Family medicine, Family Medicine FAQ - Page 7

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Unexplained Chest and Abdominal Pain: Causes and Solutions

Unexplained pain Hello, doctor. I have unexplained pain that occurs whenever I squat for too long and then stand up. The pain is located between my chest and stomach, as well as in the upper part of my stomach, and it lasts for two to three days. When I press on the muscles, I fe...


Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, such as muscle spasms, since it occurs when you squat and pressing on the muscles causes pain. Additionally, it could be due to gastroesophageal reflux, ...

[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions


Unexplained Chest and Abdominal Pain: Causes and Solutions

Unexplained pain? Hello, doctor. I have unexplained pain that occurs when I squat for too long and then stand up. The pain is located between my chest and stomach, as well as between my breasts and the upper part of my stomach. It lasts for two to three days, and I feel tendernes...


Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is pain upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gastroeso...

[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions


Understanding Blood Sugar Tests: Do You Really Need A HbA1c Test?

Diabetes testing Hello, doctor. Recently, I've been experiencing excessive sweating in my upper body and my wounds are healing slowly. Since my mother has diabetes, I suspect I might have it too. I went to a large local hospital's endocrinology department to get a blood...


Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you maintain a healthy diet and engage in moderate exercise, and follow up with the family medicine clinic in three months. The quantity of food you consume can affect your...

[Read More] Understanding Blood Sugar Tests: Do You Really Need A HbA1c Test?


Unexplained Chest and Abdominal Pain: Causes and Solutions

Unexplained pain Hello, doctor. I have unexplained pain that occurs after squatting for too long. When I stand up, I feel pain between my chest and stomach, as well as between my breasts and the upper part of my stomach. This pain lasts for two to three days. When I press on the ...


Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is tenderness upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gas...

[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions


Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions

Unexplained pain? Hello, doctor. I have unexplained pain that occurs when I squat for too long and then stand up. The pain is located between my chest and stomach, as well as between my breasts and the upper part of my stomach. It lasts for two to three days. When I press on the ...


Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is pain upon muscle palpation (for example, muscle spasms). Additionally, it could be due to gastroes...

[Read More] Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions


Understanding Low WBC Count in High School Health Checkups

Abnormal White Blood Cell Count <High School Freshman Health Examination Report> Hello Doctor: My son's health check report shows that his WBC is slightly low, and there is a value for Ne, which I forgot how to spell, that is 44.2, with a normal range of 45. After look...


Dr. Chen Bozhang Reply:
Hello! If parents have concerns, it is recommended to take the child and the health check report to a regional hospital or higher for consultation with a family medicine specialist. Thank you.

[Read More] Understanding Low WBC Count in High School Health Checkups


Understanding Head and Neck Pain: Possible Causes and Solutions

Pain in the zygomatic bone, brow bone, temples, and occipital region? Hello doctor, recently I've been experiencing pain on both sides of the back of my head, extending to my neck and temples. The pain on the sides of my head occurs when I shake my head, and when I lie down,...


Dr. Lin Zhebin Reply:
Hello: 1. The pain you are experiencing on the sides of your nose, cheekbones, and brow bones may be due to allergic rhinitis, sinusitis, gingivitis, trigeminal neuralgia, among others. 2. The pain in your temples, back of the head, and neck may be related to tension headaches, m...

[Read More] Understanding Head and Neck Pain: Possible Causes and Solutions


Understanding Infection Risks in Daily Life: A Guide for Family Medicine

Infection issues 1. If I have a wound on my hand and the other person also has a bleeding wound, and their blood comes into contact with coins or paper bills, can I get infected if my wound touches the wet blood or if I directly touch their bleeding wound? 2. If I haven't ...


Dr. Ye Qianyu Reply:
Hello, the hypothetical situation mentioned has a very low chance of causing infection. You may consider wearing gloves, and if you have concerns, you can go to a designated facility for anonymous testing. General contact is unlikely to cause transmission, and regular handwashing...

