Medication, Family Medicine FAQ

Headaches and Eye Issues: When to See a Family Doctor

Headache, inability to open eyes? Hello, doctor. I apologize for the interruption. My father experienced symptoms of headache and dizziness last Friday. The headache was located on both sides of his head, and he couldn't sleep at night, appearing very fatigued. By Monday, hi...

Dr. Ye Qianyu Reply:
Hello! For acute issues, it is recommended that you seek medical attention immediately at a healthcare facility!

Managing Prediabetes: Balancing Carbs, Weight Loss, and Blood Sugar Levels

Prediabetes Hello Doctor, I apologize for the interruption, but I would like to ask a question. I was diagnosed last August with a fasting blood sugar of 115 mg/dL, HbA1c of 5.8%, and a weight of 79 kg. By April of this year, my fasting blood sugar was 108 mg/dL, HbA1c was 5.7%...

Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, you are currently not in the prediabetic stage. Through dietary and exercise control, both your blood glucose and glycated hemoglobin levels have improved, leading to weight loss, and it is not due to hyperglycemia causing cachexia. I...

Can Cold Medicine Cause False Positive in Drug Urine Tests?

Urinalysis Hello, Doctor. I would like to ask about a recent drug test I underwent that involved a urine analysis. I heard from a colleague that taking cold medicine could potentially result in a positive drug test. I did take cold medicine on February 13 due to a cold. If I take...

Dr. Liao Yaopan Reply:
Hello, certain ingredients in cold medications may cause false positive reactions during screening, but further confirmatory tests can differentiate them. Reminder: Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendatio...

Why Am I Sleeping 15 Hours and Still Feeling Tired?

Recently, even after sleeping for over ten hours, I still feel easily fatigued? Hello, doctor. I have been sleeping for about fourteen to fifteen hours a day for the past few days, and after waking up for more than an hour, I start to feel sleepy again. I haven't taken any m...

Dr. Lin Zhebin Reply:
Hello: The reasons for your fatigue, aside from medication effects or physical exhaustion, may also include considerations such as anemia, infections, sleep apnea, abnormalities in heart/liver/kidney function, blood sugar/electrolyte imbalances, endocrine disorders, and other iss...

Can I Get the HPV Vaccine While Taking Antibiotics?

HPV vaccine and antibiotics? Hello Dr. Hsiao, due to prostatitis, I have recently started taking antibiotics (Lisacef 500mg and OA18-Cephradine 500mg). Next week is scheduled for my second dose of the HPV nine-valent vaccine. Can I still receive it as planned? If not, what is the...

Dr. Xiao Yongxun Reply:
Dear Capybara: 1. According to the recommendations of Taiwan's Centers for Disease Control, the schedule for administering the HPV nine-valent vaccine consists of three doses: one at 0 months, one at 1 to 2 months, and one at 6 months. In cases of severe infections, immunoc...

Can I Take These Medications Together? A Family Medicine Inquiry

Medication Consultation Hello Dr. Lin, I would like to ask if the following medications can be taken together. Thank you. I am currently taking medications prescribed by a urologist: for three months, J32 Zinc gluconate 78mg (for zinc deficiency) (zinc 10mg)/tab (one before break...

Dr. Lin Zhebin Reply:
Hello: The medications you are currently taking do not have any significant interactions with each other; however, Pantoprazole may affect the absorption of zinc in Zinc gluconate.

Navigating Multiple Health Issues: When to Seek Medical Help

Multiple discomforts? I have widespread pain or a sudden sensation of coolness in a small area of skin, and I'm unsure which specialist to consult since it feels wasteful to see each one individually. Here are the situations I've experienced: 1. I have random abdominal...

Dr. Lin Zhebin Reply:
Hello: 1. The abdominal pain you are experiencing may be related to constipation. 2. The abnormal sensations in your skin could be due to dryness or an allergic reaction. 3. The symptoms of runny nose and nasal congestion may indicate allergic rhinitis. 4. The itching in your eye...

Do I Need a Rabies Vaccine After Being Scratched by a Kitten?

A three-week-old kitten scratched my skin? Five days ago, I was scratched by a three-week-old stray kitten in the Yunlin area. I washed the wound with soap for about 20 seconds and applied medication, and the next day there was no visible wound. Do I still need to receive a rabie...

Dr. Chen Bozhang Reply:
Hello Ms. Lin: Current surveillance data in Taiwan shows no rabies infections in stray dogs and cats. Additionally, there is an ongoing initiative to vaccinate dogs and cats against rabies in the country, resulting in an extremely low risk of rabies virus infection in domestic do...

Understanding Sudden Sleepiness: Possible Causes and Concerns

Sudden excessive sleepiness? Hello Doctor, for the past week or two, I have suddenly been experiencing excessive daytime sleepiness every afternoon, along with weakness in my right limbs. I used to rarely feel my heart beating, but now I can easily sense it. This week, I have als...

Dr. Cai Dongqi Reply:
Hello Ms. Hsu: 1. Hyperthyroidism can also cause these symptoms; please consult a metabolic specialist. 2. If you experience persistent anxiety and difficulty sleeping, it may be a case of autonomic nervous system dysregulation; please see a psychiatrist.

Understanding Postprandial Blood Sugar Peaks in Type 2 Diabetes Management

Blood sugar issues? Hello, doctor. I am a patient with type 2 diabetes, and I recently purchased a Continuous Glucose Monitor (CGM). After wearing it, I observed that my blood glucose levels typically peak about "one hour after meals" (sometimes reaching values of 170, ...

