Understanding Dizziness, High Temperature, and Rapid Heartbeat Symptoms
Dizziness, elevated body temperature, rapid heartbeat? Hello Doctor, I would like to detail my condition and seek your advice on which specialty to consult. Thank you. On April 11 and 12, during dinner time, I experienced symptoms suggestive of hypoglycemia, including mild dizz...
Dr. Lin Zhebin Reply:
Hello: Your symptoms include dizziness, palpitations, numbness in the hands, elevated body temperature, and feelings of hunger. Initially, we would suspect a possible infection, commonly related to the respiratory, gastrointestinal, or urinary tracts. If you do not have any relat...[Read More] Understanding Dizziness, High Temperature, and Rapid Heartbeat Symptoms
Low Neutrophils and High Lymphocytes: What Does It Mean for Your Health?
Low neutrophil count / High lymphocyte count Hello, doctor. Since I started working at the company in 2016 and began regular health check-ups, I have noticed that the values for neutrophils and lymphocytes in my white blood cell count have been flagged. In 2017, my WBC was 5.5 (n...
Dr. Liao Yaopan Reply:
Hello, based on the data presented, there are no significant abnormalities in the white blood cell count. Typically, a white blood cell differential analysis is performed to examine the proportions of different types of white blood cells and to check for any abnormal forms. Overa...[Read More] Low Neutrophils and High Lymphocytes: What Does It Mean for Your Health?
Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Postprandial diarrhea I have been experiencing diarrhea for over a week. Last week, I visited a doctor who prescribed me anti-diarrheal medication, and there has been some improvement, as I now have diarrhea twice a day. However, I still feel the urge to have a bowel movement imm...
Dr. Lin Zhebin Reply:
Hello: Regarding your diarrhea issue, we will first consider more common causes such as infections (bacterial and viral) and dietary factors. Additionally, given your situation, we may also consider whether inflammation of nearby pelvic organs (such as the vagina, uterus, fallopi...[Read More] Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Can I Mix COVID Vaccines After Allergic Reaction to Contrast Dye?
COVID-19 vaccine I received my first and second doses of the AstraZeneca vaccine, and I am now preparing to get my third dose. I previously experienced redness and itching after receiving a contrast agent during a CT scan, but I managed it by drinking water without taking any med...
Dr. Lin Zhebin Reply:
Hello: Since you experience redness and itching after receiving the contrast agent, there is a suspicion that you may have an allergic reaction to it. Currently, it is suspected that an allergy to the contrast agent may increase the risk of allergic reactions to mRNA vaccines (Mo...[Read More] Can I Mix COVID Vaccines After Allergic Reaction to Contrast Dye?
Diabetes Management: Understanding Elevated Lab Values After Medication
Diabetes - After medication, the health check values increased in the red? Hello Doctor, I was diagnosed with diabetes on January 5th this year. Here are some key values for your reference: (January 5 report) HbA1c: 11.2% Fasting Glucose: 223 mg/dL Cholesterol: 209 mg/dL Total Bi...
Dr. Hou Angting Reply:
Hello Ms. Liao: It is recommended that you consult with a physician in the Family Medicine department for further advice and to arrange for examinations. Wishing you good health.[Read More] Diabetes Management: Understanding Elevated Lab Values After Medication
Does Tramadol Pain Relief Significantly Impact Kidney Function in Patients?
Does Tramadol pain medication significantly affect kidney function? Hello, doctor. I would like to inquire about the use of Tramadol, a type of analgesic, in patients with pre-existing renal impairment (eGFR 20, 30). Will it significantly affect renal function, especially when ad...
Dr. Lin Zhebin Reply:
Hello: Tramadol is classified as a weak opioid. It does not inherently affect kidney function; however, in individuals with impaired renal function, the metabolism of the drug may be slower, necessitating careful monitoring for potential side effects such as altered consciousness...[Read More] Does Tramadol Pain Relief Significantly Impact Kidney Function in Patients?
High Glycated Hemoglobin with Normal Blood Sugar: Is It Prediabetes?
Is a high level of glycosylated hemoglobin (HbA1c) with normal blood glucose levels indicative of prediabetes? I have been taking antihypertensive and lipid-lowering medications for many years, and I have blood tests every three months. In January, the abnormal results included t...
