Medication, Family Medicine FAQ - Page 37

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Risk of HIV Infection from a Small Genital Wound: Key Considerations

The probability of contracting HIV from an infected wound in the genital area? Hello Doctor: On June 25th, around 8 PM, I accidentally cut a small wound while shaving (approximately located between the penis and scrotum). At that moment, I immediately disinfected and applied medi...


Dr. Chen Bozhang Reply:
Dear Mr. Regret, In your letter, you mentioned that you have a small wound on your genital area and that a few days later, you engaged in protected sexual intercourse in Guam. It is reasonable for you to be concerned; although the wound may have started to heal, using a condom d...

[Read More] Risk of HIV Infection from a Small Genital Wound: Key Considerations


Which Specialist to See for Persistent Fatigue and Low-Grade Fever?

Which specialty should I see for these symptoms? Recently, my husband has been experiencing generalized weakness, fatigue, loss of appetite, and a slightly elevated body temperature (around 37.1-37.4°C). He feels warm and has had several episodes of diarrhea. Initially, we though...


Dr. Gao Qingyun Reply:
Hello: The symptoms you described are atypical and may involve the interplay of multisystem diseases. I recommend that you take your husband to a family medicine outpatient clinic for a thorough examination by a specialist. Wishing you safety and health. Sincerely, Dr. Gao Qingyu...

[Read More] Which Specialist to See for Persistent Fatigue and Low-Grade Fever?


Managing Stress-Related Headaches and Diarrhea: Expert Advice

Please help me with my question, thank you! Doctor, I have been experiencing a lot of work-related stress lately, and I've been having persistent headaches and diarrhea. What medication should I take?


Dr. Liao Yaopan Reply:
Hello, it is recommended to seek an evaluation from a psychiatrist. Please do not take medication on your own. Changhua Hospital cares about you.

[Read More] Managing Stress-Related Headaches and Diarrhea: Expert Advice


Which Specialist to See for Heart and Nerve Issues in Seniors?

I am not sure which specialty to see? The mother is 65 years old and has a history of heart problems. She previously took heart medication but has stopped. She injured her back from lifting heavy objects in the past. Recently, she has reported a sensation in her calves that feels...


Dr. Liao Yaopan Reply:
Hello, based on the description, it is not possible to rule out whether it is a peripheral nerve or circulatory issue. You may want to consult a neurologist for evaluation at Changhua Hospital. We care about you.

[Read More] Which Specialist to See for Heart and Nerve Issues in Seniors?


Addressing Chest Discomfort: Insights from a Family Medicine Perspective

Once again, I apologize for troubling Dr. Chen? Hello Dr. Chen, I visited your clinic on the afternoon of the 16th of this month, and I appreciate your detailed explanation. However, I seem to have forgotten to mention some conditions during the visit, so I would like to provide ...


Dr. Chen Bozhang Reply:
Hello Mr. Zhang: Based on the examination of your symptoms and the physical examination the other day, I believe you do not need to worry about heart and lung issues for now; the likelihood of gastroesophageal reflux disease (GERD) is relatively high. GERD often occurs during tim...

[Read More] Addressing Chest Discomfort: Insights from a Family Medicine Perspective


Understanding Chronic Back Pain and Gastrointestinal Issues: A Comprehensive Guide

Chest, lumbar, and abdominal pain? Hello Doctor, I have been experiencing severe pain in my shoulders, back, and lower back for the past few months. Previously, I noticed swelling in the middle of my left back, so I went to see a doctor who took X-rays and mentioned that my spine...


Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, the overall symptoms are quite complex, and it is still recommended that you be personally examined by a physician for further evaluation. What items were included in last year's comprehensive examination? If further follow-up or more detailed ...

[Read More] Understanding Chronic Back Pain and Gastrointestinal Issues: A Comprehensive Guide


Managing Multiple Medications: Addressing Side Effects and Health Concerns

Family medicine issues In the morning, I take medication for insomnia and high blood pressure. I have been switching insomnia medications for about four years. I take a capsule of 0.5 mg of Mecobalamin (Vitamin B12) because I experience a tingling sensation in my head, as if bloo...


