Persistent Dizziness and Upper Abdominal Pain: Possible Causes and Concerns
Dizziness, vomiting, and persistent upper abdominal pain? Hello, doctor. A few days ago, I visited the clinic due to dizziness, chills, and general weakness. The doctor mentioned that I was showing symptoms of an impending cold and prescribed medication for cold and fever. After ...
Dr. Chen Bozhang Reply:
If you have not recovered after medication treatment or have developed new symptoms, it is recommended to return for a follow-up appointment for the physician's evaluation. Thank you.[Read More] Persistent Dizziness and Upper Abdominal Pain: Possible Causes and Concerns
Understanding Dry Heaving and Nausea: Stress or Something More?
Dry heaving, vomiting, stress? Hello Doctor, I am a recent graduate preparing for the national exam. Recently, I have been experiencing worsening nausea and dry heaving, so I am inquiring online. The situation is as follows: about three years ago, I choked on toothpaste while bru...
Dr. Liao Yaopan Reply:
Hello, it is recommended to first consult a gastroenterologist to assess whether there are any abnormalities in gastrointestinal function. If those concerns are ruled out and the issue is related to anxiety, it is advisable to seek assistance from a psychiatrist. Changhua Hospita...[Read More] Understanding Dry Heaving and Nausea: Stress or Something More?
Understanding Chronic Nausea and Dry Heaving: Seeking Solutions
Easily feels nauseous and experiences dry heaving? Hello, doctor. I have been experiencing a symptom since elementary school where I often feel nauseous and have the urge to vomit. I have seen doctors, but no diagnosis was made. Throughout my growth, this symptom has not been con...
Dr. Liao Yaopan Reply:
Hello, it is essential to first rule out whether physiological factors are the cause. Of course, psychosomatic factors may also play a role, and the low potassium levels in your blood test could be related to unstable intake or absorption. It is advisable to consult your family p...[Read More] Understanding Chronic Nausea and Dry Heaving: Seeking Solutions
Understanding Platelet Distribution Width and Its Implications for Health
Platelet distribution width (PDW) Hello, Doctor. I have a few questions I would like to ask you: A few days ago, I went to the hospital to check my blood test results. The doctor mentioned that overall, the values suggest iron deficiency anemia (microcytic), but my hemoglobin lev...
Dr. Liao Yaopan Reply:
Hello, 1. It is recommended to clarify the causes of anemia before reassessing the need for immediate treatment. 2. The width of platelet distribution may be related to the differences in the size of blood cells. It is advised to consult a hematology outpatient clinic regardin...[Read More] Understanding Platelet Distribution Width and Its Implications for Health
High Platelet Count and Elevated Vitamin B12: Understanding the Implications
Elevated levels of platelets and vitamin B12 in immunoassays? This is the recent complete blood count (CBC) with differential results: - WBC: 6.99 - RBC: 4.64 - RDW-SD: 46.7 - HCT: 41.4 - HGB: 13.7 - PLATELET: 496 - MCHC: 33.1 - MCV: 89.2 - MPV: 8.9 - P-LCR: 14.8 - PDW: 8.6 - MC...
Dr. Liu Hongxiang Reply:
Hello, The test results show that there are almost no significant issues, but further monitoring is needed in about 3-6 months. However, the Vitamin B12 level is 1215, which is much higher than the reference range. Generally, excess water-soluble Vitamin B12 is metabolized and ...[Read More] High Platelet Count and Elevated Vitamin B12: Understanding the Implications
Which Medical Specialty Should You Consult for Chest Pain and Numbness?
Which specialty should I see? Experiencing tightness in the neck and shoulders, along with severe stabbing pain in the left chest, left arm numbness and weakness, difficulty breathing with a feeling of pressure, nausea, cold sweats, and pallor when turning the body to the left an...
Dr. Liu Hongxiang Reply:
Hello Ms. Chun, based on the symptom analysis, there are issues related to muscles and nerves that may be causing your condition. It is recommended that you visit the orthopedic or neurology department at the hospital for an evaluation of your physical condition. Wishing you good...[Read More] Which Medical Specialty Should You Consult for Chest Pain and Numbness?
Understanding Dizziness and Fatigue After a Common Cold: When to Seek Help
Cold, dizziness, and general weakness? I initially thought I had contracted influenza A from my family, but after visiting the clinic, the doctor diagnosed me with a common cold. My symptoms included fever, body aches, cough, runny nose, and nausea. However, on the fifth day of t...
