Understanding Exam Stress Syndrome: Symptoms and Solutions
Exam Stress Syndrome Doctor, three weeks ago, I was experiencing dry mouth and general weakness, so the doctor at the clinic checked my blood sugar using a glucometer. Four hours after a meal, it was 97 (I was very nervous and under a lot of stress at that time). A week later, I ...
Dr. Liao Yaopan Reply:
Hello, based on your description, the examination data does not indeed meet the criteria for a diabetes diagnosis. Stress and emotional factors can potentially lead to physical discomfort. It is advisable to maintain a regular routine, and moderate exercise is also very important...[Read More] Understanding Exam Stress Syndrome: Symptoms and Solutions
Should I Check My MMR Vaccine Antibody Levels Before Traveling?
Should I check my MMR vaccine antibody levels? Hello, doctor. I will be traveling to Manila for about three days at the end of June this year. I know that there have been recent cases of measles in the Philippines. I received the MMR vaccine in 2000 and again in March 2004. How l...
Dr. Chen Bozhang Reply:
Dear Ms. N: Since you received one dose of the MMR vaccine in 2000 and another in March 2004 (as per government policy at one year of age and before entering elementary school), these two doses are expected to provide protection for approximately fifteen years or more, although...[Read More] Should I Check My MMR Vaccine Antibody Levels Before Traveling?
Understanding Cozaar: Interactions with Viagra and Side Effects
Medication consultation I take blood pressure medication (Cozaar) 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. Chen Bozhang Reply:
Dear Mr. Tianren: The antihypertensive medication COZAAR (Losartan) is not classified as a nitrate, and therefore does not interact with Viagra (Sildenafil). However, since you are a hypertension patient, it is crucial to be aware of the following contraindications when using Via...[Read More] Understanding Cozaar: Interactions with Viagra and Side Effects
Understanding Recurrent Unexplained Fever in Older Adults
Recurrent unexplained fever Hello, Dr. Liao. My mother is 64 years old. Initially, she often felt fatigued and would become short of breath when climbing stairs, but she was fine walking on flat ground (even for 1-2 kilometers). Initially, the local clinic suspected a heart issue...
Dr. Liao Yaopan Reply:
Hello, regarding your question, the most common cause of fever is still infection. Other causes need to be investigated, such as autoimmune diseases and tumors. Please note: online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatm...[Read More] Understanding Recurrent Unexplained Fever in Older Adults
Understanding Headaches: Are They a Sign of Stress or Illness?
Headache issues In the past two weeks, due to exam stress, I haven't eaten properly for about three days. Since then, I've often felt a heavy sensation in my head, with pressure and even pain in my forehead and temples. Occasionally, it gets severe enough to cause dizzi...
Dr. Li Zhenggang Reply:
Hello: Based on the situation you described, since your headache continues to be a concern, I recommend that you visit a neurologist for evaluation and treatment. Analyzing the cause of your headache, it seems to be tension-type headache due to increased stress recently, which ty...[Read More] Understanding Headaches: Are They a Sign of Stress or Illness?
Understanding Immune System Decline: Risks, Symptoms, and Prevention
Decreased immunity? Recently, some friends around me have experienced a decline in immunity, followed by a cold, which resulted in a lack of response in the left facial nerve, causing swelling in the left eye, difficulty smiling, and loss of taste sensation. I would like to know ...
Dr. Chen Bozhang Reply:
Hello, Xiao Chen: In your message, you mentioned that your friend has experienced a lack of response in the left side of their face after catching a cold, is having difficulty smiling, and cannot taste food. This may be indicative of facial nerve paralysis, which is primarily ca...[Read More] Understanding Immune System Decline: Risks, Symptoms, and Prevention
Persistent Fever for Three Weeks: What Specialist Should You See?
Continuous fever for three weeks? Hello, my symptoms have included a continuous fever for three weeks (from March 21 to today, April 9), fatigue, generalized weakness, muscle aches, and loss of appetite (I didn't eat for two days during the high fever and didn't feel hu...
