Understanding Body Aches and Restlessness During Sleep: When to Seek Help
Feeling body aches all over while sleeping and constantly tossing and turning? Hello, doctor. Recently, I've been experiencing body aches while sleeping, particularly in my lower back, back, and legs. I do fall asleep, but I feel like I'm constantly tossing and turning....
Dr. Lin Zhebin Reply:
Hello: Given your age, the most common causes of generalized body aches are usually due to overwork or intense exercise. If neither of these situations applies, it may be worth considering whether an infection is present, such as influenza or COVID-19, both of which can cause sym...[Read More] Understanding Body Aches and Restlessness During Sleep: When to Seek Help
Managing Coexisting Mediterranean Anemia and Iron Deficiency Anemia
Coexistence of Mediterranean anemia and iron deficiency anemia? The doctor would like to ask you, what should be done if a patient has both thalassemia and iron deficiency anemia? Iron supplementation is needed for iron deficiency anemia, but it may conflict with thalassemia. How...
Dr. Chen Bozhang Reply:
Hello Roy: If you have both thalassemia and iron deficiency anemia, the physician will evaluate the cause of your iron deficiency anemia and whether it can be corrected. Additionally, they will assess your iron levels (such as ferritin and transferrin) to determine if iron supple...[Read More] Managing Coexisting Mediterranean Anemia and Iron Deficiency Anemia
Understanding Sudden Weakness: When to Seek Medical Advice
Waking up in the middle of the night with weakness in the limbs? My boyfriend, 35 years old, does not smoke or drink. A few nights ago, he woke up in the middle of the night and found it very difficult to get out of bed, needing to lean against the wall for support. After finally...
Dr. Lin Zhebin Reply:
Hello: 1. Stress and insomnia can indeed affect the body, but your boyfriend's sudden onset of generalized weakness suggests that he should seek medical evaluation to rule out any issues related to the nervous system, cardiovascular system, or endocrine system. 2. It is a go...[Read More] Understanding Sudden Weakness: When to Seek Medical Advice
Chronic Bad Breath: Seeking Solutions After Decades of Discomfort
Chronic halitosis that has been a concern for several decades? Hello, doctor. I have been told that I have bad breath since the Chinese middle period, and I have been seeking the cause and solution for many years. Currently, I do not have any periodontal diseases or related oral ...
Dr. Lin Zhebin Reply:
Hello: Common causes of halitosis include oral diseases (including tonsillitis), respiratory diseases (including nasopharyngitis), gastrointestinal diseases, kidney diseases, and liver diseases. Based on your description, the examinations of the aforementioned organs seem to be n...[Read More] Chronic Bad Breath: Seeking Solutions After Decades of Discomfort
Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Inquiry Regarding Blood Test Report Hello, doctor. I went to a laboratory for blood tests and would like to ask you a few questions. I have issues with gastroesophageal reflux, insomnia, and anxiety, and my blood pressure is around 105-120/78-90. Recently, I've been feeling ...
Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you follow up with a family medicine clinic in three months. IgE levels tend to be elevated in cases of allergies or parasitic infections, so it is advisable for you to see...[Read More] Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Can I Get My Chronic Prescription from a Different Doctor?
Slow signing issues Hello Doctor, I would like to ask a question. I have a history of hypertension and have been on a continuous prescription for over a year. I visit every three months to get my medication from my family medicine doctor, Dr. A, on my regular day off, which is Su...
Dr. Lin Zhebin Reply:
Hello: Whether to continue the medication prescribed by Dr. A or to have Dr. B make the determination depends on the situation. However, if you are not experiencing any significant discomfort from the medication or if there are no notable abnormalities in your tests, most physici...[Read More] Can I Get My Chronic Prescription from a Different Doctor?
Understanding Sudden Left Upper Back Pain: When to Seek Medical Advice
Pain in the upper left back? Last night, while lying down, I suddenly experienced an unexplained soreness in the left side of my back, which felt similar to the soreness after running three kilometers. The discomfort was so intense that I could hardly sleep through the night. It ...
