Understanding Unexplained Symptoms: Which Specialist to Consult?
Feeling unwell but unsure where the problem lies? Hello, Doctor Yeh. I would like to ask about the following symptoms I am experiencing and which specialty I should consult to address my sleep issues: 1. It has become more difficult for me to fall asleep compared to before, and...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a cardiology clinic. Additionally, if you are experiencing weight loss, you may want to consult with an endocrinology specialist.[Read More] Understanding Unexplained Symptoms: Which Specialist to Consult?
Understanding Upper Back Pain: Causes and When to Seek Help
Upper back pain? Hello Doctor, about six months ago, I woke up one morning and noticed soreness in the upper back on both sides (from the shoulders down to the upper waist). The pain on the left side is about 80%, while the right side is about 20%. I initially thought it was due ...
Dr. Liao Yaopan Reply:
Hello, it is recommended to have an evaluation by an orthopedic or rehabilitation specialist. Hyperthyroidism should be regularly monitored by an endocrinologist at Changhua Hospital. Take care.[Read More] Understanding Upper Back Pain: Causes and When to Seek Help
Understanding Dry Heaving: Causes, Symptoms, and When to Seek Help
Regarding dry heaving? Dear Dr. Liao, Last night (June 23), I experienced a respiratory infection that caused post-nasal drip into my throat. I attempted to forcefully cough out the dripping mucus, which resulted in dry heaving (with the motion of vomiting but no actual vomit). ...
Dr. Liao Yaopan Reply:
Hello, strong coughing can increase intra-abdominal pressure, and it may occasionally be accompanied by dry heaving or even vomiting. Although the occurrence of organ rupture is likely rare, caution is still advised, and it is recommended not to cough excessively. It is more impo...[Read More] Understanding Dry Heaving: Causes, Symptoms, and When to Seek Help
Understanding the Impact of Short vs. Long-Term High-Intensity Interval Training
Exercise-related issues? Hello Doctor: I would like to ask a follow-up question regarding TABATA. I understand that short-term high-intensity interval training (less than 12 weeks) can improve maximum oxygen uptake, diastolic blood pressure, and fasting blood glucose levels in ov...
Dr. Xiao Yongxun Reply:
1. The "Evidence-Based Guidelines for the Prevention and Management of Adult Obesity," published by Taiwan's Ministry of Health and Welfare in November 2018, is a consensus reached through discussions among experts and scholars who reviewed global studies and repor...[Read More] Understanding the Impact of Short vs. Long-Term High-Intensity Interval Training
Does Short Exercise Like Tabata Effectively Control Blood Sugar Levels?
Blood sugar issues? Hello Doctor: I have a follow-up question regarding TABATA. My main concern is whether exercise needs to last at least 15 or 30 minutes to effectively control blood sugar levels. Since TABATA workouts only take 4 to 8 minutes to complete (and are said to repla...
Dr. Xiao Yongxun Reply:
Dear Mr. Lin Sen: 1. According to the "Evidence-Based Guidelines for the Prevention and Management of Adult Obesity" published by Taiwan's Ministry of Health and Welfare in November 2018, high-intensity interval training (HIIT) is defined as aerobic exercise perfo...[Read More] Does Short Exercise Like Tabata Effectively Control Blood Sugar Levels?
Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Blood sugar issues Hello Doctor: I am in the prediabetic stage, with blood glucose levels around 110, and I have not yet developed diabetes. Therefore, I want to establish a regular exercise routine to prevent the onset of diabetes. I have a question regarding the recently popula...
Dr. Xiao Yongxun Reply:
Dear Mr. Lin Sen: 1. TABATA is primarily a form of high-intensity interval training (HIIT); it involves performing maximum intensity exercise for 20 seconds, followed by a 10-second rest, repeated for a total of 8 rounds, resulting in an overall duration of about 4 minutes. It c...[Read More] Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Understanding Sleep Paralysis and Breathing Difficulties During Sleep
Feeling of suffocation during sleep? Hello, doctor. I have previously experienced a sensation of being pressed all over my body during sleep, occurring 2 to 4 times a night. I researched and found that it might be related to sleep paralysis, so I didn't pay much attention to...
Dr. Xiao Yongxun Reply:
Dear Ms. Ya, The sleep cycle can be divided into rapid eye movement sleep (REM) and non-rapid eye movement sleep (NREM), alternating approximately 3 to 5 times each night. The brain regions that control the sleep-wake cycle (biological clock) include the suprachiasmatic nucleus,...[Read More] Understanding Sleep Paralysis and Breathing Difficulties During Sleep
Chest Pain, Dizziness, and Rapid Heartbeat: Which Specialist to See?
Chest tightness, dizziness, and rapid heartbeat. Which medical specialty should I consult? Hello Doctor, this morning while commuting to work, I had to jog up about two flights of stairs to catch the MRT. After getting on the train, I experienced some chest pain accompanied by sh...
Dr. Ye Qianyu Reply:
Hello! Regarding your concerns, you are primarily experiencing palpitations accompanied by postural dizziness. Since you have already experienced syncope, it is advisable for you to visit a medical facility for evaluation. It would be best to see a cardiologist first to confirm w...[Read More] Chest Pain, Dizziness, and Rapid Heartbeat: Which Specialist to See?
Understanding Sleep Issues and CPR Confusion: A Family Medicine Perspective
Sleep issues and concerns about CPR? Hello, doctor. I have two questions regarding issues that have arisen around me. First, a friend of mine has a work schedule where he usually gets home around 7 PM and doesn't go to bed until 2 or 3 AM. He then has to wake up at 7 AM to...