Dr. Chen Bozhang Reply:
Dear Ms. Lin, You mentioned in your letter that you have been experiencing continuous fever, fatigue, generalized weakness, and poor appetite for three weeks. You have sought medical attention and taken antiviral medication for suspected influenza, but your symptoms have not imp...[Read More] Persistent Fever for Three Weeks: What Specialist Should You See?
Is It Safe to Share Liquid Bandages After Blood Contact?
Shared use of trauma medications Liquid bandage, designed similarly to nail polish, features a brush attached to the cap for direct application of the medication onto wounds. I would like to inquire: if the brush comes into contact with blood while applying it to a wound, is it a...
Dr. Huang Xunying Reply:
Yes, in principle, it is not recommended to share such items![Read More] Is It Safe to Share Liquid Bandages After Blood Contact?
Understanding Hypothyroidism: Can Multivitamins Interfere with Treatment?
Hypothyroidism Hello doctor, I would like to ask about a recent diagnosis of hypothyroidism. I am currently taking multivitamins. Will there be any interactions with this medication?
Dr. Ye Qianyu Reply:
Hello! It is recommended that you bring any additional foods, medications, or dietary supplements to your healthcare provider for confirmation to avoid any concerns regarding medication safety. Thank you for your question, and I wish you a speedy recovery![Read More] Understanding Hypothyroidism: Can Multivitamins Interfere with Treatment?
Identifying Influenza-Induced Pneumonia: A Family Medicine Perspective
Determining the presence of pneumonia caused by influenza? Hello Doctor, on the morning of February 27th, I had a fever that fluctuated, so I went to a traditional Chinese medicine clinic to get a one-day supply of medicine. After taking it, I had another fever on February 28th, ...
Dr. Liao Yaopan Reply:
Online consultations are not equivalent to in-person medical visits, and they cannot provide accurate diagnoses or treatment recommendations. Please seek in-person medical care for a proper examination by a physician. Changhua Hospital cares about your health.[Read More] Identifying Influenza-Induced Pneumonia: A Family Medicine Perspective
Understanding Throat Pain After Eating: Causes and Solutions
Experiencing sudden throat pain after swallowing saliva following a meal can indicate several potential issues, such as gastroesophageal reflux disease (GERD), esophagitis, or even a throat infection. It is advisable to monitor the symptoms and consult a healthcare professional f...
Dr. Huang Xunying Reply:
Based on the current symptoms, it appears to be more like an acute infection. In addition to a sore throat, there are also symptoms of body aches. Please monitor for any signs of fever, as a fever could indicate influenza. Symptoms of viral infections may not always present the s...[Read More] Understanding Throat Pain After Eating: Causes and Solutions
Persistent Abdominal Red Rash: A 31-Year-Old's Diagnostic Dilemma
Abdominal erythema, diagnosis has been a persistent challenge? Male, 31 years old. Dear doctor, I am a 30-year-old male who smokes and has no significant medical history, except for a diagnosis of mild mitral valve prolapse in childhood. Currently, I have a symptom: a ring-like e...
Dr. Huang Xunying Reply:
Hello, based on your description, it does resemble a fungal infection. However, if you have used medication and felt that the results were unsatisfactory, there may be other underlying causes. I still recommend visiting a dermatologist for further evaluation, as some fungal infec...[Read More] Persistent Abdominal Red Rash: A 31-Year-Old's Diagnostic Dilemma
Understanding Palpitations and Dizziness: When to Seek Medical Help
Palpitations and dizziness issues? Hello Doctor, last week I suddenly felt cold in the middle of the night (due to a cold front). After waking up, I kept shivering and my heart was racing. Additionally, there was an earthquake that day, which may have affected me both physically ...
Dr. Liao Yaopan Reply:
Hello, if you are experiencing symptoms such as dizziness and palpitations, it is recommended to first consult a cardiologist to assess for any vascular abnormalities. If there are no physiological issues, you may then seek assistance from a psychiatrist. Please note that online ...[Read More] Understanding Palpitations and Dizziness: When to Seek Medical Help
Understanding Persistent Numbness Near the Right Shoulder Blade
Numbness in the right scapula for over a year? Hello Doctor: I have been experiencing numbness near my right scapula for over a year, and sometimes it extends to my fingers. When I raise my right arm, my entire arm becomes numb, and occasionally I also experience pain in my lower...
