Understanding Sudden Armpit Pain: Causes and When to Seek Help
Axillary pain? Hello, Doctor. This morning I suddenly felt pain under my armpit, with tenderness present, but I don't feel any lymph nodes or lumps when I touch it. The left side hurts more than the right, and there is no redness or swelling. What could be the issue? Last we...
Dr. Xiao Yongxun Reply:
Dear Mr. Amin: 1. Common diagnoses to consider for left-sided chest wall pain include herpes zoster, costochondritis, shoulder arthritis, spinal nerve root compression, breast lesions, angina, myocardial infarction, pericarditis, valvular heart disease, aortic dissection, pneumo...[Read More] Understanding Sudden Armpit Pain: Causes and When to Seek Help
Unexplained Tongue Discomfort: Left Side Sensation and Pain
Foreign body sensation on the left side of the tongue, with a prickling pain at the tip of the tongue? Hello Doctor: Recently, I've been experiencing an unusual sensation in my tongue, particularly on the left side near the base, where I feel a foreign body sensation. I cons...
Dr. Huang Hongshuo Reply:
The more common cause is "gastroesophageal reflux" leading to inflammation of the tongue mucosa, which requires an upper gastrointestinal endoscopy to rule out malignancy. Treatment can be time-consuming and includes medications to reduce (suppress) gastric acid, promot...[Read More] Unexplained Tongue Discomfort: Left Side Sensation and Pain
Understanding High-Risk Classification for Patients with Bean Disease
Lentil syndrome is classified as a high-risk group? Hello: My son has thalassemia. His appointment for the COVID-19 vaccine has been classified as a high-risk group category 9. Could you please clarify whether thalassemia is considered a high-risk condition that can lead to sever...
Dr. Liao Yaopan Reply:
Hello, the classification of vaccination priority is not within my area of expertise. However, I would like to remind the public to proactively inform their physicians about G6PD deficiency (favism) when seeking medical care. This is important to avoid prescribing certain medicat...[Read More] Understanding High-Risk Classification for Patients with Bean Disease
Understanding Alprazolam: Sleep Aid or Dependency Risk?
Administration of Anbang tablets? Hello, Doctor. I have been experiencing poor sleep quality due to long-term late nights and difficulty falling asleep, so I visited a local clinic. The doctor prescribed me Alprazolam 0.5 mg, to be taken one tablet every night before bed. Initial...
Dr. Chen Bozhang Reply:
Hello! It is advisable to consult your original treating physician. Thank you.[Read More] Understanding Alprazolam: Sleep Aid or Dependency Risk?
Can Fava Bean Disease Patients Use Woohoo Natural Deodorant?
Regarding Favism (G6PD deficiency) Hello, I would like to ask if the Australian Woohoo Natural Deodorant Stick/Anti-Chafing Balm is safe for patients with G6PD deficiency? Thank you for your assistance. Full Ingredients — Caprylic/Capric Triglyceride (fractionated Coconut Oil),...
Dr. Xiao Yongxun Reply:
Dear Ms. Rurutia: 1. Glucose-6-phosphate dehydrogenase deficiency, commonly referred to as G6PD deficiency, is the most prevalent enzyme deficiency and is classified as an X-linked recessive genetic disorder. Patients with G6PD deficiency may experience hemolytic anemia when ex...[Read More] Can Fava Bean Disease Patients Use Woohoo Natural Deodorant?
Understanding Facial Discomfort and Chest Pain: When to Seek Medical Advice
Cheek and chest issues? Hello Doctor: I have been experiencing irregular sleep patterns recently, and I started adjusting to a normal schedule two days ago. However, I had a poor night's sleep last night and kept waking up. I'm not sure if this is related to my sleep is...
Dr. Liao Yaopan Reply:
Hello, please have your family physician evaluate your condition first, and based on the assessment, determine if a referral to a relevant subspecialty is necessary. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment reco...[Read More] Understanding Facial Discomfort and Chest Pain: When to Seek Medical Advice
Why Do I Feel Nauseous and Vomit After Taking Thyroid Medication?
Vomiting after taking medication with warm water? Hello Dr. Hsiao, I would like to ask you a question. This afternoon (July 13), while taking my medication for hyperthyroidism with warm water, I felt nauseous after drinking the water and ended up vomiting in the bathroom. Could y...
Dr. Xiao Yongxun Reply:
Dear Ms. Amanda: 1. There are numerous causes of nausea and vomiting, including issues related to the nervous system, psychological factors, metabolic disorders, the digestive system, cardiovascular conditions, chronic lung diseases, fever, medications, and reflexes, among othe...[Read More] Why Do I Feel Nauseous and Vomit After Taking Thyroid Medication?
Understanding Frequent Hunger: Is It Diabetes or Something Else?
I've been feeling hungry very easily lately? Doctor, I've been feeling very hungry lately. Even after a full meal, I start feeling hungry again in less than half an hour. I still feel hungry even when I'm full. I consulted with a health advisor over the phone, and ...
Dr. Hou Angting Reply:
Hello Miss Xiao Ling, there are many possible causes for this, so it is recommended to visit a hospital for examination.[Read More] Understanding Frequent Hunger: Is It Diabetes or Something Else?
Understanding Excessive Sleepiness: Possible Causes and Solutions
Sleep issues Hello doctor, I have been feeling very sleepy lately, and I often realize that I am sleeping, but I find it very difficult to wake up. What could be the problem?
Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 1. The sudden and persistent desire to sleep, along with a lack of energy to get out of bed, can be attributed to many factors. The most common causes include pre-existing sleep deprivation, underlying medical conditions, side effects of medications, issues with ...[Read More] Understanding Excessive Sleepiness: Possible Causes and Solutions
Understanding Unexplained Chest Discomfort and Body Symptoms
Physical discomfort? Hello Doctor: Recently, due to the pandemic, I have been staying at home and I'm not sure if it's because of frequently using the air conditioning that I have been experiencing some minor health issues. I do not have any underlying health conditions...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing abnormal temperature regulation, chest pain, and sleep issues, and it seems you can identify triggers for these symptoms. I recommend that even if you are staying at home due to the pandemic, you should plan a regular daily r...[Read More] Understanding Unexplained Chest Discomfort and Body Symptoms
Blurred Vision in Diabetic Patients: Causes and Management Tips
Diabetes can cause blurred vision? Hello, Dr. Liu. My elderly family member has type 2 diabetes and needs to take chronic medication daily. Recently, their fasting blood glucose levels have been around 180-200 mg/dL. After a follow-up visit, additional medication to lower blood s...
Dr. Liu Hongxiang Reply:
Hello Ms. Mu: Recently, your fasting blood glucose levels in the morning have been around 90-130, which is an improvement compared to before. However, the changes in your vision have become particularly severe in the past few days. Early symptoms of cataracts may include blurred ...[Read More] Blurred Vision in Diabetic Patients: Causes and Management Tips
Can People with Chronic Hives Safely Get the COVID Vaccine?
Can individuals with urticaria receive the COVID-19 vaccine? Hello Doctor: My father is 56 years old and he occasionally experiences sudden episodes of urticaria. Whenever he feels itchy, he takes an antihistamine and it resolves the issue. This occurs about once or twice a month...
Dr. Xiao Yongxun Reply:
Dear Ms. Lee: 1. The AstraZeneca COVID-19 vaccine contains a non-replicating adenoviral vector carrying the gene for the SARS-CoV-2 spike protein (S protein), as well as L-Histidine, L-Histidine hydrochloride monohydrate, magnesium chloride, Polysorbate 80, ethanol, sucrose, sod...[Read More] Can People with Chronic Hives Safely Get the COVID Vaccine?
Understanding Hyperthyroidism Severity and Treatment Options for Graves' Disease
Hyperthyroidism Based on the provided lab results, your T3 level is 174.4, TSH is <0.03, and Free T4 is 1.97, with an Ab-TSH receptor level of 2.6. These results indicate hyperthyroidism, which can be classified as severe given the suppressed TSH and elevated T3 and Free T4 le...
Dr. Huang Xunying Reply:
T4 level is 174.4, which is slightly above the normal upper limit (normal range: 64-152); TSH is < 0.03, which is low (normal range: 0.35-4.94). T4 and thyroid-stimulating hormone (TSH) are antagonistic; when T4 is elevated, TSH tends to decrease. These results indicate mild h...[Read More] Understanding Hyperthyroidism Severity and Treatment Options for Graves' Disease
Can I Donate Blood After Taking Requip PD and Rivotril?
Can I donate blood after taking Lisinopril and Rifampin? Due to the condition of restless legs syndrome, I have been taking half a tablet of Requip PD (ropinirole) and Rivotril (clonazepam) for a long time. Can I donate blood? I have a history of depression and have been on medic...
