Facial Symptoms: When to See a Neurologist or Family Doctor?
Facial issues On the first day, my left eye felt very sore and would tear up intermittently. On the second day, I started experiencing pain behind my ear. When I smile, my mouth noticeably tilts to the right, and when I drink liquids, they spill out. I also make a clicking sound ...
Dr. Lin Zhebin Reply:
Hello: Your physical discomfort may be related to issues such as a stroke, nerve compression and inflammation, facial nerve palsy, or temporomandibular joint disorders, among others. It is recommended that you first consult a neurologist.[Read More] Facial Symptoms: When to See a Neurologist or Family Doctor?
Persistent Dizziness and Upper Abdominal Pain: Possible Causes and Concerns
Dizziness, vomiting, and persistent upper abdominal pain? Hello, doctor. A few days ago, I visited the clinic due to dizziness, chills, and general weakness. The doctor mentioned that I was showing symptoms of an impending cold and prescribed medication for cold and fever. After ...
Dr. Chen Bozhang Reply:
If you have not recovered after medication treatment or have developed new symptoms, it is recommended to return for a follow-up appointment for the physician's evaluation. Thank you.[Read More] Persistent Dizziness and Upper Abdominal Pain: Possible Causes and Concerns
Feeling Sleepy After Meals: Understanding Your Symptoms and Causes
Feeling sleepy after a meal? Hello, doctor. I have been experiencing symptoms for several days now. After finishing my meals, I often feel sleepy, have difficulty concentrating, and want to lie down. I also experience chest tightness and sweaty palms, although I don't necess...
Dr. Liao Yaopan Reply:
Hello, the situation described is difficult to explain with a single disease. First, it is important to rule out any sleep disorders. It is recommended to maintain a regular schedule, going to bed early and waking up early, as well as engaging in regular exercise. Please note tha...[Read More] Feeling Sleepy After Meals: Understanding Your Symptoms and Causes
Which Specialist Should You See for Breathing and Menstrual Issues?
Which specialty should I consult first for these symptoms? Experiencing shortness of breath and fatigue after minimal exertion, such as walking from the first to the second floor, is concerning. You may notice an increased heart rate and louder heartbeat during these episodes. Ad...
Dr. Lin Zhebin Reply:
Hello: Your symptoms of shortness of breath, dizziness, and rapid heartbeat, along with the mention of prolonged menstrual periods, may indicate that increased menstrual flow could be causing anemia, which in turn leads to your discomfort. It is recommended that you first consult...[Read More] Which Specialist Should You See for Breathing and Menstrual Issues?
Understanding Right Back Pain and Neck Clicking: Causes and Connections
Right back pain and neck cracking sounds? 1. When bending down, I can feel a pain in a muscle on the right side of my back. If I hunch over and bend down, my entire back hurts. 2. When I tilt my head while looking down, I can hear a cracking sound in my neck, and I can feel the b...
Dr. Lin Zhebin Reply:
Hello: Your back pain may be related to issues with the muscles, tendons, and ligaments in your back. Additionally, the popping sound in your neck could indicate a problem with the cervical spine, and the two may be related. It is advisable to consult a rehabilitation specialist.[Read More] Understanding Right Back Pain and Neck Clicking: Causes and Connections
Understanding Tinnitus and Chest Tightness: When to Seek Medical Help
Tinnitus and chest tightness? Hello, doctor. Over the past month, I have experienced episodes of shortness of breath and dizziness two to three times. Initially, I would have tinnitus, chest tightness, and cold sweats. After a few minutes, it would progress to shortness of breath...
Dr. Liao Yaopan Reply:
Hello, it is recommended that you first consult your family physician for a preliminary assessment, and then determine if a referral to a specialist is necessary based on the situation. Additionally, if you experience an acute episode causing severe discomfort, it is advised to s...[Read More] Understanding Tinnitus and Chest Tightness: When to Seek Medical Help
Concerns About Potential Infections from Hotel Showerheads in Taiwan
Please ask your question? Hello doctor, I would like to ask a question. My family and I were playing at a hotel in Taiwan, and while showering, I pressed the showerhead, which has many tiny holes, and suddenly felt a sharp pain. At that moment, I checked the showerhead and didn&#...
