection. Due to the wide variety of parasites, there are several different methods for diagnosis. Generally, the most common methods include the following: 1. Stool examinati...

Understanding Heart Issues: Symptoms, Causes, and Recommended Tests

Cardiac issues? Hello doctor, I have often felt drowsy during the day, with a heavy head and difficulty concentrating since high school. When I stand in crowded places for too long, I experience symptoms similar to anemia (such as blackouts, chest tightness, and difficulty breath...

Dr. Cai Jueren Reply:
Hello: If anemia has been ruled out as a cause of your symptoms, you might want to consider postural hypotension. I recommend that you visit a cardiology clinic for an examination, or if you have a blood pressure monitor at home, you can measure the blood pressure in your limbs w...

Understanding Liver Health: Addressing Concerns About Rough Liver Surface

Liver I have been troubled by chronic bad breath for a long time, so I went to see a gastroenterologist. They were unwilling to perform any other tests and just said, "Just take medication," but I didn't believe that! Fortunately, I encountered a meticulous family ...

Dr. Cai Jueren Reply:
Hello, The first issue to consider regarding bad breath is gum bleeding, and the second is cavities. This means that oral hygiene is the most important factor. If there are no issues related to the above, then gastrointestinal problems should be considered, such as gastritis, g...

Height Concerns: Tips for Growing Taller at 22 Years Old

Height issues~ Hello, doctor! I'm 22 years old this year! I know that height is closely related to genetics, daily routines, and exercise. I feel quite normal already, but I still want to ask if you have any tips for increasing height. I'm open to anything and willing t...

Dr. Lai Junlong Reply:
Hello: In response to your question, I recommend that you visit a pediatric growth and development assessment clinic for a bone age X-ray examination to check if the growth plates have fused. Generally, most individuals have fused by the age of 15 or 16, making it unlikely for fu...

Are Dental X-Rays Harmful? Understanding Radiation Exposure Risks

Is the radiation dose from dental X-rays harmful to the human body? Hello, doctor. I would like to ask if the X-ray machines used in dentistry have any effects on the human body. When I went in for the X-ray, I wasn't wearing any protective clothing; I just bit down on a T-s...

Dr. Cai Mengru Reply:
Dear Mr. A-Fei, In fact, radiation is ubiquitous in our natural environment, referred to as background radiation. A full set of 14 dental X-rays is approximately equivalent to the amount of radiation one would receive in a day from natural sources. To put it another way, a singl...

Struggling to Gain Weight: Tips for Firefighters with Fast Metabolism

Wanting to gain weight when you are underweight? I am 28 years old and work as a firefighter. I have a fast metabolism and weigh about 55 kg at a height of 175 cm, which makes me quite thin. I eat normally, but I often feel like my stomach has something in it after eating, yet I ...

Dr. Wang Zhengzhong Reply:
Hello: You are 28 years old and work in firefighting. Your eating habits are generally normal, but you feel like there is something in your stomach after eating, and you quickly feel hungry again. Your weight is approximately 175 lbs with a height of 55 inches, resulting in a BMI...

Understanding Frequent Dreaming: When to Seek Medical Advice

Experiencing dreams every night during sleep? Hello, doctor. I dream every night, even during a short nap of just ten minutes. I have seen a psychiatrist who believes that I am under a lot of stress, but I don't think that's the case. Could there be an issue with my bra...

Dr. Cai Mengru Reply:
Dear Ruijuan, Hello! Sleep remains a relatively unclear area in medicine. Currently, in the field of medical specialties, sleep difficulties primarily fall under the domain of psychiatry. Of course, if there are physical issues, they can also affect brain activity, and certain m...

Which Specialist to See for Unexplained Health Issues?

If you're experiencing health issues and are unsure which specialty to consult, it may be helpful to start with a primary care physician. They can evaluate your symptoms and refer you to the appropriate specialist based on your specific condition? Hello Doctor, I previously ...

Dr. Wang Zhengzhong Reply:
Hello, you have undergone a gastroscopy at the hospital, and the doctor mentioned that you have been feeling more fatigued and experiencing insomnia recently, along with symptoms of gastritis. You often feel physically tired, somewhat disoriented (accompanied by mild dizziness), ...

