Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?
Persistent vomiting, headache, constipation, and runny nose? Hello Doctor, I started feeling nauseous last Tuesday. On Tuesday morning, without having eaten anything, I vomited the food from Monday night. From 9:00 AM to 12:00 PM, I vomited more than four times, almost every hour...
Dr. Xiao Yongxun Reply:
Dear Miss Rabbit: 1. There are many causes of nausea and vomiting, including: neurological (migraine, inner ear disorders, brain lesions), psychiatric (emotional or environmental stress, cyclical vomiting syndrome in children, psychogenic vomiting), metabolic (renal failure, me...[Read More] Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?
Persistent Low-Grade Fever After Kidney Infection: What to Know
The body temperature has been consistently around 37 degrees Celsius for several days? Hello, doctor. I was hospitalized for pyelonephritis two weeks ago and stayed for a week, followed by another week of antibiotics after discharge. My menstrual period started right after and la...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. The diagnosis of acute pyelonephritis primarily presents with symptoms such as frequent urination, dysuria, flank pain, and may even include fever, chills, and headache. Laboratory tests typically show an increase in white blood cells with a rise in the proport...[Read More] Persistent Low-Grade Fever After Kidney Infection: What to Know
Understanding Finger Issues: When to Seek Medical Help for Numbness
Finger issues One day, I woke up and suddenly noticed that my right hand's middle finger, ring finger, and little finger felt a bit stiff when trying to bend them, accompanied by a sensation like a "pop." I also felt some tingling at the tips of these three fingers...
Dr. Xiao Yongxun Reply:
Dear Ms. Xiao, Based on your limited description, clinical considerations should include cervical nerve compression, ulnar or median nerve pathology, peripheral vascular disease, ulnar collateral ligament inflammation, and shoulder muscle and ligament inflammation, among others...[Read More] Understanding Finger Issues: When to Seek Medical Help for Numbness
Is Tetanus Infection a Concern After a Minor Cut?
Possible tetanus infection Hello, Doctor. About two weeks ago, I had a cut approximately 3 centimeters long and less than 2 millimeters deep. Recently, the wound has healed, and there are no visible signs of injury. However, the cutting instrument was not very clean (it had a bit...
Dr. Lin Zhebin Reply:
Hello: 1. Any wound has the potential to become infected with tetanus, but the likelihood varies. Since you were vaccinated against tetanus in childhood and considering the description of your wound, the risk of tetanus infection should be very low. 2. If the back muscle pain is ...[Read More] Is Tetanus Infection a Concern After a Minor Cut?
Understanding Eye Styes: When to Consult Family Medicine and Immunology
Inquiry about medical specialties? Hello Doctor: Since May of this year, I have been experiencing frequent styes, having developed about four of them in the past six months. Each time has been severe enough to require drainage surgery. I would like to know if, in addition to seei...
Dr. Liao Yaopan Reply:
Hello, you can first consult with your family physician regarding your condition. Depending on the situation, further referral for online consultation may be considered. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or t...[Read More] Understanding Eye Styes: When to Consult Family Medicine and Immunology
Overcoming Chronic Pain and Anxiety: A Path to Normal Life
Long-term pain in the hands, feet, waist, and neck, along with anxiety and psychosomatic issues, how can one return to a normal life? Hello doctor, I have been suffering from various ailments for 5 years and have not worked for 3 years. It started with numbness in my left leg due...
Dr. Lin Zhebin Reply:
Hello: Here are some personal suggestions regarding the issues you raised: 1. Anxiety disorder + hypochondriasis + autonomic nervous system dysregulation with palpitations + left-sided headache and numbness: - It is recommended to continue taking psychiatric medications to alle...[Read More] Overcoming Chronic Pain and Anxiety: A Path to Normal Life
Persistent Low-Grade Fever: When to Seek Medical Advice?
Persistent low-grade fever that won't subside? I have been experiencing a low-grade fever for a week now. My temperature in the morning before work is 37.2°C, but it rises to 37.7°C after I start working, with a maximum recorded temperature of 37.9°C. In the evening, it drop...
