Understanding Persistent Fatigue: Common Causes and Solutions
Continuous health issues? Dear Doctor, I have been feeling very sleepy for the past few days. I first noticed it on the first day when I felt the urge to sleep around 9 or 10 AM at work and ended up sleeping for over an hour. I also took a nap during lunch for more than an hour...
Dr. Chen Taicheng Reply:
- Seek medical attention to check for any infections or other bodily abnormalities. - If there are indentations on the tongue without any wounds, there is no need to worry too much; sometimes this is related to poor sleep or high stress levels. - The small red spots on the tong...[Read More] Understanding Persistent Fatigue: Common Causes and Solutions
Understanding Dizziness: Causes, Concerns, and Remedies
I have been experiencing dizziness recently? Hello, doctor: Sometimes when I stand up from sitting, I suddenly feel dizzy (this has been going on for quite a while). Starting last Tuesday afternoon, I experienced sudden dizziness, but it seemed better the next day. I have a habit...
Dr. Chen Taicheng Reply:
● Standing up from a seated position may cause dizziness, which sounds like orthostatic hypotension. Helpful methods include avoiding rapid changes in posture, not sitting or standing for prolonged periods, and drinking water or eating something before getting up. ● There are art...[Read More] Understanding Dizziness: Causes, Concerns, and Remedies
Understanding TMJ Disorders: Tongue Pain and Related Symptoms
Temporomandibular joint, small white spots on the tongue, and pain when pressure is applied to the throat? Hello Doctor: I have been experiencing issues with my temporomandibular joint (TMJ) for a long time. Whenever I open my mouth slightly, there is a clicking sound that has pe...
Dr. Chen Taicheng Reply:
● If your temporomandibular joint (TMJ) is consistently making sounds and feels stiff, it may lead to joint wear. Please consult an oral and maxillofacial surgeon or an otolaryngologist at a major hospital. ● Small white spots on the tongue may simply be ulcers, which typically h...[Read More] Understanding TMJ Disorders: Tongue Pain and Related Symptoms
Understanding Persistent Health Issues: When to Seek Medical Advice
The body has been experiencing ongoing issues? Hello Doctor: Recently, I have been experiencing ongoing health issues, and I would appreciate your advice regarding my situation. Around early May, I suddenly started having headaches. At first, I thought it was due to work fatigue ...
Dr. Chen Taicheng Reply:
● Headaches have improved, so there is usually no need for concern. ● Oral ulcers are also quite common and are typically caused by stress, fatigue leading to decreased immunity, or viral infections; if they improve within two weeks, there is no need for worry. ● Coughing may als...[Read More] Understanding Persistent Health Issues: When to Seek Medical Advice
Understanding Weight Loss: Possible Causes and When to Seek Help
Weight loss Hello Doctor, I measured my weight on May 13 and it was 79.5 kg, but on June 23, it dropped to 74.5 kg, a loss of 5 kg. I often feel weakness in my left calf and a tight sensation after running. I am unsure if these two issues are related. My diet has been normal. Wha...
Dr. Chen Taicheng Reply:
● If you are eating and drinking normally but still experiencing weight loss, it is often indicative of issues such as high blood sugar or endocrine problems like hyperthyroidism. ● Similar personal responses can be referenced in <a href="https://adoctor.tw/article/117383...[Read More] Understanding Weight Loss: Possible Causes and When to Seek Help
Understanding Persistent Dizziness: Causes and Management Strategies
Dizziness for over a year? Hello Doctor, I have been experiencing dizziness for over a year. I have undergone numerous tests, which revealed severe obstructive sleep apnea and mild fatty liver. Since the onset of dizziness last year until January of this year, my dizziness has wo...
Dr. Chen Taicheng Reply:
● You have undergone a comprehensive evaluation for your dizziness, addressing common issues related to the heart, ears, head, or other medical concerns. ● Dizziness is an annoying symptom that may be slightly alleviated with medication; however, it is advisable to first address ...[Read More] Understanding Persistent Dizziness: Causes and Management Strategies
Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Iron deficiency anemia with splenomegaly? Hello Doctor, I was informed during a recent company health check that I have splenomegaly measuring 9 centimeters. I had a medical history of iron deficiency anemia four years ago, for which I received iron supplements until my levels re...