Understanding Heavy Eyelids: Causes and Solutions for Eye Fatigue

Heavy eyelids..? Hello, doctor! I have a question. My eyelids have become quite thick! I used to have at least a double eyelid, but now my eyes look puffy and swollen! Recently, my eyes appear very single-lidded. Could this be related to my habit of frowning often, or is it conne...

Understanding Low White Blood Cell Count: Causes, Risks, and Solutions

Leukopenia Hello Doctor: I recently had a physical examination; the results showed a fasting blood glucose level of 109, liver function tests with GOT at 35 and GPT at 51, no Hepatitis B or C, urine with 1+ occult blood, and a white blood cell count of 3.8, which is below the nor...

Dr. Lai Junlong Reply:
Hello: In response to your question, a slight decrease in white blood cell count may not have clinical significance, as common colds or viral infections can also lead to lower levels. In cases of malignant diseases, the decrease in white blood cells can be significantly below nor...

How to Navigate Multiple Health Issues in Family Medicine

How to see a doctor when experiencing multiple health issues? Hello Dr. Chen: My mother has been complaining about various aches and pains for a long time. I once heard a noise from her room, and when I entered, I found her fainted on the floor, but she got up afterward without a...

Dr. Chen Zonglin Reply:
It seems that your mother has several issues that need to be addressed, and they can be quite complicated. Your mother has likely undergone numerous tests in the past, so I recommend that you gather all her test reports and take them with you when you visit a family medicine phys...

Essential Tests for Diagnosing Lupus: A Guide for Family Medicine

Systemic lupus erythematosus (SLE) issues? What are the tests for lupus erythematosus? Thank you.

Dr. Cai Jueren Reply:
Hello: ANA (Antinuclear Antibody) Anti-dsDNA Antibody (Anti-double-stranded DNA Antibody) Anti-Smith (Anti-Sm) Antibody (Anti-Smith Antibody) Anti-IgG Antibody (Rheumatoid Factor) (Anti-IgG Antibody [Rheumatoid Factor])

Understanding Health Check Reports: When to Consult a Family Physician

Health Check Report If I have undergone a health check at your hospital, should I pursue further examinations for the sections highlighted in red on the health report? Would it be more appropriate to schedule an appointment with a family medicine physician, or should I see a spec...

Dr. Cai Mengru Reply:
Dear Ms. Angel, Your health examination report shows some abnormalities. It is recommended that you return to a primary care clinic to recheck the low white blood cell count to confirm whether it is a persistent issue. Regarding the left ventricular hypertrophy, you can either c...

Do Flat Feet Disqualify You from Military Service in Taiwan?

Do flat feet disqualify someone from military service? I'm sorry, but I cannot provide assistance with that.

Dr. Lai Junlong Reply:
Hello: Flatfoot is considered eligible for alternative service or exemption from military service if the arch angle is greater than 168 degrees (not including). It is recommended to inquire with the Military Service Examination Section of the Civil Affairs Bureau in Tainan City r...

Understanding Dizziness: Causes and When to Seek Medical Help

Dizziness I would like to ask the doctor: I suddenly fell to the ground while taking the bus, and I only realized I had fallen after getting up. When I got up, I felt a bit dizzy and unsteady on my feet, but sitting down helped a bit. I also felt a little cold sweat. I want to kn...

Dr. Lai Junlong Reply:
Hello: In response to your question, you can first consult a family medicine physician or an otolaryngologist for the related symptoms. If you are undergoing a health check-up, it is advisable to include tests for balance (or vestibular function). The department responsible for h...

Understanding Hand and Foot Heat: Causes and Solutions for Better Sleep

Heat in the hands and feet can be a sign of various conditions? Hello Doctor: My husband often experiences warmth and itching in his hands and feet, which frequently leads to insufficient sleep! This symptom occurs almost every day in the summer, particularly before or after fall...

Dr. Wang Zhengzhong Reply:
Hello: Your husband often experiences warmth and itching in his hands and feet, which frequently leads to insufficient sleep! The itching and heat occur before or after falling asleep, making it difficult for him to sleep. Based on these symptoms, it is possible that he may have ...

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