Understanding Ménière's Disease: When to Seek Medical Help and Which Specialist to Consult
Meniere's disease Hello, doctor. About a year or two ago, one morning I suddenly experienced dizziness upon waking up, and I was unable to get out of bed. I tried to kneel and slowly get up, but I couldn't and had to lie back down and fell asleep until the afternoon to ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it seems that the diagnosis of dizziness is not yet certain. I recommend that you visit an otolaryngologist. Thank you for your inquiry, and I wish you a speedy recovery![Read More] Understanding Ménière's Disease: When to Seek Medical Help and Which Specialist to Consult
Understanding Lower Back Pain and Urinary Symptoms: A Family Medicine Perspective
Lumbar issues? Hello, Doctor. On August 3rd, I experienced two drops of blood in my urine. Earlier, I had soreness near my lumbar spine close to the hip area upon waking up. The family medicine doctor tapped my back, and there was no pain. I was prescribed Uroprin for urinary pai...
Dr. Xiao Yongxun Reply:
Dear Mr. Brian591014: 1. The differential diagnosis for hematuria commonly includes urinary tract inflammation or injury, urinary stones, urinary tract infection, renal inflammation, tumors of the urinary system, and coagulopathy, among others. 2. As for the differential diag...[Read More] Understanding Lower Back Pain and Urinary Symptoms: A Family Medicine Perspective
Do Cold Medications Really Help? Understanding Home Remedies and Recovery
Do you need to take medication to recover from a cold? 1. My family keeps telling me that I need to take medicine for a cold to get better. Is that really true? 2. Isn't it true that the internet says there are no specific medications for a cold and that it will resolve na...
Dr. Xiao Yongxun Reply:
Dear Mr. Liao: 1. Is it true that my family insists I need to take medication to recover from a cold? The common cold is caused by viruses such as the parainfluenza virus and rhinovirus, leading to respiratory symptoms, fatigue, and fever. Most cases resolve naturally within 3 t...[Read More] Do Cold Medications Really Help? Understanding Home Remedies and Recovery
Which Specialist to Consult for Complex Symptoms in Older Women?
Which department should I see? Hello, doctor. I would like to ask: A woman in her sixties experiences dry mouth and throat, severe halitosis, indigestion with belching, occasional diarrhea, and often exhibits head shaking or nodding. She has tremors in her left thumb, frequent he...
Dr. Xiao Yongxun Reply:
Dear Ms. Lan: 1. The symptoms you described are multiple, and you have consulted various specialties. Theoretically, the physicians should have provided a direction for management. Is it possible that you did not understand, or that the physicians did not communicate clearly? A...[Read More] Which Specialist to Consult for Complex Symptoms in Older Women?
Understanding Eating Disorders: When to Seek Medical Help in Taiwan
Binge eating/Anorexia, etc., not sure which specialty to consult (some are long-term)? Hello Doctor, I am Mo, 20 years old and a junior in college. I suspect that I am unwell, but I am unsure which doctor to see (I do not want to see a psychiatrist). Symptoms: 1. Alternating betw...
Dr. Xiao Yongxun Reply:
Dear Miss Mo: Besides the need to consult an otolaryngologist for conductive hearing loss, based on your detailed description, the physician cannot rule out the possibility of a psychiatric disorder. Therefore, I regret to inform you that I can only recommend you seek care at a p...[Read More] Understanding Eating Disorders: When to Seek Medical Help in Taiwan
Concerns About Valsartan: Understanding Your Blood Pressure Medication
Issues with Blood Pressure Medications Hello, doctor. I have been taking antihypertensive medication, and I happened to use a batch of valsartan from a Taiwanese manufacturer that has been associated with carcinogenic issues. Later, my doctor told me to switch to the original val...
Dr. Xiao Yongxun Reply:
Dear Mr. Tian: 1. According to reports, the antihypertensive medication Valsartan has reached the end of its patent period, allowing many domestic and international pharmaceutical companies to manufacture and sell it. Consequently, many pharmaceutical companies in our country no...[Read More] Concerns About Valsartan: Understanding Your Blood Pressure Medication
Managing Multiple Medication Timings: Tips for Safe Usage
Medication administration times for multiple drugs? Hello, doctor. I have been experiencing some issues with the timing of multiple medications. Recently, due to an allergic reaction, I visited a dermatologist on July 17, and the doctor prescribed a three-day course of medication...
