Fatigue, Family Medicine FAQ - Page 11

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Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms

Having many health issues can make it difficult to know what to do? Hello Doctor, I have symptoms of mitral valve prolapse, gastroesophageal reflux disease, being a carrier of thalassemia, and headaches. I have previously undergone surgery for bilateral tonsillectomy and a liposa...


Dr. Chen Taicheng Reply:
● There are many possible causes for chest tightness, including the issues you mentioned, such as bronchial problems or gastroesophageal reflux (you can refer to my other article at https://goo.gl/jkWwha). Generally, mild mitral valve prolapse is mostly asymptomatic and does not ...

[Read More] Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms


Understanding Lymph Node Issues and Pelvic Pain: A Comprehensive Guide

Lymphatic issues and pain in the pelvic region near the lower back? Hello Doctor, recently I've been feeling a tightness near my groin area. I thought it might be due to wearing tight underwear or having something in my pocket. While showering, I noticed two or three lymph n...


Dr. Chen Taicheng Reply:
● The lymph nodes in the groin area receive lymphatic drainage from the inguinal region, genitals, legs, and feet. Since lymphatic fluid plays a role in combating diseases and infections, lymph nodes may become enlarged when pathogens invade. Common causes of lymphadenopathy incl...

[Read More] Understanding Lymph Node Issues and Pelvic Pain: A Comprehensive Guide


Understanding HIV Symptoms: Concerns for Young Adults

Symptoms of HIV/AIDS Hello doctor, I am 18 years old, a virgin, and have never undergone intravenous injection or shared needles. My mother also does not have HIV. Recently, I received information about HIV and it reminded me of a similar flu-like illness I experienced last winte...


Dr. Gao Qingyun Reply:
Hello: HIV is generally transmitted through sexual contact, blood, bodily fluids, and shared needles. If you have not engaged in these activities, there is no need to be overly concerned about contracting HIV. If you have any doubts or experience other physical discomfort, you ma...

[Read More] Understanding HIV Symptoms: Concerns for Young Adults


Understanding Chronic Fatigue and Right-Side Discomfort: What to Do?

Fatigue on the right side of the body? Dear Dr. Chang, Hello! I have been feeling extremely fatigued for the past two and a half years, unable to get enough sleep, and struggling with concentration. Additionally, my right side feels particularly heavy, and my bones are very sore...


Dr. Zhang Hongwei Reply:
Hello: Due to the multiple symptoms you are experiencing, it is recommended that you visit a family medicine department at a hospital for a thorough examination. This may need to include blood tests and abdominal imaging studies. Additionally, these symptoms could also be influen...

[Read More] Understanding Chronic Fatigue and Right-Side Discomfort: What to Do?


Essential Health Checks for Weight Loss and Medication Management

What tests should be performed? Hello, doctor. I am 165 cm tall and weigh 129 kg (I was nearly 150 kg before and have lost weight for about 2 months). I am taking antihypertensive and antidiabetic medications: Shumai Kang enteric-coated tablets 5/20 mg (1 tablet), Tenormin 100 mg...


Dr. Gao Qingyun Reply:
Hello: The next step should involve a detailed physical examination and medical history inquiry to assess the current condition and subsequent management recommendations. It is advised that you visit a cardiology or family medicine outpatient clinic for an in-person evaluation by...

[Read More] Essential Health Checks for Weight Loss and Medication Management


Sudden Weight Loss: When to Worry and What Tests to Consider

Sudden significant weight loss? Hello Dr. Wu: My husband is 175 cm tall and originally weighed around 96-97 kg. Since the end of August this year, his weight has started to decrease. After I was diagnosed with gestational diabetes in September, he began to control his diet as wel...


Dr. Wu Fangcan Reply:
According to your description, your husband is 175 cm tall and weighs 96 kg, with an ideal weight of 73.5 kg, which means he is already overweight. Later, with your dietary control, his weight has decreased. If he does not experience any mental fatigue or other discomfort, he sho...

[Read More] Sudden Weight Loss: When to Worry and What Tests to Consider


Understanding Symptoms of Dizziness and Tinnitus During Hiking

Experiencing tinnitus, nausea, and seeing stars while hiking? Hello, doctor. I am aware that my cardiopulmonary function is not good (I have a history of childhood asthma). I occasionally ride a bicycle and play table tennis for exercise, and I have also engaged in jogging, reach...