Dr. Hou Angting Reply:
Hello, dear mother: A glycated hemoglobin level between 5.8 and 6.4 can be classified as prediabetes. Please continue to maintain a healthy diet and engage in moderate exercise, and make sure to have regular follow-ups at the outpatient clinic. Additionally, the presence of abnor...[Read More] High Glycated Hemoglobin with Normal Blood Sugar: Is It Prediabetes?
Understanding Unexplained Chest and Back Pain: A Family Medicine Perspective
Physical discomfort? This year, I have occasionally experienced issues with arrhythmia, where my heart suddenly pauses. I have undergone blood tests and various examinations, all of which came back normal. However, today I experienced it again, but this time it occurred more freq...
Dr. Lin Zhebin Reply:
Hello: Although your discomfort is primarily concentrated above the waist, from my perspective, it is still important to address each issue separately. I have broadly categorized your concerns into the following three items: 1. Arrhythmia: Given your age, it is necessary to che...[Read More] Understanding Unexplained Chest and Back Pain: A Family Medicine Perspective
Understanding Unusual Sensations: What Your Body Might Be Telling You
Strange sensations in the body? Hello, Doctor. Since March 12 of this year, I have been experiencing some strange sensations: 1. I feel as if my ankle or arm is being grabbed, or that someone is pressing down heavily on the top of my head. There was also an instance where I felt ...
Dr. Lin Zhebin Reply:
Hello: Based on your description, from a Western medical perspective, we would likely start by addressing the abnormal sensations and consider the following conditions: 1. Endocrine disorders (such as diabetes or thyroid issues), which may sometimes be accompanied by menstrual ir...[Read More] Understanding Unusual Sensations: What Your Body Might Be Telling You
Understanding Drug Interactions and Choosing the Right Specialist
Drug interactions and consultations are typically handled by specialists in pharmacology, internal medicine, or clinical pharmacy? 1. After swallowing food yesterday, I have been experiencing a sharp pain in the middle right side of my chest when swallowing. Which specialty shoul...
Dr. Hou Angting Reply:
Hello, internet user: If you are experiencing difficulty swallowing, you can visit an otolaryngologist for an examination. If you have worsening chest pain, it is advisable to go to the emergency department promptly. For medication-related issues, I recommend discussing them with...[Read More] Understanding Drug Interactions and Choosing the Right Specialist
Unexplained Itching: Is It Related to Stress or Other Issues?
Itching of the skin without significant changes in appearance? Hello doctor, I have been experiencing unexplained itching on my skin recently, but there doesn't seem to be any visible changes. I've also been feeling more stressed lately. Could the skin itching be relate...
Dr. Xiao Yongxun Reply:
Dear Mr. Lin: There are many causes of skin itching, most commonly including eczema, fungal infections, bacterial infections, contact dermatitis, irritant dermatitis, allergic dermatitis, and xerotic dermatitis, among others. Additionally, there are other causes such as medicatio...[Read More] Unexplained Itching: Is It Related to Stress or Other Issues?
Understanding Aspirin Use: Concerns and Alternatives for Blood Clot Management
Hello, doctor, regarding the use of aspirin? Recently, I experienced some discomfort in my chest due to pain in my upper left back, which prompted me to see a doctor. After the examination, the doctor performed a blood test and found that my thrombus value was 0.55 (the physician...
Dr. Liao Yaopan Reply:
Hello, I'm not sure what you mean by "thrombus value." Are you referring to D-Dimer (D-Dimer test)? If so, a value of 0.55 should be considered borderline. As for aspirin, it has antiplatelet aggregation effects, and its impact on D-Dimer levels is subjective. If y...[Read More] Understanding Aspirin Use: Concerns and Alternatives for Blood Clot Management
Understanding Multiple Pains: Chest, Head, and Back Discomfort Explained
Multiple areas of pain for three days? Two days ago, I experienced chest pain (located in the middle, slightly to the left). Although the pain has subsided, I noticed small raised bumps above the previous pain area (which are not itchy). Subsequently, I began to feel pain in the ...
Dr. Lin Zhebin Reply:
Hello, Miss: I believe that your widespread pain throughout your body should first consider the possibility of a viral infection. Given the current season, the likelihood of influenza virus infection should be taken into account, and if there is a history of exposure to COVID-19,...[Read More] Understanding Multiple Pains: Chest, Head, and Back Discomfort Explained
Insomnia and Iron Deficiency Anemia: Risks of Sleep Medications
Iron deficiency anemia and insomnia? My hemoglobin level is currently below 9, and I often wake up multiple times at night but can fall back asleep. I wake up more than five times in one night. My family doctor prescribed iron supplements and Lorazepam 0.5 mg for sleep. However, ...
