Fatigue, Family Medicine FAQ - Page 14

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Understanding Low Hemoglobin and MCH Levels: Health Implications

Hemoglobin Hemoglobin (Hgb) is low at 11.7 g/dL (normal range: 12-16 g/dL), and mean corpuscular hemoglobin (MCH) is low at 26.9 pg (normal range: 27-34 pg). 1. Low hemoglobin levels can lead to symptoms of anemia, such as fatigue, weakness, shortness of breath, and pale skin. ...


Dr. Cai Mengru Reply:
Dear Emma, Regarding your question, both of these indicators refer to mild anemia. Since the condition is relatively mild, the symptoms of anemia (such as fatigue, dizziness, and lightheadedness) are not very pronounced. It is more important to investigate the underlying causes ...

[Read More] Understanding Low Hemoglobin and MCH Levels: Health Implications


Understanding Morning Fatigue: The Impact of Sleep Oxygen Levels and Anemia

Waking up feeling fatigued? Doctor, I visited an otolaryngologist and the result showed that my sleep oxygen level is 85. Later, I was diagnosed with a deviated septum, which could lead to frequent nasal congestion. Could this be a reason for waking up feeling very tired? In Janu...


Dr. Chen Bozhang Reply:
Hello, In response to your inquiry, you mentioned feeling very fatigued upon waking, and tests revealed that your blood oxygen saturation during sleep was 85%. This indicates a moderate level of hypoxia during sleep, primarily caused by periodic upper airway obstruction. If you...

[Read More] Understanding Morning Fatigue: The Impact of Sleep Oxygen Levels and Anemia


Feeling Tired Every Morning: Is It a Sleep Disorder?

Waking up feeling fatigued? Hello. I wake up feeling very tired every day and find it hard to get out of bed. I feel dizzy and lethargic throughout the day, often wanting to sleep. I tend to doze off at work and easily become anxious and stressed. This has been going on for nearl...


Dr. Chen Bozhang Reply:
Dear User, In your message, you mentioned experiencing fatigue, dizziness upon waking, daytime sleepiness, and increased anxiety for the past 12 years. Daytime sleepiness itself is a significant warning sign and may indicate possible sleep disorders, hypoxia, central nervous sys...

[Read More] Feeling Tired Every Morning: Is It a Sleep Disorder?


Unusual Symptoms After a Cold: Fatigue, Weakness, and Medication Effects

Strange Symptoms After a Cold On July 21 and 22, I had a cold with symptoms of dizziness and headache. I experienced a low-grade fever and occasional sweating, but never had a high fever. On July 23, I no longer had a headache but had a runny nose and sneezing (I usually have all...


Dr. Chen Bozhang Reply:
Hello: In response to your question, you mentioned experiencing persistent fatigue and drowsiness after taking medication for a cold. Since each person's constitution is different, even the same medication can exhibit varying side effects. It is also possible that these symp...

[Read More] Unusual Symptoms After a Cold: Fatigue, Weakness, and Medication Effects


Understanding Dizziness: Causes, Treatments, and When to Seek Help

I have been experiencing dizziness recently? Dr. Tsai: Hello! I have been experiencing frequent dizziness lately, and I'm unsure of the cause. I also don't know which specialty to consult. I recently recovered from a cold and have visited two clinics. Initially, I went ...


Dr. Cai Mengru Reply:
Xiao Ting: Hello, many medications for colds can cause dizziness and drowsiness, especially those effective for runny nose and cough, which are particularly likely to induce sleepiness. Additionally, the fatigue from the cold itself necessitates rest, and it is also possible that...

[Read More] Understanding Dizziness: Causes, Treatments, and When to Seek Help


Chronic Fatigue and Sleep Issues: Understanding Your Health Concerns

Feeling fatigued and wanting to sleep? Recently, I've been feeling very sleepy every day, even though I sleep more than 8 hours a day. I go to bed around 1 AM and wake up between 9 and 10 AM. My health has been deteriorating since the end of last year. I went to the emergenc...


Dr. Chen Bozhang Reply:
Hello: In response to your question, the symptoms you described are quite numerous, including easy fatigue, palpitations, gum inflammation, dizziness, and so on. These symptoms are relatively nonspecific and could be caused by systemic factors such as endocrine issues, autoimmune...

