Understanding Persistent Throat Clearing and Coughing in Active Individuals
Easily hungry and prone to coughing when fasting? Hello Doctor, my husband (non-smoker, non-drinker, loves to exercise) has been clearing his throat frequently for about three years. He underwent surgery for inferior turbinate reduction to alleviate nasal congestion, but the thro...
Dr. Chen Taicheng Reply:
● There are many reasons for throat clearing, which may be due to a sensation of something stuck in the throat. The most common causes include post-nasal drip, gastroesophageal reflux disease (GERD), asthma, or certain medications (such as antihypertensives). It is also important...[Read More] Understanding Persistent Throat Clearing and Coughing in Active Individuals
Severe Right-Sided Pain: When to Seek Medical Help?
Right-sided pain? Hello, doctor. I have been experiencing severe pain on the right side of my body for the past two days. The pain is located in the following areas: near the spine in the lower back, below the rib cage, above the hip, in the front of the thigh, and on the outer s...
Dr. Liao Yaopan Reply:
Hello, based on your medical history, it is advisable to return to your rheumatologist for further evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you...[Read More] Severe Right-Sided Pain: When to Seek Medical Help?
Can Tetanus Vaccine Interact with Medications Like Cymbalta and Seroquel?
Will the tetanus vaccine and medications interact? Hello, doctor. I received a tetanus vaccine today, and I am currently taking Cymbalta and Seroquel. I would like to know if I should avoid taking these medications for the next few days after the injection.
Dr. Liao Yaopan Reply:
Based on experience, there should not be any significant interactions; however, if there are concerns, it is advisable to discuss them with the prescribing physician. Please note that online consultations do not equate to in-person visits and cannot provide diagnoses or treatment...[Read More] Can Tetanus Vaccine Interact with Medications Like Cymbalta and Seroquel?
Effective Medications for Lymphadenitis: What You Need to Know
Medications for lymphadenitis? Hello, doctor. I have developed a painful lump about 1 cm in size under my right neck along with a sore throat. After seeking medical attention, the doctor diagnosed it as lymphadenitis and initially prescribed anti-inflammatory medication and antib...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is recommended that you communicate and discuss them with your treating physician. Online consultations cannot replace an in-person visit. A physician's prescriptions are based on personal evaluations after a thorough diagnosis. Changhua Ho...[Read More] Effective Medications for Lymphadenitis: What You Need to Know
Understanding HIV Symptoms: Concerns for Young Adults
Symptoms of HIV/AIDS Hello doctor, I am 18 years old, a virgin, and have never undergone intravenous injection or shared needles. My mother also does not have HIV. Recently, I received information about HIV and it reminded me of a similar flu-like illness I experienced last winte...
Dr. Gao Qingyun Reply:
Hello: HIV is generally transmitted through sexual contact, blood, bodily fluids, and shared needles. If you have not engaged in these activities, there is no need to be overly concerned about contracting HIV. If you have any doubts or experience other physical discomfort, you ma...[Read More] Understanding HIV Symptoms: Concerns for Young Adults
Essential Health Checks for Weight Loss and Medication Management
What tests should be performed? Hello, doctor. I am 165 cm tall and weigh 129 kg (I was nearly 150 kg before and have lost weight for about 2 months). I am taking antihypertensive and antidiabetic medications: Shumai Kang enteric-coated tablets 5/20 mg (1 tablet), Tenormin 100 mg...
Dr. Gao Qingyun Reply:
Hello: The next step should involve a detailed physical examination and medical history inquiry to assess the current condition and subsequent management recommendations. It is advised that you visit a cardiology or family medicine outpatient clinic for an in-person evaluation by...[Read More] Essential Health Checks for Weight Loss and Medication Management
Persistent Gastrointestinal Discomfort and Fever: When to Seek Medical Help?
Gastrointestinal discomfort accompanied by recurrent fever lasting for 10 days? I have the following symptoms: On November 19th, around 4 or 5 PM, I ate bacon bread that had been heated in the morning and half a sesame bread from the fridge, followed by udon soup for dinner. I st...
Dr. Liao Yaopan Reply:
Hello, if you have a persistent fever that has not improved, it is strongly recommended to consult an infectious disease specialist to determine the cause. Generally, if it is merely a gastrointestinal viral infection, the duration should not be prolonged, and most cases are self...[Read More] Persistent Gastrointestinal Discomfort and Fever: When to Seek Medical Help?
