Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello, Doctor. My father has recently been experiencing consistently high blood pressure and chest tightness. He has a history of undergoing cardiac catheterization and suspects blockage, so an exercise electrocardiogram has been arranged. The doctor has a...
Dr. Liu Hongxiang Reply:
Hello Jolingchang: Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. The adjustment of antihypertensive medications, if there are no contraindications or side effects, is based on the usual blood pressure readings. Some individuals may achieve...[Read More] Managing High Blood Pressure: Concerns About Medication Changes
Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello Doctor, my father has recently been experiencing consistently high blood pressure and chest tightness. He previously underwent cardiac catheterization and suspects a blockage, so an exercise electrocardiogram has been arranged. The doctor has now rec...
Dr. Liu Hongxiang Reply:
Hello Jolingchang, Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. When adjusting antihypertensive medications, if there are no contraindications or side effects, the adjustments are based on the usual blood pressure readings. Some individ...[Read More] Managing High Blood Pressure: Concerns About Medication Changes
Understanding Blood Pressure: Is My Reading Considered Hypertension?
Blood pressure issues? Hello Doctor, I recently started monitoring my blood pressure. Previously, when I measured it at the hospital, I was unsure if it was due to anxiety, as it would often reach 140/79 or even above 150. After a few days of regular exercise, I measured it at ho...
Dr. Lin Zhebin Reply:
Hello: The definition of normal blood pressure is a systolic pressure of less than or equal to 120 and a diastolic pressure of less than or equal to 80. The definition of hypertension is a systolic pressure of greater than or equal to 140 or a diastolic pressure of greater than o...[Read More] Understanding Blood Pressure: Is My Reading Considered Hypertension?
Understanding Blood Pressure: Is Your Reading a Cause for Concern?
Blood pressure issues? Hello Doctor, I recently started monitoring my blood pressure. Previously, when I measured it at the hospital, I was unsure if it was due to anxiety, as it would reach 140/79 or even above 150. After a few days of regular exercise, I measured it at home and...
Dr. Lin Zhebin Reply:
Hello: The definition of normal blood pressure is a systolic pressure of less than or equal to 120 and a diastolic pressure of less than or equal to 80. The definition of hypertension is a systolic pressure of greater than or equal to 140 or a diastolic pressure of greater than o...[Read More] Understanding Blood Pressure: Is Your Reading a Cause for Concern?
Understanding Diabetes Diagnosis: Is One Test Enough?
Diabetes Diagnosis Issues Hello, doctor. I would like to ask a question. Recently, I was diagnosed with high blood sugar during a health check-up. On November 9th, I went to the hospital for a blood test and found that my fasting blood glucose level was 142 mg/dL, and my hemoglob...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for more than 8 hours, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA...[Read More] Understanding Diabetes Diagnosis: Is One Test Enough?
Understanding Elevated Homocysteine Levels and Cardiovascular Health
Cardiovascular examination and homocysteine levels? Dear Doctor, in my blood test report, there is an item: cardiovascular examination with homocysteine level at 17.53 (reference range 5.9–16 umol/L). This value exceeds the reference range. What should I be aware of, or which dep...
Dr. Ye Qianyu Reply:
Hello! If there are kidney diseases, medication-related issues, alcohol abuse, or a deficiency of sufficient vitamin B6, vitamin B12, and folate in the diet, the level of homocysteine in the blood may increase. If only one of these is elevated, it is recommended to supplement wit...[Read More] Understanding Elevated Homocysteine Levels and Cardiovascular Health
Comparing Fever Suppositories: Voren vs. Paracetamol for Kids
Medication Consultation Hello Dr. Yeh, I have two questions. First, which of the two antipyretic suppositories is more harmful to the body: Voren non-inflammatory suppository 12.5mg or Paracetamol suppository 125mg? I understand that Western medication suppositories can be more...
Dr. Ye Qianyu Reply:
Hello! Suppositories are absorbed through the rectal mucosa after melting, which is faster than oral absorption. Once the medication enters the body, it must undergo hepatic and renal metabolism. As long as the composition of the medication is the same and the mechanism of action...[Read More] Comparing Fever Suppositories: Voren vs. Paracetamol for Kids
Understanding Facial Numbness After Cheekbone Surgery: Next Steps
Zygomatic bone surgery? Hello Doctor, ten years ago I was in a car accident that resulted in fractures of my zygomatic bone and orbital bone. After surgery, titanium metal was placed in my zygomatic bone, and the nerve part healed on its own after six months. In recent years, I h...
Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Based on the symptoms you described, it may be indicative of the distribution of the trigeminal nerve; its branches innervate the gums and the roots of the teeth. Any changes affecting the nerve distribution could lead to sensations of numbness or pain. 2. Of c...[Read More] Understanding Facial Numbness After Cheekbone Surgery: Next Steps
Understanding Nutcracker Syndrome: Seeking the Right Diagnosis and Treatment
Nutcracker Syndrome Hello Doctor: In June of this year, I went to the emergency room at Hospital A due to lower abdominal pain, and a CT scan suggested possible Nutcracker Syndrome. However, after undergoing a CTA scan at Hospital B, they said everything was fine. Yet, I continue...
Dr. Xiao Yongxun Reply:
Dear Ms. Moon Star: 1. Nutcracker syndrome refers to a condition where the left renal vein is compressed between the abdominal aorta and the superior mesenteric artery or other structures, leading to narrowing. It is akin to a nut being crushed. I apologize, but I do not have e...[Read More] Understanding Nutcracker Syndrome: Seeking the Right Diagnosis and Treatment
Managing Menstrual Pain: Safe Painkillers and Stomach Health Tips
Inquiring about whether painkiller ingredients harm the stomach & methods to alleviate menstrual pain? Hello Dr. Hsiao, I experience severe menstrual cramps almost every month, to the extent that I vomit if I drink water or eat anything (I previously consulted a gynecologist...
Dr. Xiao Yongxun Reply:
Dear Miss Chen: 1. I would like to inquire whether the following ingredients are harmful to the stomach: acetaminophen 500mg and the other excipients (the manufacturer did not specify the dosage): hydroxypropyl cellulose, polyvinylpyrrolidone, polyethylene glycol 6000, sodium st...[Read More] Managing Menstrual Pain: Safe Painkillers and Stomach Health Tips
Can You Fly with Heart Anxiety? Understanding Your Cardiac Health
Fear of flying due to heart problems? Hello Doctor, Below is the report from the previous cardiac examination, specifically the Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 46 to 112 beats per minute (bpm). The average he...
Dr. Xiao Yongxun Reply:
Dear "Seeker of Help": 1. Since you have undergone so many detailed examinations, it is important to discuss with your attending physician whether your heart and lung functions are suitable for a two-hour flight. 2. Your concerns seem to lean more towards panic diso...[Read More] Can You Fly with Heart Anxiety? Understanding Your Cardiac Health
What to Eat Before Taking Medication on an Empty Stomach?
What foods should be consumed to line the stomach before taking medication? Hello, doctor. I would like to ask, if the medication I need to take is required to be taken after meals, but I am currently on an empty stomach and just want to eat something light to settle my stomach, ...
Dr. Ye Qianyu Reply:
Hello! There are no specific restrictions in this regard, so it may be worth considering whether sweets have any impact on the existing condition.[Read More] What to Eat Before Taking Medication on an Empty Stomach?
Understanding Full Body Heat: Causes and Concerns in Family Medicine
Fever or generalized warmth? Hello Doctor: A few days ago, my blood pressure suddenly rose to 190. After taking antihypertensive medication, it has decreased to 156. Now I feel a heat all over my body, and the area around my eyes feels extremely hot, almost like it's going t...
Dr. Cai Dongqi Reply:
Hello, Xiaofei: Please go to the emergency room to check for any infectious diseases that may be causing high blood pressure.[Read More] Understanding Full Body Heat: Causes and Concerns in Family Medicine
Understanding Flu Symptoms and When to Seek Medical Help
Suspected influenza, symptoms include generalized weakness and fatigue? A family member began experiencing symptoms (cough, fever, body aches) starting on November 24. They went to the hospital for testing for influenza and COVID-19, both of which were negative. They were prescri...
