Understanding Chronic Fatigue: When to Seek Medical Help
Fatigue and drowsiness? My mother has been feeling fatigued and wanting to sleep a lot lately. I'm not sure which department she should visit for an examination, or what diseases could cause these symptoms. She has a history of hyperthyroidism and gastroesophageal reflux dis...
Dr. Chen Bozhang Reply:
Hello, Zhen: In your letter, you mentioned that your mother has been experiencing persistent fatigue and a desire to sleep. There are many different potential conditions to consider, and it cannot be addressed with a simple explanation. I recommend taking your mother to a family ...[Read More] Understanding Chronic Fatigue: When to Seek Medical Help
Understanding Low-Grade Fever: Causes and Concerns in Family Medicine
Temperature issues Hello Doctor: My condition started on the 7th of this month, when I felt a sensation of body heat for about four days (I didn't take my temperature, as I have experienced this occasionally before, and it has never been a real fever; just a warm neck, along...
Dr. Xiao Yongxun Reply:
Dear Ms. Amy: 1. Humans possess physiological mechanisms to regulate and maintain core body temperature. When there is a need to release excess heat, the body cools down by increasing blood circulation to the skin and sweating. Conversely, to conserve internal heat, the body red...[Read More] Understanding Low-Grade Fever: Causes and Concerns in Family Medicine
Understanding Persistent Low-Grade Fever: Causes and When to Seek Help
Low-grade fever issue Hello Doctor, I remember that about five or six years ago, I experienced episodes for a few months where I would feel warm and have headaches (my temperature was always between 36-37.5°C without fever). Since then, I have had similar experiences every year. ...
Dr. Liao Yaopan Reply:
Hello, with unexplained fever and elevated body temperature, the primary concern should be to rule out any potential infectious issues. If such concerns are excluded, differential diagnosis for autoimmune rheumatic diseases and even neoplastic conditions should be considered. Ple...[Read More] Understanding Persistent Low-Grade Fever: Causes and When to Seek Help
Understanding Blood Test Results: Do You Need Further Testing for Thalassemia?
Blood Test Consultation Hello Doctor, thank you for taking the time to answer my questions. I have mild mitral valve prolapse and my usual heart rate is around 100 beats per minute. I have been taking Concor 5mg for the past two years, but I stopped the medication last year. On t...
Dr. Hou Angting Reply:
Hello Karen: It is generally recommended to identify the underlying cause of anemia. You may consult with a physician at a family medicine clinic. Wishing you good health.[Read More] Understanding Blood Test Results: Do You Need Further Testing for Thalassemia?
Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Medical consultation Hello, Dr. Lin. I consulted you yesterday regarding my anemia values, but I still have some questions I'd like to ask. Although my hemoglobin has risen to 11.1, I frequently experience dizziness, headaches, and fatigue. Could this be related to my ferrit...
Dr. Lin Zhebin Reply:
Hello: 1. Your symptoms of dizziness, headache, fatigue, and hair loss are indeed likely related to low ferritin levels. 2. Coffee can affect the gastrointestinal absorption of iron; however, if consumed separately from meals, its impact is minimal. Since you mentioned that your ...[Read More] Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Understanding Iron Deficiency Anemia: Key Questions and Concerns
Medical consultation Hello, Dr. Lin. I would like to ask you about my lab results: Hb: 11.1, RDW-CV: 17.4, RDW-SD: 49.7, HCT: 33.4, ferritin: 9.5. I have been diagnosed with iron deficiency anemia, but are these values considered severe? I have been receiving intravenous iron inf...
Dr. Lin Zhebin Reply:
Hello: 1. Regarding your anemia issue, it is diagnosed as iron deficiency anemia, which should not be a problem. Your hemoglobin level has increased from 8 to 11.1 after receiving intravenous iron therapy. If you do not have any anemia-related symptoms (such as dizziness or fat...[Read More] Understanding Iron Deficiency Anemia: Key Questions and Concerns
Understanding Prolonged Urination and Enlarged Bladder Issues
Prolonged urination time and issues related to bladder size? Due to a long-standing habit of holding in urine since childhood, I only urinate twice a day, and my urination time is significantly longer than others. Recently, I heard that a urination time greater than one minute co...
