Understanding Symptoms: Could It Be HIV or Allergies?
Is it a symptom of HIV? On September 4th, I noticed many red rashes on my body that initially itched. When I scratched them, they appeared more prominently. The next night, one or two new bumps developed, with two of them forming raised blisters in the groin area and on my arm, w...
Dr. Ye Qianyu Reply:
Hello! Due to the difficulty in confirming the rash presentation, it is recommended that you visit an infectious disease specialist for a comprehensive evaluation and treatment. Thank you for your inquiry![Read More] Understanding Symptoms: Could It Be HIV or Allergies?
Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions
Hemoglobin/Hematocrit Average Hemoglobin/Hematocrit Ratio Decrease Hello doctor, two years ago my blood test showed only a slightly low hemoglobin level of 11.5 g/dL, with a hematocrit of 35.1%, mean corpuscular volume (MCV) of 84.2 fL, and mean corpuscular hemoglobin (MCH) of 27...
Dr. Liao Yaopan Reply:
It is recommended to consult a hematologist for a comprehensive evaluation of the causes of anemia. Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations. Changhua Hospital cares about yo...[Read More] Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions
Understanding Unexplained Body Discomfort and Neck Tension: A Guide
General malaise, tightness in the right occipital region? Hello Doctor: I have been experiencing discomfort in my body for some time now. Often, I feel unwell, but I can't pinpoint exactly where the discomfort is coming from. I sometimes have symptoms similar to those of a c...
Dr. Liao Yaopan Reply:
If all relevant tests show no significant abnormalities, it is recommended to seek assistance from an immunology and rheumatology specialist for evaluation. Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or tr...[Read More] Understanding Unexplained Body Discomfort and Neck Tension: A Guide
Understanding Respiratory Issues After Pesticide Inhalation: When to Seek Help
Inhalation of pesticides Hello Doctor, yesterday morning I helped spray pesticides, and that evening I felt a tightness in my throat, chest discomfort, and difficulty breathing. I went to the hospital's emergency department. The emergency physician arranged for an X-ray, an ...
Dr. Liao Yaopan Reply:
Hello, if you still experience difficulty breathing or discomfort in your chest, you can return to the chest medicine department or family medicine clinic for evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide a diagnosis o...[Read More] Understanding Respiratory Issues After Pesticide Inhalation: When to Seek Help
Understanding Diarrhea: When to Seek Further Treatment for Gastroenteritis
Diarrhea issues Hello, Doctor. I would like to ask: I have been experiencing diarrhea for the past four days. The diarrhea is watery and mixed with some soft stools (not formed). The stool color is yellow, without blood or mucus, and I do not feel abdominal pain, but there is sig...
Dr. Liao Yaopan Reply:
Hello, there are many causes of diarrhea. Aside from infections, factors such as food influences or changes in gastrointestinal motility can also be related. If diarrhea persists, it is advisable to seek further evaluation from a gastroenterologist. Please note that online consul...[Read More] Understanding Diarrhea: When to Seek Further Treatment for Gastroenteritis
Managing Post-Injection Pain: When to Seek Medical Advice
Post-injection pain issues? A while ago, I went to the emergency room due to inner ear imbalance and received an injection in my arm for anti-nausea and anti-emetic medication. It has been almost two months, and the injection site still hurts. Is there anything I need to do about...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is recommended that you return to the original medical institution for an in-person evaluation by the prescribing physician. Online consultations are not equivalent to an in-person visit and cannot provide a diagnosis or treatment. Changhua Hosp...[Read More] Managing Post-Injection Pain: When to Seek Medical Advice
Is It a Viral Infection or Allergies? Understanding Your Symptoms
Is it a viral infection or an allergy? I have been experiencing recurrent colds for about two months. At the end of August and beginning of September, I suddenly developed a fever, nasal congestion, and did not have a cough. The doctor at the clinic diagnosed me with nasal mucosa...
Dr. Liao Yaopan Reply:
Hello, theoretically, the acute phase of a viral respiratory infection should not last too long. However, subsequent symptoms can vary based on individual factors. If there are any abnormal temperature readings, it is advisable to consult with an infectious disease specialist or ...[Read More] Is It a Viral Infection or Allergies? Understanding Your Symptoms
Can Family Medicine Doctors Prescribe GERD and MVP Medications?