Dr. Lin Zhebin Reply:
Hello: If you have a persistent low-grade fever for a week, it is advisable to seek medical evaluation to determine the cause. Based on the symptoms you described, it is more likely to be an infection (such as viral or bacterial). Psychogenic issues are generally considered only ...[Read More] Persistent Low-Grade Fever: When to Seek Medical Advice?
Does Cardiovascular Medication Increase Heat Stroke Risk?
Does taking cardiovascular medications increase the risk of heat stroke? Hello Dr. Lin, in 2015, I was diagnosed with left coronary artery atherosclerosis. In 2020, due to atrial fibrillation, I underwent two catheter ablation procedures. Since then, I have been taking five medic...
Dr. Lin Zhebin Reply:
Hello: 1. The medications you are taking that are more likely to cause discomfort in your body include: - Isosorbide Dinitrate: Its primary function is vasodilation, and it may cause side effects such as dizziness, palpitations, and hypotension, among others. - Propafeno...[Read More] Does Cardiovascular Medication Increase Heat Stroke Risk?
Can Shower Water Inhalation Lead to Amoebic Infection Risks?
Accidentally inhaling tap water while showering? Hello doctor, recently while taking a shower at home, I accidentally tilted my head back and inhaled tap water. I've been hearing a lot about amoebic parasites lately. Could you please tell me if inhaling tap water while showe...
Dr. Ye Qianyu Reply:
Hello! Currently, water treatment plants in Taiwan commonly add chlorine gas to disinfect and kill pathogens such as bacteria, viruses, and amoebic protozoa. Therefore, using tap water generally does not pose a risk of amoebic protozoan infection, unless contaminated water source...[Read More] Can Shower Water Inhalation Lead to Amoebic Infection Risks?
Can Using Tap Water for Nasal Irrigation Lead to Brain-Eating Amoeba Infection?
Regarding the use of tap water for nasal irrigation, is there a risk of infection from Naegleria fowleri? Hello, doctor. I recently saw news reports about cases of amoebic infections, and I have a question. Last week, I had a cold and experienced nasal congestion, so I rinsed my ...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah Wei: 1. The so-called primary amoebic meningoencephalitis (PAM) caused by Naegleria fowleri refers to an infection that occurs when a person immerses their nose or head in water contaminated with this amoeba. The organism enters through the nasal passages and invades...[Read More] Can Using Tap Water for Nasal Irrigation Lead to Brain-Eating Amoeba Infection?
Head Injury Concerns: When to Seek Medical Attention After a Bump
Post-trauma issues Hello, Doctor. Today, while I was picking up clothes, I accidentally bumped the front of my head against a wall corner. Although there is no swelling or bleeding, I would like to ask if this could lead to any serious problems. I remember seeing in a drama that ...
Dr. Xiao Yongxun Reply:
Dear Ms. Lina: 1. In the event of a head injury, if there is an immediate loss of consciousness or a state of coma, even if the person quickly regains awareness, it is crucial to seek emergency medical care at a hospital. This means that a brief lucid interval may indicate impen...[Read More] Head Injury Concerns: When to Seek Medical Attention After a Bump
Understanding Leg Cramps and Ear Congestion: Causes and Solutions
Muscle cramps and ear congestion? Frequent nighttime calf cramps may indicate a deficiency in certain nutrients, such as potassium, magnesium, or calcium. It is advisable to consult a physician, preferably a primary care doctor or a neurologist, for further evaluation. Regarding...
Dr. Lin Zhebin Reply:
Hello: 1. Calf cramps may be related to a deficiency in electrolytes (sodium, magnesium, potassium, calcium) and vitamins (B vitamins, D). Additionally, it may be associated with blood sugar levels, liver function, and kidney function. It is recommended to consult a family medici...[Read More] Understanding Leg Cramps and Ear Congestion: Causes and Solutions
Understanding Persistent Dizziness: When to Seek Medical Help
Dizziness and a feeling of heaviness in the head? Hello! I have been experiencing dizziness frequently for over a week. The sensation feels like a heavy head and light legs, with scattered attention and fatigue, somewhat similar to motion sickness, but not the spinning sensation ...
