Understanding Unexplained Physical Symptoms: When to Seek Help
Physical discomfort? Hello Doctor, since mid-August, I have been experiencing tingling and numbness in my fingers and limbs upon waking up. I went to a neurologist for an examination, and I will be undergoing more in-depth tests soon. Between mid-August and October, I have felt t...
Dr. Xiao Yongxun Reply:
Dear Student Chen, The characteristics of Generalized Anxiety Disorder (GAD) include chronic and persistent worry that is multifaceted (e.g., concerning finances, family, health, the future, etc.), excessive, difficult to control, and often accompanied by other nonspecific physi...[Read More] Understanding Unexplained Physical Symptoms: When to Seek Help
Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care
Gastric ulcer and examination report issues? Hello Doctor, I was diagnosed with a bleeding gastric ulcer during an endoscopy in early January of this year. After taking PPI medication for several months, I still experience a burning sensation and bloating in my abdomen. During a ...
Dr. Xiao Yongxun Reply:
Dear Mr. Jason: 1. In clinical practice, common diagnoses for upper abdominal pain or discomfort include gastric ulcers or inflammation, duodenal ulcers or inflammation, gastroesophageal reflux disease, gallbladder or biliary stones, gallbladder or biliary inflammation, liver ab...[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care
Understanding Calf Pain: Causes, Symptoms, and When to See a Doctor
Calf pain Hello, Doctor. I haven't really paid attention to when it started, but I remember it was during my senior year of high school. One night, it was raining, and when I went to bed, I experienced severe pain in my calves that kept me from sleeping. Recently, I've ...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a rehabilitation specialist to assess for any lumbar spine issues. During the acute phase, medication treatment may be used, followed by a rehabilitation plan. You can also consult with a rehabilitation physician or physical therapist for a...[Read More] Understanding Calf Pain: Causes, Symptoms, and When to See a Doctor
COVID Vaccine and Medication: Guidance for Patients on Lupron and Endometriosis Treatment
COVID-19 Vaccine Administration 1. Can I receive the BNT vaccine on October 14th after starting the long-acting leuprolide (Lupron) injections on April 10th? 2. Can I continue taking estradiol (Estrace) after starting it on October 10th, or should I stop taking it then? How long ...
Dr. Ye Qianyu Reply:
Hello! These two medications should not affect the vaccine. It is recommended that you consult your original gynecologist. If there are no contraindications or other acute issues, you can proceed with the vaccination.[Read More] COVID Vaccine and Medication: Guidance for Patients on Lupron and Endometriosis Treatment
Understanding Throat Discomfort After Choking on Medication
Experiencing discomfort in the throat after choking on medication? Hello Doctor: Yesterday, while taking my medication, it got stuck in my throat. I swallowed a large gulp of water, but it didn't go down and I felt a choking sensation. After that, I still had water in my mou...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that you may have injured the mucous membrane of your throat while swallowing medication. Please recall if you accidentally swallowed any part of the foil packaging along with the medication. If there is a possibility of having ing...[Read More] Understanding Throat Discomfort After Choking on Medication
Understanding Low Lymphocyte Count: Causes and When to Seek Help
Low lymphocyte count? Hello, doctor. I would like to ask about my recent health issues. I have been experiencing discomfort and fever, and upon visiting the hospital, my blood tests showed lymphocytes at 3.7, neutrophils at 91.5, and a total white blood cell count of 12. Monocyte...
Dr. Xiao Yongxun Reply:
Dear Ms. Candy: The average white blood cell count ranges from 4,000 to 11,000/mm³, and most white blood cells can only survive for a few days; during an infection, their lifespan may be reduced to just a few hours. White blood cells can be classified into two categories based o...[Read More] Understanding Low Lymphocyte Count: Causes and When to Seek Help
Understanding Sudden Nighttime Blood Sugar Spikes: Causes and Concerns
Sudden increase in blood sugar levels at night? 1. Based on your blood sugar readings, you do not appear to have diabetes. Your fasting blood sugar levels and post-meal levels are generally within the normal range, although the reading of 148 mg/dL after dinner is slightly elevat...