Dr. Chen Pengsheng Reply:
Dear Ms. Wei, The symptoms you described could have many possible causes, and iron deficiency anemia is one of them. I recommend that you bring your test results to see a physician for a detailed discussion. If it is iron deficiency anemia, effective treatment should be availab...[Read More] Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Chronic Fatigue, Excessive Thirst, and Hair Loss: Which Specialist to See?
Chronic fatigue... excessive thirst... significant hair loss? Hello, I have been experiencing chronic fatigue, excessive thirst (no matter how much water I drink, I still feel thirsty), and significant hair loss. The hair loss is severe enough that after washing my hair, the amou...
Dr. Chen Taicheng Reply:
● Fatigue is a non-specific complaint, and many internal medical conditions or psychological stressors can be associated with it. ● Common causes of thirst include diabetes mellitus, diabetes insipidus, hyperaldosteronism, and side effects from certain medications (such as diuret...[Read More] Chronic Fatigue, Excessive Thirst, and Hair Loss: Which Specialist to See?
Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Abnormal blood test results? Hello, I experienced quite severe insomnia two years ago, but my sleep quality has improved significantly over the past six months, allowing me to fall asleep in about 20 minutes. However, I still feel very fatigued and weak; even after sleeping 8-9 h...
Dr. Chen Bozhang Reply:
Dear Ms. CY, I understand from your letter that you have been experiencing persistent fatigue. Your health check report indicates mild anemia and a slightly elevated eosinophil count. Here’s an explanation: 1) The ideal hemoglobin (Hb) level for women is above 12.0 g/dL. You ha...[Read More] Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Managing Hyperthyroidism: Key Questions and Answers for Patients
Hyperthyroidism issues? Hello, doctor! I have some questions: 1. A family member has been on medication for hyperthyroidism for three months. T4 levels are now normal, but TSH remains low at 0.03. If they experience a fever or sore throat, should they temporarily stop the medic...
Dr. Chen Taicheng Reply:
● First, "Antithyroid medications suppress Free T4 levels quickly, but TSH may remain low for some time (even for several months)." Therefore, if TSH has not normalized, you can consult your physician to adjust the medication. Generally, after three months of treatment,...[Read More] Managing Hyperthyroidism: Key Questions and Answers for Patients
Which Specialist to Consult for Suspected Chronic Fatigue Syndrome?
If you suspect you have symptoms of "Chronic Fatigue Syndrome," which specialist should you consult? Hello Doctor: My symptoms are as follows: I experience intermittent fatigue, lethargy, and weakness several times a day, along with occasional brief episodes of dizzines...
Dr. Chen Taicheng Reply:
Chronic Fatigue Syndrome is a diagnosis of exclusion; however, your own hyperlipidemia and long-term nasal congestion, post-nasal drip, allergic rhinitis, and gastroesophageal reflux could contribute to symptoms of chronic fatigue. Additionally, if there is a possibility of sleep...[Read More] Which Specialist to Consult for Suspected Chronic Fatigue Syndrome?
Understanding Low Vitamin B12: Anemia and Health Implications
Regarding low levels of vitamin B12? I would like to ask the doctor again: I usually do not experience dizziness when squatting; does this mean I do not have anemia? Additionally, my vitamin B12 levels are lower than average. Could this be due to a possible hematopoietic dysfunct...
Dr. Chen Taicheng Reply:
● Anemia should not be assessed solely based on whether one experiences dizziness; it is advisable to have a blood test, as women are prone to iron deficiency anemia due to menstrual cycles. ● Vitamin B12 deficiency may present with mild symptoms such as fatigue; however, severe ...[Read More] Understanding Low Vitamin B12: Anemia and Health Implications
Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Suspected Antiphospholipid Syndrome Hello, doctor. At the beginning of January this year, I suddenly experienced sharp chest pain, followed by numbness in my limbs. After that, I had many symptoms, such as sudden body jerks that would wake me up when I was about to fall asleep, i...
Dr. Chen Taicheng Reply:
● Antiphospholipid syndrome is typically diagnosed due to venous and arterial thrombosis or recurrent miscarriages in women of childbearing age. It is an autoimmune disease characterized by the presence of "antiphospholipid antibodies" in the blood, which cause blood to...[Read More] Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend
Fatigue and early sleep? Doctor, may I ask why my girlfriend has suddenly become fatigued? Her work and class schedule have been normal, and previously, she would stay up until 1 or 2 AM regardless of her menstrual cycle, and she was always energetic during the day. However, ever...