[Read More] Understanding Infection Risks in Daily Life: A Guide for Family Medicine


Unexplained Fever and Abdominal Muscle Pain: What You Need to Know

Fever of unknown origin with abdominal muscle pain? Hello doctor, for the past two months, I have been experiencing persistent abdominal muscle cramps that feel different from typical leg cramps. It feels like someone is pulling the muscles inward from the inside. I often wake up...


Dr. Lin Zhebin Reply:
Hello: Regarding your abdominal pain, since it is accompanied by headaches and generalized muscle soreness, it is important to consider the possibility of an infection. Additionally, there may be endocrine and hormonal issues at play. From an organ perspective, the problem could ...

[Read More] Unexplained Fever and Abdominal Muscle Pain: What You Need to Know


Understanding Night Sweats: When to Seek Medical Help for Fatigue

Night sweats? Since this summer, my physical condition has noticeably worsened. I have to wear long sleeves and long pants to sleep even with the air conditioning set at 27°C. About two months ago, I occasionally woke up at night sweating from my shoulders, neck, chest, and back....


Dr. Cai Dongqi Reply:
Hello, I hope you are well. It is important to adjust your lifestyle (which is currently not normal) by avoiding staying up late and the habit of eating late-night snacks. The causes of night sweats may include menopause, hyperthyroidism, diabetes, and autonomic nervous system di...

[Read More] Understanding Night Sweats: When to Seek Medical Help for Fatigue


Understanding Pain at the Back of the Head While Sleeping

Headache when lying on the pillow while sleeping? There is a spot on the upper back of my head that hurts every time I press on it while sleeping. I also feel pain when I apply pressure with my fingers. This has been going on for a while, located about 3 centimeters above the nap...


Dr. Lin Zhebin Reply:
Hello: The localized pain and tenderness in your head may be due to a skin or scalp lesion. However, since it has persisted for a while, I recommend that you visit a family medicine physician for an examination to determine the cause of the pain.

[Read More] Understanding Pain at the Back of the Head While Sleeping


Understanding Upper Left Back Pain: When to Seek Medical Advice

Dull and distended pain above the left kidney? The left upper back near the spine is experiencing dull and pressure-like pain. I can feel it when lying down or bending over, and sometimes there is pain in the side ribs as well. I am concerned it might be a pancreatic issue. I hav...


Dr. Lin Zhebin Reply:
Hello: The pain in the upper left area of your back could potentially be related to various issues, ranging from the skin, muscles, tendons, ligaments, bones, diaphragm, pleura, lungs, heart, stomach, spleen, kidneys, small intestine, to large intestine, among others. Since you h...

[Read More] Understanding Upper Left Back Pain: When to Seek Medical Advice


Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief

My father is experiencing pain in both his ankle and shoulder joints, diagnosed with osteoarthritis. He also has weakness in his legs and is considering receiving hyaluronic acid injections? Hello Doctor: I found a similar article on your website <a href="https://adoctor....


Dr. Chen Bozhang Reply:
Dear Wesley online user, In your message, you mentioned that your 93-year-old father is experiencing degenerative arthritis in multiple joints. Regarding treatment options beyond medication, I recommend taking your father to an orthopedic or rehabilitation clinic (preferably one...

[Read More] Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief


Understanding Abnormal WBC Levels in Children's Health Check Reports

Health Check Report <Abnormalities in Blood> Hello Doctor: I recently received my son's health check report, and there is a highlighted WBC count of 3.3. Should I consult a family medicine physician or a hematologist?


Dr. Chen Bozhang Reply:
Hello Xiao Wu: Your white blood cell count is low. It is recommended that you visit a family medicine or general internal medicine clinic for further monitoring and evaluation. If there are any issues, the physician can refer you to a hematology specialist. This response is from ...

