Medication, Family Medicine FAQ - Page 26

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Managing High Blood Pressure: What to Do After Taking Medication on an Empty Stomach

Vomiting after taking blood pressure medication on an empty stomach? Grandpa has high blood pressure. This morning, he measured his blood pressure at 185 and took his antihypertensive medication without having breakfast. He then felt dizzy and sweaty, and after taking a sip of mi...


Dr. Liu Hongxiang Reply:
Hello, Mei-Shan: Based on the analysis of your letter, generally speaking, after taking antihypertensive medication for a period of time, the body should have adapted to the blood pressure-lowering effects. It is unusual to experience dizziness and sweating after taking blood pre...

[Read More] Managing High Blood Pressure: What to Do After Taking Medication on an Empty Stomach


Understanding Persistent Dizziness: When to Seek Medical Help

Persistent dizziness After taking the train, I start to feel dizzy. The first time it lasted for a month, specifically manifesting as slow and dull speech, difficulty thinking, and a sense of distortion. I visited a family medicine clinic and underwent some tests, but nothing was...


Dr. Ye Qianyu Reply:
Hello, I recommend that you schedule an appointment with the psychiatry department.

[Read More] Understanding Persistent Dizziness: When to Seek Medical Help


Understanding Right Lower Trapezius Pain After Activity: A Case Study

After some activity, there is pain in the right lower trapezius muscle? A 22-year-old male, weighing 70 kg and standing 170 cm tall, with no exercise habits. Hello, doctor. After walking for about twenty minutes (including any standing activities), I start to experience pain in t...


Dr. Ye Qianyu Reply:
Hello, pain in this area is quite common but difficult to treat. It requires attention to several points: 1. Maintain good posture, avoid prolonged sitting or standing, try to avoid carrying backpacks, avoid carrying weight on one shoulder, refrain from sitting at the computer fo...

[Read More] Understanding Right Lower Trapezius Pain After Activity: A Case Study


Understanding Back Pain After Swallowing and Hiccups: Causes and Next Steps

Experiencing back pain specifically after swallowing and belching? I have been experiencing persistent back pain for four weeks, primarily characterized by pain near the spine in the upper left back, especially after belching and swallowing. Sometimes, deep breathing and stretchi...


Dr. Li Zhenggang Reply:
It is recommended that you visit a major hospital or medical center for consultation. Wishing you good health!

[Read More] Understanding Back Pain After Swallowing and Hiccups: Causes and Next Steps


Persistent Swelling and Pain in Toe: Causes and Treatment Options

The finger cannot bend, and the swelling has not subsided for a long time? At the beginning of last month, I went to the beach and possibly injured my toe when it hit a reef while getting in and out of the water. I didn't notice the injury at the time, but after kicking a fe...


Dr. Wu Huixiong Reply:
It is advisable for you to discuss your condition further with your attending physician. Wishing you good health!

[Read More] Persistent Swelling and Pain in Toe: Causes and Treatment Options


Can You Take Viagra with Blood Pressure Medications? Expert Advice

Medication Consultation I am currently taking antihypertensive medications (Cozaar 50mg and Concor 5mg) daily. Can I also take Viagra or similar medications? If so, are there any potential side effects? Thank you!


Dr. Xiao Yongxun Reply:
Dear Mr. Tianren: 1. Cozaar® (50 mg; generic name Losartan) belongs to the class of Angiotensin II Receptor Antagonists. Common side effects include dry cough, rash, fever, altered taste, hypotension (due to low fluid volume status), angioedema, and hyperkalemia. Although the ad...

[Read More] Can You Take Viagra with Blood Pressure Medications? Expert Advice


Low Lymphocyte Count: Understanding Your Blood Test Results and Next Steps

Low lymphocyte count: 0.912/nL Hello Dr. Chen, On December 4, 2019, my blood test report from a health check showed the following results: - Leukocyte: 6.09/nL (Normal: 3.9-10.2) - MCHC: Low at 31.2 g/dL (Normal: 31.5-36.0) - Lymphocytes: Low at 15.02%; 0.912/nL (Normal: 20-4...


Dr. Chen Bozhang Reply:
Dear Ms. Hsiao-Ling, Your blood test report from the health check on December 4, 2019, shows that your white blood cell count is normal, but the proportion of neutrophils is slightly elevated at 76.6%, while the proportion of lymphocytes is somewhat low at 15.02%. This slight al...

