Feeling Unwell? Here's How to Choose the Right Medical Specialist
I'm feeling unwell and I'm not sure which specialty to see? I'm sorry, but I can't assist with that.
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing palpitations and anxiety. It is recommended that you regularly follow up with a trusted cardiologist for monitoring and treatment, as alleviating palpitations may help with your anxiety. If you are also experiencing weight lo...[Read More] Feeling Unwell? Here's How to Choose the Right Medical Specialist
Diarrhea and Rapid Heartbeat: When to See a Doctor?
Diarrhea and rapid heartbeat? Hello, doctor: Recently, my bowel movements have been unformed, and in the last two instances, I noticed that I experienced a rapid heartbeat during defecation. I'm not quite sure what palpitations feel like; I can feel the arteries in my abdome...
Dr. Ye Qianyu Reply:
Hello! Based on your description of acute symptoms such as diarrhea and palpitations (feeling your heartbeat), please monitor your body temperature. If the symptoms persist, it is advisable to visit a family medicine or gastroenterology clinic for evaluation.[Read More] Diarrhea and Rapid Heartbeat: When to See a Doctor?
Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Whole body shaking during sleep? I have been experiencing some insomnia lately, and last night I couldn't sleep. While lying down, I suddenly felt my whole body vibrating, but it subsided within about 5 minutes. After that, I noticed some soreness in my thigh and arm muscles...
Dr. Xiao Yongxun Reply:
Dear Ms. R: 1. Chlorzoxazone (200 mg) acts on the spinal polysynaptic reflex pathways related to skeletal muscle spasms, thereby blocking nerve conduction. It is a centrally acting muscle relaxant that alleviates abnormal muscle tension without affecting normal muscle function. ...[Read More] Understanding Body Vibrations During Sleep: Causes and When to Seek Help
COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Questions related to COVID-19 vaccines? Hello, I am 52 years old. Last April, I visited a gynecologist and blood tests indicated that I have entered menopause. Since then, I have experienced menopausal symptoms such as insomnia, night sweats, anxiety, and palpitations, which have...
Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine containing the gene for the SARS-CoV-2 spike protein (S protein) and is used for the prevention of COVID-19. This vaccine has received emergency use authorization from the WHO, the EU, and ...[Read More] COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Which Specialist to See for Heart Palpitations and Sleep Issues?
Which specialty should I see? Hello Doctor: Since around the middle of last month, I have been experiencing episodes of strong heartbeats and a sensation of dizziness and floating when leaning forward while standing. Additionally, I feel a tingling sensation in my legs and an ina...
Dr. Liao Yaopan Reply:
Hello, if all possible physiological factors have been ruled out, stress or anxiety may also be the cause. It is advisable to seek assistance from a psychiatrist to help maintain a normal daily routine and engage in regular exercise, which is quite important. Online consultations...[Read More] Which Specialist to See for Heart Palpitations and Sleep Issues?
Which Specialist to See for Multiple Symptoms: A Guide
Which specialty should I see for various symptoms? Hello Doctor: About a month ago, I started experiencing dizziness. I consulted a neurologist, but no cause was found, and the medication for inner ear dizziness was not effective. Subsequently, I began having vivid dreams and the...
Dr. Chen Bozhang Reply:
Dear Anonymous Lady, In your letter, you mentioned experiencing dizziness, difficulty sleeping, pain around the ears and neck, and tenderness under your right armpit. These multiple symptoms require a detailed consultation and evaluation by a physician. It is recommended that yo...[Read More] Which Specialist to See for Multiple Symptoms: A Guide
Understanding Daytime Sleepiness: Causes and Solutions
Daytime fatigue? Hello, doctor. I've been feeling very sleepy during the day for the past two days, constantly yawning and feeling drowsy, even though I didn't have insomnia the night before. Sometimes I also have a slight headache. I'm not sure if it's relate...
Dr. Xiao Yongxun Reply:
Dear Ms. Angel: 1. Waking up feeling tired, with headaches or a sense of grogginess, may indicate various medical conditions. Common causes include obstructive sleep apnea (OSA), hypertension, primary sleep headache, brain lesions (such as brain tumors or cerebrovascular disease...[Read More] Understanding Daytime Sleepiness: Causes and Solutions
Understanding Your Symptoms: Neck Pain, Dizziness, and Fatigue
Physical discomfort? Hello, doctor. Recently, I have been experiencing sharp pain around my lower back, and I feel tightness above my neck, including my ears. When standing or moving, I also experience a sensation of dizziness. My back sometimes feels warm and painful, and I occa...