Dr. Lin Zhebin Reply:
Hello: Your dizziness is likely due to anemia. If the cause of your previous iron deficiency anemia, such as chronic blood loss, was not identified (common causes at your age include heavy menstrual bleeding and gastrointestinal bleeding), it is easy for the anemia to recur after...[Read More] Understanding Persistent Dizziness: When to Seek Medical Help
Persistent Fever After COVID-19 Diagnosis: When to Seek Medical Help?
Persistent fever due to COVID-19? I'm sorry to hear that you're feeling unwell. This morning, I suddenly developed a fever. I had tested negative yesterday, so I thought it was just a common cold and went to see a doctor, where I received medication. However, when I got...
Dr. Ye Qianyu Reply:
Hello! COVID-19 fever may last approximately 3-4 days, and treatment is primarily symptomatic. If there are high-risk factors, please seek medical attention promptly for antiviral medication. Monitor your respiratory status, and if you experience wheezing or worsening symptoms, i...[Read More] Persistent Fever After COVID-19 Diagnosis: When to Seek Medical Help?
Unexplained Swelling in a Child's Pinky Finger: Causes and Concerns
Unexplained swelling of a child's little finger? Last night, after taking my 9-year-old son to the Fengjia Night Market in Taichung, we headed back to Changhua. Upon returning, I noticed that my son's little finger was inexplicably swollen, and he hadn't injured it...
Dr. Liao Yaopan Reply:
Hello, if you have any concerns, it is recommended to visit a pediatric outpatient clinic for a physician's evaluation. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares abou...[Read More] Unexplained Swelling in a Child's Pinky Finger: Causes and Concerns
Struggling with Headaches and Insomnia: Understanding Your Symptoms
Lying down with a headache makes it difficult to sleep? I often experience tension-type headaches on both sides of my temples and at the back of my head after lying down. The pain feels like pressure. Additionally, when I go to bed and close my eyes, I feel very awake and cannot ...
Dr. Ye Qianyu Reply:
Hello! I recommend that you first visit a family medicine or general internal medicine clinic to rule out any physiological issues. Additionally, please pay attention to sleep hygiene and adjust your daily routine to improve your sleep quality.[Read More] Struggling with Headaches and Insomnia: Understanding Your Symptoms
Concerns About Rabies After Biking Incident with Unknown Animal
Collided with an unidentified creature while riding a bike? Hello Doctor, on the night of April 3, 2023, while riding a bike in the Shulin District of New Taipei City, my left knee collided with an unidentified creature, which I suspected to be a small bat. When I got home, I not...
Dr. Lin Zhebin Reply:
Hello: The discomfort you described is more likely to be caused by contact dermatitis or a skin allergic reaction due to exposure to an unknown organism. Common symptoms of rabies include fever, sore throat, chills, malaise, loss of appetite, vomiting, difficulty breathing, cough...[Read More] Concerns About Rabies After Biking Incident with Unknown Animal
Understanding Sudden Body Tremors: When to Seek Medical Attention
Sudden whole-body shaking? Hello Doctor, today I was out shopping with friends all day and felt fine. However, after returning home, I suddenly experienced chest tightness and pain, rapid heartbeat, dizziness, body heat, fatigue, weakness in my legs, discomfort in my stomach, and...
Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, it is possible that you are experiencing gastroenteritis combined with fatigue from a full day of shopping, which could lead to dehydration and electrolyte imbalances causing your discomfort. If you continue to experience chest tightnes...[Read More] Understanding Sudden Body Tremors: When to Seek Medical Attention
Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Sleep and physical issues? Hello doctor, I have been experiencing sleep issues for over a month now. I either have light sleep or wake up in the middle of the night, and sometimes I am even aware while I am sleeping. Additionally, for the past two weeks, I have been having headac...
Dr. Lin Zhebin Reply:
Hello: Your symptoms include headache, insomnia, body heat and sweating, dizziness, and nausea. Given your age, you may be concerned about the following issues: 1. Infectious diseases: viruses (such as COVID-19, influenza), bacteria, etc. 2. Hormonal disorders: hyperthyroidism, d...[Read More] Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers