Medication, Family Medicine FAQ - Page 34

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Understanding Oral Warts: Symptoms, Diagnosis, and Treatment Options

Oral cauliflower (also known as oral warts or oral papillomas) I am 16 years old and have developed some strange pink bumps under my tongue, about 10 in total, some are separate and some are connected. I am concerned because I performed oral sex on a stranger three weeks ago, so ...


Dr. Chen Taicheng Reply:
● If you suspect warts, you may want to consult an otolaryngologist. If the diagnosis remains uncertain, you can also visit a dermatologist for further evaluation. ● Treatment options for warts include cryotherapy, electrosurgery, laser therapy, topical wart removal medications, ...

[Read More] Understanding Oral Warts: Symptoms, Diagnosis, and Treatment Options


Understanding Your Child's Unusual Symptoms: Taste, Hunger, and Weight Changes

Physical discomfort? Hello doctor, my daughter has been experiencing a strange taste in her mouth, and I'm not sure if it's due to dryness or some other issue. She feels hungry in the morning after waking up and also feels hungry four hours after lunch (which wasn'...


Dr. Chen Taicheng Reply:
Hello, the issues mentioned above are similar to those in these three articles: https://goo.gl/wb3Ssj, https://goo.gl/Mr0a2n, https://goo.gl/9mwJ3C. Regarding the content: "Sometimes feeling hungry may be related to gastrointestinal discomfort, including gastritis or pepti...

[Read More] Understanding Your Child's Unusual Symptoms: Taste, Hunger, and Weight Changes


Understanding Weight Loss: Anxiety and Other Possible Causes

Weight loss Hello~ I have noticed a weight loss of 4 kilograms over the past two months. Last month, I underwent an endoscopy due to stomach discomfort, which revealed mild gastroesophageal reflux disease (GERD). At that time, I had lost one or two kilograms, but after taking med...


Dr. Chen Taicheng Reply:
The most common causes of weight loss are gastrointestinal issues, including gastritis, peptic ulcers, dyspepsia, and malabsorption due to insufficient secretion of digestive enzymes from the pancreas. Following that, endocrine problems (such as hyperthyroidism, which you have ru...

[Read More] Understanding Weight Loss: Anxiety and Other Possible Causes


Understanding Sudden Nausea and Vomiting: Causes and Solutions

Sudden onset of nausea and the urge to vomit? At first, I would feel the urge to vomit after brushing my teeth at night (but not in the morning). After a week, I sometimes suddenly feel nauseous; if I vomit, I feel fine, but if I don't, I feel uncomfortable. Most of the time...


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, or conditions like irritable bowel syndrome (...

[Read More] Understanding Sudden Nausea and Vomiting: Causes and Solutions


Can Viagra and Sleep Meds Be Safely Used Together?

Drug interactions with Viagra (sildenafil)? I previously went to the hospital for insomnia and was prescribed sleeping pills. If I engage in sexual activity with my girlfriend before bed (but I need to take Viagra), and then take the sleeping pills afterward to help me sleep, wil...


Dr. Chen Taicheng Reply:
● Viagra and common sleeping medications such as (1) benzodiazepines: Clonazepam (Rivotril), Brotizolam (Lendormin), Fludiazepam (Erispan), Alprazolam (Xanax), Estazolam (Eurodin), Lorazepam (Ativan), Diazepam (Valium) and (2) non-benzodiazepine medications like Zolpidem (Stilnox...

[Read More] Can Viagra and Sleep Meds Be Safely Used Together?


Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend

Fatigue and early sleep? Doctor, may I ask why my girlfriend has suddenly become fatigued? Her work and class schedule have been normal, and previously, she would stay up until 1 or 2 AM regardless of her menstrual cycle, and she was always energetic during the day. However, ever...


Dr. Wu Fangcan Reply:
According to your statement: Does your girlfriend have any signs of anemia? Is she taking any medication? Please have your girlfriend consult a family medicine physician nearby and arrange for an examination. Thank you.

[Read More] Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend


Morning Back Pain: When to Seek Medical Attention?

Lower back pain Hello: Recently, I have been experiencing lower back pain almost every morning upon waking up, which lasts for about 30 minutes to 1 hour before easing or disappearing. However, there have been a few instances where the pain was severe enough to wake me up, making...


Dr. Chen Taicheng Reply:
● Most cases of lower back pain are due to musculoskeletal issues; however, if the pain wakes you up at night or improves after getting up and moving, it may resemble morning stiffness. Conditions such as ankylosing spondylitis or rheumatoid arthritis should be prioritized for ex...

[Read More] Morning Back Pain: When to Seek Medical Attention?


Understanding Persistent Fever in Infants: Home Care Tips for Remote Areas

Due to the child's illness, they have been experiencing a persistent fever for three days. It is inconvenient to seek medical care in a remote area, so I am reaching out to the physician for assistance? The child is approximately 11 months old and has had a previously normal...


Dr. Chen Taicheng Reply:
Hello, when a child is sick, it is most important to monitor their activity level and appetite. If their appetite is poor, there is a concern for potential nutritional deficiency and dehydration. If a rash appears after a fever has subsided, it may be roseola or another viral ras...

[Read More] Understanding Persistent Fever in Infants: Home Care Tips for Remote Areas


Understanding Unexplained Abdominal Pain: Causes and Next Steps

Intermittent referred pain in the abdomen? Hello Doctor, my boyfriend (28 years old) has been experiencing intermittent radiating abdominal pain (similar to an electric shock) since March of last year. The pain does not occur when pressure is applied, and it has persisted for ove...


Dr. Wu Fangcan Reply:
Based on your statement, it is recommended to consult a neurologist or neurosurgeon for an examination. Thank you.

[Read More] Understanding Unexplained Abdominal Pain: Causes and Next Steps


Overcoming Dental Anxiety: Finding Solutions for Pain-Phobic Patients

Fear of pain prevents me from doing many things and makes me very anxious? Hello, doctor. I am unsure which specialties to consult, so I am asking here first. I am a severe malocclusion patient, but I have been extremely afraid of pain since childhood, so I have firmly rejected a...


Dr. Chen Taicheng Reply:
Hello. I understand your situation. I have encountered many patients who have undergone surgeries, experienced fractures, childbirth, orthognathic surgery, and chemotherapy for cancer. Pain is inevitable, but each person has a different tolerance for pain and requires different m...

[Read More] Overcoming Dental Anxiety: Finding Solutions for Pain-Phobic Patients


Can Poor Peripheral Circulation in Legs Be Treated Effectively?

Poor peripheral circulation in the lower extremities... Can it be treated? Hello Doctor, my father has a history of diabetes for thirty years. Recently, after soaking in a hot spring, he suddenly experienced pain in his lower limbs and discovered large wounds on both calves (vary...


Dr. Huang Xunying Reply:
In the case of diabetes, if there is poor circulation in the lower extremities, we would recommend seeing a vascular surgeon to diagnose any vascular issues. Meanwhile, the management of diabetes should remain under the care of a family medicine physician, as stable blood glucose...

[Read More] Can Poor Peripheral Circulation in Legs Be Treated Effectively?


Understanding Left Chest and Upper Back Pain: Causes and When to See a Doctor

Pain in the left anterior chest and upper back? In recent days, I have experienced pain when pressing below the underwire of my left bra, along with pain in the upper left back. There are no lumps or swelling. What could be the cause? Which department should I visit for medical c...


Dr. Chen Taicheng Reply:
● Considering your age, the likelihood of cardiovascular diseases or severe pulmonary conditions is low. The pain in your left chest and upper back is more likely to be musculoskeletal or gastrointestinal in nature. ● Excerpting from my previous article, which addresses issues si...

[Read More] Understanding Left Chest and Upper Back Pain: Causes and When to See a Doctor


Understanding Throat Discomfort and Neck Tension: A Patient's Journey

Sensation of a foreign body in the throat with tightness in the back of the neck? Hello Doctor: I tend to be overly anxious and have a history of gastrointestinal bloating, constipation, headaches, and chest tightness due to spinal and cervical misalignments. Long-term use of Wes...


Dr. Chen Taicheng Reply:
● It is important to determine what you may have choked on to rule out any issues with obstruction in the esophagus or trachea; however, since you have undergone a CT scan of the throat, it should initially rule out foreign body issues in the larynx. You may want to consult an ot...