Dr. Chen Zonglin Reply:
Based on what you mentioned, you have been feeling a bit fatigued lately, experiencing pain under your left and right ribs, and tightness with a prickling sensation in the back of your neck. Poor sleep at night can easily lead to daytime fatigue. It would be advisable for you to ...

[Read More] Managing Multiple Medications: Addressing Side Effects and Health Concerns


Understanding Left Rib Pain: Causes and Relief Strategies

Sharp pain in the left rib cage? Hello Doctor: Since last night, I have been experiencing a slight stabbing pain in the area just below my left rib cage. It comes and goes. This morning, there was no pain, but in the afternoon, the same area started to hurt again. I'm not su...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended that you first consult your family physician for an in-person evaluation to rule out any issues related to the cardiovascular or pulmonary systems. Depending on the situation, medication treatment may be considered. Changhua Hos...

[Read More] Understanding Left Rib Pain: Causes and Relief Strategies


Understanding Dizziness: Causes, Remedies, and Long-term Effects

Easily prone to dizziness? Hello doctor, I have been particularly prone to dizziness since childhood. I remember that certain foods, like jellyfish, would make me dizzy, and I never understood why, which led me to avoid those foods. As I grew older, I also experienced dizziness f...


Dr. Gao Qingyun Reply:
Hello: Dizziness is a common symptom encountered in family medicine clinics. There are many potential causes for dizziness or headaches. It is recommended that you visit a family medicine clinic for diagnosis and treatment to identify the underlying cause, which will lead to bett...

[Read More] Understanding Dizziness: Causes, Remedies, and Long-term Effects


Managing Chronic Conditions: Insights on Hypertension and Thyroid Health

Health check-up Hello Dr. Chang, I have been taking medication for hypertension, lipid-lowering, and insomnia related to neurological issues. A few years ago, I was diagnosed with arrhythmia, and the clinic prescribed me medication for it, which I took for a year. My thyroid-stim...


Dr. Zhang Hongwei Reply:
1. Urinary protein can often yield false positives in situations such as fever, infection, or intense exercise. It is recommended to retest, and if urinary protein persists, then consult a nephrologist. 2. Elevated thyroid-stimulating hormone (TSH) levels, in the absence of any...

[Read More] Managing Chronic Conditions: Insights on Hypertension and Thyroid Health


Persistent Elevated Body Temperature: Understanding the Causes and When to Seek Help

Persistent elevated body temperature? Hello, doctor. My usual body temperature is around 36 to 36.5 degrees Celsius, and it rarely exceeds 37 degrees except when I have a cold. On April 7th, Thursday afternoon, I started experiencing headaches. After taking pain relievers, I felt...


Dr. Liao Yaopan Reply:
Hello, if you have consistently elevated body temperature, it is advisable to visit a hospital for a personal evaluation by a physician. You may first seek assistance from an infectious disease specialist at Changhua Hospital. Take care.

[Read More] Persistent Elevated Body Temperature: Understanding the Causes and When to Seek Help


Understanding Calf Weakness: Causes, Symptoms, and Treatment Options

Calf weakness Hello, I often experience weakness in my calves when sitting or lying down, especially while sleeping. This weakness doesn't feel like a lack of strength or inability to move; my feet aren't numb, but I constantly feel weakness in my calves, particularly i...


Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is recommended that a physician conduct a personal examination for assessment in order to identify potential causes, which will allow for appropriate management. Changhua Hospital cares about you.

[Read More] Understanding Calf Weakness: Causes, Symptoms, and Treatment Options


Managing Swelling After a Car Accident: Effective Remedies and Tips

Edema caused by a car accident? On February 15th of this year, I was involved in a car accident, resulting in a bruise on my left knee, an abrasion on my right knee, and a sprained ligament in my right ankle. I saw a doctor for treatment for a week and thought I was better, so I ...


Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is first recommended to clarify the status and cause of the edema. Please have an orthopedic or rehabilitation physician assess the local condition after the injury. Additionally, it is important to rule out any other systemic causes. Changhua Ho...

