Medication, Family Medicine FAQ - Page 46

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Understanding Unexplained Hypertension in Young Adults: A Medical Perspective

Young people with unexplained hypertension? Hello, Doctor Lai. I take medication for schizophrenia every day, and I am not on any other medications (I have been on this medication for about nine years). This week, I had my blood pressure and pulse checked at the hospital. The fir...


Dr. Lai Hexian Reply:
Hello, I would recommend that you measure and record your blood pressure regularly for at least one week. Then, bring the medications you are currently using and your blood pressure records to the cardiology outpatient clinic for further evaluation and treatment.

[Read More] Understanding Unexplained Hypertension in Young Adults: A Medical Perspective


Understanding Facial Muscle Pain and Headaches: Causes and Solutions

Facial muscle soreness and headache? Hello, Doctor: I have been experiencing facial pain for nearly two weeks, and I can feel what seems to be two elongated structures near my ear. I'm not sure if they are muscles or nerves, but they are noticeably swollen and extend from ne...


Dr. Chen Bozhang Reply:
Hello, Regarding the issue mentioned in your letter, it sounds like the lesion is located between the ear and the neck, and there was a prior occurrence of pain in the same side teeth. Since I cannot perform a visual or physical examination of your lesion, I can only make a rou...

[Read More] Understanding Facial Muscle Pain and Headaches: Causes and Solutions


Understanding Urine and Stool Test Results: When to See a Family Doctor

Health check report: Urine and stool issues? Recently, I underwent a health check-up due to work requirements, and the test results showed positive reactions for proteinuria and fecal occult blood. Should I see a family medicine doctor, or which specialist should I consult? I hav...


Dr. Chen Yuchao Reply:
The health check report shows positive reactions for proteinuria and fecal occult blood. Please schedule a follow-up examination and treatment with a family medicine physician.

[Read More] Understanding Urine and Stool Test Results: When to See a Family Doctor


Understanding Thyroid Issues, Shoulder Pain, and Neck Discomfort: A Patient's Journey

Hyperthyroidism, frozen shoulder, and a sensation of pressure in the neck? Hello, I am fifty-five years old. I had hyperthyroidism at the ages of twenty-four and thirty-two, and it has recurred this year. I have been seeing a specialist at a large hospital and have been on medica...


Dr. Cai Mengru Reply:
Dear Mr. regarding your question about hyperthyroidism, if it is confirmed that the size and shape of your thyroid gland are normal, it would be less reasonable to suspect that the thyroid is causing compression. The manifestations of functional abnormalities should not only incl...

[Read More] Understanding Thyroid Issues, Shoulder Pain, and Neck Discomfort: A Patient's Journey


Understanding Vomiting Linked to Mental Health: Causes and Solutions

Poor mental health can lead to vomiting? I have been experiencing symptoms of occasional vomiting, including the presence of blood in the vomit, for the past month or two due to poor mental health. Could this be related to staying up late? How can I improve my condition without t...


Dr. Cai Mengru Reply:
Dear Mr. Li, Regarding your question, excessive masturbation should not be used as an explanation, as frequent vomiting is not a normal phenomenon and should prompt an investigation into potential physical or psychological issues. Persistent vomiting may cause damage to the lowe...

[Read More] Understanding Vomiting Linked to Mental Health: Causes and Solutions


Understanding Peripheral Circulation Disorders: Symptoms and Supplements

Peripheral circulatory disorder Doctor, I would like to ask if peripheral circulation disorders refer to easy numbness in the limbs or poor blood circulation? A friend gave me a bottle of dietary supplement that states it is indicated for peripheral circulation disorders. I would...


Dr. Cai Mengru Reply:
Dear Miss Jenny, Regarding peripheral circulatory disorders, there is no clear definition in the medical field. Generally, physicians may prescribe medications that improve peripheral circulation when patients report symptoms such as numbness in the limbs or dizziness, suspectin...

[Read More] Understanding Peripheral Circulation Disorders: Symptoms and Supplements


Are Bright Red Lips Linked to High Blood Pressure?

Lips that are excessively red - follow-up question? Hello Dr. Tsai, thank you for your response. I would like to ask you one more thing. My mother has high blood pressure, and I would like to know if the redness of her lips is related to her blood pressure. Thank you for your rep...


