Medication, Family Medicine FAQ - Page 33

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Unexplained Nausea Without Other Symptoms: Possible Causes and Solutions

Recently, I have been feeling nauseous but do not have any other uncomfortable symptoms? I have been experiencing nausea for about two weeks now, but there are no other uncomfortable symptoms accompanying it. The feeling of wanting to vomit occurs intermittently; sometimes it’s j...


Dr. Chen Taicheng Reply:
● There are many causes of nausea. Considering your age, gastrointestinal issues such as gastroesophageal reflux disease (GERD), dyspepsia, and peptic ulcers should be the primary focus. A smaller portion may be caused by medications, irritable bowel syndrome, cholecystitis, or p...

[Read More] Unexplained Nausea Without Other Symptoms: Possible Causes and Solutions


Chronic Fatigue, Excessive Thirst, and Hair Loss: Which Specialist to See?

Chronic fatigue... excessive thirst... significant hair loss? Hello, I have been experiencing chronic fatigue, excessive thirst (no matter how much water I drink, I still feel thirsty), and significant hair loss. The hair loss is severe enough that after washing my hair, the amou...


Dr. Chen Taicheng Reply:
● Fatigue is a non-specific complaint, and many internal medical conditions or psychological stressors can be associated with it. ● Common causes of thirst include diabetes mellitus, diabetes insipidus, hyperaldosteronism, and side effects from certain medications (such as diuret...

[Read More] Chronic Fatigue, Excessive Thirst, and Hair Loss: Which Specialist to See?


Understanding Abnormal Vaginal Bleeding: Causes and When to Seek Help

Vaginal bleeding Hello, doctor. My menstrual period started on November 5 and lasted for about 7 days. On May 21, after having intercourse with my boyfriend (using a condom), I experienced vaginal pain, swelling, and a small amount of bleeding. Later, I noticed that my vaginal di...


Dr. Chen Taicheng Reply:
● The medication you previously used can treat vaginal candidiasis. In principle, expired medications are not recommended for use. ● This medication generally does not cause early menstruation; there are many causes of abnormal bleeding, such as cervical erosion, luteal phase ble...

[Read More] Understanding Abnormal Vaginal Bleeding: Causes and When to Seek Help


Understanding Unusual Skin Pain: Causes and Concerns

Unusual skin prickling sensation? I had a fever last night that reached 39.5°C. I saw a doctor yesterday, received an injection, and was prescribed medication. However, I'm not sure if it's an allergic reaction or something else, as I have developed small, bump-like les...


Dr. Chen Taicheng Reply:
● It is necessary to personally receive diagnosis and treatment to distinguish whether the rash is caused by an illness or medication. Please visit a family medicine or dermatology department for further evaluation. ● Sexually transmitted infections can be identified through appe...

[Read More] Understanding Unusual Skin Pain: Causes and Concerns


Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia

Abnormal blood test results? Hello, I experienced quite severe insomnia two years ago, but my sleep quality has improved significantly over the past six months, allowing me to fall asleep in about 20 minutes. However, I still feel very fatigued and weak; even after sleeping 8-9 h...


Dr. Chen Bozhang Reply:
Dear Ms. CY, I understand from your letter that you have been experiencing persistent fatigue. Your health check report indicates mild anemia and a slightly elevated eosinophil count. Here’s an explanation: 1) The ideal hemoglobin (Hb) level for women is above 12.0 g/dL. You ha...

[Read More] Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia


Understanding Body Temperature Sensation and Taste Changes After Exercise

The body has little sensation to temperature changes, and there is also a diminished sense of taste? Hello, the day before yesterday after exercising, when I started work the next day, I sweated a lot but didn't feel hot at all. The areas of my body that were sweating felt c...


Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is recommended to have a physician conduct a personal examination. Please note that online consultations are not equivalent to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations. Changhua Hospital cares ab...

[Read More] Understanding Body Temperature Sensation and Taste Changes After Exercise


Understanding Persistent Health Issues: A Guide to Family Medicine Concerns

Frequent health issues? Since March, I have been feeling unwell and have seen eight doctors so far. It all started one afternoon when I suddenly experienced pain in my lower right abdomen near the groin, so severe that I couldn't stand up straight, along with gastrointestina...


Dr. Chen Taicheng Reply:
● The diagnostic criteria for diabetes include four standards: (1) Fasting blood glucose ≥ 126 mg/dL, (2) Two-hour blood glucose ≥ 200 mg/dL after a 75 g oral glucose tolerance test, (3) Random blood glucose ≥ 200 mg/dL with symptoms of hyperglycemia, (4) Hemoglobin A1c ≥ 6.5%. ...

