Concerns About Kidney Damage After CT Scan with Contrast: What to Know
Post-contrast Computed Tomography (CT) Scan Follow-up Hello Doctor: I would like to briefly describe my condition. Recently, I sought consultation from an otolaryngologist due to a swollen and unusual feeling in the right side of my neck. The doctor ordered a neck ultrasound, whi...
Dr. Liao Yaopan Reply:
Regarding the issue of whether contrast agents cause renal damage, the clinical definition is: an increase in serum creatinine of 0.5 mg/dL or 25% within 48 hours of using a contrast agent, while excluding other causes of acute renal failure. The likelihood of this occurring is h...[Read More] Concerns About Kidney Damage After CT Scan with Contrast: What to Know
Understanding Persistent Health Issues: A Family Medicine Perspective
The body has been experiencing ongoing issues? Doctor, I have been experiencing drowsiness around 2 PM since July, often falling asleep on the living room sofa. I have a mild scoliosis and am concerned it may worsen. At the end of July, while riding my scooter, I accidentally bum...
Dr. Liao Yaopan Reply:
Hello, physiological changes or psychological anxiety may be potential causes. It is recommended that you first seek a preliminary evaluation from your family physician, and then determine if a referral to another specialist is necessary based on the situation. Online consultatio...[Read More] Understanding Persistent Health Issues: A Family Medicine Perspective
Understanding Persistent Dizziness: When to Seek Further Medical Help
Strange dizziness Hello Doctor, I have been experiencing dizziness for a year and a half. It started with a sensation similar to an earthquake and has now progressed to feeling like I'm on a boat swaying up and down. During this time, I have seen many doctors and undergone n...
Dr. Liao Yaopan Reply:
Hello, regarding your question, it is advisable to have a neurologist conduct further evaluation. However, sleep apnea, if left untreated, may lead to some nonspecific symptoms. Consulting with a psychiatrist could also be beneficial for your situation. Please note that online co...[Read More] Understanding Persistent Dizziness: When to Seek Further Medical Help
Understanding Non-Specific Dizziness: Causes and Management Strategies
Nonspecific dizziness Hello, doctor. One morning in February of last year, I woke up feeling dizzy (I weighed 116 kg at the time). Initially, it felt like an earthquake, and I didn't think much of it. However, by the end of March last year, my doctor prescribed me medication...
Dr. Ye Qianyu Reply:
Hello! In clinical practice, the various conditions you mentioned can indeed lead to dizziness. I recommend keeping a diary to thoroughly assess the events before and after the episodes of dizziness, as this will help identify the key factors contributing to your symptoms and all...[Read More] Understanding Non-Specific Dizziness: Causes and Management Strategies
Understanding Vasovagal Syncope: Causes and Recovery Tips
Fainting without any apparent reason? Yesterday morning, from 9:00 to 10:00, I was practicing riding a motorcycle outside. After that, a kind person came to teach me some exam techniques for about 10 minutes. I started to feel my vision narrowing and turning black, and then I fai...
Dr. Chen Taicheng Reply:
It is indeed possible that the cause of vasovagal syncope is prolonged standing, leading to blood pooling in the lower extremities and resulting in lower blood pressure, which can cause fainting. The causes of syncope are numerous, and the first step is to rule out cardiac-relate...[Read More] Understanding Vasovagal Syncope: Causes and Recovery Tips
Understanding Persistent Fatigue: Common Causes and Solutions
Continuous health issues? Dear Doctor, I have been feeling very sleepy for the past few days. I first noticed it on the first day when I felt the urge to sleep around 9 or 10 AM at work and ended up sleeping for over an hour. I also took a nap during lunch for more than an hour...
Dr. Chen Taicheng Reply:
- Seek medical attention to check for any infections or other bodily abnormalities. - If there are indentations on the tongue without any wounds, there is no need to worry too much; sometimes this is related to poor sleep or high stress levels. - The small red spots on the tong...[Read More] Understanding Persistent Fatigue: Common Causes and Solutions
Is Exercising Before Dinner Beneficial or Harmful to Your Health?