Dr. Liao Yaopan Reply:
Hello, based on the records from that day, the criteria for a diabetes diagnosis were not met. When fasting for an extended period, the body converts stored macromolecules, such as glycogen, into glucose for cellular use. Under normal physiological mechanisms, fluctuations in blo...[Read More] Understanding Sudden Nighttime Blood Sugar Spikes: Causes and Concerns
Understanding Belly Button Issues: When to See a Doctor
Umbilical issues Recently, while cleaning my belly button with tissue, I accidentally dug a bit too deep and noticed a color resembling blood stains, so I stopped cleaning. The next day, I woke up to find that my belly button had a strong odor, but it wasn't painful or itchy...
Dr. Ye Qianyu Reply:
Hello! Based on your description, there may be localized inflammation around the navel. It is important to maintain cleanliness in the area, but avoid excessive force. If there continues to be discharge or redness and swelling, it is advisable to seek medical attention at a healt...[Read More] Understanding Belly Button Issues: When to See a Doctor
Impact of Turnera Leaf in Health Supplements for Favism Patients
Favism Component Consultation Hello, I would like to ask about a male health supplement available on the market that contains "Tonka bean" as an ingredient. Does this have any effects on patients with G6PD deficiency?
Dr. Liao Yaopan Reply:
Hello, what is commonly known as Favism is a type of common autosomal recessive disorder where patients lack glucose-6-phosphate dehydrogenase, abbreviated as "G6PD deficiency." Some medications or chemicals should be avoided. Regarding the "Turner leaf" menti...[Read More] Impact of Turnera Leaf in Health Supplements for Favism Patients
Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Whole body shaking during sleep? I have been experiencing some insomnia lately, and last night I couldn't sleep. While lying down, I suddenly felt my whole body vibrating, but it subsided within about 5 minutes. After that, I noticed some soreness in my thigh and arm muscles...
Dr. Xiao Yongxun Reply:
Dear Ms. R: 1. Chlorzoxazone (200 mg) acts on the spinal polysynaptic reflex pathways related to skeletal muscle spasms, thereby blocking nerve conduction. It is a centrally acting muscle relaxant that alleviates abnormal muscle tension without affecting normal muscle function. ...[Read More] Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Understanding Hypertension Treatment: When to Start Medication?
What is the treatment for hypertension? If a patient's blood pressure is consistently around 150-160, how many assessments would a physician typically conduct before prescribing medication? Is there a higher likelihood of developing hypertension if there is a family history ...
Dr. Hou Angting Reply:
Hello Ms. Chen: It is recommended to measure your blood pressure in the morning after using the restroom and before going to bed at night. If your readings are consistently above 140/90 mmHg, it is advisable to seek treatment for hypertension. Wishing you good health.[Read More] Understanding Hypertension Treatment: When to Start Medication?
Understanding Dizziness and Scalp Tingling: Possible Causes and Relief
Symptoms such as dizziness and scalp numbness? For the past two months, I have been experiencing occasional dizziness (similar to a feeling of mild intoxication). The neurologist said it is normal; the ENT specialist mentioned that I have middle ear effusion (currently on medicat...
Dr. Liao Yaopan Reply:
Hello, regarding the description of the symptoms mentioned above, it is difficult to attribute them to a single disease. If discomfort persists, it is still recommended that you consult your family physician for further evaluation. Online consultations are not equivalent to in-pe...[Read More] Understanding Dizziness and Scalp Tingling: Possible Causes and Relief
Dealing with Formaldehyde Exposure: Symptoms, Concerns, and Next Steps
Hello, doctor. I have been in an environment with high concentrations of formaldehyde for a period of time? At the beginning of March, I thought the paint smell was coming from the adjacent room, so I didn't avoid it. However, I didn't realize that the airflow ultimatel...
Dr. Liao Yaopan Reply:
Hello, regarding formaldehyde, I would like to provide a reference article from the National Health Research Institutes' National Toxicology Research Center, which is objective and easy to understand. The article can be found at http://nehrc.nhri.org.tw/toxic/toxfaq_detail_m...[Read More] Dealing with Formaldehyde Exposure: Symptoms, Concerns, and Next Steps
Is It Safe for Seniors with Head Issues to Get the Second AZ Vaccine?
Issues with the administration of the second dose of the AZ vaccine? Hello. My elder family member has an appointment to receive the second dose of the AstraZeneca vaccine tomorrow. They had a head injury from a car accident in their younger years and have been experiencing occas...
