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 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
Understanding Lower Back Pain: Is It Related to Kidney Issues?
Inquiry Consultation Dear Dr. Lin, Hello. Today (April 26), I visited a clinic due to headaches and bloating. At the time, I did not notice that my number had been called. When the nurse suddenly called my name, I quickly stood up and entered the examination room. During the con...
Dr. Lin Zhebin Reply:
Hello: 1. Since your dull pain in the lower right back occurred after a sudden movement, it is more likely to be caused by a muscle strain in the back. If it were a kidney infection, common symptoms would include lower back pain and painful urination. In the case of kidney stones...[Read More] Understanding Lower Back Pain: Is It Related to Kidney Issues?
Understanding Monthly Illness in Mothers: Causes and Solutions
The mother falls ill every month for no apparent reason? My mother is fifty years old, 162 cm tall, and weighs 41 kg. About a year ago, she started getting sick once or twice a month, and in recent months, this has become more frequent. Her weight has decreased from approximately...
Dr. Chen Bozhang Reply:
Hello, it is difficult to make a comprehensive assessment based solely on the text description. It is recommended to take the elderly to a regional hospital or higher-level family medicine clinic for evaluation. After the doctor assesses the patient's condition, they will ar...[Read More] Understanding Monthly Illness in Mothers: Causes and Solutions
Fever Mimicking Cold Symptoms: When to Seek Medical Advice
Fever resembling a cold? Measure palm temperature every 1 to 3 hours, which ranges from 39.3 to 39.5 degrees Celsius; forehead temperature is between 37.3 and 37.9 degrees Celsius; temple temperature ranges from 37.2 to 38.4 degrees Celsius. Rapid test for COVID-19 is negative. R...
Dr. Xiao Yongxun Reply:
Dear Ms. Yun: If you are experiencing persistent fever, headache, sore throat, runny nose, and cough, it is important to consider the possibility of infections from pathogens other than COVID-19 and influenza, as well as rare causes. Additionally, rapid testing for COVID-19 can y...[Read More] Fever Mimicking Cold Symptoms: When to Seek Medical Advice
Risk of Hantavirus Infection After Contact with Dead Mouse
The transmission rate of hantavirus? Yesterday morning, I had no choice but to park my scooter next to a dead rat. The rat was quite fresh and appeared to have just been crushed, with blood still oozing out. When I finished work at 5 PM, the dead rat seemed to have been moved a f...
Dr. Lin Zhebin Reply:
Hello: 1. Diseases that may be transmitted by rodents include viruses (Hantavirus, Lassa virus, Arenavirus, etc.), bacteria (plague, rat-bite fever, Salmonella, Leptospira, endemic typhus, etc.), and parasites (Toxoplasma, Coccidia, Echinococcus, Amoeba, etc.). If you have come i...[Read More] Risk of Hantavirus Infection After Contact with Dead Mouse
Understanding Neck Stiffness and Discomfort: Causes and Remedies
Stiffness and discomfort in the nape of the neck? Hello, Doctor. I am 27 years old and have a history of gastroesophageal reflux disease (GERD). Last Saturday, after dinner, I clearly felt stiffness and discomfort in my neck, and it was difficult to turn my head from side to side...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to the following conditions: 1. Infection, most likely a viral infection 2. Allergies 3. Migraine. It is recommended that you first perform a COVID-19 rapid test. Additionally, if you have any over-the-counter medications for symptom relief (such...[Read More] Understanding Neck Stiffness and Discomfort: Causes and Remedies
Exploring the Link Between Fatigue and Vitamin D Deficiency
The association between fatigue and vitamin D deficiency? I have been experiencing fatigue and excessive sleepiness for about 6 to 7 years. I have seen various internal medicine specialists and undergone tests for thyroid function, hormones, etc. I even visited a sleep clinic, an...
Dr. Lin Zhebin Reply:
Hello: Vitamin D deficiency may have the following effects: decreased immune function, anxiety, muscle weakness, osteoporosis, dry skin, cardiovascular diseases, etc. Based on your description of physical discomfort, some of it may indeed be related to vitamin D deficiency. Since...[Read More] Exploring the Link Between Fatigue and Vitamin D Deficiency
Managing Dizziness and Nausea: Tips for Home Care
Dizziness and vomiting? My mother woke up in the morning with sudden headaches and dizziness, followed by vomiting. After vomiting, she lay down to rest and started experiencing stomach pain and cold sweats. What recommendations do you have to improve this situation, doctor?
Dr. Chen Bozhang Reply:
Hello, it is recommended to seek medical evaluation. Thank you.[Read More] Managing Dizziness and Nausea: Tips for Home Care
Understanding Mild to Moderate COVID-19 Symptoms and Gastrointestinal Effects
Regarding the progression from mild to moderate symptoms and related sequelae? Hello Dr. Lin, I was infected and confirmed positive for COVID-19 on December 28 of last year due to exposure from a household member. I isolated at home for five days and have since completed my isola...
Dr. Lin Zhebin Reply:
Hello: 1. Although the infection caused by the COVID-19 virus primarily presents with respiratory symptoms, it can actually affect various organs and systems throughout the body, which means gastrointestinal symptoms may also occur. 2. The progression from mild to moderate or sev...[Read More] Understanding Mild to Moderate COVID-19 Symptoms and Gastrointestinal Effects
Understanding Unexplained Fever: When to Seek Medical Attention
Fever of unknown origin (FUO) Hello, doctor. I have been experiencing a slightly elevated temperature (37.2-38.2°C) for the past three weeks. I visited a clinic, but my temperature continues to fluctuate. The most noticeable symptoms are drowsiness and headaches. Should I conside...