Dr. Ye Qianyu Reply:
Hello! Long-term urinary retention may lead to bladder elasticity fatigue, resulting in subsequent issues such as bladder weakness and secondary urinary tract infections. Fortunately, the current examination results are still normal. It is recommended that you increase your urina...[Read More] Understanding Prolonged Urination and Enlarged Bladder Issues
Assessing Health: Is It Physical or Psychological Anxiety?
Please have the physician evaluate? Hello, doctor. I am someone who is prone to anxiety, and recently I have been experiencing various physical issues. I feel that something is off with my body. In addition to gastroesophageal reflux, I often experience dry mouth (which does not ...
Dr. Hou Angting Reply:
Hello, internet user: I suggest you first visit a family medicine physician for further evaluation. Wishing you good health.[Read More] Assessing Health: Is It Physical or Psychological Anxiety?
Understanding Symptoms: Chest Pain, Dizziness, and Throat Issues
I would like to ask what symptoms it could be? Hello, recently I have been experiencing intermittent symptoms such as chest tightness, chest pain, dizziness, diarrhea, fatigue, discomfort in the upper abdomen, and a feeling of swelling below the throat. These symptoms tend to res...
Dr. Xiao Yongxun Reply:
Dear Mr. K: 1. Based on your description of "recent intermittent symptoms of chest tightness, chest pain, dizziness, diarrhea, fatigue, discomfort in the upper abdomen, and a sensation of swelling below the throat, along with recent observations of blood streaks in the thro...[Read More] Understanding Symptoms: Chest Pain, Dizziness, and Throat Issues
Understanding Symptoms: Numbness, Cramps, and Chest Discomfort Explained
For the past two weeks, I have frequently experienced numbness in my hands and feet, along with occasional cramps. This week, the numbness has decreased, but from Tuesday to Thursday morning, I felt discomfort in my chest? Hello, doctor. I apologize for the lengthy description, b...
Dr. Liao Yaopan Reply:
Hello, if you continue to feel unwell, it is advisable to seek medical attention accompanied by a family member. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Understanding Symptoms: Numbness, Cramps, and Chest Discomfort Explained
Understanding the Connection Between Gastrointestinal Issues and Back Pain
Dizziness, fatigue from standing for long periods, back pain, and gastrointestinal discomfort? Hello Doctor: In May and June of this year, I visited a clinic due to some pain in my upper left abdomen and was treated with a proton pump inhibitor (PPI). At that time, my stomach con...
Dr. Hou Angting Reply:
Hello, internet user: Gastroesophageal reflux rarely presents with symptoms such as spinal pain or dizziness and weakness. It is recommended that you seek evaluation at a family medicine clinic; if symptoms worsen, it is advisable to go to the emergency department immediately. Wi...[Read More] Understanding the Connection Between Gastrointestinal Issues and Back Pain
Post-Vaccine Symptoms: Understanding Chest Pain and Shortness of Breath
After receiving the COVID-19 vaccine Hello Dr. Hou, after receiving my first dose of the BNT vaccine on October 22, I experienced fever, followed by chest tightness, shortness of breath, rapid heartbeat, back pain (radiating from the inner side of my right shoulder blade to my ne...
Dr. Hou Angting Reply:
Hello, if you have already been examined by a cardiologist and no significant issues were found, I recommend that you consult with a pain specialist for further evaluation, treatment, and follow-up. Wishing you good health.[Read More] Post-Vaccine Symptoms: Understanding Chest Pain and Shortness of Breath
Understanding Heart Rate and Blood Pressure Issues in Family Medicine
Blood pressure and heart rate issues? Usually, my blood pressure is normal, but my heart rate is often around 105. Sometimes, I experience low blood pressure with a heart rate of about 85. Since the beginning of this year, I frequently feel short of breath and slightly wheezy, wi...
Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms of palpitations indicate that tachycardia is a clinical manifestation of a condition that requires further investigation to determine the underlying cause. It is recommended that you seek medical attention at a healthcare facility.[Read More] Understanding Heart Rate and Blood Pressure Issues in Family Medicine
Understanding Post-AZ Vaccine Heart Issues: Symptoms and Concerns
Cardiac issues related to the AZ vaccine? Hello, doctor. It has been over a month since I received the AZ vaccine, and I often feel tightness in my upper back (along the spine) that is difficult to relieve. Although I usually have a habit of exercising, my physical performance ha...