Dr. Wu Fangcan Reply:
According to your statement: Does your girlfriend have any signs of anemia? Is she taking any medication? Please have your girlfriend consult a family medicine physician nearby and arrange for an examination. Thank you.[Read More] Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend
Red Vertical Lines on Nails: When to See a Doctor for Dizziness?
If you are experiencing a large number of red longitudinal lines on your nails that resemble bruising, along with dizziness, you should consult a specialist in dermatology for the nail symptoms and possibly a hematologist for the dizziness and any underlying blood-related issues?...
Dr. Chen Taicheng Reply:
● The presence of red lines in the nails is most commonly caused by trauma leading to the rupture of microcapillaries beneath the nail. Other less common causes include infective endocarditis, psoriasis, and autoimmune diseases. ● If there is a sudden appearance of numerous red l...[Read More] Red Vertical Lines on Nails: When to See a Doctor for Dizziness?
Understanding Throat Discomfort and Neck Tension: A Patient's Journey
Sensation of a foreign body in the throat with tightness in the back of the neck? Hello Doctor: I tend to be overly anxious and have a history of gastrointestinal bloating, constipation, headaches, and chest tightness due to spinal and cervical misalignments. Long-term use of Wes...
Dr. Chen Taicheng Reply:
● It is important to determine what you may have choked on to rule out any issues with obstruction in the esophagus or trachea; however, since you have undergone a CT scan of the throat, it should initially rule out foreign body issues in the larynx. You may want to consult an ot...[Read More] Understanding Throat Discomfort and Neck Tension: A Patient's Journey
Chest Pain and Breathing Issues: When to Seek Medical Help
Chest pain, shortness of breath when going up and down stairs, and throat pain? I have been experiencing pain for the past six months, feeling like I can't catch my breath. The pain is located in the chest, from the middle to the right side (not near the heart), and my throa...
Dr. Chen Taicheng Reply:
● Initial evaluations by cardiology and pulmonology should rule out common cardiopulmonary diseases. Pain when climbing stairs indicates that the discomfort may be exercise-induced, potentially stemming from muscular or orthopedic issues. Possible causes include fibromyalgia (the...[Read More] Chest Pain and Breathing Issues: When to Seek Medical Help
Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective
Cold, diarrhea, numbness in hands? Hello, Doctor. I would like to ask a couple of questions. Q1: I have had a cold for almost a week, with symptoms including nasal congestion, runny nose, cough, and phlegm in my throat (both the nasal discharge and phlegm are clear). I visited ...
Dr. Chen Taicheng Reply:
● Abdominal pain may be related to a first-time cold or could be a new symptom. It is advisable to visit a large hospital's family medicine or gastroenterology department for further evaluation and treatment. Generally, cold symptoms and gastrointestinal issues will graduall...[Read More] Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective
Understanding Dizziness and Nausea: Possible Causes and Solutions
Dizziness with mild nausea? Doctor, for the past two nights, I sometimes feel like I'm not breathing while sleeping, and I experience a bit of chest tightness. It's like a sudden feeling of emptiness below my chest that wakes me up, and I wake up easily. I also have to ...
Dr. Liao Yaopan Reply:
Hello, regarding your recent symptoms, it is still recommended that you first consult your family physician for an evaluation, and then determine if a referral to a specialist is necessary based on the situation. Please note that online consultations do not equate to in-person me...[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions
Understanding Fatigue and Symptoms During a Cold: What to Know
Feeling weak all over with a cold? Hello doctor, my cold symptoms started appearing yesterday afternoon. Initially, I felt dizzy and nauseous, which later turned into a headache. I went to see a doctor, who prescribed medication that I have been taking. My temperature was 37.4°C,...
Dr. Wu Fangcan Reply:
Based on your description, a viral infection cannot be ruled out. If it is influenza, it typically starts with a sore throat, body aches, and fever. It is advisable to consult a family medicine or internal medicine specialist for further evaluation. Thank you.[Read More] Understanding Fatigue and Symptoms During a Cold: What to Know