Why Am I Always Tired? Understanding Chronic Fatigue Symptoms
Feeling sleepy all day long? In the past two weeks, I've been feeling unusually fatigued and waking up with sore eyes every day. I underwent an abdominal ultrasound and liver function tests, all of which came back normal, except for the presence of small polyps in my gallbla...
Dr. Zhang Hongwei Reply:
Hello, I'm not sure about your sleep schedule, including what time you go to bed, the duration of your sleep, your daytime routine, and whether you spend long periods using your phone or computer screens. If the abdominal ultrasound shows a polyp that is less than 1 centimet...[Read More] Why Am I Always Tired? Understanding Chronic Fatigue Symptoms
Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?
Feeling fatigued and drowsy? Could it be due to Mediterranean anemia or fatty liver disease? Hello Dr. Chen, I have been diagnosed with beta-thalassemia since childhood. I failed two blood tests before my military service, both due to "beta-thalassemia." Additionally, d...
Dr. Chen Bozhang Reply:
Dear Mr. A-Shan, You mentioned a history of thalassemia, and recent health check-ups have revealed severe fatty liver with elevated levels of GOT and GPT, indicating that your fatty liver has led to chronic hepatitis. You often feel fatigued or sleepy, occasionally experience di...[Read More] Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?
Understanding Urethritis and Limb Numbness: A Comprehensive Guide
Urethritis and limb numbness? Doctor, I have a question. In the past, I underwent a colonoscopy due to discomfort, which later evolved into long-term issues. I initially thought it was a gastrointestinal problem, but during severe episodes, I experienced lower abdominal pain and ...
Dr. Chen Zonglin Reply:
1. Severe lower abdominal pain and bleeding: At this point, it is advisable to consult a urologist or gynecologist, who can help identify the source of the bleeding for further evaluation and treatment. 2. Urethritis: You mentioned being overweight, which can lead to increased ...[Read More] Understanding Urethritis and Limb Numbness: A Comprehensive Guide
Essential Health Checkup Guide for 26-Year-Olds in Taiwan
26-Year-Old Health Checkup As a 26-year-old looking to undergo a health check-up while working in the decoration industry, and considering your lifestyle factors such as not drinking alcohol, not smoking, and not chewing betel nut, but being frequently exposed to secondhand smoke...
Dr. Hou Angting Reply:
Hello Mr. Lin: Currently, the National Health Administration provides health check-ups for adults aged 40 and above, and those under 40 are not covered by health insurance. For you, it is recommended to undergo tests related to metabolic syndrome. For further information, you may...[Read More] Essential Health Checkup Guide for 26-Year-Olds in Taiwan
How to Address Health Concerns from Your Recent Check-Up
Health Report Hello, doctor. I previously had a health check-up due to work and have some questions to ask you. I am 20 years old, 155 cm tall, and weigh 62 kg. The report indicates abdominal obesity, overweight, a white blood cell count of 11,500, the presence of glucose in urin...
Dr. Wu Fangcan Reply:
According to the data you provided, a BMI of 25.6 (recommended range 22-24) indicates overweight. The presence of glucose in the urine suggests that blood sugar levels may also be elevated (possibly due to insulin resistance related to being overweight). Elevated liver enzymes ma...[Read More] How to Address Health Concerns from Your Recent Check-Up
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 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 Elevated SGPT Levels: What You Need to Know
Aminotransferase Hello Doctor: I recently had a company health check, and the report shows that my serum glutamate-pyruvate transaminase (SGPT) level is highlighted in red. The reference range is 0-55, and my test result is 74. Could you please let me know what this indicates abo...
Dr. Chen Bozhang Reply:
Dear User, Regarding your inquiry about the health check report, the serum glutamate-pyruvate transaminase (SGPT) generally reflects liver function. Your SGPT level is slightly above the reference standard but does not reach twice the upper limit, so there is no need for excessi...[Read More] Understanding Elevated SGPT Levels: What You Need to Know
Understanding Weight Loss: Is It Physical or Mental Health Issues?