Dr. Xiao Yongxun Reply:
Dear Ms. Cheng: 1. According to the data published by our Centers for Disease Control, the contraindications for the AstraZeneca COVID-19 vaccine include a history of severe allergic reactions to vaccine components, previous severe allergic reactions after receiving this vaccine...[Read More] Is It Safe for Seniors with Head Issues to Get the Second AZ Vaccine?
Understanding Swallowing Difficulties: A Comprehensive Guide for Patients
Swallowing difficulties Hello, I would like to ask the doctor about my condition. Five months ago, I underwent an upper endoscopy due to abdominal pain, and it was noted that I had polyps and mild gastritis. However, two to three weeks later, I suddenly experienced chest pain, ne...
Dr. Ye Qianyu Reply:
Hello! Your chest pain and difficulty swallowing may indeed be related to gastroesophageal reflux disease (GERD). In addition to medication, dietary and lifestyle adjustments are necessary for improvement, such as avoiding spicy and greasy foods, caffeine, sweets, hard-to-chew fo...[Read More] Understanding Swallowing Difficulties: A Comprehensive Guide for Patients
Understanding Headaches and Mild Fever: Possible Causes and Solutions
Headache, body heat, elevated body temperature? Hello Doctor: My condition is as follows: I went out to get my car repaired on Wednesday afternoon from 5:00 PM to 6:00 PM. After returning around 8:00 PM, I started to feel an increase in body temperature and a headache. Today is S...
Dr. Liao Yaopan Reply:
Hello, regarding the body temperature measurement data, it does not yet indicate a true fever. However, if you continue to experience discomfort, it is advisable to seek medical evaluation. Online consultations are not equivalent to in-person visits and cannot provide diagnoses o...[Read More] Understanding Headaches and Mild Fever: Possible Causes and Solutions
Understanding Persistent Throat and Oral Symptoms: A Patient's Journey
Oral and throat issues? Hello Doctor, I would like to ask for your advice. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, I have been experiencing inflammation in the area around the uvula and the posterior phar...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is indeed difficult to clarify. This area still requires assistance from an otolaryngologist. Whether to perform a narrow-band imaging (NBI) endoscopy will still need to be assessed by the physician based on the condition after the use of contra...[Read More] Understanding Persistent Throat and Oral Symptoms: A Patient's Journey
Understanding Chest Pain: When to Seek the Right Specialist
Chest pain Hello Doctor, I have been experiencing pain in my chest for the past two to three months. I have consulted with cardiology, pulmonology, and gastroenterology, and they all said there is no issue. The pain mainly occurs when I exert myself, feeling like a sharp pain, or...
Dr. Liao Yaopan Reply:
Hello, if evaluations from cardiology, thoracic, and gastroenterology for chest pain show no abnormalities, could it be caused by a neuromuscular issue? It may be worthwhile to have an orthopedic or neurological assessment. Please note that online consultations are not equivalent...[Read More] Understanding Chest Pain: When to Seek the Right Specialist
Understanding Chest Discomfort: Is It Esophageal or Cardiac?
Mild chest pain? Hello, Doctor: Last weekend, I had a cold and visited a clinic where the doctor prescribed me cold medication. However, after taking the nighttime medication on Sunday, I experienced a sensation of chest pain the next day. It is especially noticeable during lunch...
Dr. Xiao Yongxun Reply:
Dear Ms. Helen: 1. After food passes through the pharynx, it enters the esophagus, which is a long tubular structure approximately 25 to 30 centimeters in length. It is located behind the trachea and extends from the pharynx through the neck and chest, passing through the diaphr...[Read More] Understanding Chest Discomfort: Is It Esophageal or Cardiac?
COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Questions related to COVID-19 vaccines? Hello, I am 52 years old. Last April, I visited a gynecologist and blood tests indicated that I have entered menopause. Since then, I have experienced menopausal symptoms such as insomnia, night sweats, anxiety, and palpitations, which have...
Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine containing the gene for the SARS-CoV-2 spike protein (S protein) and is used for the prevention of COVID-19. This vaccine has received emergency use authorization from the WHO, the EU, and ...[Read More] COVID-19 Vaccine Concerns for Women in Menopause: A Guide