Questions about exercising before meals? Hello, doctor. I would like to ask you about my recent lifestyle. I usually work until 6 PM, then exercise for an hour (swimming), and ride my bike home, arriving around 8 PM for dinner. Sometimes, during the period between exercising and ...
Dr. Chen Taicheng Reply:
● I am not a sports medicine expert, but I can provide insights from a general internal medicine perspective. ● As a young person, you likely do not have any chronic diseases. Exercising before dinner is beneficial, as eating too much after a meal can hinder physical activity. Mo...[Read More] Is Exercising Before Dinner Beneficial or Harmful to Your Health?
Persistent Left-Sided Pain and Numbness: What Specialist to See?
Numbness and pain in the left hand and left foot, with alternating pain on the left side. Pain extends from the hand to the back, lower back, buttocks, and down to the leg? I have been experiencing symptoms for over a year. Initially, I felt a tightness in my chest, so I went to ...
Dr. Chen Taicheng Reply:
● If you experience numbness or pain that seems to move around, consider conditions such as muscle inflammation, fibromyalgia, or rare spinal neuropathies. It is advisable to prepare relevant tests such as electrocardiograms, electromyography from neurology, or other imaging stud...[Read More] Persistent Left-Sided Pain and Numbness: What Specialist to See?
Understanding Rabies Risks After a Dog Encounter: What You Need to Know
Rabies issues? On the 23rd of last month, I went to buy lunch, and when I was heading home, a large dog ran past and bumped into my right calf. At that moment, I didn't see any wounds. After getting home, I rinsed it with water. In the evening, I asked my dad if I should see...
Dr. Wu Fangcan Reply:
According to your statement: there was only a bump without any bite, and there have been no new cases reported near New Taipei City. Therefore, the likelihood of transmission is nearly zero. If you still have concerns, you may consult a family medicine physician nearby. Thank you...[Read More] Understanding Rabies Risks After a Dog Encounter: What You Need to Know
Understanding Complex Migraine Symptoms and Their Management
The chief complaint is migraine? Hello, Doctor. I apologize for writing this as I have multiple symptoms. My migraines are accompanied by tinnitus, and the pain can last for several days. Sometimes, I experience a heavy sensation in my head that causes it to droop forward. Occasi...
Dr. Chen Taicheng Reply:
● There are many causes of headaches, with common types including migraines and tension-type headaches. Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exace...[Read More] Understanding Complex Migraine Symptoms and Their Management
Understanding Your Symptoms: Which Specialist to Consult for Unexplained Illness?
Family medicine issues? Hello Doctor: Since June 30th, I have been experiencing alternating sensations of cold and heat, feeling extremely uncomfortable in air conditioning, and sweating profusely. At times, I also feel a burning sensation in my arms and shoulders. I visited a lo...
Dr. Chen Taicheng Reply:
● Fluctuating temperatures can indeed be a sign of infection, but it is possible that the infectious disease specialist's examination did not reveal significant abnormalities at that time. ● Symptoms such as fever at night, palpitations, and sweating, in addition to the prev...[Read More] Understanding Your Symptoms: Which Specialist to Consult for Unexplained Illness?
Why Do I Feel Dizzy and Weak While Showering? Common Causes Explained
Dizziness while taking a shower? Hello, sometimes while I am showering, I experience muscle soreness in my arms when I lift them. My vision starts to become increasingly blurry, eventually turning white, I have a slight headache, feel unsteady, and I feel like I'm about to f...
Dr. Liao Yaopan Reply:
Hello, based on your description, several possibilities require further evaluation. It is recommended that you consult your family physician at a medical facility for an in-person assessment. Only after understanding your condition can the potential causes be clarified. Online co...[Read More] Why Do I Feel Dizzy and Weak While Showering? Common Causes Explained
Dizziness When Standing After Sitting: Causes and Concerns
Feeling dizzy when standing up after sitting for a while? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness and my vision goes black, but the symptoms disappear quickly. I used to have ...
Dr. Chen Taicheng Reply:
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down; then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...[Read More] Dizziness When Standing After Sitting: Causes and Concerns
Dizziness When Standing After Sitting: Causes and Concerns
Experiencing dizziness when standing up after sitting? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness, with my vision going black, but the symptoms disappear quickly. I used to have ...
