Managing Chronic Conditions: Insights on Hypertension and Thyroid Health
Health check-up Hello Dr. Chang, I have been taking medication for hypertension, lipid-lowering, and insomnia related to neurological issues. A few years ago, I was diagnosed with arrhythmia, and the clinic prescribed me medication for it, which I took for a year. My thyroid-stim...
Dr. Zhang Hongwei Reply:
1. Urinary protein can often yield false positives in situations such as fever, infection, or intense exercise. It is recommended to retest, and if urinary protein persists, then consult a nephrologist. 2. Elevated thyroid-stimulating hormone (TSH) levels, in the absence of any...[Read More] Managing Chronic Conditions: Insights on Hypertension and Thyroid Health
Which Medical Specialty Should You Consult for Persistent Symptoms?
Which department should I consult? Hello Doctor, I have been experiencing various uncomfortable symptoms that come and go, but recently they have started to affect my daily life, and I would like to find out the cause. 1. I often experience unexplained dizziness that lasts for ...
Dr. Liao Yaopan Reply:
Hello, based on your inquiry, all symptoms may potentially be caused by the same underlying issue. It is advisable to further investigate this matter, and I recommend discussing it with your family physician. You may also consider arranging a comprehensive health assessment at yo...[Read More] Which Medical Specialty Should You Consult for Persistent Symptoms?
Understanding Chest Tightness, Headaches, and Insomnia in Teens
Chest tightness, dizziness, headache, and insomnia? I am a high school sophomore. I am currently on winter break. Recently, I've been having some trouble sleeping. Normally, I fall asleep easily. Today, I couldn't sleep, and then I suddenly felt some pain in my temples,...
Dr. Wu Fangcan Reply:
Based on your description of recent poor sleep, tenderness in the temples, and chest tightness, the assessment is as follows: Have the recent cold temperatures and closed windows led to poor air circulation? This could result in inadequate sleep, carbon dioxide buildup causing he...[Read More] Understanding Chest Tightness, Headaches, and Insomnia in Teens
Cold Feet and Leg Pain: When to Seek Medical Help?
Cold and painful feet extending to the calves? Hello Dr. Chen: I have cold and tingling sensations in my feet, and I often experience insomnia at night. I also have high blood pressure and have seen a neurologist, but my condition has not improved. Now, the discomfort has extende...
Dr. Chen Bozhang Reply:
Dear Miss Hsuan-Hsuan, In your letter, you mentioned experiencing coldness and a tingling sensation in your feet, which has extended to your calves. These symptoms may indicate issues related to the peripheral nervous system or vascular problems. Given your history of hypertensi...[Read More] Cold Feet and Leg Pain: When to Seek Medical Help?
Struggling with Poor Sleep Quality: Tips for Better Rest and Health
Poor sleep quality and prolonged duration? Hello, doctor. Recently, I have been staying up late and experiencing insomnia. I need to wake up early and adjust my schedule, so I have been going to bed before 11 PM and waking up around 5 AM, then going back to sleep until 7 AM. That...
Dr. Chen Bozhang Reply:
Dear Student Chuang, I understand from your message that you have recently experienced prolonged sleep duration, frequent interruptions during the night, and feelings of unrefreshing sleep. Nasal congestion during sleep generally does not affect the oxygen entering the airway; h...[Read More] Struggling with Poor Sleep Quality: Tips for Better Rest and Health
Chronic Fatigue and Breathing Issues: When to See a Specialist?
Chronic issues Hello, doctor. Recently, I have been experiencing long-term fatigue, lack of energy, excessive sleepiness, occasional shortness of breath, chest tightness, and poor memory (most notably over the past seven years). Rest and sleep can alleviate the fatigue, but the r...
Dr. Chen Bozhang Reply:
Dear Mr. Wei, In your letter, you mentioned that you have been experiencing long-term fatigue, lack of energy, excessive sleepiness, occasional shortness of breath, chest tightness, and poor memory. You also have issues with sleep apnea and have used a ventilator. I recommend di...[Read More] Chronic Fatigue and Breathing Issues: When to See a Specialist?
Understanding Chronic Fatigue: Which Specialists Should You Consult?
Which specialty should I see? Hello, doctor. I have felt more fatigued than usual for the past 25 years, and in the last 10 years, I have experienced daily dizziness, blurred vision, lack of energy, poor memory, and difficulty with learning and thinking. Although I don't eng...