Dr. Chen Bozhang Reply:
If the water pressure is strong and the contact area is small, it is indeed possible to experience a stinging sensation. If there are no external injuries, redness, or other symptoms, there is likely no need for excessive concern. You may also consult a family medicine or dermato...[Read More] Concerns About Potential Infections from Hotel Showerheads in Taiwan
Understanding Tinnitus and Its Connection to Shingles: A Patient's Journey
Tinnitus and herpes issues? Hello Dr. Liao, I have been experiencing tinnitus for over six months. In addition to the tinnitus, I often feel a tingling sensation in the nerves around my spine. I visited an ENT specialist in December last year, and the doctor said that all my test...
Dr. Liao Yaopan Reply:
Hello, regarding tinnitus, it is a symptom that is not easy to diagnose. It is advisable to follow up with an otolaryngologist for appropriate treatment and to maintain a regular routine, engage in proper exercise, and ensure a balanced diet. Please note that online consultations...[Read More] Understanding Tinnitus and Its Connection to Shingles: A Patient's Journey
Understanding Forceful Heartbeats and Chest Discomfort: Next Steps
Palpitations and chest tightness? Hello Doctor: Since the afternoon of April 12, I have been feeling a strong heartbeat, especially when leaning against the back of a chair or lying in bed, where I can distinctly feel my chest rising and falling. I subsequently consulted a cardio...
Dr. Ye Qianyu Reply:
Hello! Based on your description, there are no issues with the heart, only mitral valve prolapse. It can be inferred that the palpitations are a secondary phenomenon, likely triggered by certain situations. It may be helpful to identify the causes and make adjustments. Ensure ade...[Read More] Understanding Forceful Heartbeats and Chest Discomfort: Next Steps
High Platelet Count and Elevated Vitamin B12: Understanding the Implications
Elevated levels of platelets and vitamin B12 in immunoassays? This is the recent complete blood count (CBC) with differential results: - WBC: 6.99 - RBC: 4.64 - RDW-SD: 46.7 - HCT: 41.4 - HGB: 13.7 - PLATELET: 496 - MCHC: 33.1 - MCV: 89.2 - MPV: 8.9 - P-LCR: 14.8 - PDW: 8.6 - MC...
Dr. Liu Hongxiang Reply:
Hello, The test results show that there are almost no significant issues, but further monitoring is needed in about 3-6 months. However, the Vitamin B12 level is 1215, which is much higher than the reference range. Generally, excess water-soluble Vitamin B12 is metabolized and ...[Read More] High Platelet Count and Elevated Vitamin B12: Understanding the Implications
Headaches and Eye Issues: When to See a Family Doctor
Headache, inability to open eyes? Hello, doctor. I apologize for the interruption. My father experienced symptoms of headache and dizziness last Friday. The headache was located on both sides of his head, and he couldn't sleep at night, appearing very fatigued. By Monday, hi...
Dr. Ye Qianyu Reply:
Hello! For acute issues, it is recommended that you seek medical attention immediately at a healthcare facility![Read More] Headaches and Eye Issues: When to See a Family Doctor
Understanding Sudden Sleepiness: Possible Causes and Concerns
Sudden excessive sleepiness? Hello Doctor, for the past week or two, I have suddenly been experiencing excessive daytime sleepiness every afternoon, along with weakness in my right limbs. I used to rarely feel my heart beating, but now I can easily sense it. This week, I have als...
Dr. Cai Dongqi Reply:
Hello Ms. Hsu: 1. Hyperthyroidism can also cause these symptoms; please consult a metabolic specialist. 2. If you experience persistent anxiety and difficulty sleeping, it may be a case of autonomic nervous system dysregulation; please see a psychiatrist.[Read More] Understanding Sudden Sleepiness: Possible Causes and Concerns
Concerns About Parasite Infection After Eating Raw Crab in Korea
After eating raw crab in South Korea, experiencing discomfort? Hello Doctor, I had several servings of raw crab in Korea on the night of March 4th this year, but I did not experience any discomfort at that time. After returning home, I developed a fever and gastrointestinal disco...
