Family medicine, Family Medicine FAQ - Page 61

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Understanding Recurring Inflammation in Fingers and Toes: Causes and Solutions

The hands/feet or toes often experience redness and swelling? Hello, Doctor. I often experience unexplained inflammation and swelling, approximately once every 1 to 2 months, mostly occurring in the big toes of my hands and feet. Each time I visit a general clinic, I am prescribe...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: In general, the occurrence of gout is not directly proportional to uric acid levels. To determine whether your "similar gout" is indeed induced by uric acid,...

[Read More] Understanding Recurring Inflammation in Fingers and Toes: Causes and Solutions


Unexplained Alcohol Breath: Understanding Possible Causes and Concerns

Breath has a smell of alcohol? Hello, Dr. Hsu. I usually do not drink alcohol (I consume less than 1000cc of beer per year). When I do drink, I quickly experience full-body warmth and redness, but I do not have any allergies. However, in recent years, I have occasionally noticed ...


Dr. Xu Li'an Reply:
Hello, Mr. Zhang. Please visit a major hospital to see the Endocrinology or Metabolism department, as further tests are needed for a proper diagnosis. Wishing you a speedy recovery. Hsu Li-An, 9507261011, Hualien Hospital, Family Medicine Department.

[Read More] Unexplained Alcohol Breath: Understanding Possible Causes and Concerns


Why Do My Hands Tingle While Sleeping? Causes and Solutions

Numbness in the hands during sleep? Hello Doctor: I often experience numbness in my hands while sleeping, particularly in the palms. I usually can't maintain one sleeping position for too long without feeling numbness in my hands. However, I don't have any particular se...


Dr. Xu Li'an Reply:
Dear Han, please visit the neurology department at the hospital. If your symptoms continue to worsen, you should get checked as soon as possible. Wishing you a speedy recovery. Xu Li'an 9507261009 Hualien Hospital Family Medicine Department.

[Read More] Why Do My Hands Tingle While Sleeping? Causes and Solutions


Struggling with Sleep: Tips for Better Rest and Relief from Discomfort

I have trouble sleeping every day? Hello Doctor: I often have trouble sleeping at night, tossing and turning, which makes me feel very uncomfortable. I find that sleeping on my stomach is somewhat better. However, after I wake up, I feel stiffness in my shoulders, and when I move...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan: In response to your statement, "the shoulder stiffness" is likely a significant factor contributing to your physiological discomfort and may be a manifes...

[Read More] Struggling with Sleep: Tips for Better Rest and Relief from Discomfort


Understanding Your Symptoms: When to Seek Medical Help in Family Medicine

Is it considered a disease?! It seems that about a year or two ago, I started experiencing sudden chest tightness, making it difficult to breathe and causing rapid breathing. It felt like I was struggling to get air. Later on, it seemed to improve somewhat, but recently, I have s...


Dr. Cai Jueren Reply:
Hello, your concerns can be explained in two aspects. The first issue may be related to arrhythmia or emotional chest tightness. If there is no family history of similar symptoms or heart disease, then based on your age, it is likely to be emotional chest tightness, which typical...

[Read More] Understanding Your Symptoms: When to Seek Medical Help in Family Medicine


Understanding Hair Loss and Associated Symptoms: When to Seek Medical Help

Hair loss issues? Hello, over the past week or two, I have been experiencing some symptoms: 1. Severe hair loss 2. Difficulty breathing (shortness of breath) 3. My mood seems to be unstable (easily irritable) 4. It feels like there is something in my throat when I eat, making it ...


Dr. Xu Li'an Reply:
Hello Ms. Huang, have there been any issues at home or work-related stress lately? Please visit the hospital and first see a family medicine physician for an evaluation. The family medicine doctor can perform some tests or refer you to other relevant specialties. Wishing you and ...

[Read More] Understanding Hair Loss and Associated Symptoms: When to Seek Medical Help


Understanding Inner Ear Imbalance: Symptoms, Causes, and Treatment

Inner ear imbalance Dr. Hsu: I apologize for bothering you again. I’m not sure if it’s due to stress, but my physical condition has been fluctuating. After experiencing menstrual cramps, I immediately felt dizzy. A few days ago, I visited an internist and reported symptoms includ...


