Do Medications Interact with Food? Understanding Drug-Food Conflicts
What are the interactions between medications and food? Hello, I would like to ask if after taking one tablet of Ailait and one tablet of Aishuteng, I experienced a feeling of slowed heart rate about an hour later after eating herbal jelly. Could this be related to a conflict bet...
Dr. Lin Zhebin Reply:
Hello: Based on my experience, Allegra (fexofenadine) and Acetaminophen should not have the effect of slowing down the heart rate, and there should not be any significant interactions with herbal jelly. If your heart rate continues to slow down and is accompanied by symptoms such...[Read More] Do Medications Interact with Food? Understanding Drug-Food Conflicts
Excessive Yawning and Tears: Is It Normal and How to Improve?
Medical Consultation: Family Medicine Issue - Yawning I would like to ask the doctor, even after getting enough sleep, I still find myself yawning excessively and tearing up, to the point where I can yawn 5 to 6 times in a row, and my mask gets wet from the tears. Is this normal?...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. Essentially, the physiological mechanisms behind yawning are not yet fully understood in the medical field. It may be triggered by insufficient cerebral blood circulation or the accumulation of carbon dioxide, prompting yawning to expel carbon dioxide and inhale...[Read More] Excessive Yawning and Tears: Is It Normal and How to Improve?
Understanding Neck Stiffness and Discomfort: Causes and Remedies
Stiffness and discomfort in the nape of the neck? Hello, Doctor. I am 27 years old and have a history of gastroesophageal reflux disease (GERD). Last Saturday, after dinner, I clearly felt stiffness and discomfort in my neck, and it was difficult to turn my head from side to side...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to the following conditions: 1. Infection, most likely a viral infection 2. Allergies 3. Migraine. It is recommended that you first perform a COVID-19 rapid test. Additionally, if you have any over-the-counter medications for symptom relief (such...[Read More] Understanding Neck Stiffness and Discomfort: Causes and Remedies
Excessive Saliva Production: Which Specialist Should You Consult?
Excessive salivation issue? If there is excessive saliva production that severely affects daily life, which specialty should one consult? Family medicine? Otolaryngology? Dentistry? Or traditional Chinese medicine? Will the doctor also examine the parotid gland, sublingual gland,...
Dr. Lin Zhebin Reply:
Hello: Excessive saliva secretion may need to consider the following situations: 1. Abnormalities in the structure of the salivary glands, for which it is recommended to consult an otolaryngologist. 2. Abnormalities in salivary gland function, which are commonly due to medication...[Read More] Excessive Saliva Production: Which Specialist Should You Consult?
Missing One Antibiotic Pill: Should You Continue Treatment for Cellulitis?
I accidentally lost a dose of antibiotics? On March 4th, I received treatment for cellulitis in the emergency department and was prescribed 250 mg of Dexa-Cillin, taking two pills every six hours for six days. Since I was not fully recovered when the medication was nearly finishe...
Dr. Lin Zhebin Reply:
Hello: 1. Skipping a dose of antibiotics primarily affects the concentration of the medication in the body, which can impact the effectiveness of the treatment. 2. It is recommended to complete the full course of antibiotics, as failing to eliminate all the bacteria may allow the...[Read More] Missing One Antibiotic Pill: Should You Continue Treatment for Cellulitis?
Safe Medication Practices for Preschoolers: Expert Advice on Dosage and Packaging
Pediatric medication Hello Dr. Liao: My child has a cold and is currently attending kindergarten. I need to ask the teacher to administer medication while at school. The medication administration form from the kindergarten states that I only need to prepare a day's worth of ...
Dr. Liao Yaopan Reply:
Hello, if you have any concerns regarding medication dosage, you can consult a pharmacist at a nearby National Health Insurance pharmacy or the prescribing medical institution for assistance. Please be aware that different medications may have varying storage requirements, and al...[Read More] Safe Medication Practices for Preschoolers: Expert Advice on Dosage and Packaging
Can You Hide Mental Health Records During a Health Checkup?
Can health check-ups conceal records from mental health specialists? Hello Doctor: Since entering the workforce, I have not had this issue, but in the past two years, I have been suffering from insomnia, anxiety disorder, and bipolar disorder. I have been seeing a psychiatrist an...
