Should You Continue Pain Relief Medication with Antibiotics?
Medication Use Hello Director Liao: I am currently taking Ketorolac and antibiotics for a urinary tract infection. I would like to ask if I can stop taking the anti-inflammatory pain reliever (Ketorolac) if the pain decreases, or is it necessary to complete the entire course of b...
Dr. Liao Yaopan Reply:
Hello, the treatment of infectious diseases primarily relies on antibiotics. As for the prescription of Ketorolac given by the original physician, the indication or purpose is unclear. The best approach would be to discuss this with the prescribing physician. Please note: online ...[Read More] Should You Continue Pain Relief Medication with Antibiotics?
Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms
Rapid heartbeat. Nausea and the urge to vomit? I sometimes experience sleep issues, but last night I slept well due to exhaustion. This morning, I felt okay, but suddenly during breakfast, I felt nauseous and had the urge to vomit, along with a rapid heartbeat and slight cold swe...
Dr. Lin Zhebin Reply:
Hello: Based on your description, your discomfort seems to be related to transient hypotension. There are many potential causes for transient hypotension, including orthostatic hypotension, dehydration, food or medication effects, anemia, endocrine disorders, and heart diseases, ...[Read More] Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms
Exploring Causes of Progressive Leg Weakness: A Guide for Patients
Weakness in the calf extending to the foot? Dear Dr. Yeh, My mother is 58 years old, 158 cm tall, and weighs 48 kg. She has had a long-standing issue with kyphosis and has undergone cardiovascular stenting. Her regular medication includes anticoagulants, and she drinks 150 cc of...
Dr. Ye Qianyu Reply:
Hello! Clinical issues are often the result of multiple contributing factors. Based on the information you provided regarding the causes of intermittent claudication in your mother, here are some analytical suggestions: 1. X-ray shows bone spurs causing nerve compression: This i...[Read More] Exploring Causes of Progressive Leg Weakness: A Guide for Patients
Understanding Bloating, Nausea, and Loss of Appetite: When to Seek Further Testing
Bloating, nausea, and loss of appetite? The patient has been experiencing bloating, nausea, and loss of appetite for over two months. The symptoms appeared suddenly after staying up late, and there were no previous gastrointestinal issues. After seeing a doctor and undergoing an ...
Dr. Ye Qianyu Reply:
Hello! If you have previously undergone examinations and no structural issues were found, it may be advisable to address potential functional disorders. Please try to minimize staying up late. Given your young age, the current symptoms do not directly raise suspicion of cancer. I...[Read More] Understanding Bloating, Nausea, and Loss of Appetite: When to Seek Further Testing
Persistent Discomfort After Wasp Sting: When to Seek Medical Attention
It has been a week since the bee sting, and I still feel uncomfortable? Hello Doctor, I was stung by a wasp (I didn't see it clearly, but I'm sure it wasn't a bee) a week ago (on July 14) on the area just behind my left ear at the hairline. At that time, I received...
Dr. Ye Qianyu Reply:
Hello! If possible, I recommend returning to the original clinic where you received treatment for the bee sting, or consulting a dermatologist for further evaluation.[Read More] Persistent Discomfort After Wasp Sting: When to Seek Medical Attention
Managing Hypertension and Depression: Should I Continue Taking Medications?
Yianwen and Silecon are both being taken? Hello, I have hypertension and have been taking Epaned 80/5, but recently I have been diagnosed with depression and started taking Sertraline. My blood pressure in the morning drops to 95/58 with a pulse of 110. Should I continue taking E...
Dr. Liao Yaopan Reply:
Hello, based on your description, the most ideal approach is to return for a follow-up appointment with your original physician to assess whether any adjustments to your medication are necessary. Please continue to monitor your blood pressure for the physician's reference. O...[Read More] Managing Hypertension and Depression: Should I Continue Taking Medications?
