Fatigue, Family Medicine FAQ - Page 6

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Post-AZ Vaccine: Managing Fever and Diarrhea Symptoms

After receiving the AZ vaccine, there is a slight increase in body temperature and diarrhea? Hello, doctor. I have completed the AZ vaccine five days ago. For the first two days, I experienced fever and soreness at the injection site as described. By the third day, aside from the...


Dr. Chen Bozhang Reply:
Hello, Xuan: In your message, you mentioned that starting from the fourth day after receiving the vaccine, you have experienced a slightly elevated body temperature, fatigue, and diarrhea. These symptoms may not necessarily be related to the vaccine. If the discomfort persists, i...

[Read More] Post-AZ Vaccine: Managing Fever and Diarrhea Symptoms


Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know

Elevated body temperature? Hello Doctor, I received the AZ vaccine a month ago, and it has been over 5 weeks now. My daytime temperature (ear temperature) is around 37.1 degrees Celsius, and during the warmer hours from noon to afternoon, it can reach 37.3 degrees. When I exercis...


Dr. Xiao Yongxun Reply:
Dear Ms. Lai, 1. The reactions that may occur after receiving the AstraZeneca vaccine are mostly pain and swelling at the injection site, which typically resolve within a few days. You may apply a cold compress, but please do not rub or scratch the injection site. Fever (≥38°C) ...

[Read More] Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know


COVID-19 Vaccine Concerns for Women in Menopause: A Guide

Questions related to COVID-19 vaccines? Hello, I am 52 years old. Last April, I visited a gynecologist and blood tests indicated that I have entered menopause. Since then, I have experienced menopausal symptoms such as insomnia, night sweats, anxiety, and palpitations, which have...


Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine containing the gene for the SARS-CoV-2 spike protein (S protein) and is used for the prevention of COVID-19. This vaccine has received emergency use authorization from the WHO, the EU, and ...

[Read More] COVID-19 Vaccine Concerns for Women in Menopause: A Guide


Understanding Your Health Concerns While Living Abroad: A Guide

Recent discomforts in the body? Hello, doctor! I have been working in Japan for a long time and, due to the pandemic, I have been unable to return to Taiwan. Recently, I have been experiencing various discomforts and I am unsure whether they are psychological or physical issues. ...


Dr. Liu Hongxiang Reply:
Hello Mr. Shang-Chuan, Based on your height and weight, your BMI is 31.4, which falls into the category of moderate obesity. Your systolic blood pressure readings of 133 or 120 are within the normal range. It is recommended that in addition to dietary control, you incorporate e...

[Read More] Understanding Your Health Concerns While Living Abroad: A Guide


Understanding Daytime Sleepiness: Causes and Solutions

Daytime fatigue? Hello, doctor. I've been feeling very sleepy during the day for the past two days, constantly yawning and feeling drowsy, even though I didn't have insomnia the night before. Sometimes I also have a slight headache. I'm not sure if it's relate...


Dr. Xiao Yongxun Reply:
Dear Ms. Angel: 1. Waking up feeling tired, with headaches or a sense of grogginess, may indicate various medical conditions. Common causes include obstructive sleep apnea (OSA), hypertension, primary sleep headache, brain lesions (such as brain tumors or cerebrovascular disease...

[Read More] Understanding Daytime Sleepiness: Causes and Solutions


Understanding Your Symptoms: Neck Pain, Dizziness, and Fatigue

Physical discomfort? Hello, doctor. Recently, I have been experiencing sharp pain around my lower back, and I feel tightness above my neck, including my ears. When standing or moving, I also experience a sensation of dizziness. My back sometimes feels warm and painful, and I occa...


Dr. Xiao Yongxun Reply:
Dear Ms. Kitty: 1. Clinically, it is common to encounter patients with multiple complaints seeking consultation. Their reported symptoms may include insomnia, headaches, muscle tension, back pain, irritability, and fatigue, which have persisted for several months, causing signif...

[Read More] Understanding Your Symptoms: Neck Pain, Dizziness, and Fatigue


Understanding Blood Sugar Levels: Are You at Risk for Diabetes?

Glycated hemoglobin (HbA1c) and fasting blood glucose levels are used to diagnose diabetes? Hello Doctor, I would like to ask you a few questions: I had a diabetes test done a year ago on August 2020, where my fasting blood glucose was 83 mg/dL and my hemoglobin A1c was 5.61%. I ...