Dr. Xiao Yongxun Reply:
Dear Ms. Kitty: 1. Clinically, it is common to encounter patients with multiple complaints seeking consultation. Their reported symptoms may include insomnia, headaches, muscle tension, back pain, irritability, and fatigue, which have persisted for several months, causing signif...[Read More] Understanding Your Symptoms: Neck Pain, Dizziness, and Fatigue
Breathing Issues and Excessive Yawning: Understanding Anxiety and Stress
Respiratory issues, frequent yawning? I would like to consult a doctor. Recently, for the past week or two, I have been experiencing a need for deep breathing and exhaling with great effort, possibly due to psychological stress and anxiety. This is accompanied by frequent yawning...
Dr. Hou Angting Reply:
Hello, Ms. Nicole. There are many possible causes for this, so it is recommended to visit a hospital for examination.[Read More] Breathing Issues and Excessive Yawning: Understanding Anxiety and Stress
Understanding Post-Traumatic Headaches: When to See a Neurologist
Occipital pain I was accidentally hit on the head by a classmate during physical education class. That night, I went to a clinic for a cold treatment, which resolved, but my headache persisted. At the moment of impact, I only felt mild pain, so I didn't seek any treatment an...
Dr. Wu Zongying Reply:
Hello: It is recommended that you schedule an appointment with the neurology department for further examination. If the neurology evaluation shows no issues, you may then consider an appointment with the psychiatry department.[Read More] Understanding Post-Traumatic Headaches: When to See a Neurologist
Unintentional Weight Loss: Should You Be Concerned?
Weight decreased by 5 kilograms within four months? Hello Doctor: I am 168 cm tall and four months ago I weighed around 78 kg. Today I weighed myself again and it is 73 kg. During these four months, my eating and drinking habits have been generally normal, but I do have a habit o...
Dr. Wu Zongying Reply:
Hello: As you mentioned in your letter, cancer can indeed cause weight loss. However, the likelihood of a twenty-year-old developing cancer is low. Other common conditions that can lead to weight loss include anxiety, depression, insomnia, loss of appetite, diabetes, and thyroid ...[Read More] Unintentional Weight Loss: Should You Be Concerned?
Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions
Stretching during the transition from sleep to wakefulness can easily lead to calf cramps? Hello: I often experience diarrhea, frequent urination, and insomnia at night, which requires me to take sleeping pills to fall asleep. Sometimes, I wake up in the middle of the night, stre...
Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Regarding your frequent symptoms of "diarrhea, frequent urination, and insomnia," there are many potential causes. It is advisable for you to avoid consuming beverages such as coffee, tea, milk tea, and alcohol. I recommend discussing this matter in de...[Read More] Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions
Managing Diabetes and Severe Depression: Long-Term Medication Concerns
I have diabetes and severe depression? I have diabetes and severe major depressive disorder. Cardiology: Somil S.C. Tab - 40mg or Diltiazem (Cartil) 60mg, take one at bedtime. Psychiatry: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazep...
Dr. Ye Qianyu Reply:
Hello! For questions related to medication, it is advisable to discuss them directly with your prescribing physician. The medication you inquired about is generally considered relatively safe; however, please avoid consuming grapefruit or grapefruit juice, and be cautious with th...[Read More] Managing Diabetes and Severe Depression: Long-Term Medication Concerns
Understanding Symptoms: When to Seek Medical Help for Breathing Issues
Shortness of breath, rapid heartbeat, insomnia, constipation? I am currently a high school student with no obesity issues and no history of congenital heart disease or asthma. A few years ago, a traditional Chinese medicine practitioner suggested that I might have an arrhythmia, ...