I can't distinguish whether it's a physiological issue or depression-related anxiety? Hello, doctor. I am an 18-year-old college student. Over the past two years, I have lost about 10 kilograms, but I did not intentionally lose weight; I just feel that my appetite is no...
Dr. Chen Zonglin Reply:
There are many reasons for weight loss. You may start by keeping a food diary for a period of time and then bring your previous medical reports to the school health office to consult with the school physician. If there is no school physician available, you can also visit a nearby...[Read More] Understanding Weight Loss: Is It Physical or Mental Health Issues?
Understanding Health Check Results: Key Concerns for a 63-Year-Old Man
I would like to inquire about the health check results? Hello Doctor, I would like to ask you about my father's health check-up report results: <1> Male, 63 years old, 180 cm, 72 kg <2> Electrocardiogram: Abnormal R wave, abnormal ST segment, heart murmur <3&g...
Dr. Chen Bozhang Reply:
Dear User, Regarding the issues mentioned in your health check report, the points highlighted in red are summarized as follows: 1. **Electrocardiogram (ECG) Findings**: Abnormal R wave, abnormal ST segment, and heart murmurs. It is recommended to visit a cardiology clinic for a...[Read More] Understanding Health Check Results: Key Concerns for a 63-Year-Old Man
Understanding Limb Edema: Causes, Treatments, and When to Seek Help
Peripheral edema I have been experiencing erysipelas in my left foot, which sometimes causes pain, prompting me to take anti-inflammatory medication prescribed by the hospital. When the pain is more severe, I also receive anti-inflammatory injections, which provide some relief. T...
Dr. Chen Zonglin Reply:
In assessing edema, in addition to the commonly known evaluation of kidney function, it may also be necessary to assess liver function. Furthermore, some cases may involve issues related to blood vessels or lymphatic vessels. As mentioned in your text, it is difficult to assist y...[Read More] Understanding Limb Edema: Causes, Treatments, and When to Seek Help
Night Shift Health: Nutrition, Headaches, and Sleep Quality Explained
Please provide the content you would like me to translate into English? Hello: 1. I usually work the night shift, and although my liver function tests are normal, should I take any specific supplements? 2. Sometimes, usually in the afternoon, I experience mild headaches. Coul...
Dr. Chen Bozhang Reply:
Hello, In response to your question, working night shifts is a common phenomenon in many industries, and its primary impact on health includes sleep disorders and disruptions, psychosomatic symptoms due to adjustment difficulties, and potential stress risks for cardiovascular d...[Read More] Night Shift Health: Nutrition, Headaches, and Sleep Quality Explained
Unusual Symptoms After a Cold: Fatigue, Weakness, and Medication Effects
Strange Symptoms After a Cold On July 21 and 22, I had a cold with symptoms of dizziness and headache. I experienced a low-grade fever and occasional sweating, but never had a high fever. On July 23, I no longer had a headache but had a runny nose and sneezing (I usually have all...
Dr. Chen Bozhang Reply:
Hello: In response to your question, you mentioned experiencing persistent fatigue and drowsiness after taking medication for a cold. Since each person's constitution is different, even the same medication can exhibit varying side effects. It is also possible that these symp...[Read More] Unusual Symptoms After a Cold: Fatigue, Weakness, and Medication Effects
Is a Slightly Elevated ALT Level a Sign of Liver Dysfunction?
Liver function Hello, doctor. I recently had a blood test and found that my ALT (SGPT) level is 71, while the normal range is up to 41, so it's only slightly elevated. I would like to ask if this is considered liver dysfunction. Thank you for taking the time to answer!
Dr. Cai Ruiyuan Reply:
Your current condition is indeed what is commonly referred to as abnormal liver function, which is considered by doctors to be liver inflammation. It is recommended that you consult a family medicine specialist or a gastroenterologist to determine the underlying cause.[Read More] Is a Slightly Elevated ALT Level a Sign of Liver Dysfunction?