Dr. Huang Hongshuo Reply:
The reference upper limit for fasting blood glucose is 99 mg/dL, while the upper limit for blood glucose two hours after a meal is 139 mg/dL. Hemoglobin A1c, often referred to as average blood glucose, has an upper limit of 5.6%. The range for elevated fasting blood glucose is 10...

[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?


Understanding Tinnitus and Anemia: Seeking Medical Guidance in Kaohsiung

Tinnitus Anemia Hello, doctor. Since I can remember, I have experienced persistent high-frequency tinnitus in both ears. When I was younger, I thought everyone was the same until eight years ago when I became pregnant and was diagnosed with oceanic anemia. I realized that my freq...


Dr. Xiao Yongxun Reply:
Dear Miss Kiki: 1. Your situation is quite unique, involving the fields of otolaryngology, neurology, hematology, and obstetrics. Based on your description, one might suspect that you have poor circulation in the inner ear and the head and neck region. When anemia occurs, it ca...

[Read More] Understanding Tinnitus and Anemia: Seeking Medical Guidance in Kaohsiung


Understanding Excessive Daytime Sleepiness: Causes and Solutions

Excessive daytime sleepiness? Hello, doctor. I usually go to sleep around 11 or 12 at night, but I wake up at 5 or 6 in the morning, and sometimes even before dawn (around 3 or 4 AM) and cannot fall back asleep. I snore while sleeping, but my sleep is very light, and I often wake...


Dr. Wu Zongying Reply:
Hello: Snoring during sleep may lead to sleep apnea, which over time can prevent the brain from receiving sufficient oxygen during sleep, resulting in fatigue and drowsiness the next day. It is recommended that you keep the window open to allow fresh air in while sleeping, and av...

[Read More] Understanding Excessive Daytime Sleepiness: Causes and Solutions


Persistent Fever Above 37.2°C for Two Weeks: When to Seek Medical Help?

A body temperature above 37.2°C for two consecutive weeks? Thank you, doctor, for your response despite your busy schedule! I started experiencing headaches, skin itching, and a temperature ranging from 37.4 to 36.8 degrees Celsius since May 14, which has continued until today (M...


Dr. Chen Bozhang Reply:
Hello, You mentioned that you have a slightly elevated body temperature, accompanied by fatigue, a headache, and a sore throat. Given these symptoms during the pandemic, if they persist, it is advisable to contact your local health department to arrange for an appointment at a ...

[Read More] Persistent Fever Above 37.2°C for Two Weeks: When to Seek Medical Help?


Risk of COVID-19 Infection from Minor Finger Wound in Public Interactions

A small wound between the fingers may pose a risk of infection, especially if you come into contact with various individuals in your work. However, the primary mode of transmission for the coronavirus (SARS-CoV-2) is through respiratory droplets, rather than through open wounds. ...


Dr. Xiao Yongxun Reply:
Dear Miss Egg Yolk: 1. The World Health Organization (WHO) refers to the disease caused by the novel coronavirus as COVID-19 (Coronavirus Disease 2019), while the International Committee on Taxonomy of Viruses has designated the virus's scientific name as SARS-CoV-2 (Sever...

[Read More] Risk of COVID-19 Infection from Minor Finger Wound in Public Interactions


Understanding Your Blood Test Results: Anemia Types and Heart Rate Concerns

Laboratory Report Hello Dr. Yeh, I recently had a blood test done. During the period leading up to the blood draw, I was experiencing a poor appetite and didn't eat much. My sleep quality was also poor, and at rest, my heart rate sometimes increased to around 110 beats per m...


Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, it appears to be microcytic anemia. If the red blood cell count is elevated, it may indicate thalassemia; if it is low, it could be due to iron deficiency anemia, among other causes. Acute bleeding should also be considered as a possi...

[Read More] Understanding Your Blood Test Results: Anemia Types and Heart Rate Concerns


Is It Normal to Have a Slight Fever After AZ Vaccine?

After receiving the AZ vaccine, the body temperature may be elevated? Hello, doctor. I would like to ask, I received the AstraZeneca vaccine a week ago, and my current body temperature fluctuates between 37.2 and 37.8 degrees Celsius (my usual temperature is between 35.8 and 36.5...


Dr. Xiao Yongxun Reply:
Dear Ms. Yu: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine that contains the gene for the SARS-CoV-2 spike protein (S protein) delivered via an adenovirus vector. 2. Possible reactions after vaccination primarily include pain and swelling at the ...