Feeling Uneasy After Eating Pomelo and Grapefruit: A Medical Inquiry
After consuming pomelo and grapefruit, I felt a sensation of tilting to one side? Hello Dr. Yeh, This evening, a 41-year-old male friend of mine consumed almost an entire pomelo and then ate a whole grapefruit, both of which were quite large, between 9 PM and 11 PM. Shortly aft...
Dr. Ye Qianyu Reply:
Hello! Both pomelos and grapefruits contain high levels of furanocoumarins, which inhibit the enzyme CYP3A4 that the body uses to metabolize certain medications. When this enzyme is unable to function, the rate at which the body breaks down drugs slows down, leading to an extende...[Read More] Feeling Uneasy After Eating Pomelo and Grapefruit: A Medical Inquiry
Understanding Abnormal White Blood Cell Counts: What You Need to Know
Abnormal white blood cell count? Hello Dr. Liao: Recently, after a health check-up, I found that two values in the report were abnormal: Neutrophil percentage (Neu%) 28.5 (normal range: 40-75%) and Lymphocyte percentage (Lym%) 59.9 (normal range: 20-50%). I did not have any cold ...
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, the white blood cell count and differential should be interpreted together. The classification of each type of white blood cell is presented as a percentage, totaling 100%. Therefore, if you have any concerns, it is advisable to consult your family ...[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know
Understanding Tonsillitis: Symptoms, Causes, and When to Seek Help
Tonsillitis with fever? Hello Doctor: Last week, I noticed that I might have tonsillitis, as I could see swelling on both sides of my neck from the front. I initially thought it was just a mild cold and didn't pay much attention to it, but today I started experiencing phlegm...
Dr. Wu Fangcan Reply:
A physician must personally examine a patient before administering treatment, prescribing medication, or providing a diagnosis. In cases of tonsillitis, one may observe swelling upon opening the mouth, and sometimes the submandibular lymph nodes may be palpable bilaterally, accom...[Read More] Understanding Tonsillitis: Symptoms, Causes, and When to Seek Help
Post-Surgery Complications in Diabetic Patients: Slow Healing and Persistent Fever
Poor wound healing after surgery in diabetic patients, persistent fever, and the use of antibiotics? Hello, my mother has diabetes and recently underwent her fourth spinal surgery. The wound is healing very slowly; it has been one and a half months post-surgery and is still not h...
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is recommended to consult an infectious disease specialist to help assess the cause of the fever. Due to the complexity of the condition, it is advisable to seek further medical examination and treatment. Changhua Hospital cares about you.[Read More] Post-Surgery Complications in Diabetic Patients: Slow Healing and Persistent Fever
Understanding Swollen Lymph Nodes: Causes and Concerns After Surgery
Lymphadenopathy Hello doctor, a couple of days ago, I developed a painful lump in my right armpit, but after two days, the pain subsided and the lump disappeared. However, today I noticed another lump in a different location in the same armpit, which is also painful. I recently h...
Dr. Gao Qingyun Reply:
Hello: Based on your statement, we need to gather more relevant information through a consultation in order to accurately assess your issue. Please proceed to the Family Medicine outpatient clinic for an examination and treatment by a specialist. Thank you. Wishing you peace and ...[Read More] Understanding Swollen Lymph Nodes: Causes and Concerns After Surgery
Understanding Iron Deficiency Anemia and Splenomegaly: A Patient's Guide
Iron deficiency anemia and splenomegaly issues? Hello doctor, last November I was diagnosed with a hemoglobin level of 7.8. After taking iron supplements for four months, my hemoglobin increased to 12.9. However, I stopped the medication, and my recent blood test showed a hemoglo...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended to seek assistance from a hematologist and an obstetrician-gynecologist to evaluate and treat anemia. Identifying the underlying cause is essential for effective treatment. Changhua Hospital cares about you.[Read More] Understanding Iron Deficiency Anemia and Splenomegaly: A Patient's Guide
Struggling with Light Sleep and Fatigue: Understanding Your Sleep Issues
Light sleep with frequent dreaming, and waking up still feeling fatigued? Hello, doctor. Recently, I have been visiting the doctor frequently because I have been having trouble falling asleep. Even when I do fall asleep, I tend to wake up after about two hours, but I can fall bac...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it seems that your sleep situation is not ideal, and long-term issues may lead to discomfort. For medication, it is advisable to seek evaluation and adjustment from a psychiatrist. Additionally, if there are other physiological factors affecting yo...[Read More] Struggling with Light Sleep and Fatigue: Understanding Your Sleep Issues
Understanding Right Upper Abdomen Discomfort: When to Seek Medical Advice
Pressure sensation under the right rib cage in the upper right abdomen? First, I would like to mention the symptoms I have experienced in the past. I am a college freshman, 164 cm tall and weigh around 45 kg. I used to have frequent diarrhea and constipation, which started around...