Dr. Liao Yaopan Reply:
Hello, please consult your family physician for an initial assessment. If necessary, they may refer you to the appropriate subspecialty. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhu...[Read More] Understanding Sudden Left Upper Back Pain: When to Seek Medical Advice
Comprehensive Blood Tests for Multiple Health Concerns in Family Medicine
Blood test? Hello, doctor. I have some symptoms such as irritability, fatigue, hair loss, blurred vision, iritis, excessive sweating in the chest, and slow wound healing. I suspect that these may be related to anemia, diabetes, thyroid issues, or ankylosing spondylitis. If I visi...
Dr. Hou Angting Reply:
Hello: It is recommended that you visit the Rheumatology or Family Medicine outpatient clinic for evaluation and follow-up by a physician. Wishing you good health.[Read More] Comprehensive Blood Tests for Multiple Health Concerns in Family Medicine
Understanding Unexplained Fever: When to Seek Medical Advice
Unexplained fever? Hello Doctor: Recently, I have been experiencing sudden increases in body temperature, around 37-37.4 degrees Celsius when measured in the ear. Is this considered a fever? It is also accompanied by fatigue and headaches, but this occurs while I am indoors and a...
Dr. Hou Angting Reply:
Hello: It is recommended that you visit the Family Medicine outpatient clinic for evaluation and follow-up. Wishing you good health.[Read More] Understanding Unexplained Fever: When to Seek Medical Advice
Understanding Mid-Scapular Pain: Causes and When to Seek Help
Pain in the middle of the scapula? I suddenly felt pain in the middle of my scapula while sitting in a chair. Leaning forward seems to relieve the discomfort, and pressing on my back provides some relief as well, but the pain goes away after a while. Recently, I've also been...
Dr. Chen Bozhang Reply:
Hello, Xiao Luo: In your recent message, you mentioned experiencing frequent pain in both shoulders and sudden severe pain between the shoulder blades. This is often caused by fatigue, inflammation at the muscle attachment points, or tightness in the fascia. During episodes, lo...[Read More] Understanding Mid-Scapular Pain: Causes and When to Seek Help
Craving Chocolate Snacks: Is It Hunger or a Health Concern?
I've been craving snack chocolate? Hello Doctor, recently I've been craving snacks, especially chocolate, consuming about two to three bags a day. I'm not sure if it's hunger or just a craving. At the end of August, I had a health check-up, and my urine glucos...
Dr. Lin Zhebin Reply:
Hello: Based on your description, your main issue seems to be having a good appetite but experiencing weight loss. In addition to considering diabetes, given your age, it is also important to consider the possibility of hyperthyroidism. For diabetes testing, in addition to fastin...[Read More] Craving Chocolate Snacks: Is It Hunger or a Health Concern?
Understanding Abdominal Pain, Nausea, and Dizziness: A Family Medicine Perspective
Nausea, vomiting, and abdominal pain? Hello doctor, I would like to ask about my symptoms. Recently, I have been experiencing abdominal pain, which has now progressed to occasional dizziness and nausea. The abdominal pain comes and goes, but the dizziness and nausea are also unpr...
Dr. Cai Dongqi Reply:
Hello, R: You may want to consider whether it is functional gastrointestinal disorder or gastroesophageal reflux disease (GERD). It would be advisable to consult a gastroenterologist first.[Read More] Understanding Abdominal Pain, Nausea, and Dizziness: A Family Medicine Perspective
Understanding Abdominal Pain, Nausea, and Dizziness: A Family Medicine Perspective
Nausea, vomiting, and abdominal pain? Hello doctor, I would like to ask because recently I have only been experiencing abdominal pain, but lately it has changed to sometimes feeling dizzy and nauseous with a desire to vomit. The abdominal pain symptoms are now intermittent, but t...