[Read More] Understanding Persistent Health Issues: A Guide to Family Medicine Concerns


Understanding Prediabetes: Do You Need Medication or Dietary Changes?

Is it prediabetes, and is there a need for medication management? Hello Doctor: I had a routine check-up last June, where my fasting blood glucose was 88, but my hemoglobin A1c spiked to 9.4. The doctor advised that the testing lab should recheck the results. Later, I was asked t...


Dr. Chen Taicheng Reply:
●Conclusion first: Not necessarily, but there is a high chance of not having diabetes, and medication is not required. ●The diagnostic criteria for diabetes include four criteria: (1) Fasting blood glucose ≥ 126 mg/dL (2) Two-hour blood glucose ≥ 200 mg/dL after a 75 g oral gluco...

[Read More] Understanding Prediabetes: Do You Need Medication or Dietary Changes?


Is Going to Bed Early Beneficial for Sleep Quality?

Sleep duration Hello doctor, I have difficulty falling asleep at night and my mind tends to wander. Even though I go to bed earlier, I still feel like I haven't slept and before I know it, it's dawn. I would like to ask if going to bed earlier (originally at midnight, n...


Dr. Chen Taicheng Reply:
Chronic insomnia has many causes, such as internal medical conditions (cardiopulmonary issues, gastrointestinal problems, pain), medications (such as asthma medications, antihistamines), alcohol consumption, mental health issues (like depression and anxiety), sleep apnea, restles...

[Read More] Is Going to Bed Early Beneficial for Sleep Quality?


Managing Hyperthyroidism: Key Questions and Answers for Patients

Hyperthyroidism issues? Hello, doctor! I have some questions: 1. A family member has been on medication for hyperthyroidism for three months. T4 levels are now normal, but TSH remains low at 0.03. If they experience a fever or sore throat, should they temporarily stop the medic...


Dr. Chen Taicheng Reply:
● First, "Antithyroid medications suppress Free T4 levels quickly, but TSH may remain low for some time (even for several months)." Therefore, if TSH has not normalized, you can consult your physician to adjust the medication. Generally, after three months of treatment,...

[Read More] Managing Hyperthyroidism: Key Questions and Answers for Patients


Unexplained Weight Loss Despite Normal Diet: Seeking Medical Guidance

Normal diet, but the body is becoming increasingly emaciated? Hello Dr. Chen, I am inquiring on behalf of my mother-in-law. Since after the Lunar New Year this year, she has been losing weight continuously. She originally weighed 48-49 kg, but now she is down to 43 kg. She eats a...


Dr. Chen Taicheng Reply:
The causes of involuntary weight loss in the elderly are numerous. For instance, 1. Side effects of medications. 2. Emotional issues, such as depression. 3. Poor appetite, which can occur with normal aging, such as diminished taste, delayed gastric emptying, and gastrointestinal ...

[Read More] Unexplained Weight Loss Despite Normal Diet: Seeking Medical Guidance


Which Specialist to Consult for Suspected Chronic Fatigue Syndrome?

If you suspect you have symptoms of "Chronic Fatigue Syndrome," which specialist should you consult? Hello Doctor: My symptoms are as follows: I experience intermittent fatigue, lethargy, and weakness several times a day, along with occasional brief episodes of dizzines...


Dr. Chen Taicheng Reply:
Chronic Fatigue Syndrome is a diagnosis of exclusion; however, your own hyperlipidemia and long-term nasal congestion, post-nasal drip, allergic rhinitis, and gastroesophageal reflux could contribute to symptoms of chronic fatigue. Additionally, if there is a possibility of sleep...

[Read More] Which Specialist to Consult for Suspected Chronic Fatigue Syndrome?


Understanding Chest Pain: Esophageal Issues and Endoscopy Insights

Chest pain, esophageal issues, endoscopy? Hello, Doctor. I accidentally swallowed a fish bone on the evening of April 26. I visited the ENT department on the afternoon of April 27, where the doctor noted only throat inflammation and could not see the fish bone. He advised that if...


Dr. Chen Taicheng Reply:
● It has been approximately 2 weeks. If there were a severe esophageal or gastrointestinal perforation, the symptoms would be quite serious; currently, there are no such signs, so you can be somewhat reassured. Generally, if a fishbone is present in the digestive tract, it should...