Dr. Gao Qingyun Reply:
Dear Team Luo, Hello, the symptoms you described require a proper assessment based on your medical history and a physical examination for an accurate diagnosis. Please visit my clinic for evaluation and assistance. Thank you, and I wish you peace and good health. Sincerely, G...

[Read More] Understanding Symptoms of Dizziness and Tinnitus During Hiking


Understanding Iron Deficiency Anemia and Splenomegaly: A Patient's Guide

Iron deficiency anemia and splenomegaly issues? Hello doctor, last November I was diagnosed with a hemoglobin level of 7.8. After taking iron supplements for four months, my hemoglobin increased to 12.9. However, I stopped the medication, and my recent blood test showed a hemoglo...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended to seek assistance from a hematologist and an obstetrician-gynecologist to evaluate and treat anemia. Identifying the underlying cause is essential for effective treatment. Changhua Hospital cares about you.

[Read More] Understanding Iron Deficiency Anemia and Splenomegaly: A Patient's Guide


Struggling with Light Sleep and Fatigue: Understanding Your Sleep Issues

Light sleep with frequent dreaming, and waking up still feeling fatigued? Hello, doctor. Recently, I have been visiting the doctor frequently because I have been having trouble falling asleep. Even when I do fall asleep, I tend to wake up after about two hours, but I can fall bac...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it seems that your sleep situation is not ideal, and long-term issues may lead to discomfort. For medication, it is advisable to seek evaluation and adjustment from a psychiatrist. Additionally, if there are other physiological factors affecting yo...

[Read More] Struggling with Light Sleep and Fatigue: Understanding Your Sleep Issues


Understanding Weight Loss: Stress, Fatigue, and Health Concerns

Weight loss I have been experiencing significant mental stress for over a month, worrying constantly. In the last two weeks, I have started to feel fatigued and have the impression that I am not getting enough sleep. Surprisingly, I have lost 7 kg in this month. What could be the...


Dr. Zhang Hongwei Reply:
Hello, psychological stress is one of the causes of weight loss. However, it is essential to rule out other underlying diseases, such as diabetes, hyperthyroidism, tuberculosis, or HIV. I would like to know if you have experienced changes in appetite, increased thirst and urinati...

[Read More] Understanding Weight Loss: Stress, Fatigue, and Health Concerns


Why Am I Always Tired? Understanding Sleep and Screen Time Effects

I am not getting enough sleep every day? I used to have a habit of staying up late, but now I sleep around 11 to 12 PM and wake up at 8 AM. However, I often wake up around 3 to 4 AM and spend a long time using my phone and computer every day, which has caused my eyes to feel very...


Dr. Zhang Hongwei Reply:
Hello, based on your description, it seems that your sleep is somewhat disrupted, and there may be excessive use of electronic devices. I recommend starting with lifestyle changes, such as reducing the use of electronic devices, increasing outdoor physical activity, avoiding caff...

[Read More] Why Am I Always Tired? Understanding Sleep and Screen Time Effects


Why Am I Always Tired? Understanding Chronic Fatigue Symptoms

Feeling sleepy all day long? In the past two weeks, I've been feeling unusually fatigued and waking up with sore eyes every day. I underwent an abdominal ultrasound and liver function tests, all of which came back normal, except for the presence of small polyps in my gallbla...


Dr. Zhang Hongwei Reply:
Hello, I'm not sure about your sleep schedule, including what time you go to bed, the duration of your sleep, your daytime routine, and whether you spend long periods using your phone or computer screens. If the abdominal ultrasound shows a polyp that is less than 1 centimet...

[Read More] Why Am I Always Tired? Understanding Chronic Fatigue Symptoms


Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?

Feeling fatigued and drowsy? Could it be due to Mediterranean anemia or fatty liver disease? Hello Dr. Chen, I have been diagnosed with beta-thalassemia since childhood. I failed two blood tests before my military service, both due to "beta-thalassemia." Additionally, d...


Dr. Chen Bozhang Reply:
Dear Mr. A-Shan, You mentioned a history of thalassemia, and recent health check-ups have revealed severe fatty liver with elevated levels of GOT and GPT, indicating that your fatty liver has led to chronic hepatitis. You often feel fatigued or sleepy, occasionally experience di...

[Read More] Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?


Understanding Pain on the Top of the Foot: Causes and Insights

Dorsal foot pain Hello, about two weeks ago, I accidentally discovered that the area on the dorsum of my right foot, above the fourth and fifth toes, is painful to the touch. There was no injury, redness, swelling, or bruising, and I do not experience any discomfort while walking...