Dr. Hou Angting Reply:
Hello, online friend: Most common side effects of vaccines typically improve within about two weeks. If you experience dizziness, chest tightness, difficulty breathing, or even orthopnea after exercising, it is important to rule out any cardiac issues, and I recommend seeking med...[Read More] Understanding Post-AZ Vaccine Heart Issues: Symptoms and Concerns
Understanding Coughing and Vaccine Readiness: Your Health Questions Answered
Vaccine issues? Why is it that before I received the COVID-19 vaccine, I occasionally woke up with a cough that produced clear mucus? After getting the vaccine, I still occasionally experience a cough without mucus, and it remains clear. My family thinks I have a cold, but I don&...
Dr. Ye Qianyu Reply:
Hello, based on your description, these symptoms are considered a reasonable immune response and do not affect the administration of the second dose.[Read More] Understanding Coughing and Vaccine Readiness: Your Health Questions Answered
Understanding Unexplained Physical Symptoms: When to Seek Help
Physical discomfort? Hello Doctor, since mid-August, I have been experiencing tingling and numbness in my fingers and limbs upon waking up. I went to a neurologist for an examination, and I will be undergoing more in-depth tests soon. Between mid-August and October, I have felt t...
Dr. Xiao Yongxun Reply:
Dear Student Chen, The characteristics of Generalized Anxiety Disorder (GAD) include chronic and persistent worry that is multifaceted (e.g., concerning finances, family, health, the future, etc.), excessive, difficult to control, and often accompanied by other nonspecific physi...[Read More] Understanding Unexplained Physical Symptoms: When to Seek Help
Understanding Low Lymphocyte Count: Causes and When to Seek Help
Low lymphocyte count? Hello, doctor. I would like to ask about my recent health issues. I have been experiencing discomfort and fever, and upon visiting the hospital, my blood tests showed lymphocytes at 3.7, neutrophils at 91.5, and a total white blood cell count of 12. Monocyte...
Dr. Xiao Yongxun Reply:
Dear Ms. Candy: The average white blood cell count ranges from 4,000 to 11,000/mm³, and most white blood cells can only survive for a few days; during an infection, their lifespan may be reduced to just a few hours. White blood cells can be classified into two categories based o...[Read More] Understanding Low Lymphocyte Count: Causes and When to Seek Help
Unexplained Fatigue After Vaccination: When to See a Family Doctor
Unexplained fatigue and a desire to sleep? Hello, doctor. Recently, I've been experiencing fatigue upon waking up. It has worsened after receiving a vaccine about a week ago, and I'm unsure if it's related to the vaccine. Even though I've been sleeping for ove...
Dr. Ye Qianyu Reply:
Hello, yes, you can visit a family medicine clinic for consultation.[Read More] Unexplained Fatigue After Vaccination: When to See a Family Doctor
Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Whole body shaking during sleep? I have been experiencing some insomnia lately, and last night I couldn't sleep. While lying down, I suddenly felt my whole body vibrating, but it subsided within about 5 minutes. After that, I noticed some soreness in my thigh and arm muscles...
Dr. Xiao Yongxun Reply:
Dear Ms. R: 1. Chlorzoxazone (200 mg) acts on the spinal polysynaptic reflex pathways related to skeletal muscle spasms, thereby blocking nerve conduction. It is a centrally acting muscle relaxant that alleviates abnormal muscle tension without affecting normal muscle function. ...[Read More] Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Does Masturbation After AZ Vaccine Affect Immunity or Side Effects?
Questions about receiving the AZ vaccine? Hello doctor, I am a 20-year-old male. I received the AZ vaccine on September 14th at around 4 PM, and it has now been 14 hours since then. However, being young and vigorous, I did not control my desires. About 13 hours later (around 6 AM...
Dr. Xiao Yongxun Reply:
Dear Mr. W: 1. After receiving the AstraZeneca vaccine, common reactions include pain and swelling at the injection site, which usually resolve within a few days. You may apply ice to the area, but please do not rub or scratch the injection site. 2. Fever (≥38°C) may occur afte...[Read More] Does Masturbation After AZ Vaccine Affect Immunity or Side Effects?