Dr. Lin Zhebin Reply:
Hello: During health check-ups, the National Health Insurance card is not used to access medical records. Generally, individuals provide their past medical history and medication information, or the physician inquires about it. If the examination does not require the submission o...[Read More] Can You Hide Mental Health Records During a Health Checkup?
Understanding Cholesterol Levels: Is Medication Necessary for Improvement?
Re-examination for Elevated Cholesterol Levels Hello, doctor. I underwent a new employee health examination at the end of September 2022, during which my total cholesterol was noted in red (262 mg/dL). At that time, my triglycerides were 94 mg/dL, high-density lipoprotein (HDL) c...
Dr. Chen Bozhang Reply:
Hello! Overall, it is under control. For dietary management recommendations, nutritional counseling is advised. Thank you.[Read More] Understanding Cholesterol Levels: Is Medication Necessary for Improvement?
Understanding Drug Side Effects: Hyperthyroidism and Medication Risks
Drug side effects: Hyperthyroidism Hello, since I have been receiving treatment at the same hospital, my doctor previously prescribed "Mometasone nasal spray" for my nasal allergies to be used once daily. However, after I got home and took the medication, I noticed on t...
Dr. Lin Zhebin Reply:
Hello: The main ingredients in the sustained-release tablet of Morbica are Loratadine (an antihistamine) and Pseudoephedrine (a decongestant). The component Pseudoephedrine can cause side effects similar to sympathetic nervous system stimulation, such as tremors, palpitations, hy...[Read More] Understanding Drug Side Effects: Hyperthyroidism and Medication Risks
Understanding Antibiotic Timing: Risks of Overlap and Dosage Concerns
Antibiotic dosing intervals I was hospitalized for a urinary tract infection on February 22 and discharged on March 1. Upon discharge, I was prescribed Cipro (ciprofloxacin) to take two tablets every 12 hours. On March 4, I went to the emergency room for cellulitis and received D...
Dr. Lin Zhebin Reply:
Hello: 1. The usage of Dicloxacillin is four times a day. Although the medication bag indicates to take it every 6 hours, it can also be divided into three doses after meals and one before bedtime, as long as there is an interval of at least 3-4 hours, which is acceptable. Based ...[Read More] Understanding Antibiotic Timing: Risks of Overlap and Dosage Concerns
Understanding GERD Symptoms During Exercise: A Comprehensive Guide
Gastroesophageal reflux, chest tightness, exercise? Hello, Doctor. I would like to seek your advice. I have noticed that during activities such as walking, brisk walking, running, climbing stairs (about three floors), right after taking a shower, or suddenly standing up after squ...
Dr. Liao Yaopan Reply:
Hello, based on the description above, if it is gastroesophageal reflux disease (GERD), it is advisable to seek proper treatment. You may first consult your family physician for evaluation, maintain a regular routine, ensure a balanced diet, and avoid excessive psychological stre...[Read More] Understanding GERD Symptoms During Exercise: A Comprehensive Guide
Understanding Chest Tightness: Causes, Symptoms, and Solutions
Chest tightness issue? Hello doctor, I am 27 years old. Since last year, I have been experiencing intermittent chest tightness, shortness of breath (feeling like I can't get enough air and needing to take deep breaths), and dizziness. I underwent examinations last year for m...
Dr. Cai Dongqi Reply:
Hello: Autonomic nervous system dysfunction is a combination of various symptoms that may not always be detectable through tests. It often requires empirical treatment. It may be advisable to first consult a psychiatrist to assess for any anxiety or excessive stress that could be...[Read More] Understanding Chest Tightness: Causes, Symptoms, and Solutions
Can Allopurinol and Gastroesophageal Reflux Medications Be Taken Together?
Can medications for lowering uric acid be taken together with medications for gastroesophageal reflux disease (GERD)? Hello Doctor: I have been taking Allopurinol for a long time to lower uric acid levels. Recently, due to a recurrence of gastroesophageal reflux, I visited a doct...
Dr. Hou Angting Reply:
Hello: According to database inquiries, there are no significant documented interactions between the two, and the public can use them with confidence.[Read More] Can Allopurinol and Gastroesophageal Reflux Medications Be Taken Together?
Timing Your Bitter Melon Peptide and Blood Sugar Medication: Expert Advice Needed
Bitter melon peptides How long should I wait between taking Bitter Melon Peptide Cinnamon Tablets and blood sugar medication? The customer service representative said to take them two hours apart. I plan to take 2 Bitter Melon Peptide tablets before lunch, and then take the medic...