Dr. Xu Li'an Reply:
Dear worried girl Linda, whether it's a hospital or a clinic, I recommend that you find a regular family medicine physician for consultation. You have been constantly concerned about the issue of medication overdose, but merely worrying is not helpful. Why not make some chan...

[Read More] Understanding Inner Ear Imbalance: Symptoms, Causes, and Treatment


Understanding Oily Stools: What It Means for Your Health

Oil drainage Hello Doctor: In the past three months, I have occasionally noticed an oily discharge when passing gas, and my stools sometimes have a greasy appearance, although it doesn't happen every time. I have a history of hyperlipidemia and fatty liver. I haven't ta...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan: In response to your comments, it is advisable to consider the possibility of abnormal bile secretion, and the assessment of pancreatic secretion function should al...

[Read More] Understanding Oily Stools: What It Means for Your Health


Understanding Mild Lower Back Pain: When to Seek Medical Advice

Mild lower back pain Hello Doctor, I have been experiencing slight pain in my left lower back for the past 2 to 3 months (it's just a mild sensation), but sometimes I don't feel it at all. The pain seems to originate from within my body, and I noticed it during a twisti...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: In response to your inquiry, the symptoms you described may be indicative of a deep muscle or ligament strain. Additionally, abnormalities in the urinary system should...

[Read More] Understanding Mild Lower Back Pain: When to Seek Medical Advice


Understanding Painful, Disappearing Lumps: Causes and When to Seek Help

A painful lump that disappears? Sometimes my body suddenly develops a hard lump that is very painful to touch, but it disappears after about 5 to 6 days. Most of these lumps appear in the upper and lower abdomen, and I have also experienced them near the collarbone. I am unsure o...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: In response to your statement, if it is unrelated to tumors, it may be due to a skin allergy or an immune response. It would be advisable to consult a dermatologist fo...

[Read More] Understanding Painful, Disappearing Lumps: Causes and When to Seek Help


Dizziness and Wrist Numbness: Understanding Your Symptoms and Next Steps

Dizziness and wrist numbness? I have been experiencing wrist numbness for a while now, and I initially thought it was due to excessive computer use. I previously consulted a doctor and underwent some tests, and the doctor prescribed vitamin B, which improved my condition. However...


Dr. Lin Mingxing Reply:
Dear Dr. Ming-Hsing Lin, Family Medicine Department, Tainan Hospital, Ministry of Health and Welfare: There are many causes of dizziness, such as anemia, low blood pressure (orthostatic hypotension), neck stiffness, and inner ear imbalance, among others. It is advisable to first...

[Read More] Dizziness and Wrist Numbness: Understanding Your Symptoms and Next Steps


Understanding Eczema and Its Complications: A Patient's Journey

Consult a physician? Hello, doctor. Around June 12, I started developing a rash all over my body. At first, I didn't pay much attention to it, but after a week, it got worse. I visited a dermatologist, who diagnosed it as eczema and prescribed oral medication and topical tre...


Dr. Liao Yaopan Reply:
Hello, after reading your description, I can truly empathize with your frustration. Your symptoms definitely require a thorough understanding. To avoid misdiagnosis, I sincerely recommend that you have a personal examination to better clarify the signs and conditions. It is not p...

[Read More] Understanding Eczema and Its Complications: A Patient's Journey


How to Address Low WBC Count: Causes and Solutions for Improvement

A low white blood cell (WBC) count of 3520 requires careful evaluation. Here are some steps to consider for management: 1. **Identify the Cause**: Determine the underlying reason for the low WBC count. This could include infections, bone marrow disorders, autoimmune diseases, or...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing, Department of Family Medicine, Tainan Hospital, Ministry of Health and Welfare: Regarding the low hematopoietic function associated with the consumption of gold supplements, there should be no health defects. As for the relationship with a vegetarian die...

[Read More] How to Address Low WBC Count: Causes and Solutions for Improvement


Feeling Dizzy When Standing Up: Which Specialist to Consult?

excuse me? If you feel dizzy and unsteady after squatting and standing up, you should consult a specialist in neurology or a primary care physician. They can help evaluate your symptoms and determine the underlying cause.