[Read More] Managing Swelling After a Car Accident: Effective Remedies and Tips


Understanding Your Symptoms: Chest Tightness, Dizziness, and Fatigue

Multiple physical discomforts? Hello Doctor: Yesterday in class, I suddenly felt chest tightness, which I thought was due to poor ventilation in the classroom. I stepped outside to calm down, but when I returned to the classroom, the situation worsened. I felt dizzy and nauseous....


Dr. Chen Zonglin Reply:
Based on your description, since you are experiencing symptoms along with a fever, it is important to determine whether it is due to a bacterial or viral infection or another cause. Please consult a physician nearby for an evaluation based on your medical history and physical exa...

[Read More] Understanding Your Symptoms: Chest Tightness, Dizziness, and Fatigue


Medication Interactions: What to Avoid with Bisoprolol and New Prescriptions

Medication issues I am currently taking Bisoprolol 5mg (Kankun) once a day, half a tablet each time. Recently, I have been experiencing nasal congestion and coughing. After visiting the clinic, I forgot to inform the doctor that I am taking this medication. The doctor prescribed ...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns about the medication prescription, it is advisable to directly call your original clinic to inquire with your attending physician at Changhua Hospital. They care about you.

[Read More] Medication Interactions: What to Avoid with Bisoprolol and New Prescriptions


Understanding Severe Headaches and Neck Pain: Seeking the Right Specialist

Headache with neck stiffness? Hello, my mother had abdominal surgery last year and after returning home to rest, she has been experiencing severe headaches and is unable to turn her neck due to pain. Doctors have been unable to determine the cause. Today when I returned home, she...


Dr. Liao Yaopan Reply:
Hello, based on your description, I still do not fully understand your mother's condition. I initially recommend seeking an evaluation from a neurologist. Changhua Hospital cares about you.

[Read More] Understanding Severe Headaches and Neck Pain: Seeking the Right Specialist


Understanding Leg Edema: Causes and Solutions for College Athletes

Bilateral leg edema? Hello, doctor. I started my first year of college last September and participated in an intra-school cheerleading competition, which involved a month of intense training. The day after the event, I suddenly experienced severe swelling in both legs, from my to...


Dr. Liao Yaopan Reply:
Hello, regarding lower limb edema, it is important to clarify the possible causes, such as renal and urinary issues, cardiovascular conditions, and endocrine system disorders, among others. It is recommended that you consult your family physician for an initial differential diagn...

[Read More] Understanding Leg Edema: Causes and Solutions for College Athletes


Understanding Left Lower Abdominal Pain and Nausea: When to Seek Help

Left lower abdominal pain and nausea? Hello, Doctor. Recently, I've been experiencing occasional cramping pain in my lower left abdomen. On March 28th, from 7 PM to midnight, I had severe cramping pain in my lower left abdomen, which was relieved only when standing or lying ...


Dr. Xu Peiqi Reply:
Hello, thank you for your question. The most common cause of cramping pain in the lower left abdomen is intestinal colic due to constipation, so you should observe whether the pain is related to bowel movements. Other possibilities include pelvic inflammatory disease or pain from...

[Read More] Understanding Left Lower Abdominal Pain and Nausea: When to Seek Help


Understanding Headaches and Sore Throat: Common Symptoms Explained

May I ask the doctor? Symptom 1: For the past month, I have been suffering from headaches. However, they are not the kind of pain that is unbearable or feels like my head is going to split open. Instead, they come in waves, lasting about one second each time. The pain mainly occu...


Dr. Wu Fangcan Reply:
Based on your description, dizziness, headache, and sore throat may indicate a cold or upper respiratory infection. It is advisable to consult with an internist or family medicine physician for evaluation and assessment. Thank you.

[Read More] Understanding Headaches and Sore Throat: Common Symptoms Explained


Post-Influenza Care: When to See a Doctor After Type B Flu

Post-treatment for Influenza B Hello doctor, my wife tested positive for influenza B with a rapid test. After taking medication, her fever has subsided, but now she is experiencing throat discomfort and persistent coughing. I would like to ask which specialty we should see after ...


Dr. Hou Angting Reply:
Hello, Akai user: If your symptoms do not improve after taking the medication, you may visit a family medicine physician for further evaluation to check for any other changes.

[Read More] Post-Influenza Care: When to See a Doctor After Type B Flu


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