Dr. Liao Yaopan Reply:
Hello, based on the questions you raised, it is currently difficult to explain with a single disease. What does the company's health check-up include? Aside from avoiding smoking and alcohol, do you engage in regular exercise? It is advisable to consult your family physician...[Read More] Understanding Chronic Fatigue: Which Specialists Should You Consult?
Understanding Sleep Study Results: Navigating OSA and CSA Challenges
Sleep study Hello Doctor, I underwent a PSG (with ENT) and while the validity was over 90%, the hospital's bed was too hard and the sound insulation was poor. I clearly remember that I only slept about 2 to 3 hours (I rarely experience insomnia). I spent most of the first ha...
Dr. Chen Bozhang Reply:
1. Can I request a retest at the hospital, or do I need to go to a different hospital? Will health insurance cover it? Most people find it uncomfortable to undergo a sleep study due to changes in their sleep environment, and some may be skeptical about the results. However, this ...[Read More] Understanding Sleep Study Results: Navigating OSA and CSA Challenges
Understanding Male Menopause: Symptoms, Care, and Treatment Options
Male menopause What are the symptoms of male menopause, how can it be managed or treated, and which medical specialty should be consulted?
Dr. Chen Bozhang Reply:
Hello, netizen: Male menopause is a broad health issue that encompasses physiological, psychological, and social aspects. Common symptoms include several categories: 1) Psychological: mood instability, anxiety, depression, difficulty concentrating, insomnia, etc. 2) Sexual dysfun...[Read More] Understanding Male Menopause: Symptoms, Care, and Treatment Options
Feeling Tired and Unfocused? Understanding Chronic Fatigue in Family Medicine
I'm not sure how to get started..? I have been feeling fatigued for a long time and need to take a nap; otherwise, I often feel irritable. My appetite and food intake are normal, and my weight hasn't changed much. I don't have insomnia (I sleep for 7 hours), but I ...
Dr. Chen Bozhang Reply:
Dear User, You mentioned feeling persistently fatigued, unable to concentrate, and needing to take naps. This may be related to chronic fatigue, which can have various underlying causes, including metabolic disorders, sleep apnea or other sleep disorders, and psychiatric conditi...[Read More] Feeling Tired and Unfocused? Understanding Chronic Fatigue in Family Medicine
Understanding Recent Symptoms: Palpitations, Weight Loss, and More
I have been experiencing some symptoms recently? I have recently experienced some symptoms including occasional palpitations, rapid heartbeat after work or jogging that persists even after resting, chest tightness, tinnitus, and difficulty with bowel movements (even with soft sto...
Dr. Liao Yaopan Reply:
Hello, based on your description, many of the symptoms are quite non-specific, and indeed some symptoms require clarification of their causes. It is still recommended to visit a hospital for further evaluation by a physician, or you may consider arranging a self-paid comprehensiv...[Read More] Understanding Recent Symptoms: Palpitations, Weight Loss, and More
Identifying Symptoms and Tests for Gastroparesis
How to determine gastric ptosis? Hello, doctor: What symptoms are associated with gastric ptosis? What examinations should be conducted to determine if someone has gastric ptosis?
Dr. Chen Bozhang Reply:
Hello, In response to your inquiry about gastric ptosis, it is important to note that gastric ptosis is not an organic disease but rather a condition where the stomach's muscle tone is abnormal and its anatomical position is lowered due to factors such as dietary habits, e...[Read More] Identifying Symptoms and Tests for Gastroparesis
Understanding Head Discomfort: Sleep Issues, Anxiety, and Solutions
Head discomfort? Hello, doctor. I would like to ask the following questions: 1. I am experiencing insomnia and discomfort in my head during the day. Sometimes I feel sharp pains in various areas inside my head, which makes me feel like my energy is gradually depleting. I suspec...
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, I would first recommend that you consult a neurologist for further evaluation. Additionally, since you mentioned issues related to auditory hallucinations and stress, it would be advisable to seek assessment and treatment from a psychiatrist or a me...[Read More] Understanding Head Discomfort: Sleep Issues, Anxiety, and Solutions
Managing Exhaustion and Insomnia: Herbal Remedies for Caregivers
Overexertion and Insomnia Hello, doctor! I would like to ask about my mother, who currently works as a caregiver in a hospital, taking care of eight patients for twelve hours a day. She is very tired but still suffers from severe insomnia at night. Recently, I found the advertise...