Dr. Liao Yaopan Reply:
Hello, based on your description, if your symptoms do not improve, it is advisable to seek medical evaluation. Online consultations are not equivalent to in-person visits and cannot provide diagnostic or treatment recommendations. Changhua Hospital cares about you.[Read More] Understanding Flu Symptoms and When to Seek Medical Help
Understanding Blood Pressure Readings: Key Questions Answered by a Family Physician
Questions about measuring blood pressure? Hello Dr. Lin, Today, when I measured my blood pressure, I found that the first reading showed elevated systolic and diastolic values, but subsequent measurements were significantly lower. I have three blood pressure monitors at home, an...
Dr. Lin Zhebin Reply:
Hello: 1. Blood pressure is variable and can be influenced by physical activity, eating, emotions, etc. Therefore, it is generally recommended to measure blood pressure when the body and mind are in a calm state. Based on your two measurements, it seems that the second measuremen...[Read More] Understanding Blood Pressure Readings: Key Questions Answered by a Family Physician
Understanding Drug Resistance Issues in Family Medicine: Key Medications
Regarding issues related to drug resistance? Hello, doctor. Could you please tell me if there will be any drug resistance or other issues if the following four medications are discontinued? 1. ACTEIN EFFERVESCENT TABLETS 600mg (Acetylcysteine) 2. Xyzal® film-coated tablets 5mg (L...
Dr. Ye Qianyu Reply:
Hello! These medications are used to treat symptoms of upper respiratory tract infections. If the symptoms have improved, you can discontinue the medication, as there is no issue of antibiotic resistance.[Read More] Understanding Drug Resistance Issues in Family Medicine: Key Medications
Conflicting Diabetes Advice: Who Should You Trust for Your Health?
I'm not sure whose advice to follow? Previously, I visited a nearby major hospital's endocrinology department due to thyroid issues. The doctor conducted blood tests and a urinalysis, and while my thyroid function was normal, my hemoglobin A1c was 6.5%. However, my fast...
Dr. Liu Hongxiang Reply:
Hello Lisa, Glycated hemoglobin (HbA1c) is formed by the binding of glucose to hemoglobin in the blood. The average lifespan of red blood cells is 120 days, so glycated hemoglobin reflects the average blood glucose levels over the past three months. Daily fluctuations in blood ...[Read More] Conflicting Diabetes Advice: Who Should You Trust for Your Health?
Understanding Chronic Constipation: Effective Solutions and Concerns
Constipation issues? Hello, doctor. I would like to ask about my constipation issue. I have been struggling with constipation since I was a child (I had enemas when I was very young). After entering college, I started taking enzymes to maintain regular bowel movements, going to t...
Dr. Lin Zhebin Reply:
Hello: Regarding your current constipation situation, if dietary adjustments are not effective, you may consider using medication as an adjunct. While laxatives can potentially lead to dependency, short-term use should be acceptable. It is recommended to take a laxative for the n...[Read More] Understanding Chronic Constipation: Effective Solutions and Concerns
Can I Get My Prescription from a Different Clinic?
Please have Clinic B prescribe the medication from Clinic A? Hello, doctor. If I initially received treatment at Clinic A and the medication was effective, but due to certain reasons (such as needing to work in another county) I am unable to continue seeing a doctor at Clinic A, ...
Dr. Ye Qianyu Reply:
Hello! Yes, that's fine. Please calculate the remaining medication first. If there is too much leftover medication, the doctor may not be able to prescribe new medication. The transition can be a bit complicated, so I recommend that you prepare your medical history along wit...[Read More] Can I Get My Prescription from a Different Clinic?
Safe Medication Tips for Divers: Managing Allergies and Motion Sickness
Diving-related medication consultation? Hello, doctor. I have been intermittently taking allergy medication (Loratadine) at night, and I usually don't experience any side effects. I am also prone to motion sickness, so I take Dimenhydrinate before going on a boat or engaging...
Dr. Li Zhenggang Reply:
Currently, the main medications for allergies are antihistamines, which may cause drowsiness. For safety reasons, it is recommended that you avoid using these medications before diving. Additionally, for nasal congestion, it is advisable to seek assistance from an otolaryngologis...[Read More] Safe Medication Tips for Divers: Managing Allergies and Motion Sickness