Dr. Cai Dongqi Reply:
Hello, R: You may want to consider whether you have functional gastrointestinal disorders or gastroesophageal reflux disease (GERD). It would be advisable to consult a gastroenterologist first.[Read More] Understanding Abdominal Pain, Nausea, and Dizziness: A Family Medicine Perspective
Persistent Chest Pain: When to Consult a Family Medicine Specialist
The symptoms have persisted for two weeks? Hello doctor, I have been experiencing unexplained pain for two weeks. During the first week, I felt pain in my left chest when coughing, laughing, hiccuping, or making large movements (it felt like internal pain). After taking over-the-...
Dr. Lin Zhebin Reply:
Hello: The discomfort in your left chest may be related to issues with the skin, musculoskeletal system, nerves, pleura, lungs, or heart. It is recommended that you first visit a family medicine physician to investigate the cause.[Read More] Persistent Chest Pain: When to Consult a Family Medicine Specialist
Understanding Nighttime Fever: Causes and Concerns in Family Medicine
Fever at specific times? I would like to ask about a situation where there are no respiratory symptoms, and both mental state and appetite are good. However, every night after 10 PM, I experience a fever of 38.3 to 38.5 degrees Celsius (with variations between ears). I measure it...
Dr. Lin Zhebin Reply:
Hello: Regarding your issue of experiencing fever at specific times in the evening, it is important to consider potential causes such as infections, endocrine disorders, autoimmune diseases, or cancer. It is advisable to seek medical attention promptly to investigate the underlyi...[Read More] Understanding Nighttime Fever: Causes and Concerns in Family Medicine
Understanding Weight Fluctuations: Concerns for Young Adults
Abnormal weight? Hello, doctor. I am 20 years old. Four months ago, I was 174 cm tall and weighed around 71 kg (which I maintained for a long time). I started a weight loss journey by changing my diet from regular takeout to eating healthy meal boxes every day. I rarely drink sug...
Dr. Hou Angting Reply:
Hello: It is recommended that you visit the Family Medicine outpatient clinic for evaluation and follow-up. Wishing you good health.[Read More] Understanding Weight Fluctuations: Concerns for Young Adults
Understanding Your Urine Test Report: Key Questions Answered
Questions about urine test results? Hello Doctor, recently I've been experiencing occasional sharp pain in my kidneys along with foamy urine, so I went to see a nephrologist for an examination. Today, when I reviewed the report with the doctor, he mentioned that all the test...
Dr. Hou Angting Reply:
Hello: Due to the low specific gravity, the test report indicates a suspicion of dilution. If it is confirmed that this is not the case, it is recommended that you follow up with a nephrologist or a family medicine specialist in the future. Wishing you good health.[Read More] Understanding Your Urine Test Report: Key Questions Answered
Is a Pale Lower Eyelid Always a Sign of Anemia?
Is the lower eyelid always pale in cases of anemia? Doctor, I researched online and found that a pale lower eyelid can indicate anemia. Although I have symptoms of dizziness and palpitations, my lower eyelids are pinkish-red. However, in the past few days, I have been diagnosed w...
Dr. Hou Angting Reply:
Hello: I recommend that you visit a family medicine clinic for further evaluation. Wishing you good health.[Read More] Is a Pale Lower Eyelid Always a Sign of Anemia?
Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained
Symptoms have worsened, with sudden sharp pain in the heart? I have been experiencing chronic headaches and dizziness for about three years (I often take painkillers, consuming an entire bottle during one summer). I am currently trying to control my intake. Previously, I had an E...
Dr. Hou Angting Reply:
Hello: I recommend that you visit a cardiology or family medicine clinic for further evaluation. Wishing you good health.[Read More] Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained
Understanding Weight Fluctuations: When to Seek Medical Advice
Weight issues I have recently noticed a weight loss, with my daily weight fluctuating by about 0.4 to 0.5 kilograms. I'm concerned whether this is due to eating too little or if there is an underlying disease. I often feel hungry even after eating, and I experience a constan...
Dr. Hou Angting Reply:
Hello: I suggest you first visit a family medicine outpatient clinic for a physician evaluation. Wishing you good health.[Read More] Understanding Weight Fluctuations: When to Seek Medical Advice