Dr. Ye Qianyu Reply:
Hello! Since the symptoms of lung fluke infection are similar to those of gastroenteritis, and the incubation period can last from 6 to 10 weeks, if you are concerned, you may want to undergo a stool examination and seek medical attention at a healthcare facility.[Read More] Concerns About Parasite Infection After Eating Raw Crab in Korea
Understanding Persistent Symptoms After Shingles: Tinnitus, Fatigue, and More
Tinnitus, cold, headache, herpes zoster? In addition to experiencing tinnitus for over five months, I went to the ENT department at the hospital for an examination, and everything was normal. My health has been poor recently. After recovering from shingles last month, I had heada...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. Based on your description, it is clinically challenging for physicians to pinpoint the actual issue; in other words, it is difficult to determine which specialty you should consult. 2. It is recommended that you first discuss and undergo an examination with a...[Read More] Understanding Persistent Symptoms After Shingles: Tinnitus, Fatigue, and More
Which Specialist Should I See for My Digestive and Anxiety Issues?
What is wrong with me, and which specialty should I see? Hello Doctor, I would like to ask you some questions. Thank you. Currently, I am experiencing symptoms related to anxiety, extreme fatigue during the day, and gastroesophageal reflux disease (GERD). However, the medication ...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you avoid foods and beverages containing caffeine, sweets, fried foods, and alcohol. Do not drink too much at once when having beverages or soups, and refrain from consuming fluids after dinner at night. If you feel thirsty, sip slowly and in small a...[Read More] Which Specialist Should I See for My Digestive and Anxiety Issues?
Understanding Temperature Fluctuations: When to Seek Medical Attention
Body temperature issues Hello, I am 27 years old. My usual body temperature measured with a home thermometer is around 36.5-37.5 degrees Celsius. However, for the past two days, it has suddenly dropped to around 35-35.5 degrees Celsius, accompanied by symptoms such as headache, d...
Dr. Xiao Yongxun Reply:
Dear Ms. Li Hsin-yun: 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 retain internal heat, the bo...[Read More] Understanding Temperature Fluctuations: When to Seek Medical Attention
Why Do I Feel Dizzy and Lightheaded After Blood Tests?
After drawing blood, my vision goes completely white? Hello, doctor. I would like to ask if the dizziness and temporary whiteout I experience for about 15 to 20 minutes after each blood draw during my health check-up is a case of vasovagal syncope?
Dr. Lin Zhebin Reply:
Hello: The situation you described is indeed very likely to be a case of vasovagal syncope. Additionally, it is important to consider other issues such as cardiovascular diseases, blood sugar abnormalities, blood pressure irregularities, anemia, and anxiety. If dizziness occurs f...[Read More] Why Do I Feel Dizzy and Lightheaded After Blood Tests?
Should You Test for Measles Antibodies Before MMR Vaccination?
Regarding MMR vaccination? Hello, Doctor. I was born in 1981, and I am uncertain whether I had measles as a child or if I have received the MMR vaccine in the past ten years. Since I plan to travel to Europe soon, where there is currently a measles outbreak, I would like to ask f...
Dr. Lin Zhebin Reply:
Hello: Taiwan began providing free measles vaccinations in 1978, and then started offering the MMR vaccine (measles, mumps, and rubella) for free in 1992. You likely received the measles vaccine during your childhood; however, the effectiveness of vaccines generally starts to dim...[Read More] Should You Test for Measles Antibodies Before MMR Vaccination?
Understanding Unexplained Body Pain: A Comprehensive Guide
Unexplained body pain? Hello Dr. Tsai, I have been experiencing discomfort in my jaw joint for about 8 years. My teeth feel weak, and my upper and lower left teeth keep clenching together, causing more pain. When I blow air into my left cheek, I can hear a sound of fascia moving,...
Dr. Cai Dongqi Reply:
Hello CSH: It is likely that you are experiencing myofascial pain, which can be difficult to diagnose with instruments. It is advisable to consult a rehabilitation specialist for further evaluation.[Read More] Understanding Unexplained Body Pain: A Comprehensive Guide
Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective
Headache Hello, Doctor! I would like to ask if washing my hair in the morning during winter can cause migraines. Thank you, Victoria.
Dr. Liu Hongxiang Reply:
Hello Victoria: Generally, washing your hair in winter does not cause headaches. However, if you are under significant stress, fatigued, or sensitive to pain, it can trigger headaches. In such cases, you may try massage, heat therapy, and adequate rest to see if it helps improve ...[Read More] Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective