Medication, Family Medicine FAQ - Page 35

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Understanding Abdominal Discomfort and Bladder Pressure: A Guide

Discomfort in the abdominal bladder? Hello Doctor: I have been experiencing a hard and bloated feeling in my abdomen, lower abdomen, and near the bladder for over six months, which is somewhat uncomfortable. I occasionally feel a tight pain in my bladder, have a decreased urine o...


Dr. Chen Taicheng Reply:
● Bladder issues may arise due to the uterus pressing on the bladder (https://goo.gl/kkgH5c). It is important to first rule out problems such as uterine fibroids or endometriosis that could cause adhesions between the uterus, intestines, and bladder. Your previous gynecological e...

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Managing Hyperthyroidism: Key Questions on Medication and Recovery

Thyroid issues Hello, Doctor! My heart rate increased from 70-80 to around 100 due to hyperthyroidism, and my systolic blood pressure rose from 88 to about 103. After taking thyroid medication and the beta-blocker Inderal (propranolol) for two weeks, my systolic blood pressure is...


Dr. Chen Taicheng Reply:
● Entacapone can lower heart rate and partially suppress thyroid function, generally used when the heart rate exceeds 90 beats per minute; if the heart rate returns to normal and there are no other discomforts, it is acceptable to discontinue the medication directly. ● Antithyroi...

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Understanding Involuntary Twitches Near the Nose: Causes and Concerns

Twitching near the bridge of the nose? Hello, doctor: Recently, I have been experiencing involuntary twitching above my nasal bridge (not my eyelid), which feels a bit uncomfortable. Is this what is referred to as "facial nerve dysfunction"? Thank you.


Dr. Chen Taicheng Reply:
Hello, it appears to be facial nerve spasm. The facial nerve is the seventh cranial nerve, which has five branches in the face that control the movement of facial muscles. If the facial nerve is injured, infected, or compressed by blood vessels or tumors, it may lead to involunta...

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Is Debaril Similar to Tylenol? Understanding Its Uses and Benefits

Dexamethasone Hello, doctor. Previously, due to surgery, the doctor prescribed some Dextropropoxyphene (500mg). I see that its functions are for pain relief and fever reduction. Does this medication have the same ingredients as Tylenol? Since the doctor advised me to take it if I...


Dr. Chen Taicheng Reply:
● Acetaminophen, commonly known as Tylenol, is the same active ingredient found in many over-the-counter medications. ● It is acceptable to keep it as a personal supply, but be aware that medications have an expiration date. If the medication is in bulk, it is recommended to stor...

[Read More] Is Debaril Similar to Tylenol? Understanding Its Uses and Benefits


Understanding Upper Back Pain: When to Seek Medical Help

Back pain I have been experiencing pain in the left upper back for the past few months. I previously underwent testing for ankylosing spondylitis, but the doctor said it was negative. I have a long-standing history of gastroesophageal reflux disease (GERD) for which I am continuo...


Dr. Chen Taicheng Reply:
The causes of upper left back pain are numerous, with the most common being muscle, bone, and joint pain (such as from the shoulder joint, ribs, scapula, and various muscles, tendons, ligaments, and nerves, leading to strains, sprains, and arthritis). Based on your description an...

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Unsteady Walking and Balance Issues: When to Seek Medical Help

Unsteady gait and inability to maintain balance? Hello doctor, I started feeling dizzy when I got up on the 13th. I have difficulty walking steadily and feel like I could easily be pushed over at any moment. I don't feel like the surroundings are spinning; it's just tha...


Dr. Chen Taicheng Reply:
Considering your age, the sudden unsteadiness while walking, and any recent illnesses such as a cold or gastroenteritis, it may be due to post-infectious peripheral vestibular dysfunction (such as vestibular neuritis, which is an inner ear issue that typically improves over a few...

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Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective

Cold, diarrhea, numbness in hands? Hello, Doctor. I would like to ask a couple of questions. Q1: I have had a cold for almost a week, with symptoms including nasal congestion, runny nose, cough, and phlegm in my throat (both the nasal discharge and phlegm are clear). I visited ...


Dr. Chen Taicheng Reply:
● Abdominal pain may be related to a first-time cold or could be a new symptom. It is advisable to visit a large hospital's family medicine or gastroenterology department for further evaluation and treatment. Generally, cold symptoms and gastrointestinal issues will graduall...

[Read More] Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective


Understanding Mild Stomach Pain After Medication: A Patient's Concern

Mild stomach pain after taking medication? Hello, around December, I initially experienced some difficulty with bowel movements. Although I was having a bowel movement every 2 to 3 days, it required significant effort, and the stools were quite hard. After an exam in early Januar...


Dr. Liao Yaopan Reply:
Hello, regarding your question, it is advisable to return to your original physician for consultation. Reactions after medication can be discussed and evaluated. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment...

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Understanding Calf Pain: Causes and Solutions for Discomfort

Calf Pain Issues In recent months, I have been experiencing pain in the inner part of my calves, which presents in two ways: 1. The first type occurs mainly in the early morning, where there is a persistent pain in the inner calf lasting over 40 minutes. Pressing on the area does...


Dr. Chen Taicheng Reply:
Considering your age and the pain in your calf, it is more likely to be due to muscle cramps, which can occur due to temperature changes, dehydration, electrolyte imbalances, or medications (such as certain asthma medications, pain relievers, and hormonal drugs). Generally, massa...

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Understanding Dizziness and Nausea: Possible Causes and Solutions

Dizziness with mild nausea? Doctor, for the past two nights, I sometimes feel like I'm not breathing while sleeping, and I experience a bit of chest tightness. It's like a sudden feeling of emptiness below my chest that wakes me up, and I wake up easily. I also have to ...


Dr. Liao Yaopan Reply:
Hello, regarding your recent symptoms, it is still recommended that you first consult your family physician for an evaluation, and then determine if a referral to a specialist is necessary based on the situation. Please note that online consultations do not equate to in-person me...

[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions


Understanding Belly Button Issues: Symptoms and Treatment Options

Umbilical issues Hello doctor, thank you for taking the time to answer my question. About a week ago, before going to bed, I felt something in my belly button (I wasn't sure what it was and didn't look down). After I removed it, it felt a bit moist, so I asked my sister...


Dr. Chen Taicheng Reply:
Umbilical inflammation may be more painful and may not necessarily discharge a white substance. Based on your description, it could be inflammation of the skin around the umbilicus or eczema. It is recommended to consult a family medicine or dermatology specialist for further exa...

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Understanding Fatigue and Symptoms During a Cold: What to Know

Feeling weak all over with a cold? Hello doctor, my cold symptoms started appearing yesterday afternoon. Initially, I felt dizzy and nauseous, which later turned into a headache. I went to see a doctor, who prescribed medication that I have been taking. My temperature was 37.4°C,...


Dr. Wu Fangcan Reply:
Based on your description, a viral infection cannot be ruled out. If it is influenza, it typically starts with a sore throat, body aches, and fever. It is advisable to consult a family medicine or internal medicine specialist for further evaluation. Thank you.

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Concerns About Urinary Infection and Disease Transmission Risks

Infection issues I'm not a doctor, but I can provide some general information. Based on your description, it seems you are concerned about potential infections after your urine test and subsequent activities. It's important to note that HIV is primarily transmitted thro...


Dr. Chen Taicheng Reply:
● Urinary tract infections are quite common in women, with symptoms such as pain, burning, urgency, and frequency of urination. If a urine sample is accidentally contaminated, a physician can still interpret the results from the laboratory report. Skin breakdown in the perineal a...

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Understanding Tinnitus and Digestive Issues: When to Seek Help

Tinnitus, gastrointestinal discomfort, and other related issues? Hello, about a month and a half ago, I experienced headaches and was diagnosed with tension-type headaches (muscle tightness) after a consultation. The frequency and intensity of the headaches have since decreased. ...


Dr. Chen Taicheng Reply:
● There are many causes of tinnitus, and the most important step is to rule out the possibility of hearing loss or impairment, such as Meniere's disease (which often presents with vertigo, hearing loss, and tinnitus) or sudden sensorineural hearing loss (which may also be ac...

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Understanding Upper Jaw Dryness: Is It Related to Colds?

The upper jaw is very dry? Why does the upper jaw feel very thirsty, and is it related to a cold? Every time I get a cold, I feel very thirsty, and when I visit the doctor, I am often asked if I feel thirsty. Even drinking water doesn't help. Why do I feel thirsty, and how c...


Dr. Chen Taicheng Reply:
● There are small salivary glands in the upper jaw, and feeling thirsty is generally not related to a cold; thirst in the upper jaw should rule out trauma, any lesions in the upper jaw, or the use of certain anticholinergic medications (which can cause dry mouth, and some cold me...

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Understanding Severe Headaches, High Blood Pressure, and Nausea: Causes and Solutions

Frequent headaches, elevated blood pressure, and vomiting? I often experience headaches, elevated blood pressure, and vomiting. What could be the cause? My headaches are sometimes so severe that I have to go to the emergency room (my blood pressure spikes to 180-184 during these ...


Dr. Chen Taicheng Reply:
● If your outpatient blood pressure readings are consistently greater than 140/90 mmHg, or if home measurements are consistently greater than 135/85 mmHg, you may be at risk for hypertension. Blood pressure can be elevated during periods of discomfort (such as headaches) and may ...

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Understanding Headaches and Swollen Lymph Nodes: When to Seek Help

Headache with a lump-like sensation, swollen lymph nodes on the right side? Hello Dr. Chen, Last Wednesday, I was reading until around midnight, and afterwards, I felt a bit of a headache, so I went to sleep. Usually, when I have a headache, a good night's sleep helps, but ...


Dr. Chen Taicheng Reply:
Based on your description, it seems you have a history of headaches (for more information on headache issues, please refer to another article at https://goo.gl/6h7cll). This may be migraine-related (migraines are moderate to severe headaches that can last from 4 to 72 hours, ofte...

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Understanding Temperature Discrepancies Between Body Sides: When to Seek Help

There is a significant temperature difference between the right and left sides of the body? Hello, doctor. I would like to ask about the fact that the right side of my body (from the neck down to the right hand and right foot) is always colder than the left side. I noticed this d...


Dr. Chen Taicheng Reply:
● It is recommended to first confirm whether there is an objective bilateral temperature difference in the body, for example, by measuring the axillary temperature on both sides or using a non-contact infrared thermometer. If objective measurements show a difference of more than ...

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Chronic Cough and Allergic Rhinitis: Understanding the Connection

Chronic cough with allergic rhinitis? Hello doctor, my brother has been coughing since he recovered from a cold six months ago. Recently, I saw a news report about a high school student in Kaohsiung whose persistent cough was caused by allergic rhinitis, which bothered his classm...


Dr. Chen Taicheng Reply:
Chronic cough has many causes. The most common causes include post-nasal drip, gastroesophageal reflux disease (GERD), asthma, or certain medications (such as antihypertensives). Smoking can also lead to bronchial inflammation, resulting in chronic cough. Allergic rhinitis, havin...

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Understanding Pain and Pus in Your Ring Finger: Causes and Solutions

Finger problems The ring finger has been experiencing unexplained throbbing pain for the past few days, and after being punctured, a small amount of pus was discharged. What could be the cause of this?


Dr. Chen Taicheng Reply:
If the issue is near the nails, it sounds like acute paronychia. Acute paronychia is typically accompanied by redness, swelling, heat, pain, and sometimes the formation of pus-filled blisters. It is usually caused by minor trauma, excessive hand washing, nail biting or sucking, a...

[Read More] Understanding Pain and Pus in Your Ring Finger: Causes and Solutions


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