Dr. Cai Ruiyuan Reply:
Increased blood pressure is often associated with facial flushing; however, antihypertensive medications can sometimes cause facial flushing due to excessive dilation of facial blood vessels. It is also possible that overly red lips may be related to elevated blood pressure or th...

[Read More] Are Bright Red Lips Linked to High Blood Pressure?


Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments

What is trigeminal neuralgia? Trigeminal neuralgia, often referred to as tic douloureux, is characterized by sudden, severe, and recurrent episodes of facial pain. The pain typically occurs in the distribution of the trigeminal nerve, which can affect areas such as the cheeks, ja...


Dr. Cai Mengru Reply:
Dear Mr. Abo, Regarding your question, trigeminal neuralgia is characterized by paroxysmal facial pain, presenting as episodes of sharp or stabbing sensations. The trigeminal nerve is the fifth pair of cranial nerves, and it is named for its three branches: the ophthalmic branch...

[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments


Morning Foot Swelling: Causes and When to Seek Medical Advice

Inquiry When waking up in the morning, if you notice slight swelling on both sides of your feet that subsides after walking around, it could be due to several reasons, such as fluid retention, poor circulation, or prolonged pressure on the feet during sleep. This condition may fa...


Dr. Cai Ruiyuan Reply:
Hello: The issue of leg swelling may be related to diseases of the kidneys, heart, liver, lower limb lymphatics, or thyroid, and it may also be associated with prolonged standing, excessive salt intake, venous stasis in the lower extremities, premenstrual syndrome, or certain med...

[Read More] Morning Foot Swelling: Causes and When to Seek Medical Advice


Struggling with Chronic Nasal Congestion? Find the Right Specialist

Which specialty should I consult for long-term nasal congestion and difficulty breathing? Last year, I visited the emergency department twice due to nasal congestion and difficulty breathing. However, the ENT specialist said that the nasal mucosa appeared normal and attributed it...


Dr. Lai Junlong Reply:
Hello: If the difficulty in breathing is confirmed to be caused by nasal congestion, you should see an otolaryngologist. It is advised not to use xylometazoline HCl nasal spray for an extended period, as it can lead to rhinitis medicamentosa, which may ultimately require surgery ...

[Read More] Struggling with Chronic Nasal Congestion? Find the Right Specialist


Understanding Leg Pain: Causes, Symptoms, and Treatment Options

Bilateral leg pain? Hello: For the past month, I have been experiencing persistent soreness in both legs, from my thighs to the soles of my feet, which becomes more pronounced after walking for a while. This symptom started occurring after the Lunar New Year last year. About 20 y...


Dr. Lai Junlong Reply:
Hello: Based on the symptoms, it appears to be a vascular issue. "Both legs have been persistently aching, from the thighs to the soles of the feet, especially more pronounced after walking a certain distance." Clinically, it is necessary to consider the possibility of ...

[Read More] Understanding Leg Pain: Causes, Symptoms, and Treatment Options


Understanding Frequent Dizziness: Causes and Concerns for Seniors

Frequent dizziness! Hello, I am asking on behalf of my mother: She often experiences dizziness, especially when she has a cold, to the point where she cannot get out of bed and has to lie down to avoid feeling dizzy. However, there are times when she feels perfectly fine but stil...


Dr. Lai Hexian Reply:
Hello, dizziness in the elderly often has complex causes that cannot be easily determined. However, it is important to first check for low blood pressure and the presence of geriatric syndromes. Additionally, polypharmacy or certain specific medications can also contribute to thi...

[Read More] Understanding Frequent Dizziness: Causes and Concerns for Seniors


Impact of Drug Use on Fetal Development and Pregnancy Timing

The effects of drugs on the fetus? What are the potential harms of short-term drug use on the body, and what effects can it have on fetal development? If there are effects on the fetus, how long should one wait after quitting drugs before trying to conceive?


Dr. Cai Mengru Reply:
Dear Mr. Leetp, Regarding your question, I will address it in several parts: 1. **Short-term effects of drugs on the body**: It is difficult to provide a precise answer without knowing which specific drug you are referring to. However, generally speaking, there are usually not ...

[Read More] Impact of Drug Use on Fetal Development and Pregnancy Timing


Understanding Viral Infections: Symptoms, Risks, and Transmission Routes

Viral infection A few days ago, my boyfriend suddenly experienced unexplained swelling and pain on one side of his cheek, followed by a sore throat and vomiting. Although he has since received medical treatment, he needs to be hospitalized for observation. When I asked about his ...