Dr. Liao Yaopan Reply:
Hello, in principle, there are no specific time restrictions for medication prescriptions unless there are special contraindications. Please take the medication as prescribed by your physician. Regarding over-the-counter medications or health supplements, it is uncertain whether ...[Read More] Managing Multiple Medication Timings: Tips for Safe Usage
Understanding Chest Pain and Dizziness During Sexual Activity: A Guide
Chest pain issues? Hello Doctor, I would like to ask about experiencing dizziness and a burning pain in the chest accompanied by heavy and sore arms during masturbation before reaching orgasm. Although these symptoms only last for a few minutes and subside after stopping and rest...
Dr. Liao Yaopan Reply:
Hello, if the symptoms of chest pain and palpitations persist, it is advisable to consult a cardiologist for evaluation. Gastroesophageal reflux disease (GERD) also requires diagnosis through endoscopy, and confirmation can lead to pharmacological treatment. Additionally, elevate...[Read More] Understanding Chest Pain and Dizziness During Sexual Activity: A Guide
Persistent Cold Symptoms: When to Seek Further Medical Help
A cold that lasts for a week without improvement? I have had a cold for over a week now, starting with severe diarrhea, followed by a very sore throat, persistent coughing with phlegm, dizziness, and general discomfort. It has significantly affected my daily life; I often feel di...
Dr. Liao Yaopan Reply:
Hello, if your symptoms have not improved, it is recommended that you visit your family physician for a comprehensive evaluation. There may also be potential interactions with medications that could be inappropriate. Please note: online consultations are not equivalent to in-pers...[Read More] Persistent Cold Symptoms: When to Seek Further Medical Help
Post-Cold Symptoms: When to Seek Further Medical Attention
Symptoms after a cold? Hello doctor, I had cold symptoms a week ago and visited an otolaryngologist a few days ago. The doctor diagnosed me with a bacterial infection. I am currently on medication, but since yesterday, I have been experiencing symptoms of nasal discharge with blo...
Dr. Liao Yaopan Reply:
Hello, if you are still experiencing discomfort, it is advisable to have your family physician evaluate your condition. Please note that online consultations are not equivalent to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations. Changhu...[Read More] Post-Cold Symptoms: When to Seek Further Medical Attention
Understanding Low White Blood Cell Count and Recovery from Gastroenteritis
White blood cell count over 3000? Last month, my white blood cell count was 4100. This time, I have gastroenteritis with vomiting and diarrhea, and I went to the emergency room where my white blood cell count dropped to over 3000. Is this white blood cell level concerning? I have...
Dr. Liao Yaopan Reply:
Hello, based on your description, your white blood cell count should still be within the normal reference range. However, since the clinical symptoms have not yet resolved, it is advisable to follow up with a gastroenterologist. Acute gastroenteritis is mostly self-limiting and r...[Read More] Understanding Low White Blood Cell Count and Recovery from Gastroenteritis
Understanding Left Upper Back and Chest Pain: Which Specialist to See?
If you are experiencing pain in the upper left back and sharp pain in the left chest, it is advisable to consult a healthcare professional. You may want to see a primary care physician or a specialist such as a cardiologist or an orthopedic doctor, depending on the nature and sev...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended that you consult your family physician for a reassessment, and if necessary, get a referral to a specialist. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment ...[Read More] Understanding Left Upper Back and Chest Pain: Which Specialist to See?
Understanding My Father's Health Issues: Symptoms and Concerns
I don't know what happened to my father? Hello, my father (67 years old) recently took cold medicine and then ate mangoes, after which he experienced dry heaving 5-6 times. He thought the cold medicine caused it and discarded the medication! I'm not sure if this is drug...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended that you take your father to a medical facility for a physician to evaluate whether there are any physiological abnormalities, and then consider the possibility of a dementia state. Please note: online consultations are not equi...[Read More] Understanding My Father's Health Issues: Symptoms and Concerns
Pain While Eating: Is It Related to Esophageal Issues?
Experiencing pain while eating? I have been experiencing some pain while eating recently, but there is no burning sensation. Drinking water does not cause any pain. Could this be related to my esophagus, doctor?