Dr. Xiao Yongxun Reply:
Dear Ms. Yu: 1. The human sleep cycle can be divided into Rapid Eye Movement (REM) sleep and Non-Rapid Eye Movement (NREM) sleep, which alternate throughout the night, typically cycling 3 to 5 times. The brain regions that control the sleep-wake cycle (circadian rhythm) include ...[Read More] Understanding Sleep Issues and CPR Confusion: A Family Medicine Perspective
Which Medical Specialty Should I Consult for My Unexplained Symptoms?
Which specialty should I see? Hello Doctor, I have many strange little ailments in my body, and I really don't know which specialty to consult. I experience hand tremors that are difficult to control; my hands shake when I hold things, when someone touches me, while picking ...
Dr. Xiao Yongxun Reply:
Dear Miss You: Please discuss this with your neurologist; based on your description, I believe it may be a neurological issue. If necessary, a consultation with a psychiatrist may also be required. Imaging studies or immunological and biochemical tests may not definitively identi...[Read More] Which Medical Specialty Should I Consult for My Unexplained Symptoms?
Understanding Left Upper Back and Chest Pain: Which Specialist to See?
If you are experiencing pain in the upper left back and sharp pain in the left chest, it is advisable to consult a healthcare professional. You may want to see a primary care physician or a specialist such as a cardiologist or an orthopedic doctor, depending on the nature and sev...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended that you consult your family physician for a reassessment, and if necessary, get a referral to a specialist. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment ...[Read More] Understanding Left Upper Back and Chest Pain: Which Specialist to See?
Understanding Palpitations and Dizziness: When to Seek Medical Help
Palpitations and dizziness issues? Hello Doctor, last week I suddenly felt cold in the middle of the night (due to a cold front). After waking up, I kept shivering and my heart was racing. Additionally, there was an earthquake that day, which may have affected me both physically ...
Dr. Liao Yaopan Reply:
Hello, if you are experiencing symptoms such as dizziness and palpitations, it is recommended to first consult a cardiologist to assess for any vascular abnormalities. If there are no physiological issues, you may then seek assistance from a psychiatrist. Please note that online ...[Read More] Understanding Palpitations and Dizziness: When to Seek Medical Help
Fever and Eye Pain: Understanding Symptoms and When to Seek Help
Fever with pain when moving the eyes? Hello, Doctor. I started experiencing a mild cough on Friday (about once every five minutes), but my temperature was normal. On Saturday afternoon, I checked my temperature and found I had a fever of 38 degrees Celsius. I also felt pain aroun...
Dr. Liao Yaopan Reply:
Hello, based on the description, there is still a fever present. It is recommended to visit the Infectious Disease Clinic for further evaluation, and then determine if a referral to an ophthalmologist is necessary. Please note that online consultations do not equate to in-person ...[Read More] Fever and Eye Pain: Understanding Symptoms and When to Seek Help
Why Am I Experiencing Shortness of Breath While Walking?
Experiencing shortness of breath and chest tightness while walking? Hello Doctor, I have a history of hyperventilation leading to fainting and emergency medical care. Occasionally, I wake up suddenly during sleep hearing my heartbeat, feeling like I can't catch my breath. Re...
Dr. Liao Yaopan Reply:
Appropriate exercise is beneficial, but adjustments should be made if discomfort occurs. For health guidelines on cardiovascular exercise, you can refer to the recommendations from the Health Promotion Administration: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=571&pid=88...[Read More] Why Am I Experiencing Shortness of Breath While Walking?
Understanding Unexplained Body Discomfort and Neck Tension: A Guide
General malaise, tightness in the right occipital region? Hello Doctor: I have been experiencing discomfort in my body for some time now. Often, I feel unwell, but I can't pinpoint exactly where the discomfort is coming from. I sometimes have symptoms similar to those of a c...
Dr. Liao Yaopan Reply:
If all relevant tests show no significant abnormalities, it is recommended to seek assistance from an immunology and rheumatology specialist for evaluation. Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or tr...[Read More] Understanding Unexplained Body Discomfort and Neck Tension: A Guide
Understanding Sinus Bradycardia: Should You Be Concerned?
Questions about electrocardiogram (ECG) content! Due to undergoing laparoscopic surgery for adenomyosis one to two years ago, I had an electrocardiogram (ECG) done the day before, which reported: "Sinus bradycardia, otherwise normal ECG." I recently discovered this info...
Dr. Chen Bozhang Reply:
Dear Ms. Chang, Thank you for your letter regarding your electrocardiogram report, which indicates sinus bradycardia. "Sinus" refers to the normal rhythm generated by the sinoatrial node, while "bradycardia" indicates an average heart rate of less than 60 bea...[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?
Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective
A cold can lead to difficulty breathing? Hello Doctor: Around early August, I experienced cold symptoms and visited three ENT clinics. At the third clinic, after taking medication, I experienced difficulty breathing and felt short of breath, but I didn't have these symptoms ...
Dr. Liao Jiasheng Reply:
Due to experiencing shortness of breath while walking, elevated blood pressure, and a rapid heartbeat, it is recommended to schedule an appointment with a cardiologist for further evaluation.[Read More] Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective
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
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
Understanding Hypertension: Managing Blood Pressure and Cholesterol Levels
Hypertension screening? Hello doctor, I'm 33 years old, 167 cm tall, and weigh 85 kg. Last year during my health check-up, my blood pressure was high at 145/92 and my heart rate was 88, which I think might have been due to nerves. Since I didn't feel any particular symp...
Dr. Chen Taicheng Reply:
● Normal blood pressure is defined as ≤120/80 mmHg; hypertension is defined as ≥140/90 mmHg. However, blood pressure can sometimes be elevated due to anxiety during a clinic visit, so it is best to measure blood pressure at home, which should be the primary reference. If home blo...[Read More] Understanding Hypertension: Managing Blood Pressure and Cholesterol Levels