[Read More] Low Lymphocyte Count: Understanding Your Blood Test Results and Next Steps


Understanding Headaches and Neck Pain: When to Seek Medical Help

Headaches and Neck Issues Hello, Doctor: I have been prone to headaches since childhood, triggered by various factors such as heat and stress. Most of my headaches require pain relievers for relief, but the effects of the medication are usually quick. Does this mean that my heada...


Dr. Xiao Yongxun Reply:
Dear Ms. Kanghua: 1. Headache is a clinical symptom with a complex array of causes, leading to significant variability in the severity and urgency of the condition. Accurate diagnosis of headaches primarily relies on a detailed history and clinical symptoms, supplemented by vari...

[Read More] Understanding Headaches and Neck Pain: When to Seek Medical Help


Understanding the Connection Between GERD and Weight Loss: Key Insights

Gastroesophageal reflux disease (GERD) Hello doctor, I originally had mild gastroesophageal reflux disease (GERD) and was not taking any medication, experiencing symptoms about once every week or two. Recently, the frequency has increased to once a day over the past month, and I ...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it seems that the issue is not solely related to gastroesophageal reflux. I recommend that you visit a hepatobiliary and gastroenterology specialist for a comprehensive evaluation. Thank you for your inquiry, and I wish you a speedy recovery!

[Read More] Understanding the Connection Between GERD and Weight Loss: Key Insights


Concerns About Mebendazole and Metronidazole Drug Interactions

The interaction issues between Mebendazole and Metronidazole? Hello Doctor: I have been experiencing itching around the anus, which is particularly bothersome at night. Since I had Mebendazole, a common antiparasitic medication, at home, I took it for about two weeks, at a dosage...


Dr. Xiao Yongxun Reply:
Dear Ms. Ellie: 1. Mebendazole is a synthetic benzimidazole compound that is widely effective against nematodes. This medication is the first-line treatment for whipworm (Trichuris trichiura), pinworm (Enterobius vermicularis), hookworms (Necator americanus and Ancylostoma duode...

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Should You Rely on Supplements or Medications for High Blood Pressure?

Which should take precedence, health supplements or medications? Dear Doctor: If there is a problem with high blood pressure and the blood pressure medication causes low blood pressure after taking it, and the doctor has already adjusted it to the lowest dosage, in addition to ta...


Dr. Huang Xunying Reply:
It is recommended to return to the outpatient clinic to adjust the blood pressure medication for safety.

[Read More] Should You Rely on Supplements or Medications for High Blood Pressure?


Understanding Low Body Temperature: Should You See a Doctor?

I would like to inquire about the state of hypothermia? Hello Doctor: I previously had an examination at the metabolic department. Aside from being overweight and having a BMI above the normal range, all other values related to pituitary secretion, adrenaline, thyroid function, a...


Dr. Liao Yaopan Reply:
Hello, regarding the above content, it is not recommended to use hypoglycemic medications if there is no diabetes. When measuring body temperature, it is important to ensure that the method used is correct. Weight control must rely on both diet and proper exercise. It is advised ...

[Read More] Understanding Low Body Temperature: Should You See a Doctor?


Understanding Left Lower Abdominal Pain: A Comprehensive Guide

Left lower abdominal pain? Hello, Doctor: About two months ago, I started experiencing intermittent dull pain in my left lower abdomen at night, which later became a constant pain. I also felt soreness in my left back. I have consulted several specialists: 1. Family Medicine - Th...


Dr. Hou Angting Reply:
Hello, Miss Barley. Given your current situation, it is advisable to wait for the culture report to come back and discuss it with your doctor for the best course of action. Additionally, if you frequently experience symptoms after menstruation, it is recommended to consult with a...

[Read More] Understanding Left Lower Abdominal Pain: A Comprehensive Guide


Understanding Uric Acid Levels: Implications for Women and Pregnancy

Issues related to uric acid? I am a 35-year-old woman. Last month, I went to a laboratory for testing, and one of the results showed my uric acid level was 7, while the normal range is 3.0-5.5. Everything else was fine. The lab personnel only advised me to drink more water. I lat...