[Read More] Chronic Fatigue and Sleep Issues: Understanding Your Health Concerns


Understanding Multiple Symptoms: When to See a Family Medicine Specialist

Several areas feel uncomfortable? Hello, Doctor. Since September 1998, I have been feeling a heavy sensation in my head. I wake up feeling very tired, not from lack of sleep but from an inability to feel refreshed. I feel lethargic throughout the day and lack energy for any activ...


Dr. Chen Bozhang Reply:
Hello: In response to your inquiry, you mentioned several symptoms including dry mouth, frequent urination, anxiety with palpitations, dizziness, and fatigue. Since these symptoms require a thorough medical history and physical examination by a physician, along with laboratory te...

[Read More] Understanding Multiple Symptoms: When to See a Family Medicine Specialist


Understanding Unexplained Symptoms: Is Your Dad's Condition Related to Stress?

Unexplained irritability? My father is 50 years old and often feels irritable. He has been experiencing oral herpes and swollen gums for a month. Occasionally, after drinking alcohol, he feels swelling and numbness in his mouth, and he also has muscle soreness in his back. Are th...


Dr. Wen Biwei Reply:
Thank you for your letter. Firstly, oral herpes may be caused by immune dysfunction or inflammation of the oral mucosa. It is recommended that your father reduce alcohol consumption, as individuals who drink alcohol often lack B vitamins, which should be supplemented as needed. F...

[Read More] Understanding Unexplained Symptoms: Is Your Dad's Condition Related to Stress?


Understanding Chronic Headaches: Causes, Solutions, and Emotional Well-being

Head discomfort? Hello Doctor, I have the following questions: 1. I have been experiencing headaches for ten years. Is it possible to treat them? Sometimes I feel very fatigued and want to sleep. How can I address this? 2. I started dyeing my hair ten years ago due to white hai...


Dr. Chen Bozhang Reply:
Hello, In response to your inquiry, you mentioned several issues including physiological symptoms such as chronic headaches, irregular menstrual cycles, and premature graying of hair, as well as psychological stress and forgetfulness. You also noted a range of symptoms like fat...

[Read More] Understanding Chronic Headaches: Causes, Solutions, and Emotional Well-being


Unsure Which Specialist to See for Unexplained Symptoms?

I'm not sure which specialty to consult or what tests to undergo? Hello, doctor. My diet is generally normal; I usually have three meals a day, although I occasionally skip breakfast on weekends. My weight is within the standard range (160 cm / 49 kg), but I appear "thi...


Dr. Cai Dongqi Reply:
It seems that the symptoms cannot rule out irritable bowel syndrome or functional gastrointestinal disorders; it would be advisable to consult a gastroenterologist first.

[Read More] Unsure Which Specialist to See for Unexplained Symptoms?


Understanding Headaches After Night Shifts: Is Sleep the Culprit?

Sure! How can I assist you? Hello: I work a fixed night shift, and I often experience headaches in the afternoon. However, after I sleep and wake up, I feel normal. Is this related to my sleep?


Dr. Lai Hexian Reply:
Hello, it is likely due to excessive fatigue, and it should recover after a period of rest.

[Read More] Understanding Headaches After Night Shifts: Is Sleep the Culprit?


Understanding Salt Intake: Symptoms and Health Implications for Office Workers

Salt intake Hello: In the past two years, whenever I consume foods high in salt, I experience a stinging sensation in my skin, excessive sweating, and significant discomfort. The more salty the food, the stronger the sensation, but there is no swelling. I also feel easily fatigue...


Dr. Cai Jueren Reply:
Hello: Generally, normal individuals have a consistent intake and excretion of salt. Only those with hypertension, heart disease, or kidney disease may experience the symptoms you mentioned. A rare situation could be heavy metal poisoning. I recommend that you go to the hospital ...

[Read More] Understanding Salt Intake: Symptoms and Health Implications for Office Workers


Effective Remedies for Shoulder and Neck Pain Relief

Shoulder pain Hello Doctor, I have recently been experiencing soreness in both shoulders and my neck. Pressing on my shoulders and neck causes pain and discomfort (I do not spend long hours sitting in front of a computer or TV). For a long time, I have felt that my shoulders and ...


Dr. Cai Jueren Reply:
Hello: Shoulder and neck pain is often caused by muscle fatigue due to prolonged hand work. Therefore, even with rest, one may still feel stiffness and soreness in the shoulders and neck. Generally, this condition can improve with adequate rest, such as taking a break from work a...