Dr. Zhang Hongwei Reply:
Hello, your gastrointestinal symptoms do indeed sound quite similar to irritable bowel syndrome. If the endoscopy shows no issues, you might consider using medications for symptom relief, and also try to establish a regular routine and slow down your pace of life, which may help ...[Read More] Understanding Right Upper Abdomen Discomfort: When to Seek Medical Advice
Which Specialist Should You See for Chest Pain and Coughing?
Which department should I see? Hello, a week ago, I experienced sharp chest pain while breathing, which caused me a brief moment of anxiety about breathing—something I have never experienced before. It was just that one time, and it hasn't happened again. Over the past few d...
Dr. Gao Qingyun Reply:
Hello, first of all, we understand your discomfort and anxiety. Fortunately, based on your description, it seems that it may not be a serious or difficult-to-treat condition. However, we still recommend that you promptly visit a family medicine or pulmonology clinic for an in-per...[Read More] Which Specialist Should You See for Chest Pain and Coughing?
Persistent Cold Symptoms: Should I See an Endocrinologist or Pulmonologist?
A cold that has not resolved after a month may indicate the presence of a thyroid cyst? Hello, I would like to inquire about which specialty I should consult for a diagnosis based on my current medical history. I have a slight history of nasal allergies, and in mid-May, I often f...
Dr. Gao Qingyun Reply:
Hello: We understand your discomfort and concerns. Although we cannot directly determine the issue from your description, we still recommend that you visit the outpatient clinic of the Department of Metabolism at a medical center for evaluation by a specialist. Thank you, and we ...[Read More] Persistent Cold Symptoms: Should I See an Endocrinologist or Pulmonologist?
Which Specialist Should My 72-Year-Old Mother See for Her Symptoms?
Which department should I see? Hello, doctor. My mother is 72 years old and has been experiencing symptoms such as chest tightness, shortness of breath, palpitations, and dizziness over the past few months. These symptoms become more pronounced, especially when walking a short di...
Dr. Zhang Hongwei Reply:
Hello, if these symptoms occur after labor or exercise, they may be related to heart issues. It is advisable to return to a cardiologist for further examinations such as echocardiography or a stress electrocardiogram. However, if these symptoms occur randomly or worsen when lying...[Read More] Which Specialist Should My 72-Year-Old Mother See for Her Symptoms?
Understanding Dizziness: Insights from a Family Medicine Perspective
About Dizziness Hello Dr. Chen, I forgot to mention during my last outpatient visit whether I discussed my dizziness issue. Nearly 20 years ago, I was treated for dizziness at the Department of Health and Chang Gung Memorial Hospital, where I was diagnosed with Meniere's dis...
Dr. Chen Bozhang Reply:
Hello Mr. Zhang: The dizziness symptoms you mentioned, such as paroxysmal vertigo caused by abnormal interference with the vestibular system, are common. A history of Meniere's disease can also lead to recurrent episodes. It is recommended that during an episode, you ensure ...[Read More] Understanding Dizziness: Insights from a Family Medicine Perspective
Chest Tightness, Numbness, and Digestive Issues: Seeking Answers
Chest tightness, hand numbness, and gastrointestinal discomfort? Hello, doctor. Recently, I have been experiencing chest tightness accompanied by numbness and weakness in my arms (often the left arm), gastrointestinal discomfort (diarrhea), and a sensation of something stuck in m...
Dr. Liao Yaopan Reply:
Hello: Based on your description, it is recommended that you consult your family physician to comprehensively review the results of the tests you have already undergone, as well as to conduct a personal examination for further evaluation and recommendations. Changhua Hospital car...[Read More] Chest Tightness, Numbness, and Digestive Issues: Seeking Answers