Dr. Hong Jianfeng Reply:
Work fatigue and insomnia are common symptoms among modern individuals with busy schedules, and they may indicate that the body is experiencing underlying issues. Before using nutritional supplements, it is advisable to undergo a health check-up and assess relevant medical histor...[Read More] Managing Exhaustion and Insomnia: Herbal Remedies for Caregivers
Understanding Insomnia, Dizziness, and Chest Tightness After Cancer Treatment
Insomnia, dizziness, and chest tightness? Hello Doctor: My mother is currently 60 years old. She was diagnosed with breast cancer last year and only completed her radiation and chemotherapy at the beginning of this year. She is currently resting at home and undergoing hormone the...
Dr. Wu Fangcan Reply:
Hello, hormone medications can indeed affect mood and sleep. The symptoms you described could potentially be related to anxiety or mild depression, but it is essential to rule out any physiological issues first. It is recommended that your mother consult her oncologist regarding ...[Read More] Understanding Insomnia, Dizziness, and Chest Tightness After Cancer Treatment
Chronic Fatigue: Understanding Symptoms and Seeking Help
Chronic fatigue? Over the past month, I have been feeling extremely fatigued. My sleep schedule is relatively regular, averaging about 11 hours of sleep per day. If I sleep less than 11 hours, I feel even more tired and have an overwhelming desire to sleep. It feels like no matte...
Dr. Chen Bozhang Reply:
Hello, netizen: There are many reasons for chronic fatigue and poor sleep. First, please reflect on any recent sources of stress in your life or significant changes in your routine. Are there any specific illnesses currently affecting you? Are there accompanying physiological sym...[Read More] Chronic Fatigue: Understanding Symptoms and Seeking Help
Understanding Rapid Heartbeat and Sleep Issues: Common Concerns
Sometimes the heart beats very fast while sleeping? Recently, when I lie down to sleep, I sometimes feel my heart racing suddenly, and I have also experienced insomnia (I have had insomnia twice this week). I have been feeling quite fatigued lately, and sometimes I feel nauseous....
Dr. Cai Mengru Reply:
Hello, when lying down, you may experience orthostatic hypotension. At this time, the heart reflexively increases the heart rate to maintain cardiac function. However, since you are quite young, it is advisable to seek medical attention to monitor for any arrhythmias. Additionall...[Read More] Understanding Rapid Heartbeat and Sleep Issues: Common Concerns
Understanding Mediterranean Anemia: Symptoms, Management, and Treatment Options
Mediterranean anemia (also known as thalassemia) Hello, doctor. I had anemia issues since my twenties, and it wasn't until I gave birth at 35 that I discovered I have thalassemia. Around the age of 37, I started experiencing severe headaches during my menstrual period, simil...
Dr. Cai Mengru Reply:
Dear Miss Hsiao-Ching, Regarding your concerns, there are two important points to consider. First, even if you have thalassemia, it is still possible for you to have iron deficiency anemia, especially since you often feel unwell before and after your menstrual period, which make...[Read More] Understanding Mediterranean Anemia: Symptoms, Management, and Treatment Options
How to Alleviate Jet Lag Symptoms While Traveling Abroad
How can one alleviate the symptoms caused by jet lag? I will be flying to the United States on Tuesday and staying until Sunday. Currently, I am experiencing symptoms such as headaches, dizziness, insomnia, vomiting, nasal congestion, allergies, and gastrointestinal discomfort. S...
Dr. Chen Mengkan Reply:
Hello! Regarding your question, it is not possible to determine from the symptoms whether they are related to jet lag. Generally, discomfort caused by jet lag improves as one adapts to the local lifestyle. If the symptoms persist, please seek medical attention nearby for further ...[Read More] How to Alleviate Jet Lag Symptoms While Traveling Abroad
Understanding Dizziness: Causes, Treatments, and When to Seek Help
I have been experiencing dizziness recently? Dr. Tsai: Hello! I have been experiencing frequent dizziness lately, and I'm unsure of the cause. I also don't know which specialty to consult. I recently recovered from a cold and have visited two clinics. Initially, I went ...
Dr. Cai Mengru Reply:
Xiao Ting: Hello, many medications for colds can cause dizziness and drowsiness, especially those effective for runny nose and cough, which are particularly likely to induce sleepiness. Additionally, the fatigue from the cold itself necessitates rest, and it is also possible that...[Read More] Understanding Dizziness: Causes, Treatments, and When to Seek Help