[Read More] Understanding Throat Discomfort and Neck Tension: A Patient's Journey


Understanding Urine Creatinine and Protein/Creatinine Ratio in Health Checks

Elevated urinary creatinine and urine protein/creatinine ratio in health check results? Hello Doctor, I noticed that most of the questions in the Q&A are related to creatinine levels. However, my mother’s creatinine test results are normal. Yet, the last two items showed abno...


Dr. Zhang Hongwei Reply:
If the examination shows mild proteinuria, you should consult a nephrologist for further evaluation.

[Read More] Understanding Urine Creatinine and Protein/Creatinine Ratio in Health Checks


Persistent Bloating: Understanding Gastrointestinal Issues and Solutions

Bloating for several days? I have been experiencing bloating for about five days now, which has caused me to lose my appetite and have trouble sleeping. The bloating is located in the area below my chest and above my navel. During my recent visit to the doctor, I was diagnosed wi...


Dr. Chen Taicheng Reply:
Considering your age and condition, it is likely that you are experiencing gastrointestinal issues, which may include dyspepsia, gastritis, gastroesophageal reflux disease (GERD), or peptic ulcers. Generally, gastrointestinal problems tend to improve gradually; however, if sympto...

[Read More] Persistent Bloating: Understanding Gastrointestinal Issues and Solutions


Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey

Causes of sore throat and issues related to insomnia? Hello Doctor: In February, I had a cold and felt unwell, so I went to a clinic to see a doctor and took some medication. My throat still felt a bit uncomfortable; initially, I thought it was due to a fishbone, but after examin...


Dr. Chen Taicheng Reply:
● There is a strict definition for contacts of tuberculosis: individuals who have been in contact with an index case (such as a colleague with pulmonary tuberculosis) for more than 8 hours in a single day, or a cumulative total of over 40 hours during the infectious period. If th...

[Read More] Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey


Understanding Chest Pain: When to Seek Medical Attention

Chest issues Hello, recently when I eat, I feel a bit of pain in the area just above the right chest, about two centimeters away from the esophagus. It hurts a little when I press it firmly. Swallowing saliva and deep breathing are fine. I'm not sure which specialty I should...


Dr. Chen Taicheng Reply:
If the pain occurs only when eating, esophageal issues should be considered first, such as the possibility of esophageal ulcers or lesions (especially if there is gastroesophageal reflux, or if there is a tendency to consume spicy, irritating foods, or alcohol that can damage the...

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


Concerns After Drinking Unsealed Milk: Health Risks and Next Steps

Ingesting an unknown beverage? Hello: On March 16, I bought a one-liter carton of milk from a convenience store. When I drank it on March 19, I noticed there was no plastic pull tab, and the contents were about three-quarters full. I thought a family member had already opened it,...


Dr. Chen Taicheng Reply:
Many foodborne illnesses are self-limiting, with an incubation period typically within one week, and most do not result in chronic infections or carriers. Generally, when dining with others, the risk of infectious diseases is minimal. If milk has been opened, it is important to c...

[Read More] Concerns After Drinking Unsealed Milk: Health Risks and Next Steps


Understanding Your Anemia Diagnosis: Key Insights and Next Steps

I would like to know what type of anemia I have based on my health screening results? Hello, doctor. I have been working abroad for many years, and recently, at my company's request, I underwent a health check-up. My blood tests were conducted twice, and although the doctors...


Dr. Huang Xunying Reply:
Hello: If possible, it is recommended to recheck your white blood cell count. The mention of no blasts indicates a lower concern for cancerous changes, but if you are still worried, a retest can be done. Regarding the red blood cell count, you have microcytic anemia, which is mos...

[Read More] Understanding Your Anemia Diagnosis: Key Insights and Next Steps


Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights

Elevated white blood cell count, triglycerides, total cholesterol, and fasting blood glucose levels? Hello Doctor: I recently had blood tests done on March 6, which included urine, blood, liver, and kidney function tests. The results showed elevated white blood cells (17,140), tr...


Dr. Chen Taicheng Reply:
● There are many causes for elevated white blood cell counts, including inflammation, infection, or other diseases. It is advisable to monitor for symptoms such as fever, sore throat, diarrhea, or other recent significant physical discomfort. If none are present, it is still reco...

[Read More] Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights


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