[Read More] Understanding Abnormal WBC Levels in Children's Health Check Reports


Understanding Abnormal Urine Sediment: Causes and Next Steps

Abnormal urine sediment? Dear Doctor, I recently underwent urine and blood tests along with an abdominal ultrasound, and there are two abnormalities: 1. Abdominal ultrasound: The doctor mentioned "chronic changes" in the kidney area. 2. Urine sediment examination: The r...


Dr. Lin Zhebin Reply:
Hello: 1. An abdominal ultrasound showing chronic kidney changes typically indicates that kidney function has been affected. It is essential to identify the underlying causes of the impaired kidney function, which are commonly diabetes, hypertension, etc. 2. A urinalysis generall...

[Read More] Understanding Abnormal Urine Sediment: Causes and Next Steps


Pain Near the Shoulder Blade: Causes and Solutions for Upper Back Discomfort

Pain in the right upper back near the indentation close to the scapula? Hello Doctor: A few days ago, I woke up and noticed a sharp pain on both sides of my back when I bent down to tie my hair. After about two days, the pain changed to a sharp sensation near the right upper back...


Dr. Lin Zhebin Reply:
Hello: Regarding your issue of sharp pain in the back, if the pain occurs during arm or body movements, it is more likely related to superficial soft tissue problems such as muscles, tendons, or ligaments. However, since you mentioned that the pain also occurs when eating, drinki...

[Read More] Pain Near the Shoulder Blade: Causes and Solutions for Upper Back Discomfort


Why Am I Eating More After Recovering from Gastrointestinal Issues?

Increased appetite after recovery from illness? Hello Doctor, a while ago I experienced gastrointestinal discomfort due to autonomic nervous system dysregulation, which made it difficult for me to eat. Now that I feel better, I've been snacking a lot. I have a tendency to ga...


Dr. Lin Zhebin Reply:
Hello: 1. The amount you eat is actually not very large, but the calorie content is high, and the food choices are poor, such as large fries, bubble tea, and bear-shaped cookies. It is recommended that you maintain a balanced intake of the "six major food groups," which...

[Read More] Why Am I Eating More After Recovering from Gastrointestinal Issues?


Understanding Your Health Check Report: Common Concerns and Insights

Questions about health check-up reports? Hello Doctor, I am 186 cm tall and weigh 72 kg. I have a regular exercise routine that includes three aerobic sessions and two strength training sessions per week, with a relatively high intensity. I also pay attention to my diet. However,...


Dr. Lin Zhebin Reply:
Hello: 1. A fasting blood glucose level of 101 is not something to be overly concerned about. The normal reference range is based on the majority of the population, and a single fasting blood glucose measurement can be influenced by the duration of fasting and the food consumed...

[Read More] Understanding Your Health Check Report: Common Concerns and Insights


Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns

Anemia-related issues Hello Doctor, my health check report shows that my average red blood cell volume has been continuously decreasing over the past three years, except for the year 2019, while my platelet count has been steadily increasing. In November of last year, my health c...


Dr. Lin Zhebin Reply:
Hello: 1. The diagnosis of anemia generally begins with evaluating hemoglobin (Hb) levels. For normal females, a hemoglobin level below 12 g/dL can objectively indicate anemia. Based on your description, your hemoglobin levels should be normal. 2. The decrease in your mean corpus...

[Read More] Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns


Understanding Low White Blood Cell Counts: When to Seek Specialist Care

Questions about leukopenia? Hello Doctor, in early September, I had a health check-up as a student, and in mid-October, I received the report which showed that my WBC (white blood cell count) was 3.42, with a reference range of 4.50–10.0, indicating leukopenia. I then went for a ...


Dr. Lin Zhebin Reply:
Hello: 1. The reasons for your low white blood cell count and low segmented neutrophils may include the following considerations: (1) Normal variation: The reference range for blood tests is based on the majority of the population, and you may belong to a small group with i...

[Read More] Understanding Low White Blood Cell Counts: When to Seek Specialist Care


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