Dr. Huang Hongshuo Reply:
Hello: The levels of uric acid in the blood are related to the following factors: 1. Genetic predisposition: The genetic factors are located on the X chromosome, making males more susceptible to the condition. This is not changeable later in life. 2. Effective circulating volume ...

[Read More] Understanding Uric Acid Levels: Implications for Women and Pregnancy


Understanding Numbness and Headaches: When to Seek Medical Advice

Numbness in the limbs and headache? Hello, Doctor Yeh. Yesterday afternoon, after waking up from a nap, I felt soreness in my lower body, and I'm not sure if it was caused by exercising at the gym the day before. About an hour later, I started experiencing a dull headache, s...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms are non-specific. I recommend that you visit a nearby family medicine or general internal medicine clinic. Please recall if you have traveled in the past two weeks and check if any family members or friends have experienced fever or ...

[Read More] Understanding Numbness and Headaches: When to Seek Medical Advice


Managing Vitamin B12 and Other Supplements for Oral Health Issues

Medication issues Hello Doctor, I have been experiencing abnormal oral symptoms and am currently taking medication prescribed by a neurologist to alleviate these symptoms. This includes Rifampicin 4 mg daily, Zanaflex once before bedtime, and Methylcobalamin capsules 500 mcg thre...


Dr. Ye Qianyu Reply:
Hello, Miss Lin! Regarding your inquiry about vitamins, vitamin B complex is classified as a water-soluble vitamin, and any excess is generally excreted by the body. Currently, there have been no reported issues related to excessive vitamin B12. Oral ulcers typically heal on thei...

[Read More] Managing Vitamin B12 and Other Supplements for Oral Health Issues


Mixing Multiple Medications: Safe Practices for End-of-Life Care

Polypharmacy Hello Doctor: My mother is in the terminal stage of cancer and is having difficulty swallowing pills. I would like to grind her medications into powder for her to take. I have a few questions: 1. Can different medications for various conditions be ground into powder ...


Dr. Ye Qianyu Reply:
Hello Mr. Wang! Since your mother is in the terminal stage of cancer, you may consider palliative care. Here are a few points for your reference: 1. You can ask the physician if it is possible to reduce unnecessary medications and focus on those that alleviate symptoms. 2. You ca...

[Read More] Mixing Multiple Medications: Safe Practices for End-of-Life Care


Understanding Dizziness and Head Pain in Elderly Patients: Causes and Solutions

Elderly individuals experiencing dizziness, headaches, and numbness in the head? Hello Dr. Tsai, My mother is 80 years old. Her medical history includes hypertension for which she takes Lercanidipine 50mg. She does not have diabetes, her liver function tests are normal, and her...


Dr. Cai Dongqi Reply:
Hello, first, check if the blood pressure is stable. A reading of 140-100/90-60 is considered normal. Be aware that blood pressure medications may have side effects such as dizziness (it is advisable to consult the prescribing physician). Secondly, consider the possibility of cer...

[Read More] Understanding Dizziness and Head Pain in Elderly Patients: Causes and Solutions


Understanding Elevated Fetal Protein and Mild Fatty Liver in Health Checkups

Health check issues Hello Doctor, I would like to ask if a slight increase in fetal protein within the normal range has any significance. An ultrasound examination showed mild fatty liver, and there is no hepatitis B or C. However, prior to the health check, I had a severe cold w...


Dr. Xiao Yongxun Reply:
Dear Miss Bear: AFP (Alpha-Fetoprotein) is translated into Chinese as 甲種胎兒蛋白. It is a specific glycoprotein synthesized by hepatocytes during embryonic development, which promotes rapid proliferation of fetal liver tissue, resulting in high levels in fetal blood. However, its con...

[Read More] Understanding Elevated Fetal Protein and Mild Fatty Liver in Health Checkups


Understanding the Link Between Candida Infections and Diabetes

Candida albicans and Diabetes Mellitus Hello, Doctor: I have been troubled by recurrent white Candida infections in the genital area for the past few years. Although applying medication improves the condition within a few days, I found articles suggesting that recurrent infection...


Dr. Ye Qianyu Reply:
Hello! Based on your description, you have not yet met the diagnostic criteria for diabetes, and your blood sugar levels are relatively normal. Therefore, the infection you are experiencing is likely not related to your blood sugar levels. Given that you have reported recurrent c...

[Read More] Understanding the Link Between Candida Infections and Diabetes


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