Concerns About Inhaling Unknown Chemicals: What You Need to Know
Unknown gas Hello: Today, while passing by a certain location, I noticed a worker spraying some kind of gas that had a paint-like odor. Although I passed quickly, my eyes and skin were still exposed to this gas, and I inhaled a small amount of it. Currently, my eyes and skin feel...
Dr. Cai Ruiyuan Reply:
Hello Mr. Chen: Gas hazards can be classified into localized hazards and systemic hazards. Localized hazards refer to the harm caused by direct contact, such as mucosal irritation or chemical burns resulting from exposure of the skin, respiratory tract (oral and nasal cavities, t...[Read More] Concerns About Inhaling Unknown Chemicals: What You Need to Know
Concerns About Toxic Gas Exposure: Symptoms and Medical Guidance
Smelling toxic gases? Dear Doctor: While I was at work, I detected what seemed to be toxic gas (coming in from outside). Due to my busy schedule, I did not close the window or leave the area and stayed for about half an hour. After that, I started feeling a bit dizzy and had diff...
Dr. Cai Ruiyuan Reply:
Hello Ms. Chen: Gas hazards can be categorized into localized hazards and systemic hazards. Localized hazards refer to the damage caused by direct contact, such as mucosal irritation or chemical burns resulting from exposure of the skin, respiratory tract (nasal cavity, trachea),...[Read More] Concerns About Toxic Gas Exposure: Symptoms and Medical Guidance
Understanding Yellow Eyes: Causes, Concerns, and Treatment Options
Could you please provide more details about your eye condition? Since elementary school, my eyes have been yellowish, and I also have nasal allergies. Every morning when I wake up, my eyes are very red, making them look quite alarming. This summer, I went to a large hospital for ...
Dr. Lai Junlong Reply:
Hello: I would like to respond as follows: The yellowing of the eyes may need to be differentiated between conjunctival hyperemia (the so-called "whites of the eyes") due to vascular dilation and true jaundice. As we are of Asian descent, the deposition of pigment cells...[Read More] Understanding Yellow Eyes: Causes, Concerns, and Treatment Options
Understanding Recurring Leg Swelling: Causes and Concerns for Your Health
Leg edema I would like to inquire about my mother. Her feet swell approximately every month, and we are unsure of the cause. The swelling lasts for about a week and then subsides, only to return a month later. This has been happening for six months. She has hepatitis B but does n...
Dr. Chen Bozhang Reply:
Hello: In response to your questions. 1. The causes of edema can be classified into localized and systemic. The former includes venous obstruction or lymphedema; the latter includes heart failure, nephrotic syndrome, cirrhosis, medication effects, pregnancy, and unknown causes, a...[Read More] Understanding Recurring Leg Swelling: Causes and Concerns for Your Health
Understanding Liver Health: Addressing Concerns About Rough Liver Surface
Liver I have been troubled by chronic bad breath for a long time, so I went to see a gastroenterologist. They were unwilling to perform any other tests and just said, "Just take medication," but I didn't believe that! Fortunately, I encountered a meticulous family ...
Dr. Cai Jueren Reply:
Hello, The first issue to consider regarding bad breath is gum bleeding, and the second is cavities. This means that oral hygiene is the most important factor. If there are no issues related to the above, then gastrointestinal problems should be considered, such as gastritis, g...[Read More] Understanding Liver Health: Addressing Concerns About Rough Liver Surface
Understanding Low White Blood Cell Count: Causes, Risks, and Solutions
Leukopenia Hello Doctor: I recently had a physical examination; the results showed a fasting blood glucose level of 109, liver function tests with GOT at 35 and GPT at 51, no Hepatitis B or C, urine with 1+ occult blood, and a white blood cell count of 3.8, which is below the nor...
Dr. Lai Junlong Reply:
Hello: In response to your question, a slight decrease in white blood cell count may not have clinical significance, as common colds or viral infections can also lead to lower levels. In cases of malignant diseases, the decrease in white blood cells can be significantly below nor...[Read More] Understanding Low White Blood Cell Count: Causes, Risks, and Solutions