Understanding the Connection Between Constipation, Urinary Issues, and Buttock Pain
Inquiring about the relationship between constipation, urgency of urination, frequency of urination, and perineal pain? Hello, doctor. I am 28 years old and have a habit of sitting for long periods. Recently, I visited a gastroenterologist due to constipation issues. After an abd...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended that you consult a gastroenterologist to assess your intestinal condition, or you may consider arranging a self-paid health check to clarify any abnormalities. For the persistent pain in your buttocks, you can seek a professiona...[Read More] Understanding the Connection Between Constipation, Urinary Issues, and Buttock Pain
Impact of Vaginal Infection Treatment on Routine Labor Health Exams
General health examination issues for workers? Hello, due to work requirements, I need to undergo a general labor health examination. However, I currently have symptoms of a vaginal infection, and after seeing a doctor, I was prescribed a vaginal suppository. I am also continuous...
Dr. Ye Qianyu Reply:
Hello! In women, vaginal infections may affect the results of urine tests, while contraceptives may not necessarily impact the test results. It is primarily liver and kidney dysfunction that can influence drug metabolism and excretion. Please be reminded that you should fast for ...[Read More] Impact of Vaginal Infection Treatment on Routine Labor Health Exams
Understanding Post-COVID Fatigue: Symptoms and Possible Causes
Generalized weakness and fatigue? Hello, doctor! I was diagnosed in June and isolated at home for seven days. After recovering, I returned to work normally, but about half a month later, I started to feel noticeably fatigued, dizzy, and generally unwell. (I had a platelet count o...
Dr. Lin Zhebin Reply:
Hello: Based on the information you provided regarding your fatigue, several possibilities should be considered: 1. Post-acute sequelae of SARS-CoV-2 infection (PASC): This may persist for 1-3 months, or even up to six months, but it should gradually improve. 2. Anemia: You have ...[Read More] Understanding Post-COVID Fatigue: Symptoms and Possible Causes
Understanding Hiccups After Meals: Causes and Treatment Options
Hiccups after eating? Hello doctor, I've been having gastrointestinal issues lately. I've noticed that when I eat, I experience burping, and sometimes during the burp, food comes up to my throat, just around my neck area. Because I'm afraid of vomiting the food, I ...
Dr. Lin Zhebin Reply:
Hello: 1. Based on your description, it is highly likely that you are experiencing gastroesophageal reflux disease (GERD). 2. It is advisable to pay attention to whether certain foods trigger symptoms such as burping or discomfort. Common culprits include: coffee, processed sweet...[Read More] Understanding Hiccups After Meals: Causes and Treatment Options
Understanding Persistent Chest Pain: Causes and Concerns Explained
Chest pain issues? Hello doctor, I started experiencing pain in the center of my chest around early June, which later became a mild ache. Sometimes I also feel pain on the left side of my chest, but most of the time, the pain is in the center. After feeling that it had persisted ...
Dr. Liu Hongxiang Reply:
Hello, Xin Xin: A CT scan can clearly reveal the presence or absence of aortic dissection. You have been experiencing chest pain for nearly a month, and since the cardiologist found no issues, it may be necessary to consider whether there are any musculoskeletal problems. At this...[Read More] Understanding Persistent Chest Pain: Causes and Concerns Explained
Persistent Upper Back Pain: When to Seek Further Medical Help?
Upper back pain for two months? I have been experiencing upper back pain for nearly two months, but it only hurts when I bend over or maintain poor sitting posture (such as carrying a heavy backpack for a long time or looking down for extended periods). The pain is located near t...
Dr. Cai Dongqi Reply:
Hello Kevin: An X-ray can only confirm that there are no fractures or compression in the bones. It is necessary to consult a neurologist to determine if there is any spinal instability or issues related to ligaments or muscle fiber pain.[Read More] Persistent Upper Back Pain: When to Seek Further Medical Help?
Understanding Jaw Pain: When to Seek Medical Advice for Facial Issues
Facial issues Hello, Doctor: Since around July 17th (Sunday), I have noticed some swelling in the area of my right masseter muscle (the area near the bone) compared to the left side. It is tender to the touch, and if I lie on my right side while sleeping, it can be painful. Chewi...
Dr. Lin Zhebin Reply:
Hello: Your discomfort is likely caused by inflammation of the right temporomandibular joint. Treatment typically focuses on symptom management, which may include taking pain relievers and anti-inflammatory medications, as well as muscle relaxants to alleviate symptoms. Additiona...[Read More] Understanding Jaw Pain: When to Seek Medical Advice for Facial Issues
Understanding Drug Interactions: Can You Combine Medications and Supplements?