Medication issues related to gastroesophageal reflux disease (GERD) and mitral valve prolapse (MVP)? Hello, I previously had gastroesophageal reflux disease and mitral valve prolapse. A while ago, my doctor prescribed me some backup medication, but it's been a long time. I p...
Dr. Liao Yaopan Reply:
Hello, it is recommended that you discuss with your family physician, as the use of medication should be prescribed based on your current symptoms, and there are relevant regulations regarding medication coverage under health insurance. Please note that online consultations are n...[Read More] Can Family Medicine Doctors Prescribe GERD and MVP Medications?
Understanding Asthma Medications: Nail Changes and Muscle Cramps Explained
Asthma medication, nails, muscle cramps? The doctor diagnosed me with asthma, and I usually use Duasmas HFA 200 twice in the morning and evening, along with allergy medication and Hexoline. However, I've noticed that over the past few months, two of my fingernails have devel...
Dr. Liao Yaopan Reply:
Hello, regarding these questions: 1. It is advisable to have a dermatologist evaluate the condition of your finger skin in person. 2. "After using asthma medication, is it common to experience cramps and excessive salivation?" - Clinically, we do not encounter many pa...[Read More] Understanding Asthma Medications: Nail Changes and Muscle Cramps Explained
Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective
A cold can lead to difficulty breathing? Hello Doctor: Around early August, I experienced cold symptoms and visited three ENT clinics. At the third clinic, after taking medication, I experienced difficulty breathing and felt short of breath, but I didn't have these symptoms ...
Dr. Liao Jiasheng Reply:
Due to experiencing shortness of breath while walking, elevated blood pressure, and a rapid heartbeat, it is recommended to schedule an appointment with a cardiologist for further evaluation.[Read More] Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective
Understanding Blood Test Abnormalities: When to See a Doctor
Blood disorders Hello, I have been taking the following two medications for acne treatment for about seven months: 1. Doxycycline 100mg 2. Aldactone 25mg. After stopping the medication for 2-3 weeks, I recently had a blood test during a company health check, and the results showe...
Dr. Liao Yaopan Reply:
Hello, you can consult a hematologist for further evaluation regarding blood cell tests. Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Understanding Blood Test Abnormalities: When to See a Doctor
Understanding Non-Specific Dizziness: Causes and Management Strategies
Nonspecific dizziness Hello, doctor. One morning in February of last year, I woke up feeling dizzy (I weighed 116 kg at the time). Initially, it felt like an earthquake, and I didn't think much of it. However, by the end of March last year, my doctor prescribed me medication...
Dr. Ye Qianyu Reply:
Hello! In clinical practice, the various conditions you mentioned can indeed lead to dizziness. I recommend keeping a diary to thoroughly assess the events before and after the episodes of dizziness, as this will help identify the key factors contributing to your symptoms and all...[Read More] Understanding Non-Specific Dizziness: Causes and Management Strategies
Understanding Ketosis: Causes of Unusual Body Odor and Management Tips
It should not be a diabetic patient; urine ketones were 2+ while blood glucose was normal. After 5 days, urine ketones increased to 3+? I recently underwent a medical examination due to issues with body odor and discovered that my urine ketone levels were abnormal. I would like t...
Dr. Chen Taicheng Reply:
Ketones are products of the body's breakdown of fat for fuel, which can occur in conditions such as type 1 diabetes, prolonged fasting, fever, infections, chronic diarrhea, and vomiting. Unless there is severe ketoacidosis, there may be a distinctive fruity odor. Given your ...[Read More] Understanding Ketosis: Causes of Unusual Body Odor and Management Tips
Understanding Vasovagal Syncope: Causes and Recovery Tips
Fainting without any apparent reason? Yesterday morning, from 9:00 to 10:00, I was practicing riding a motorcycle outside. After that, a kind person came to teach me some exam techniques for about 10 minutes. I started to feel my vision narrowing and turning black, and then I fai...