Dr. Lai Junlong Reply:
Hello: The physician's diagnosis may be an infection with the "varicella-zoster virus," which is a type of herpes virus that is the same as the chickenpox virus encountered in childhood. If one has had chickenpox and recovered, the virus can remain dormant in the d...

[Read More] Understanding Viral Infections: Symptoms, Risks, and Transmission Routes


Preventing Diseases Through Diet: The Truth About Juices and Supplements

Disease Prevention and Diet Hello, doctor: Some medical literature suggests that regularly consuming fruit and vegetable juices can help prevent diseases and cancer. The commercially available canned fruit and vegetable juices taste sweet; do they really produce many enzymes in t...


Dr. Cai Mengru Reply:
Dear Mr. Kevin, Regarding your question, it is indeed difficult to provide a complete answer, but understanding some principles may make it easier. The benefits of fruits and vegetables extend beyond their richness in certain vitamins and beneficial components such as potassium ...

[Read More] Preventing Diseases Through Diet: The Truth About Juices and Supplements


Impact of Male Medication on Fetal Health During Pregnancy

The relationship between male medication use and fetal conception? The individual has been diagnosed with chronic Hepatitis B for three months and has been continuously taking Baraclude (entecavir) 0.5 mg due to viral infection. They also have diabetes and have been administering...


Dr. Lai Hexian Reply:
Hello: If diabetes patients can maintain stable control, the process and outcomes of their offspring will be similar to those of the general population (as there is a certain rate of congenital anomalies in the general population). Regarding the use of Belaric, data from Micromed...

[Read More] Impact of Male Medication on Fetal Health During Pregnancy


Managing Non-Open Tuberculosis: Care and Monitoring for Patients and Families

Patients with non-open tuberculosis? My mother-in-law was diagnosed with non-open pulmonary tuberculosis bacteria last year and was hospitalized for isolation for two weeks. After her discharge, she lived alone, so I cannot clearly say whether she has been taking her medication o...


Dr. Lai Junlong Reply:
Hello: Open pulmonary tuberculosis requires hospitalization for treatment, and patients can only leave the isolation ward after their sputum tests for tuberculosis bacteria return negative. After two weeks of treatment, the patient should be less contagious. However, tuberculosis...

[Read More] Managing Non-Open Tuberculosis: Care and Monitoring for Patients and Families


How to Manage High Blood Sugar Levels: Tips and Guidance

Could you please tell me about my high blood sugar issue? Hello doctor, I recently had a health check-up and my blood sugar level is quite high, with a reading of 118. Should I seek medical treatment or could you provide guidance on methods to lower it? (My weight is 60 kg and my...


Dr. Cai Mengru Reply:
Dear Ms. Beauty, Regarding your blood sugar levels, they have not yet reached the point where medication is necessary. Please focus on increasing your physical activity and avoid binge eating. Return to the clinic for follow-up in three months. Wishing you peace and health, ...

[Read More] How to Manage High Blood Sugar Levels: Tips and Guidance


Navigating Chronic Pain: Seeking Answers Beyond Traditional Medicine

White mouse Hello Dr. Chen, Four years ago, I experienced a sudden onset of severe back pain during the winter, which left me unable to get out of bed. Over the past four years, I have consulted various orthopedic specialists who have stated that there is no significant issue. ...


Dr. Chen Mengkan Reply:
Hello: Based on the symptoms you have described, it is still unclear what is causing your discomfort. I would recommend that you organize your symptoms, including the frequency of episodes, any aggravating or alleviating factors, and the location of associated pain. Then, consult...

[Read More] Navigating Chronic Pain: Seeking Answers Beyond Traditional Medicine


Finding the Best Thyroid Specialists in Kaohsiung for Hyperthyroidism

Can the doctor tell me where to find a good physician for hyperthyroidism in Kaohsiung? Hello Doctor: When I visited a hospital in Kaohsiung, I felt that the medication prescribed had many side effects. At first, when I started taking the medication, I experienced an increased he...


Dr. Cai Ruiyuan Reply:
Hello, Mimi: Regarding hyperthyroidism, doctors typically prescribe medications that inhibit the secretion of thyroid hormones as well as medications that suppress heart rate and sympathetic nervous system activity, so it should not cause an increase in your heart rate. Additiona...

[Read More] Finding the Best Thyroid Specialists in Kaohsiung for Hyperthyroidism


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