[Read More] Is It Normal to Have a Slight Fever After AZ Vaccine?


Understanding Low-Grade Fever with Gastroenteritis: Causes and Concerns

I would like to know if gastroenteritis can cause a persistent low-grade fever? Hello, my issue is a bit complex, and I would appreciate it if the doctor could take some time to listen to my story. 1. On May 7, I decided to visit an orthopedic department at a major hospital due...


Dr. Liao Yaopan Reply:
Hello, based on the above description, the issue of gastroenteritis still needs to be properly addressed. The recorded body temperature is within a reasonable range. Additionally, with the recent hot weather, adequate hydration is essential. There should be no concerns regarding ...

[Read More] Understanding Low-Grade Fever with Gastroenteritis: Causes and Concerns


Choosing the Right Specialist: Immunology, Infectious Disease, or Hematology?

Medical specialties Hello, Director. I would like to ask which department I should consult for the following situation: A few years ago, I was hospitalized for 9 days due to a high fever. Blood tests and multiple examinations were conducted, but ultimately it was concluded as an ...


Dr. Liao Yaopan Reply:
Hello, it is recommended to consult a rheumatologist for further evaluation. Of course, recurrent infection issues should be appropriately treated. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hosp...

[Read More] Choosing the Right Specialist: Immunology, Infectious Disease, or Hematology?


Struggling with Appetite and Health: Tips for Improvement

Poor appetite and physical condition? I often have trouble eating breakfast and lunch, which makes social gatherings stressful for me as I can't eat and often face ridicule from others. This increases my psychological pressure, making it even harder to eat. Additionally, I f...


Dr. Liao Yaopan Reply:
Hello, maintaining a regular lifestyle and exercise routine is the most fundamental advice. You can start by adjusting your daily schedule and developing consistent habits to see if there is any improvement. Online consultations are not equivalent to in-person medical visits and ...

[Read More] Struggling with Appetite and Health: Tips for Improvement


Frequent Yawning: Should You Worry About Heart Disease?

Medical consultation Hello doctor, I have noticed that I yawn quite frequently, more than ten times a day. Is this a sign of heart disease? Should I see a doctor for frequent yawning?


Dr. Wu Zongying Reply:
Hello: When the body is fatigued or lacks rest, yawning is likely to occur. Yawning can facilitate the exchange of outside air with the internal environment, which helps to clear the mind. However, if one is in a location with poor air circulation, yawning may not provide these b...

[Read More] Frequent Yawning: Should You Worry About Heart Disease?


Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions

Stretching during the transition from sleep to wakefulness can easily lead to calf cramps? Hello: I often experience diarrhea, frequent urination, and insomnia at night, which requires me to take sleeping pills to fall asleep. Sometimes, I wake up in the middle of the night, stre...


Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Regarding your frequent symptoms of "diarrhea, frequent urination, and insomnia," there are many potential causes. It is advisable for you to avoid consuming beverages such as coffee, tea, milk tea, and alcohol. I recommend discussing this matter in de...

[Read More] Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions


Understanding Low-Grade Fever Before Menstruation: When to Seek Help

A low-grade fever before menstruation may persist for more than a week? Hello Doctor: Since around November 16, I have been feeling fatigued in the evenings and going to bed early. On November 19, I felt hot and measured an ear temperature of 37.8 degrees Celsius, while the foreh...


Dr. Wu Zongying Reply:
Hello: You have measured a temperature of 37.8 degrees Celsius with an ear thermometer, which indicates a fever, and it is advisable to seek medical treatment. Forehead temperature readings are generally less accurate. As for which department to visit, it depends on your symptoms...

[Read More] Understanding Low-Grade Fever Before Menstruation: When to Seek Help


Can I Take Doxepin and Rifampin Together Safely?

Can Du Shiping and Rifampicin be taken together? The otolaryngologist prescribed me Rifampicin 0.5 mg for the treatment of tinnitus to be taken before bedtime. I have been taking it for nearly 9 months and recently developed a shingles rash. The dermatologist prescribed me Doxepi...


Dr. Chen Bozhang Reply:
Hello Mr. Eagle: Both Lyrica (Pregabalin) and Duloxetine have anxiolytic effects and can aid in sleep. Using them together may enhance the sedative effect; this might be acceptable for patients with long-term severe sleep disorders, but for individuals without sleep issues, it co...

[Read More] Can I Take Doxepin and Rifampin Together Safely?


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