Dr. Liao Yaopan Reply:
Hello, if your anemia is due to iron deficiency, supplementing with iron is a viable option. However, it is still recommended to discuss the underlying causes of iron deficiency anemia with your primary physician to determine if further evaluation is necessary. Anemia and low blo...[Read More] Insomnia and Iron Deficiency Anemia: Risks of Sleep Medications
Should Stable Type 2 Diabetes Patients Transition from Medical Centers?
Regarding whether patients with stable type 2 diabetes still need to visit a medical center? Hello, Doctor. I apologize for bothering you. I would like to ask about my situation. I have had type 2 diabetes for over seven years. After discovering this issue during a health check, ...
Dr. Hou Angting Reply:
Hello, internet user: Currently, the treatment for diabetes in clinics in Taiwan has a comprehensive system. In addition to medication therapy, there are diabetes educators for follow-up, and regular blood tests and related medical referrals are arranged. It is recommended that y...[Read More] Should Stable Type 2 Diabetes Patients Transition from Medical Centers?
Understanding Chest Tightness, Digestive Issues, and Scalp Numbness
Chest tightness, indigestion, and scalp tingling? Hello, doctor. Recently, I have occasionally experienced a tingling sensation on the left side of my scalp, similar to goosebumps. Additionally, over the past two weeks, I have had the following symptoms: 1. A feeling of tightness...
Dr. Liao Yaopan Reply:
Hello, the symptoms mentioned above are quite non-specific. Given your long history of medication use, I recommend discussing with your psychiatrist whether these symptoms may be related to the long-term effects of the medications. Additionally, reassess if you need assistance fr...[Read More] Understanding Chest Tightness, Digestive Issues, and Scalp Numbness
Understanding Occasional Eye Swelling: Causes and When to Seek Help
Occasionally, there is swelling around the eyes? Hello, doctor. I would like to inquire about an issue I occasionally experience (possibly once every few months, or more frequently once every couple of months). Upon waking up, I notice swelling around one eye, specifically in the...
Dr. Liao Yaopan Reply:
Hello, it is recommended to seek medical attention when symptoms appear. If you are concerned about whether it is related to allergies, you may consult an allergist or immunologist for evaluation. Please note that online consultations are not equivalent to in-person visits and ca...[Read More] Understanding Occasional Eye Swelling: Causes and When to Seek Help
Managing Diabetes and Cholesterol: Concerns About Lipitor's Impact
Issues related to discontinuation of Lipitor? Hello Doctor, I am an 8-year diabetes patient, 60 years old. For the past 8 years, I have controlled my blood sugar through diet and exercise without taking any hypoglycemic medications. I was diagnosed with diabetes in 2014 with an H...
Dr. Hou Angting Reply:
Hello, internet user: Most cholesterol-lowering medications may induce the onset of diabetes, but there are some cholesterol-lowering drugs that have minimal impact on blood glucose levels. It is advisable to discuss with your primary physician whether to switch to these types of...[Read More] Managing Diabetes and Cholesterol: Concerns About Lipitor's Impact
Managing High Cholesterol: Should You See a Family Doctor?
What are the types of cholesterol medications and the relevant outpatient departments? Due to stretching, I experienced pain from my back to my chest, which has occurred twice with an interval of about a year. I went to the hospital for a check-up, and my heart showed no abnormal...
Dr. Chen Bozhang Reply:
Hello! Please be sure to take your medication as prescribed. If you need to reassess your health condition and medication usage, it is recommended to visit a cardiology or family medicine outpatient clinic at another medical facility. Thank you![Read More] Managing High Cholesterol: Should You See a Family Doctor?
Managing Chronic Osteomyelitis: Antibiotics, Vascular Health, and Vaccination
Antibiotics for Chronic Osteomyelitis Hello, doctor. Four years ago, I suffered a fracture due to a car accident, and I have not fully recovered. I still need to be hospitalized for treatment of the fracture, which has led to chronic osteomyelitis. I have been undergoing antibiot...
Dr. Chen Bozhang Reply:
Hello! Based on your description, you are currently hospitalized and receiving treatment. It is advisable to consult your attending physician. Thank you![Read More] Managing Chronic Osteomyelitis: Antibiotics, Vascular Health, and Vaccination