Dr. Liao Yaopan Reply:
Hello, it is normal for blood sugar levels to rise after eating. The effectiveness of insulin in your body will be reflected in your postprandial blood sugar levels. Currently, experts agree that evaluating blood sugar levels two hours after a meal is appropriate. Based on your d...

Concerns About Discontinuing Cholesterol Medication in Family Medicine

Concerns Regarding Medications for Hyperlipidemia Hello, doctor. I would like to consult about my father. He visits a family medicine clinic near our home every month, and every three months he receives medication for his three high conditions (hypertension, hyperlipidemia). Howe...

Dr. Ye Qianyu Reply:
Hello! The target levels for hyperlipidemia medication are determined based on individual risk factors. There are also relevant regulations for health insurance coverage. Typically, if dietary and exercise modifications do not achieve target levels after 3-6 months, medication tr...

Managing Blood Pressure: Navigating Medication Side Effects and Concerns

Blood pressure issues? At home, my diastolic blood pressure has been consistently high, ranging from 90 to over 100, and my systolic pressure is between 130 and 140. On December 27, 2023, I visited a hypertension specialist for the first time, and they prescribed me a three-month...

Dr. Lin Zhebin Reply:
Hello: 1. The occurrence of herpes on your lips and mild abdominal pain should not be related to Epanutin 5/80. 2. Epanutin 5/80 is not commonly associated with arrhythmia as a side effect; rather, tea and coffee are more likely to cause arrhythmias. 3. Your blood pressure has de...

Understanding Chronic Fatigue: Causes, Tests, and Treatment Options

The reasons for fatigue and the desire to sleep can vary widely. To investigate these symptoms, several tests can be conducted, including: 1. Complete Blood Count (CBC) - to check for anemia or infection. 2. Thyroid Function Tests - to assess for hypothyroidism or hyperthyroidis...

Dr. Lin Zhebin Reply:
Hello: Your issue of fatigue and drowsiness may be related to mental health problems or medication side effects, but it is also important to consider the possibility of physiological diseases, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, o...

Medication Consultation for High Eye Pressure and Asthma Concerns

Medication consultation I have high intraocular pressure but no glaucoma, and I need to use eye drops to lower my eye pressure daily. I also have asthma, and I'm planning to travel soon. I'm concerned about motion sickness, so my pharmacist prescribed me with Scopolamin...

Dr. Liao Yaopan Reply:
Hello, Shun An Ning is an antihistamine medication. If you have any concerns while using it, it is advisable to consult your ophthalmologist to assess your eye condition and choose a more suitable prescription. Online consultations are not equivalent to in-person visits and canno...

Understanding Persistent Fatigue: Causes, Tests, and Treatment Options

Dr. Lin Zhebin Reply:
Hello: Your issue of fatigue and drowsiness may be related not only to mental health problems and medication side effects but also to the possibility of underlying physiological conditions, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, or h...

Concerns About Parasite Infection After Eating Raw Crab in Korea

After eating raw crab in South Korea, experiencing discomfort? Hello Doctor, I had several servings of raw crab in Korea on the night of March 4th this year, but I did not experience any discomfort at that time. After returning home, I developed a fever and gastrointestinal disco...

Dr. Ye Qianyu Reply:
Hello! Since the symptoms of lung fluke infection are similar to those of gastroenteritis, and the incubation period can last from 6 to 10 weeks, if you are concerned, you may want to undergo a stool examination and seek medical attention at a healthcare facility.

Understanding Food Poisoning: Symptoms, Risks, and Recovery Tips

Nutritional Consultation On Monday night, I ate a Shaqima that was 10 days past its expiration date. I didn't notice the expiration date until I had finished it. On Tuesday morning, I felt some discomfort in my stomach, but I didn't associate it with eating expired food...

Dr. Ye Qianyu Reply:
Hello! We are unable to assess the condition of food. If you experience any discomfort, it is recommended to seek medical attention at a healthcare facility.

Understanding Post-Meal Medication Guidelines and Food Interactions

Medication consultation? Hello, doctor. I would like to ask if there is a specific time after taking medications or supplements that one should wait before eating or drinking anything, especially if they are supposed to be taken after meals. This is mainly to consider potential i...

Dr. Li Zhenggang Reply:
It is recommended to first refer to the instructions for medications or supplements to see if there are any specific guidelines regarding the optimal timing for use. If there are none, under normal circumstances, considering the interactions between food and medications as well a...

Which Specialist Should I See for My Digestive and Anxiety Issues?

What is wrong with me, and which specialty should I see? Hello Doctor, I would like to ask you some questions. Thank you. Currently, I am experiencing symptoms related to anxiety, extreme fatigue during the day, and gastroesophageal reflux disease (GERD). However, the medication ...

Dr. Ye Qianyu Reply:
Hello! It is recommended that you avoid foods and beverages containing caffeine, sweets, fried foods, and alcohol. Do not drink too much at once when having beverages or soups, and refrain from consuming fluids after dinner at night. If you feel thirsty, sip slowly and in small a...

Understanding Blood Pressure Fluctuations: Causes and Concerns

Blood pressure issues? Hello, doctor. I previously went to the hospital for an examination and was found to have mild to moderate mitral and aortic valve regurgitation, along with issues related to autonomic dysfunction. The doctor advised me to measure my blood pressure daily. T...

Dr. Liu Hongxiang Reply:
Hello, Sir: The beta-blocker belongs to the category of nonselective beta-adrenergic blockers, which can lower blood pressure and heart rate. Its duration of action is relatively short, with a half-life of approximately 3-5 hours. A typical difference in blood pressure between th...

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