Medication, Family Medicine FAQ

Persistent Cough, Fever, and Rapid Heartbeat: Seeking Medical Guidance

Fever, cough, rapid heartbeat, and a prominent swelling above the clavicle? Hello, Doctor. Initially, I had a persistent cough along with a fever that lasted for a month. I first visited a general clinic, but there was no improvement after medication. In addition to the cough and...

Dr. Hou Angting Reply:
Hello, online user: You can currently visit a family medicine physician for further evaluation. Wishing you good health.

Common Concerns About Blood Draws: Vaseline, Pain, and Skin Health

Questions related to blood draw? Hello Dr. Hsiao, today I had some unsettling questions after my blood draw and would like to ask you a few things: 1) Due to the recent dry air, I have been applying petroleum jelly to dry areas of my skin. However, I forgot that I had applied i...

Dr. Xiao Yongxun Reply:
Dear Mr. JAM: 1. Vaseline is a type of petroleum jelly derived from the refining of petroleum, classified as a hydrocarbon. Due to the potential presence of various impurities, it undergoes different levels of purification based on specific needs. Many ointments use 100% pure Va...

Concerns About Medication Dosage After Skin Tumor Surgery

Medication consultation Hello Dr. Liao, my father recently underwent surgery for a skin tumor, and the doctor prescribed "Ketorolac Tromethamine 25mg" to be taken four times a day. A few days ago, during a follow-up visit, he mentioned that he had finished his morning d...

Dr. Liao Yaopan Reply:
Hello, this medication is a non-steroidal anti-inflammatory drug (NSAID). Its primary functions are pain relief and anti-inflammatory effects. This tablet is likely a sustained-release formulation. If taken for just one day, it generally should not reach toxic overdose levels. Ho...

Understanding Dizziness: Common Causes and When to Seek Help

Dizziness and lightheadedness? The initial symptoms were dizziness, with mild vertigo lasting for about three days. After that, I started experiencing a sore throat, headaches, and fluctuating chills and fever while sleeping. I felt short of breath, similar to palpitations, and w...

Dr. Xiao Yongxun Reply:
Dear Ms. Mei: 1. You should seek medical attention as soon as possible to clarify the underlying issues. 2. Dizziness should be evaluated for conditions such as benign paroxysmal positional vertigo, Meniere's disease, vestibular neuritis, labyrinthitis, posttraumatic vertig...

Understanding Heart Palpitations After COVID-19 Vaccination: Causes and Solutions

Arrhythmia Since receiving my second dose of the BNT vaccine, I have started to experience occasional palpitations, arrhythmia, and general discomfort. The day after the vaccination, I felt significant discomfort in my heart, which, combined with anxiety, led to hyperventilation....

Dr. Liao Yaopan Reply:
Hello, based on your description, if all cardiac-related examinations have been completed and no significant abnormalities were found, the aforementioned subjective symptoms may not be of cardiac origin. However, it is still important to monitor the situation. If the symptoms per...

Understanding Upper Right Abdominal Discomfort: Diagnostic Questions and Insights

Questions regarding discomfort in the right upper abdomen? Recently, I have been experiencing discomfort in the upper right abdomen, specifically three fingerbreadths above the navel and near the lower edge of the rib cage. There is a daily dull pain accompanied by a strong burni...

Dr. Xiao Yongxun Reply:
1. Common diagnoses for right upper quadrant pain include gallstones, gallbladder tumors, liver abscesses, liver tumors, bile duct stones, subdiaphragmatic abscesses, neuropathic pain due to spinal lesions, rib fractures or costal cartilage fractures, duodenal ulcers or gastric u...

Understanding Bitter Taste in the Mouth: Causes and Concerns

Questions about a bitter taste in the mouth? Hello Doctor, recently I have been experiencing a bitter taste in my mouth that seems to rise from my throat. I searched online and found various opinions, some suggesting it could be related to acid reflux, others pointing to respirat...

Dr. Xiao Yongxun Reply:
Dear Mr. OO: 1. The sensation of a bitter taste rising from the throat that you mentioned can have many causes, including dental caries, periodontal disease, sialadenitis, oral cancer, various forms of rhinitis or sinusitis, pharyngitis, tumors in the throat, esophageal ulcers o...

What to Do If You Accidentally Double Dose Levothyroxine?

Questions about taking Levothyroxine tablets? Hello, doctor! I have a problem with hypothyroidism and have been regularly visiting for check-ups and following the doctor's advice to take 100 micrograms of Levothyroxine once a day. This morning, I forgot to take my medication...

Dr. Liao Yaopan Reply:
Hello, Anterxin is a thyroid hormone supplement. If you accidentally took an extra dose today, it is unlikely to cause an overdose leading to acute hyperthyroidism. You may consider skipping the dose tomorrow and continue to monitor for any discomfort over the next couple of days...

Frequent Migraines with Nausea: When to Seek Medical Help?

Chronic headaches accompanied by vomiting? Hello, I would like to ask about my condition. I have a history of migraines, but in recent years, they have become more frequent, occurring at least once a week, and sometimes the pain is severe enough to cause vomiting. The headache is...

Dr. Ye Qianyu Reply:
Hello! Based on your description, I recommend that you visit a neurologist for a comprehensive evaluation and to understand how to manage your headache issues through diet, lifestyle, and medication.

Persistent Fever for a Week: Possible Causes and Next Steps

Fever has been frequent over the past week? Hello doctor, since last Wednesday, I have been experiencing fever every evening, ranging between 38-39 degrees Celsius. During the afternoons, I do not have this symptom, and I do not have a runny nose or cough. Right before the fever ...