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: If the dizziness caused by changes in posture is only temporary, it is usually due to a transient dysregulation of the autonomic nervous system, leading to what is kno...

[Read More] Feeling Dizzy When Standing Up: Which Specialist to Consult?


Unusual Skin Growths: When to See a Family Doctor or Dermatologist?

Abnormal growths on the skin? In recent years, I have noticed many small flat moles on my chest and arms, but I didn't pay much attention to them. However, in the past month, I suddenly discovered raised lesions along my hairline, under my armpits, and on my buttocks. They a...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: As you mentioned, the diagnosis may be flat warts. It is recommended that you visit a dermatologist for further management. Tainan Hospital cares about your health.

[Read More] Unusual Skin Growths: When to See a Family Doctor or Dermatologist?


Essential Guide to Tuberculosis Testing for Studying Abroad in the U.S.

Regarding the tuberculosis skin test for studying abroad? Dear Dr. Hsu, I will be going to the United States for further studies in August, and the school has provided a list of required vaccinations and examinations. I have obtained my vaccination record card from the health ce...


Dr. Xu Li'an Reply:
Hello Ansel, I suggest you contact public hospitals such as Chiayi Hospital or Puzi Hospital, or Chiayi Christian Hospital and Chiayi St. Martin Hospital to inquire about the health examination department and family medicine. Generally, if you have received the BCG vaccine, the t...

[Read More] Essential Guide to Tuberculosis Testing for Studying Abroad in the U.S.


Why Am I Getting Sick So Often? Understanding Frequent Illnesses

Why do I often get sick? Hello Dr. Hsu, I have been frequently experiencing colds and gastroenteritis for several weeks now, alternating between the two. I get a cold, recover, and then a few days later, I have gastroenteritis. After recovering from that, I get sick again shortl...


Dr. Xu Li'an Reply:
Dear Worried Girl Linda, I believe that frequently falling ill helps to build resilience for the future. I have also been sick often since childhood, and even now, many medical issues remain unexplained. Answering why you often get sick is akin to addressing questions like why C...

[Read More] Why Am I Getting Sick So Often? Understanding Frequent Illnesses


Understanding Throat Discomfort: Causes and Solutions for Breathing Issues

I feel discomfort in my throat? Hello, I feel a bit of swelling around my throat, and my breathing doesn't feel smooth. When I sleep on my side, it seems like one nostril has a smaller airflow. Is there something wrong with that side of my body?


Dr. Cai Jueren Reply:
Hello MOMO: The sensation of a foreign body near the Adam's apple is often related to thyroid issues, especially when you feel difficulty breathing, indicating that something may be compressing your airway. The most common cause is a thyroid cyst (which is mostly benign). It...

[Read More] Understanding Throat Discomfort: Causes and Solutions for Breathing Issues


Understanding Dizziness: When to See a Doctor and Which Specialist to Consult

excuse me? I sometimes experience dizziness and instability that lasts for about ten seconds. I need to hold onto something to avoid falling. I would like to know what might be causing this and which department I should visit at the hospital.


Dr. Xu Li'an Reply:
Hello Weiwei, first we need to check if you have anemia. People with anemia may experience dizziness when changing positions, such as standing up suddenly after squatting. Next, it's important to consult with a neurologist and an otolaryngologist. I recommend that you start ...

[Read More] Understanding Dizziness: When to See a Doctor and Which Specialist to Consult


Can Traditional Chinese Medicine Help with Allergic Rhinitis and Throat Issues?

Will transitioning to Traditional Chinese Medicine lead to improvement? Doctor: Sorry to interrupt, but due to my nasal allergies, I often experience post-nasal drip that leads to bacterial infections in my throat. My sore throat hasn't improved, and it's causing severe...


Dr. Xu Li'an Reply:
Dear Amy, I also suffer from allergic rhinitis. Every morning, I have a runny nose that feels like a faucet. Western medicine can only treat the symptoms, not the root cause. When the symptoms are severe, I take medication; when they are mild, I try to adapt to them. I consider t...

[Read More] Can Traditional Chinese Medicine Help with Allergic Rhinitis and Throat Issues?


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