Drug interactions Hello, Doctor: I would like to ask about my recent symptoms of migraine. I have been taking Cerebrolysin 5mg and Betahistine 24mg. However, before taking these two medications, I had a habit of consuming dietary supplements such as Vitamin C, Vitamin B, and Lute...
Dr. Liao Yaopan Reply:
Hello, your migraine should be prescribed by a physician. It is advisable to discuss with your treating physician any other medications or dietary supplements you are using, as this information is important for reference when writing prescriptions. The ingredients in dietary supp...[Read More] Understanding Drug Interactions: Can You Combine Medications and Supplements?
Managing High Blood Pressure: Essential Questions for Your Family Doctor
Blood pressure issues? Hello Doctor: My uncle is in his 50s, standing 176 cm tall and weighing around 60-70 kg. Today, he visited a family medicine clinic due to neck pain (which he feels is similar to a stiff neck). The doctor measured his blood pressure, which was over 170, nea...
Dr. Lin Zhebin Reply:
Hello: 1. Hypertension can be managed by a primary care physician, unless it affects the kidneys or heart, in which case referral to a nephrologist or cardiologist may be considered. Additionally, tests related to hypertension typically include blood tests, urinalysis, electrocar...[Read More] Managing High Blood Pressure: Essential Questions for Your Family Doctor
Alternatives to Colchicine for Gout in Patients with Favism
Favism & Gout Hello, due to having favism, I have experienced a gout attack in the past few days. I have a history of gout and have seen a rheumatologist who prescribed colchicine and pain relievers. However, I recently discovered that individuals with favism should not take ...
Dr. Hou Angting Reply:
Hello Zeze: I suggest you discuss gout medication with a rheumatologist. Wishing you good health.[Read More] Alternatives to Colchicine for Gout in Patients with Favism
Managing Infected Wounds: When to Seek Further Medical Attention
The wound has pus? Last Thursday, I was bitten by a dog and received a tetanus shot and antibiotics. Yesterday, Tuesday, there was still some red and yellow fluid oozing from the wound. I went to see a surgeon, who applied medication and prescribed a three-day course of antibioti...
Dr. Lin Zhebin Reply:
Hello: Your wound appears to have some necrotic tissue and pus in the center, with surrounding redness and swelling, which raises concerns about a possible infection. If the redness and swelling do not improve after completing three days of antibiotics and ointment, I recommend t...[Read More] Managing Infected Wounds: When to Seek Further Medical Attention
Understanding Persistent Low-Grade Fever After COVID-19 Recovery
Low-grade fever I tested positive for COVID-19 on July 9 and completed my isolation on July 16. However, I still have positive results on rapid tests, and my body temperature has consistently been elevated (ranging from 37 to 37.6°C), occasionally reaching 37.9°C. I consulted a d...
Dr. Li Zhenggang Reply:
We recommend that you discuss the above situation further with your telemedicine attending physician to determine if any additional treatment is necessary. Thank you, and wishing you good health![Read More] Understanding Persistent Low-Grade Fever After COVID-19 Recovery
Post-Car Accident Injuries: When to Seek Medical Attention
Car accident injuries? Hello Doctor: I was in a car accident two days ago, where I was rear-ended by another vehicle. At the moment of impact, I experienced severe pain in my left hip and was unable to get up; I had to crawl on the ground. After being transported to the hospital ...
Dr. Liao Yaopan Reply:
Hello, the pain from a bruise may take some time to heal. If you continue to experience discomfort or have neurological symptoms, you may want to seek further evaluation from a neurosurgeon. Online consultations are not equivalent to in-person medical visits and cannot provide di...[Read More] Post-Car Accident Injuries: When to Seek Medical Attention
Persistent Neck Discomfort: Causes and Solutions for Swelling and Pain
Swelling in the front of the neck on both sides and centrally, near the clavicle, with discomfort, tenderness upon palpation, pain while swallowing, and a dry cough without sputum. Symptoms worsen from afternoon to evening? On May 1, I experienced discomfort on the right side of ...
Dr. Liu Hongxiang Reply:
Dear Ms. Fi, Thank you for your detailed account of your current health status. According to your letter, you have seen a physician three times, but your symptoms persist. I would recommend that you consult an otolaryngologist again to assess your condition and determine if furt...[Read More] Persistent Neck Discomfort: Causes and Solutions for Swelling and Pain