Dr. Liao Yaopan Reply:
Hello, the most common cause of fever is still due to infections. If the cause is not determined and the fever persists, further investigation is recommended. It is advisable to consult an infectious disease specialist for evaluation. Please note that online consultations are not...

Understanding Nighttime Disturbances in Elderly Diabetics

Diabetes in individuals aged 80 and older? My grandfather is a diabetic patient. Recently, he has been waking up in the middle of the night, screaming and tossing and turning, feeling very uncomfortable and unable to fall back asleep. Could this be related to his diabetes? His bl...

Dr. Hou Angting Reply:
Hello, based on the blood glucose records you provided, it confirms hypoglycemia. I recommend that you discuss the adjustment of blood glucose medications with the original prescribing physician. The symptoms of nighttime shouting may also be related to blood sugar levels, so it ...

Understanding Breathing Difficulties: When to See a Specialist

Shortness of breath? Hello: For the past six months, I have been experiencing almost daily nasal congestion (which requires the use of sprays or medications for relief), occasional stiffness in my shoulders and neck, occasional dizziness, and a light-headed feeling. I have to bre...

Dr. Ye Qianyu Reply:
Hello! It is recommended that you see an otolaryngologist.

Building Confidence for Vaccination: Steps to Improve Your Health First

I haven't received the vaccine yet, but I lack confidence in my physical condition? Hello, doctor. I have not received my first dose of the vaccine yet, but I am considering getting vaccinated soon. However, I lack confidence in my physical condition. Several years ago, I un...

Dr. Chen Bozhang Reply:
Hello Gary! If you have any concerns, it is recommended that you first follow up with a psychiatrist. By adjusting your daily routine and improving your physical health, you can then assess with a family medicine physician whether it is appropriate for you to receive the COVID-19...

Does Bleeding After Moderna Vaccine Injection Affect Its Effectiveness?

After receiving the Moderna vaccine, if there is significant bleeding at the injection site, will it cause the vaccine to leak out? Hello, when I received my third vaccine dose, I noticed that the amount of blood at the injection site was more than the previous two times. The siz...

Dr. Ye Qianyu Reply:
Hello! Vaccines are administered via intramuscular injection, so in principle, the medication should not leak out. The bleeding is likely due to the rupture of microcapillaries in the skin. If the cotton pad was not pressed against the bleeding point when applied, it could result...

Does Taking Pain Relievers Affect COVID-19 Vaccine Antibody Response?

Menstrual pain medication and COVID-19 vaccines? Hello, doctor. On the day I received the COVID-19 vaccine, I happened to be on my menstrual period and took a Piroxicam, a non-steroidal anti-inflammatory drug (NSAID), around noon. About six hours later, I got vaccinated. I asked ...

Dr. Ye Qianyu Reply:
Hello! Although the Centers for Disease Control and Prevention (CDC) in the United States recommends that "it is not advised to take anti-inflammatory pain relievers before receiving the COVID-19 vaccine," it is suggested that "after vaccination, one can discuss wi...

Persistent Tightness and Heat in the Upper Right Abdomen: What to Do?

Persistent tightness and heat sensation in the upper right abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to just below the rib cage) that sometimes feels warm. This has persisted for about a month and ...

Dr. Hou Angting Reply:
Hello, regarding your discomfort in the upper right abdomen, it is recommended that you consult with a hepatobiliary and gastroenterology specialist to discuss the necessary examinations. Wishing you good health.

Can Taking Medication with Food and No Water Affect Its Efficacy?

Taking medication with food without drinking water? Hello, doctor. Can I take medication with food without drinking water? Sometimes when I don't have water, I eat something first, chew it until it's swallowable, then take the medication and swallow it with the food. Wi...

Dr. Ye Qianyu Reply:
Hello! The optimal timing for taking different medications varies, so it is advisable to discuss any adjustments with your physician or pharmacist. Additionally, insufficient water intake while taking medication can indeed lead to damage to the gastrointestinal mucosa.

Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?

Is it necessary to undergo more detailed examinations to confirm autonomic nervous system dysfunction? Hello doctor, around the end of July this year, after having dinner and using my phone, I suddenly felt a brief disconnection in my mind for a second, followed by numbness in my...

Dr. Ye Qianyu Reply:
Hello! Based on your description, alcohol may lead to poor vitamin absorption, which can result in macrocytic anemia, alcoholic hepatitis, acute gastritis, and alcoholic encephalopathy, potentially causing autonomic nervous system dysfunction. It is recommended that you regularly...

Impact of Grapefruit Juice on Immunosuppressant Medications After Liver Transplant

Drug interactions Hello doctor, I have had a liver transplant for 20 years and take my medication twice a day at 8 AM and 8 PM. Tonight at 8 PM, I took my medication, which includes Prograf (FK506), an immunosuppressant, along with juice that contains grapefruit. I would like to ...

Dr. Hou Angting Reply:
Hello, online user: The concurrent use of immunosuppressive medications and grapefruit juice may affect the efficacy of the medication. It is advisable to discuss this with your primary physician. Wishing you good health.

Understanding the Connection Between Gastrointestinal Issues and Back Pain

Dizziness, fatigue from standing for long periods, back pain, and gastrointestinal discomfort? Hello Doctor: In May and June of this year, I visited a clinic due to some pain in my upper left abdomen and was treated with a proton pump inhibitor (PPI). At that time, my stomach con...

Dr. Hou Angting Reply:
Hello, internet user: Gastroesophageal reflux rarely presents with symptoms such as spinal pain or dizziness and weakness. It is recommended that you seek evaluation at a family medicine clinic; if symptoms worsen, it is advisable to go to the emergency department immediately. Wi...

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