Dr. Wu Fangcan Reply:
If you have already reached menopause, you should suspect gout as a potential cause. If you wear high heels, consider musculoskeletal discomfort. If you frequently engage in hiking, you should consider fatigue fractures. Please consult an orthopedic or rehabilitation specialist f...

[Read More] Understanding Pain on the Top of the Foot: Causes and Insights


Chest Tightness, Numbness, and Digestive Issues: Seeking Answers

Chest tightness, hand numbness, and gastrointestinal discomfort? Hello, doctor. Recently, I have been experiencing chest tightness accompanied by numbness and weakness in my arms (often the left arm), gastrointestinal discomfort (diarrhea), and a sensation of something stuck in m...


Dr. Liao Yaopan Reply:
Hello: Based on your description, it is recommended that you consult your family physician to comprehensively review the results of the tests you have already undergone, as well as to conduct a personal examination for further evaluation and recommendations. Changhua Hospital car...

[Read More] Chest Tightness, Numbness, and Digestive Issues: Seeking Answers


Understanding Unexplained Chest and Abdominal Pain: A Family Medicine Perspective

Pain points are not always definitive? Hello doctor, I have been experiencing symptoms for over six months. Initially, I had unexplained pain in my left chest, and one time while sleeping, I suddenly had severe pain in my left rib cage and fainted for a moment. After that, I freq...


Dr. Gao Qingyun Reply:
Hello: The symptoms you described are quite nonspecific, and further examination may be necessary to make a proper assessment. I recommend that you visit the Family Medicine outpatient clinic for an in-person evaluation by a physician. Thank you. Wishing you safety and health. Si...

[Read More] Understanding Unexplained Chest and Abdominal Pain: A Family Medicine Perspective


Understanding Unintentional Weight Loss: Causes and Concerns for Students

Continuous weight loss? When I entered my department as a freshman, I weighed about 85 kg and was 176 cm tall, with a relatively robust build. Since I was interested in basketball, I joined the department's basketball team, which involved a significant amount of training—abo...


Dr. Liao Yaopan Reply:
Maintaining a standard body weight is beneficial for health; however, rapid weight loss should be monitored for any underlying physiological abnormalities. It is advisable to consult your family physician for an evaluation. Changhua Hospital is here to support you.

[Read More] Understanding Unintentional Weight Loss: Causes and Concerns for Students


Which Specialist to See for Persistent Fatigue and Low-Grade Fever?

Which specialty should I see for these symptoms? Recently, my husband has been experiencing generalized weakness, fatigue, loss of appetite, and a slightly elevated body temperature (around 37.1-37.4°C). He feels warm and has had several episodes of diarrhea. Initially, we though...


Dr. Gao Qingyun Reply:
Hello: The symptoms you described are atypical and may involve the interplay of multisystem diseases. I recommend that you take your husband to a family medicine outpatient clinic for a thorough examination by a specialist. Wishing you safety and health. Sincerely, Dr. Gao Qingyu...

[Read More] Which Specialist to See for Persistent Fatigue and Low-Grade Fever?


Understanding Cholesterol Levels: Insights from Health Check Results

Health Check Report - Total Cholesterol 195, Triglycerides 22, Globulin 37? Hello Dr. Chen: I had a health check-up in May this year, and my total cholesterol was 195, triglycerides were 22, and globulin was 37. Last year, my total cholesterol was 207, with both high-density lipo...


Dr. Chen Bozhang Reply:
Dear Ms. Ahi, You mentioned that after a year of dedicated exercise and dietary control, your health check results showed only a slight decrease in total cholesterol. In fact, the more important indicators of cholesterol are high-density lipoprotein (HDL) and low-density lipopro...

[Read More] Understanding Cholesterol Levels: Insights from Health Check Results


Understanding Left Back Pain Near the Spine: Causes and When to Seek Help

Left-sided back pain in the spine? Hello, recently I've been experiencing a lot of work-related stress. I started to feel a slight pain in my left back near the spine (just below the shoulder blade) some time ago. After getting a massage, I hit a muscle that made the pain mo...


Dr. Liao Yaopan Reply:
Hello, regarding your back discomfort, it is advisable to consult an orthopedic specialist for evaluation. If you are experiencing mental confusion, you may also seek assistance from a psychosomatic medicine specialist. Of course, arranging for a self-funded comprehensive health ...

[Read More] Understanding Left Back Pain Near the Spine: Causes and When to Seek Help


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