Dr. Xiao Yongxun Reply:
Dear Mr. Yu-Cheng: 1. May I ask if you experience pain while eating, is it dental pain? Oral mucosal pain? Throat pain? Chest or esophageal pain? Stomach pain? Or pain in another area? 2. If it is dental pain or oral mucosal pain, you should consult a dentist. If it is throat pa...[Read More] Pain While Eating: Is It Related to Esophageal Issues?
Understanding and Managing Persistent Lumbar Pain: A Patient's Guide
Lumbar pain with inability to exert force? I experience a feeling of pressure and pain in my coccyx area when standing up and exerting force with my legs, to the point where I cannot stand without using my hands to push against a table for support. I previously visited a neurosur...
Dr. Chen Bozhang Reply:
Dear Ms. Bing, In your letter, you mentioned that when you stand up and exert pressure on your feet, you feel a sense of pressure near the coccyx, with pain severe enough to prevent you from standing. You have undergone X-rays in the orthopedic department, which did not reveal a...[Read More] Understanding and Managing Persistent Lumbar Pain: A Patient's Guide
Understanding Throat Constriction and Cough: When to Seek Help
Throat constriction cough issue? Hello Doctor: I am 38 years old, a non-smoker and non-drinker. Recently, I have been experiencing occasional mild coughing, with the sensation originating in my throat near the neck and the inward concave area of the larynx. It feels like there is...
Dr. Chen Bozhang Reply:
Dear Mr. Xiao Guan, I understand that you have been experiencing occasional coughs recently. You have undergone thorough cardiac examinations, blood tests, and chest X-rays, all of which did not reveal any issues. Additionally, you have taken medication for gastroesophageal refl...[Read More] Understanding Throat Constriction and Cough: When to Seek Help
Understanding Sudden Dizziness: Emotional Triggers and Health Concerns
Sudden dizziness Hello, Doctor! I've noticed over the past two months that when my emotions fluctuate significantly, especially when I'm angry or under a lot of stress, I suddenly feel dizzy and have a sensation of almost fainting, along with difficulty seeing clearly i...
Dr. Liao Yaopan Reply:
Hello, regarding the issue of dizziness, it is recommended to consult a specialist in neurology for evaluation. As for treatment in the field of psychosomatic medicine, it is essential to follow the physician's instructions and avoid discontinuing treatment arbitrarily. Plea...[Read More] Understanding Sudden Dizziness: Emotional Triggers and Health Concerns
Effective Treatments for Redness and Itching in the Foreskin
Prepuce issues I noticed redness, itching, and peeling two days ago. I'm not sure how to resolve it. What topical medication can I use to address this issue?
Dr. Liao Yaopan Reply:
Hello, it is recommended that your parents take you to a urology or pediatric clinic for evaluation by a specialist before receiving appropriate treatment. Please do not self-medicate. Reminder: Online consultations are not equivalent to in-person medical visits and cannot provid...[Read More] Effective Treatments for Redness and Itching in the Foreskin
Understanding Viartril-S: Interactions with Viagra and Safety Concerns
Medication Consultation I take Viartril-S daily. Is this medication classified as a nitrate? Can I also take Viagra? Will there be any interactions or side effects between the two medications? Thank you!
Dr. Xiao Yongxun Reply:
Dear Sir/Madam, 1. Sildenafil (Viagra®) is the Chinese term for 威而鋼 and belongs to the class of PDE-5 inhibitors. PDE-5 is responsible for terminating the action of cGMP in the corpus cavernosum, preventing the smooth muscle in the arteries from relaxing and allowing for penile ...[Read More] Understanding Viartril-S: Interactions with Viagra and Safety Concerns
Understanding Loose Skin After Weight Loss: Tips for a Healthier Journey
Weight loss issues Hello, doctor! I have been overweight since childhood, with a maximum weight of 125 kg. From July to November last year, I lost about 15 kg, going from 117 kg to around 102 kg (through cycling and dieting while maintaining my basal metabolic rate, without using...
Dr. Liao Yaopan Reply:
Hello, weight loss should be gradual. Currently, your plan looks good. In addition to monitoring your weight, it is also recommended to pay attention to changes in body fat percentage. Some individuals may experience skin issues as their body shape changes. You might consider adj...[Read More] Understanding Loose Skin After Weight Loss: Tips for a Healthier Journey