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
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
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
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
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
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
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 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 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
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?
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