Dr. Liao Yaopan Reply:
Hello, long-term use of therapeutic medications is not necessarily a contraindication for blood donation. However, it is essential to proactively inform the blood donation center before donating. The staff will make a final assessment based on your condition to determine if you m...[Read More] Can I Donate Blood After Taking Requip PD and Rivotril?
Post-Medication Guidelines: Can You Exercise, Bathe, or Lie Down?
Precautions after medication - Is it safe to exercise, take a shower, or lie down immediately after taking the medication? Hello, I have been on long-term medication, and I previously experienced discomfort in my stomach after taking medication and then lying down or exercising. ...
Dr. Xiao Yongxun Reply:
Dear Ms. Ann: 1. When using medications, it is essential to consider the unique pharmacokinetics and pharmacodynamics of each drug. This means that every medication, whether it is an injection, oral medication, inhaled drug, suppository, or topical treatment, involves the absorp...[Read More] Post-Medication Guidelines: Can You Exercise, Bathe, or Lie Down?
Understanding Post-Injection Palpitations: Causes and Concerns
Palpitations after injection? Hello Doctor: I do not have any diseases or drug allergies. Although I have mild nasal allergies, I have previously experienced allergic reactions to shrimp and sudden hives, but those incidents occurred only once or twice several years ago, and I ge...
Dr. Wu Zongying Reply:
Hello: You asked about the cause of palpitations after vaccination. On one hand, it is a response from the autonomic nervous system; on the other hand, the medication entering the body can also trigger some reactions, which will gradually subside. These reactions should not be cl...[Read More] Understanding Post-Injection Palpitations: Causes and Concerns
Understanding Multiple Health Issues: A Guide for Patients During COVID-19
Experiencing multiple physical discomforts and not knowing where to start? Since the level 3 alert, I have experienced many physical discomforts, ranging from gastroenteritis to autonomic nervous system disorders. I have visited the family medicine clinic several times. Initially...
Dr. Wu Zongying Reply:
Hello: Based on your letter, it is difficult to accurately respond to your questions. Regarding issues such as chest pain and back pain, if they are not caused by a specific illness (which requires further examination to determine), you may improve your condition by increasing ph...[Read More] Understanding Multiple Health Issues: A Guide for Patients During COVID-19
Concerns About Self-Transmission of STDs After Minor Injury
Infectious issues? Hello, Dr. Hsiao. Yesterday, while trimming my nails, I accidentally broke the skin. Although it stopped bleeding this morning and I applied some medication, I still feel a slight pain when using hydrogen peroxide, indicating that there might still be a wound. ...
Dr. Xiao Yongxun Reply:
Dear Mr. Lin: 1. The term "cauliflower" refers to skin lesions in the genital or perineal area caused by infection with the human papillomavirus (HPV). These lesions are almost exclusively transmitted through sexual contact. It is highly unlikely for this condition to...[Read More] Concerns About Self-Transmission of STDs After Minor Injury
Can Rest Alone Treat Suspected Acute Mercury Poisoning?
Can resting resolve suspected acute mercury poisoning? Hello, doctor: Seven days ago, I broke a mercury thermometer before going to bed (I have been taking my temperature daily due to the pandemic). I started feeling dizzy and nauseous while cleaning it, and after sleeping, I sti...
Dr. Liao Yaopan Reply:
Hello, generally speaking, direct skin contact with liquid mercury is not highly toxic. If mercury poisoning is suspected, its blood concentration can be monitored. The symptoms mentioned in the text require further evaluation. Please note: online consultations are not equivalent...[Read More] Can Rest Alone Treat Suspected Acute Mercury Poisoning?
Height Concerns: Understanding Growth and Remedies for Teens
Height issues Hello, doctor. 1. I am currently 17 years old, almost 18, but my height is only 156 cm. I took growth hormone supplements at ages 13 and 14, but they didn't seem to work. I tried again at 16, and it was the same result. Recently, my dad said that I have poor ...
Dr. Ye Qianyu Reply:
Hello! In clinical practice, factors affecting height include not only genetic predisposition but also environmental influences such as nutrition, exercise, and sleep. A small number of cases may be affected by diseases, so it is advisable to consult a metabolic specialist for ev...[Read More] Height Concerns: Understanding Growth and Remedies for Teens