Dr. Chen Taicheng Reply:
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down. Then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...[Read More] Dizziness When Standing After Sitting: Causes and Concerns
Understanding Persistent Health Issues: When to Seek Medical Advice
The body has been experiencing ongoing issues? Hello Doctor: Recently, I have been experiencing ongoing health issues, and I would appreciate your advice regarding my situation. Around early May, I suddenly started having headaches. At first, I thought it was due to work fatigue ...
Dr. Chen Taicheng Reply:
● Headaches have improved, so there is usually no need for concern. ● Oral ulcers are also quite common and are typically caused by stress, fatigue leading to decreased immunity, or viral infections; if they improve within two weeks, there is no need for worry. ● Coughing may als...[Read More] Understanding Persistent Health Issues: When to Seek Medical Advice
Year-Long Dizziness: Seeking Answers from Western and Traditional Medicine
Dizziness for over a year? Hello, doctor. Over the past year, I have seen many doctors and undergone numerous tests, both Western and traditional Chinese medicine. The Western doctors have suggested that I might be experiencing panic disorder or sleep apnea, while the traditional...
Dr. Chen Taicheng Reply:
● It sounds like you are experiencing a sensation of swaying and imbalance, which can be exacerbated by neck movement or exposure to hot water, leaning more towards a feeling of unsteadiness. If you also experience a spinning sensation, this is referred to as "vertigo" ...[Read More] Year-Long Dizziness: Seeking Answers from Western and Traditional Medicine
Understanding Persistent Dizziness: Causes and Management Strategies
Dizziness for over a year? Hello Doctor, I have been experiencing dizziness for over a year. I have undergone numerous tests, which revealed severe obstructive sleep apnea and mild fatty liver. Since the onset of dizziness last year until January of this year, my dizziness has wo...
Dr. Chen Taicheng Reply:
● You have undergone a comprehensive evaluation for your dizziness, addressing common issues related to the heart, ears, head, or other medical concerns. ● Dizziness is an annoying symptom that may be slightly alleviated with medication; however, it is advisable to first address ...[Read More] Understanding Persistent Dizziness: Causes and Management Strategies
Understanding Sudden Headaches with Fluctuating Body Temperature
Intermittent chills and fever with headache? Hello Doctor, I suddenly have a severe headache, with the most discomfort in the back of my head. My body feels alternately cold and hot, and my face and neck feel persistently warm, but I do not have a fever. I feel achy and weak all ...
Dr. Chen Bozhang Reply:
Dear Ms. Mii, You mentioned experiencing recurrent sudden onset headaches in the back of your head, along with symptoms of alternating chills and heat, as well as generalized muscle aches and weakness over the past two months. Since these symptoms could be indicative of a variet...[Read More] Understanding Sudden Headaches with Fluctuating Body Temperature
Understanding Persistent Health Issues: A Guide to Family Medicine Concerns
Frequent health issues? Since March, I have been feeling unwell and have seen eight doctors so far. It all started one afternoon when I suddenly experienced pain in my lower right abdomen near the groin, so severe that I couldn't stand up straight, along with gastrointestina...
Dr. Chen Taicheng Reply:
● The diagnostic criteria for diabetes include four standards: (1) Fasting blood glucose ≥ 126 mg/dL, (2) Two-hour blood glucose ≥ 200 mg/dL after a 75 g oral glucose tolerance test, (3) Random blood glucose ≥ 200 mg/dL with symptoms of hyperglycemia, (4) Hemoglobin A1c ≥ 6.5%. ...[Read More] Understanding Persistent Health Issues: A Guide to Family Medicine Concerns
Understanding Pulsating Head Vessels: Causes and Concerns
Often feel pulsation in the blood vessels of the head? Hello, doctor. As the title suggests, I have recently been feeling pulsations in the blood vessels in my head, especially when I lie on my pillow at night; this sensation is most pronounced during that time. I also dream ever...
Dr. Chen Taicheng Reply:
Headaches can have many causes, with common types including migraines and tension-type headaches. Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exacerbatio...[Read More] Understanding Pulsating Head Vessels: Causes and Concerns