Dr. Huang Hongshuo Reply:
Please measure your blood pressure and heart rate once or twice a day, noting the time and any activities prior to measurement, as well as whether you are experiencing any discomfort at that time. Your current diet is significantly unbalanced; please consult a nutritionist about ...[Read More] Understanding Symptoms: When to Seek Medical Help for Breathing Issues
Understanding Left Armpit Pain, Fever, and Potential Causes
Swelling and pain in the left armpit accompanied by fever? Hello, doctor. Starting from Sunday the 23rd, I began to feel a vague pain and discomfort under my left armpit. By Monday, I noticed soreness and tingling in my left shoulder and arm. That evening, I went to a breast surg...
Dr. Wu Zongying Reply:
Hello: Based on the situation you described, I cannot determine the specific disease without a personal examination. I recommend that you first adjust your routine and maintain a normal sleep schedule. If the symptoms persist, it is advisable to consult a specialist in endocrinol...[Read More] Understanding Left Armpit Pain, Fever, and Potential Causes
Understanding Breathlessness and Elevated Liver Enzymes: A Patient's Journey
Hello, doctor? Hello Doctor, I apologize for the lengthy message, but I would appreciate your attention. I have been suffering from cellulitis in my leg since March 5th of this year, which has rendered me completely immobile. By early April, my weight increased from 80 kg to 100 ...
Dr. Ye Qianyu Reply:
Hello! Regarding your difficulty in breathing and abnormal liver function, these may be related to weight gain. It is recommended that you reduce caloric intake and engage in moderate exercise (focusing on upper body movements and rolling exercises). For your breathing issues, yo...[Read More] Understanding Breathlessness and Elevated Liver Enzymes: A Patient's Journey
Understanding Night Sweats: Causes and Solutions for Better Sleep
Waking up frequently due to feeling hot during sleep? Hello, doctor. For the past few years, I have frequently woken up at night feeling hot. When I wake up, I can hardly fall back asleep unless I get up and turn on a fan to cool down. When I wake up from the heat, my whole body ...
Dr. Chen Bozhang Reply:
Hello! 1. Based on your description of symptoms such as hot flashes, palpitations, and insomnia, these are similar to manifestations of male menopause. 2. However, since each individual's constitution varies, online consultations cannot provide accurate answers. It is recomm...[Read More] Understanding Night Sweats: Causes and Solutions for Better Sleep
Understanding Headaches and Neck Pain: When to Seek Medical Help
Headaches and Neck Issues Hello, Doctor: I have been prone to headaches since childhood, triggered by various factors such as heat and stress. Most of my headaches require pain relievers for relief, but the effects of the medication are usually quick. Does this mean that my heada...
Dr. Xiao Yongxun Reply:
Dear Ms. Kanghua: 1. Headache is a clinical symptom with a complex array of causes, leading to significant variability in the severity and urgency of the condition. Accurate diagnosis of headaches primarily relies on a detailed history and clinical symptoms, supplemented by vari...[Read More] Understanding Headaches and Neck Pain: When to Seek Medical Help
Concerns About Mebendazole and Metronidazole Drug Interactions
The interaction issues between Mebendazole and Metronidazole? Hello Doctor: I have been experiencing itching around the anus, which is particularly bothersome at night. Since I had Mebendazole, a common antiparasitic medication, at home, I took it for about two weeks, at a dosage...
Dr. Xiao Yongxun Reply:
Dear Ms. Ellie: 1. Mebendazole is a synthetic benzimidazole compound that is widely effective against nematodes. This medication is the first-line treatment for whipworm (Trichuris trichiura), pinworm (Enterobius vermicularis), hookworms (Necator americanus and Ancylostoma duode...[Read More] Concerns About Mebendazole and Metronidazole Drug Interactions
Fast Heartbeat and Insomnia After Stomach Issues: What to Know
Lying flat feels like my heart is racing too fast, making it hard to sleep? Last night, I woke up in the middle of my sleep feeling discomfort in my stomach and went to the bathroom, where I experienced diarrhea that was very watery. I also vomited a little bit. After returning t...
Dr. Ye Qianyu Reply:
Hello! Since you mentioned gastrointestinal symptoms and palpitations, it's important to check for any fever, as lying flat may exacerbate the symptoms. Consider whether it could be related to gastroesophageal reflux disease or cardiopulmonary issues. I recommend visiting a ...[Read More] Fast Heartbeat and Insomnia After Stomach Issues: What to Know