[Read More] Effective Remedies for Shoulder and Neck Pain Relief


Is Your Temperature Fluctuation Normal? Understanding Fever and Health Concerns

Is this fluctuation in body temperature normal? Hello Doctor: Since October of last year, due to work fatigue, emotional stress, and irregular eating and sleeping habits, I have experienced difficulty sleeping for over two weeks, frequent diarrhea, and later developed gastroesoph...


Dr. Lai Junlong Reply:
Hello: In response to your questions. 1. Human body temperature is generally stable, but it does fluctuate slightly throughout the day due to physiological activities of the muscles and liver. Body temperature gradually rises after waking up in the morning, peaks in the afternoon...

[Read More] Is Your Temperature Fluctuation Normal? Understanding Fever and Health Concerns


Frequent Colds: Is Your Immune System Declining?

I have been catching colds frequently lately? Hello Doctor: I have been experiencing frequent colds over the past six months, sometimes getting sick twice a month and at other times once every two months. Is this a sign that my immune system is weakening, or could there be other ...


Dr. Cai Ruiyuan Reply:
If you are experiencing more frequent colds, it is important to pay attention to this. Please schedule an appointment with an infectious disease specialist for an examination, especially during cold episodes. Additionally, avoid excessive fatigue, ensure adequate sleep, engage in...

[Read More] Frequent Colds: Is Your Immune System Declining?


Understanding Foul Urine Odor: When to Seek Medical Advice

Regarding the issue of foul-smelling urine? Hello Doctor: I apologize for bothering you. I'm unsure if the issue is related to my liver, kidneys, prostate, or a urinary tract infection, so I'm consulting a family medicine physician. I've experienced foul-smelling u...


Dr. Cai Mengru Reply:
Hello Mr. Chen: Regarding your question, the odor of urine is quite subjective and can be influenced by various factors, such as hydration levels, medications, and foods. Unless the smell is very distinct, it can be difficult to make a direct assessment. It would be more accurate...

[Read More] Understanding Foul Urine Odor: When to Seek Medical Advice


Understanding Neck Tightness: Causes, Symptoms, and When to Seek Help

Neck tightness..? Hello Doctor: Recently, I have been feeling a tightness in my neck, as if someone is choking me. I also experience eye pain and dizziness, and I feel very tired every day. Even after getting eight hours of sleep, I still feel fatigued, and I wake up with body ac...


Dr. Lai Hexian Reply:
Hello, due to your concerns, additional information is needed for a proper assessment, making it difficult to determine what health issue you may have. For this condition of unknown etiology, it is still recommended that you consult a family medicine specialist.

[Read More] Understanding Neck Tightness: Causes, Symptoms, and When to Seek Help


Understanding White Hair: Genetics, Health, and Future Concerns

Gray hair issue? Hello Doctor, I would like to ask you: 1. I am over thirty and have a full head of gray hair. My mother started dyeing her gray hair at the age of 18. So I wonder if this is due to genetic factors or if it is caused by excessive mental stress? Also, does having...


Dr. Lai Junlong Reply:
Hello: Here are the responses to your questions: 1. The early onset of gray hair is related to the decline in the body's ability to synthesize melanin. Genetic factors and excessive mental stress are among the causes that hinder melanin production, and it does not necessari...

[Read More] Understanding White Hair: Genetics, Health, and Future Concerns


Understanding Lower Abdominal Discomfort: When to Seek Medical Advice

There is a slight bloating and pain in the lower abdomen? Hello Doctor: I am 156 cm tall and weigh 63 kg, which I believe is related to obesity. I often feel very tired and drowsy. Since gaining weight, I have frequently experienced dizziness and suspect that I might have fatty l...


Dr. Chen Bozhang Reply:
Hello: Your letter mentions several issues, including easy fatigue and drowsiness, dizziness, changes in bowel habits, and lower abdominal cramping. Since each individual's constitution is different, the causes of these symptoms can be quite diverse. It is recommended that y...

[Read More] Understanding Lower Abdominal Discomfort: When to Seek Medical Advice


Which Medical Specialty Should I Consult for Breathing and Fatigue Issues?

Which specialty should I see? 1. I often feel fatigued when breathing in my chest, and sometimes I experience chest tightness and difficulty breathing (a bit of shortness of breath). 2. When I engage in light exercise or physical work, my heart rate increases, and I feel uncomfor...


Dr. Lai Hexian Reply:
Hello, please visit a neurologist for an evaluation to determine if it is a midlife complication of poliomyelitis.

[Read More] Which Medical Specialty Should I Consult for Breathing and Fatigue Issues?


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