Dr. Hou Angting Reply:
Hello: It is recommended to space health supplements and blood sugar-lowering medications by half an hour. For more detailed information, please consult the pharmacist of the respective company. Thank you.[Read More] Timing Your Bitter Melon Peptide and Blood Sugar Medication: Expert Advice Needed
Is That Noodle-Like Stool a Sign of Parasite Infection?
About parasites? I would like to ask, if I pass something that looks like a noodle when using the restroom, could it be a sign of a parasitic infection? If treatment is needed, can I buy the related medications at the pharmacy?
Dr. Liao Yaopan Reply:
Hello, it is recommended to visit the Infectious Disease outpatient clinic for further evaluation. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Is That Noodle-Like Stool a Sign of Parasite Infection?
Understanding Declining GFR: Is It a Sign of Kidney Issues?
Health check-up issues Hello, doctor. I would like to ask if my glomerular filtration rate (GFR) is considered to be declining. I am 32 years old, and for the past few years, my GFR has been around 120. Last January, it was 99, and when I tested again in August, it was 94. Is thi...
Dr. Lin Zhebin Reply:
Hello: The normal glomerular filtration rate (GFR) is typically between 100-120 mL/min. After the age of 30-40, it generally declines by about 1 mL/min each year. This value is primarily calculated based on the serum creatinine level, along with age and gender, but can also be in...[Read More] Understanding Declining GFR: Is It a Sign of Kidney Issues?
How to Choose the Right Specialist for High LDL-C Levels
Abnormal LDL-C - How to make an appointment at the outpatient clinic? Hello: During last year's health check-up (September 2022), I noticed several abnormalities, among which my LDL-C has been above the normal range for several consecutive years. I later attended a consultat...
Dr. Xiao Yongxun Reply:
1. If a patient is experiencing chest tightness, chest pain, or acute coronary syndrome, it is recommended to directly schedule an appointment with a cardiologist. 2. If there are no heart-related diseases and only abnormal cholesterol levels are present, then a cardiologist, end...[Read More] How to Choose the Right Specialist for High LDL-C Levels
Understanding Blood in Urine: Causes, Concerns, and When to Seek Help
Identifying the source of hematuria? My father recently experienced hematuria, and despite family urging him to seek medical attention, he has been unwilling to do so, which has made us very upset. He described his hematuria as being a deep red color and stated that it was consis...
Dr. Xiao Yongxun Reply:
1. Poisoning or rhabdomyolysis can lead to dark or red-colored urine; however, the term hematuria specifically refers to the presence of red blood cells in the urine. Gross hematuria is visible to the naked eye, while microscopic hematuria is detected under a microscope. 2. The...[Read More] Understanding Blood in Urine: Causes, Concerns, and When to Seek Help
Understanding Persistent Dry Mouth: Causes and When to Seek Help
Dry mouth and dry tongue? Hello doctor, I have been experiencing persistent dry mouth lately. I drink at least 1500cc of water a day, plus a cup of unsweetened tea, but no matter how much I drink, my mouth still feels dry. I have no issues swallowing, and I don't feel thirst...
Dr. Xiao Yongxun Reply:
Dear Mr. Wei: 1. There are many causes of dry mouth and dry tongue; common ones include diabetes, dehydration, side effects of medications, Sjögren's syndrome, smoking, aging, endocrine disorders (such as hyperthyroidism and diabetes insipidus), and psychosomatic disorders,...[Read More] Understanding Persistent Dry Mouth: Causes and When to Seek Help
Understanding Low Body Temperature: Causes and Management for Chronic Conditions
Recently, I have noticed that my body temperature is abnormally low, at 34.7 degrees Celsius? Hello, doctor. I have a history of diabetes, hypertension, and kidney disease for 32 years. My hemoglobin A1c was 6.6 in December last year. I was diagnosed with myasthenia gravis in Jul...
Dr. Lin Zhebin Reply:
Hello: Your issue of having a low body temperature may be related to hypothyroidism, adrenal insufficiency, hypoglycemia, nutritional deficiencies, neuromuscular diseases, infections, and so on. Additionally, the frequent cramping you experience may be associated with electrolyte...[Read More] Understanding Low Body Temperature: Causes and Management for Chronic Conditions