Dr. Liao Yaopan Reply:
Based on the description above, it is recommended that you consult your family physician for an initial assessment to determine if a referral to a neurosurgery specialist is necessary for further evaluation of the underlying cause, in order to facilitate appropriate management. I...[Read More] Understanding Persistent Numbness Near the Right Shoulder Blade
Can Melatonin Be Safely Combined with Zoloft and Silence?
Can melatonin be used in conjunction with other medications? Hello Doctor: I am currently studying abroad, and accessing medical resources is very difficult. I hope to receive your assistance. I am experiencing anxiety and insomnia issues. I take one and a half tablets of "Z...
Dr. Huang Xunying Reply:
These three medications belong to different classes, so it is acceptable to use them in combination. The use of melatonin in conjunction with them is also fine, as their mechanisms of action differ. I would still recommend using Zoloft as the primary medication while reducing the...[Read More] Can Melatonin Be Safely Combined with Zoloft and Silence?
Managing Dry Eye, Floaters, and Thyroid Issues: Medication and Supplements Guide
Sjögren's syndrome, thyroiditis, dry eye syndrome, floaters, adenomyosis? I am currently taking Soothe (Shu Le Jin) at a dosage of half a tablet twice a day, in the morning and evening, due to my high myopia, floaters, and dry eye syndrome. Are there any side effects of this...
Dr. Huang Xunying Reply:
The side effects of Shulejin include ciliary muscle spasm, headache, difficulty concentrating on vision, decreased night vision, local irritation, increased salivation, and increased sweating; however, not everyone will experience these symptoms. This medication can be taken alon...[Read More] Managing Dry Eye, Floaters, and Thyroid Issues: Medication and Supplements Guide
Can I Schedule a Hemoglobin A1c Test During Pregnancy?
Glycated hemoglobin (HbA1c) Hello, may I directly make an appointment for a hemoglobin A1c test at the outpatient clinic? I am currently pregnant (I was diagnosed with stage 2 diabetes before pregnancy, and I am taking half a pill for my meals), and my blood sugar levels are with...
Dr. Huang Xunying Reply:
If you want to test HbA1c, you can directly visit a family medicine clinic or an endocrinology clinic. However, if it is during pregnancy and involves gestational diabetes, it is usually managed by an obstetric specialist. Maintaining a good diet and exercise during pregnancy can...[Read More] Can I Schedule a Hemoglobin A1c Test During Pregnancy?
Understanding Elevated White Blood Cell Count: Causes and Concerns
White blood cell count Hello, during a recent company health check, it was found that my white blood cell count is 11,800 (normal range: 4,000–11,000/uL). Should I be concerned about this elevated level, and what should I pay attention to? Additionally, I have been using medicati...
Dr. Liao Yaopan Reply:
The data shows a slight increase; however, any infection or inflammation at that time could have an impact. It is recommended to follow up with further examinations. Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagno...[Read More] Understanding Elevated White Blood Cell Count: Causes and Concerns
Understanding Dizziness: Navigating Symptoms and Seeking Help
Dizziness - the sensation of being on a boat, feeling like floating? I am a high school senior and have experienced a sensation of earthquakes since childhood. After entering high school, my dizziness has intensified. I feel as if I am on a boat, and in my room, it feels like I a...
Dr. Liao Yaopan Reply:
Follow-up assessments from neurology and otolaryngology are still necessary. Additionally, it is important to consider whether there is a need for long-term use of other medications. If necessary, you can consult with a psychiatrist for assistance. Please note that online consult...[Read More] Understanding Dizziness: Navigating Symptoms and Seeking Help
Confused About Which Specialist to See for My Symptoms?
Unsure which specialty to consult? Frequent dizziness or headaches, mild anemia (but it's been a year since I started medication), palpitations, shortness of breath, sore throat, irregular menstrual cycle with low flow, abdominal pain, nausea, constipation, low blood pressur...
Dr. Ye Qianyu Reply:
Hello! I recommend that you first visit a family medicine or general internal medicine clinic. Thank you for your inquiry![Read More] Confused About Which Specialist to See for My Symptoms?