Dr. Lin Zhebin Reply:
Hello: Your symptoms of fever, lethargy, and headache may be due to a COVID-19 infection or influenza virus infection. However, since your discomfort has persisted for three weeks, it is advisable to seek medical evaluation to rule out other serious infections or conditions (such...[Read More] Understanding Unexplained Fever: When to Seek Medical Attention
Can You Safely Use Viagra with Blood Pressure Medications?
Medication Consultation Currently, I am taking BLOPRESS 8mg (Candesartan) once daily and Norvasc 5mg (Amlodipine) half a tablet daily for hypertension. Can I also take Viagra (Sildenafil) or similar medications? If so, will there be any side effects? Thank you!
Dr. Xiao Yongxun Reply:
Dear Mr. Tianren: 1. Currently, there are three commonly approved PDE-5 inhibitors for the treatment of erectile dysfunction: Sildenafil, Vardenafil, and Tadalafil. All three PDE-5 inhibitors have similar efficacy in treating erectile dysfunction, and their side effects are comp...[Read More] Can You Safely Use Viagra with Blood Pressure Medications?
Is It COVID-19 or a Cold? Understanding Symptoms in Children
COVID-19 Hello Doctor: My daughter, who is 10 years old, had a fever reaching 39 degrees Celsius (with slight headache) on December 10. On the morning of December 11, a rapid test was negative. After visiting the doctor, she was prescribed medication and her fever subsided, and t...
Dr. Liao Yaopan Reply:
Hello, with the recent drop in temperature, there has indeed been an increase in cases of respiratory viral infections. The existing home rapid tests for COVID-19 can be used to determine if there is an infection; however, most other pathogens do not have specific tests and are p...[Read More] Is It COVID-19 or a Cold? Understanding Symptoms in Children
COVID-19 in Pregnancy: Managing Symptoms and Treatment Guidance
COVID-19 I would like to ask, as a pregnant woman, I am experiencing symptoms such as severe headache, nasal congestion, runny nose, cough, and occasional wheezing. On the evening of December 4, I took a rapid test at home which showed two very faint lines. After going to the hos...
Dr. Liao Yaopan Reply:
Hello, the antiviral medication course is five days, and it is recommended to complete the treatment. If the quarantine period continues with severe discomfort, please contact your prescribing physician for evaluation. Online consultations are not equivalent to in-person medical ...[Read More] COVID-19 in Pregnancy: Managing Symptoms and Treatment Guidance
Can I Take Pain Relievers with Allergy Medication Safely?
Can Panadol be taken together with Dexamethasone? I have been experiencing severe nasal and eye allergies recently, which have led to headaches. I also have a history of urticaria and have been taking antihistamines. However, the headaches are so painful that I can't work. C...
Dr. Chen Bozhang Reply:
Hello! The mechanisms of action of Ibuprofen and Acetaminophen are different. If you have previously taken Acetaminophen without any allergic reactions or discomfort, it should be fine. However, it is recommended to consult your primary physician or pharmacist. Thank you.[Read More] Can I Take Pain Relievers with Allergy Medication Safely?
Unexplained Chest Pain and Neck Tightness: Seeking Answers
Chest pain and neck tightness with no identifiable cause? Hello Doctor: I sincerely apologize for the lengthy message, but this issue has been troubling me for over a year... Let me briefly describe my symptoms. Since June of last year, I have been experiencing unexplained tightn...
Dr. Lin Zhebin Reply:
Hello: Your symptoms of left chest pain, palpitations, left shoulder pain, neck tightness, shortness of breath, dizziness, and headaches raise concerns about potential cardiac issues. There is a possibility of acute arrhythmia; however, if you do not experience an episode during ...[Read More] Unexplained Chest Pain and Neck Tightness: Seeking Answers
Understanding Head and Neck Pain: Possible Causes and Solutions
Pain in the zygomatic bone, brow bone, temples, and occipital region? Hello doctor, recently I've been experiencing pain on both sides of the back of my head, extending to my neck and temples. The pain on the sides of my head occurs when I shake my head, and when I lie down,...
Dr. Lin Zhebin Reply:
Hello: 1. The pain you are experiencing on the sides of your nose, cheekbones, and brow bones may be due to allergic rhinitis, sinusitis, gingivitis, trigeminal neuralgia, among others. 2. The pain in your temples, back of the head, and neck may be related to tension headaches, m...[Read More] Understanding Head and Neck Pain: Possible Causes and Solutions
Unexplained Fever and Abdominal Muscle Pain: What You Need to Know
Fever of unknown origin with abdominal muscle pain? Hello doctor, for the past two months, I have been experiencing persistent abdominal muscle cramps that feel different from typical leg cramps. It feels like someone is pulling the muscles inward from the inside. I often wake up...
Dr. Lin Zhebin Reply:
Hello: Regarding your abdominal pain, since it is accompanied by headaches and generalized muscle soreness, it is important to consider the possibility of an infection. Additionally, there may be endocrine and hormonal issues at play. From an organ perspective, the problem could ...[Read More] Unexplained Fever and Abdominal Muscle Pain: What You Need to Know
Understanding Occipital Headaches: Causes and Remedies
Occipital headache issues? Hello! Last night around 9 PM, I had instant noodles for dinner and stayed up late working on a report. At that time, I started to feel a slight throbbing pain at the back of my head, which felt cool and pulsating but was bearable. I thought it might be...
Dr. Lin Zhebin Reply:
Hello: Your headache may be caused by fatigue or a viral infection. Additionally, it could be a side effect of B vitamins. However, if this is your first experience with such severe headaches accompanied by vomiting, it is advisable to go to the emergency department for further e...[Read More] Understanding Occipital Headaches: Causes and Remedies