[Read More] Understanding Chest Pain: Esophageal Issues and Endoscopy Insights


Managing Anxiety and Health Concerns After Epididymitis: A Guide

Some questions? Hello, doctor. I tend to be a very pessimistic thinker, and recently I developed epididymitis. I have seen a doctor and have been on antibiotics for three weeks. My symptoms have improved significantly, but whenever I feel slightly uncomfortable, such as pain in t...


Dr. Chen Taicheng Reply:
● Physical discomfort and mental health can influence each other, and sometimes it is difficult to tell oneself not to think that way. There are many relaxation and stress relief methods available in bookstores or online that you can try. Additionally, talking with friends and fa...

[Read More] Managing Anxiety and Health Concerns After Epididymitis: A Guide


Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights

Suspected Antiphospholipid Syndrome Hello, doctor. At the beginning of January this year, I suddenly experienced sharp chest pain, followed by numbness in my limbs. After that, I had many symptoms, such as sudden body jerks that would wake me up when I was about to fall asleep, i...


Dr. Chen Taicheng Reply:
● Antiphospholipid syndrome is typically diagnosed due to venous and arterial thrombosis or recurrent miscarriages in women of childbearing age. It is an autoimmune disease characterized by the presence of "antiphospholipid antibodies" in the blood, which cause blood to...

[Read More] Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights


Understanding Low Blood Pressure in Hypertensive Patients: Causes and Solutions

Patients with hypertension experiencing persistently low blood pressure? About ten years ago, my father was diagnosed with metabolic syndrome, and since then, he has been regularly having blood tests and follow-up appointments. His blood pressure has generally been well-controlle...


Dr. Chen Taicheng Reply:
● Low blood pressure may be caused by the strong effects of antihypertensive medications, and it is recommended to adjust the medication. Other potential causes include dehydration (such as from diuretics for hypertension), low blood volume (possibly due to chronic blood loss), a...

[Read More] Understanding Low Blood Pressure in Hypertensive Patients: Causes and Solutions


Should You See a Doctor for Lingering Taste Bud Issues After Antibiotics?

Oral issues Hello doctor, my friend had inflammation and took antibiotics, and it's been almost a month since they stopped the medication. Recently, they are still experiencing abnormal taste sensations (the flavors seem diminished). Should they see a doctor?


Dr. Chen Taicheng Reply:
● In principle, it will gradually improve. If you still experience taste abnormalities after one or two weeks, please visit the otolaryngology department at a medical center for further evaluation. Generally, smaller hospitals may not be able to conduct detailed taste assessments...

[Read More] Should You See a Doctor for Lingering Taste Bud Issues After Antibiotics?


Understanding Throat Pain: Causes and Remedies for Inflammation

Oral pain? The area in the throat connected to the nose has a hard part in the front and a soft part in the back (the hard part is behind the upper row of teeth in the mouth, and the back part is soft). I've been experiencing extreme pain in the soft area for the past few da...


Dr. Chen Taicheng Reply:
The affected area is located at the soft palate, which is likely due to a recent infection and inflammation. Generally, it should improve gradually within a few days. However, for acute pain issues, it is recommended to seek further evaluation and treatment from an otolaryngologi...

[Read More] Understanding Throat Pain: Causes and Remedies for Inflammation


Understanding Abdominal Pain: A Comprehensive Guide for Women

Abdominal pain issues? Doctor, my friend is 37 years old and has been experiencing abdominal pain after her menstrual period for the past few months. Sometimes, the pain also occurs before her period. Her menstrual flow is normal, but at times the pain is severe enough to affect ...


Dr. Chen Taicheng Reply:
● It is important to first determine whether abdominal pain is related to menstruation. Discomfort experienced before menstruation is referred to as premenstrual syndrome (PMS), with common symptoms including breast tenderness, abdominal bloating, diarrhea, mood swings, sleep dis...

[Read More] Understanding Abdominal Pain: A Comprehensive Guide for Women


Understanding Intermittent Chest Pain: When to Seek Medical Help

Chest pain? I have been experiencing sharp pain in the upper right chest area near the ribs for over a month. However, it doesn't hurt every day; it only occurs occasionally in a specific location. Pressing on the area with my fingers also causes some sharp pain. Additionall...


Dr. Chen Taicheng Reply:
● If there is a fixed pain point, it is likely musculoskeletal in nature, possibly due to cartilage or fascia inflammation. It is advisable to visit a pulmonologist or a family medicine physician for an X-ray to rule out any fractures or pulmonary issues. ● Other potential causes...

[Read More] Understanding Intermittent Chest Pain: When to Seek Medical Help


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