Dr. Chen Taicheng Reply:
It is indeed possible that the cause of vasovagal syncope is prolonged standing, leading to blood pooling in the lower extremities and resulting in lower blood pressure, which can cause fainting. The causes of syncope are numerous, and the first step is to rule out cardiac-relate...[Read More] Understanding Vasovagal Syncope: Causes and Recovery Tips
Should I Continue Visiting an ENT for My Child's Persistent Phlegm?
Do you see an otolaryngologist? For more than a month, I have been taking my 14-year-old child to see an ENT specialist. There has been no cough, but there is persistent white phlegm that is difficult to expel. After several visits and trying different medications without improve...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is important to consider whether there is asthma or atypical pneumonia. I recommend taking your child to a pediatric specialist. If there is a nearby clinic that specializes in asthma or pediatric immunology and rheumatology, that would be eve...[Read More] Should I Continue Visiting an ENT for My Child's Persistent Phlegm?
Understanding Abdominal Pain: When to See a Family Medicine Specialist
Abdominal issues? Hello, doctor. In the past year, I've been preparing for exams and have noticed some health issues, but I'm unsure which specialist to see. I've been experiencing intermittent pain near the lower right groin area, which is not constant but occurs ...
Dr. Chen Taicheng Reply:
● All your considerations are possible, but the focus should remain on musculoskeletal issues, and medication can be used to assist. However, women should also consider problems related to the urinary and reproductive systems, such as cystitis, stones, pelvic diseases, or conditi...[Read More] Understanding Abdominal Pain: When to See a Family Medicine Specialist
Understanding Intercostal Muscle Pain: When to Seek Medical Help
Muscle pain I have pain in my rib area, and after examination, it seems to be an intercostal muscle injury. I visited a pulmonologist who only prescribed pain medication, but my condition has not improved and is still very painful (I had an X-ray that showed no fractures). Coughi...
Dr. Wu Huixiong Reply:
Please consult a neurologist or a rehabilitation specialist.[Read More] Understanding Intercostal Muscle Pain: When to Seek Medical Help
Nighttime Coughing and Breathing Difficulties: When to Seek Medical Help
Waking up at night with excessive phlegm and recently experiencing difficulty breathing during the night? Hello, doctor. Since July 17, I have been experiencing a condition where I wake up in the middle of the night coughing. The phlegm is thick and yellow. I visited a nearby cli...
Dr. Liao Jiasheng Reply:
Your symptoms are fluctuating, and you have persistent phlegm along with new onset of shortness of breath. It is advisable to see a pulmonologist for further evaluation as soon as possible.[Read More] Nighttime Coughing and Breathing Difficulties: When to Seek Medical Help
Understanding Diabetes Medication: Is My Dosage Too Low?
Diabetes medication issues? Hello, Doctor. About a year ago, I was diagnosed with diabetes (pre-meal blood sugar 143, HbA1c 8.3). The doctor prescribed medication and advised me to lose weight (one Kuroda tablet in the morning and evening, and one Forxiga in the morning). After w...
Dr. Chen Taicheng Reply:
● It is indeed not significant; with your diet, exercise, weight loss, and medication assistance, your blood sugar is well controlled. ● However, with a hemoglobin A1c of 4.8, you should be cautious of the risk of hypoglycemia, although the risk is lower with Kuroda and Forxiga. ...[Read More] Understanding Diabetes Medication: Is My Dosage Too Low?
Understanding Oral Issues: Causes and Solutions for Bad Breath and Tongue Pain
Oral issues Hello, doctor. I would like to ask why I have been experiencing an unusual taste in my mouth for the past week (sometimes it feels sour, but it doesn't seem to be). My tongue occasionally feels prickly. How can I improve this condition?
Dr. Chen Taicheng Reply:
● If you have recently taken medication, such as antibiotics, it may sometimes cause changes in taste, which will gradually improve after discontinuation. ● Oral malodor should also consider the possibility of sinusitis, gastroesophageal reflux, excessive salivation, or oral hygi...[Read More] Understanding Oral Issues: Causes and Solutions for Bad Breath and Tongue Pain