Dr. Lin Zhebin Reply:
Hello: Based on your description, since you have already had a fever reduction, it indicates that the infection is likely improving. However, the residual discomfort from the infection may still persist. At this time, it is advisable to refrain from exercising, as the lack of app...[Read More] Understanding Dizziness and Fatigue After a Common Cold: When to Seek Help
Loss of Appetite and Nausea: Seeking Medical Guidance for Symptoms
Loss of appetite and nausea upon eating? I would like to ask why I have been experiencing a loss of appetite and nausea whenever I eat. I underwent an upper gastrointestinal endoscopy on November 30, 2023, which was normal, and a colonoscopy on December 12, 2023, which was also n...
Dr. Liao Yaopan Reply:
Hello, if you continue to experience gastrointestinal symptoms, it is recommended that you consult a gastroenterologist for a comprehensive evaluation and treatment. If the symptoms are not due to gastrointestinal or hepatobiliary causes, a referral to a neurologist or endocrinol...[Read More] Loss of Appetite and Nausea: Seeking Medical Guidance for Symptoms
Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?
Persistent vomiting, headache, constipation, and runny nose? Hello Doctor, I started feeling nauseous last Tuesday. On Tuesday morning, without having eaten anything, I vomited the food from Monday night. From 9:00 AM to 12:00 PM, I vomited more than four times, almost every hour...
Dr. Xiao Yongxun Reply:
Dear Miss Rabbit: 1. There are many causes of nausea and vomiting, including: neurological (migraine, inner ear disorders, brain lesions), psychiatric (emotional or environmental stress, cyclical vomiting syndrome in children, psychogenic vomiting), metabolic (renal failure, me...[Read More] Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?
Which Specialist to See for Abdominal Pain and Back Issues?
I'm not sure which specialty to see? Hello doctor, recently I have been experiencing significant soreness in my lower back and abdomen, along with frequent feelings of nausea and dizziness. Additionally, I have a problem with numbness on the right side of my abdomen (the bou...
Dr. Chen Bozhang Reply:
It is recommended to first visit the gastroenterology and hepatology clinic for evaluation to rule out any issues, and then proceed to the orthopedic clinic to confirm whether the symptoms are caused by a coccyx injury. Thank you.[Read More] Which Specialist to See for Abdominal Pain and Back Issues?
Does Cardiovascular Medication Increase Heat Stroke Risk?
Does taking cardiovascular medications increase the risk of heat stroke? Hello Dr. Lin, in 2015, I was diagnosed with left coronary artery atherosclerosis. In 2020, due to atrial fibrillation, I underwent two catheter ablation procedures. Since then, I have been taking five medic...
Dr. Lin Zhebin Reply:
Hello: 1. The medications you are taking that are more likely to cause discomfort in your body include: - Isosorbide Dinitrate: Its primary function is vasodilation, and it may cause side effects such as dizziness, palpitations, and hypotension, among others. - Propafeno...[Read More] Does Cardiovascular Medication Increase Heat Stroke Risk?
Can Using Tap Water for Nasal Irrigation Lead to Brain-Eating Amoeba Infection?
Regarding the use of tap water for nasal irrigation, is there a risk of infection from Naegleria fowleri? Hello, doctor. I recently saw news reports about cases of amoebic infections, and I have a question. Last week, I had a cold and experienced nasal congestion, so I rinsed my ...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah Wei: 1. The so-called primary amoebic meningoencephalitis (PAM) caused by Naegleria fowleri refers to an infection that occurs when a person immerses their nose or head in water contaminated with this amoeba. The organism enters through the nasal passages and invades...[Read More] Can Using Tap Water for Nasal Irrigation Lead to Brain-Eating Amoeba Infection?
Head Injury Concerns: When to Seek Medical Attention After a Bump
Post-trauma issues Hello, Doctor. Today, while I was picking up clothes, I accidentally bumped the front of my head against a wall corner. Although there is no swelling or bleeding, I would like to ask if this could lead to any serious problems. I remember seeing in a drama that ...
Dr. Xiao Yongxun Reply:
Dear Ms. Lina: 1. In the event of a head injury, if there is an immediate loss of consciousness or a state of coma, even if the person quickly regains awareness, it is crucial to seek emergency medical care at a hospital. This means that a brief lucid interval may indicate impen...[Read More] Head Injury Concerns: When to Seek Medical Attention After a Bump
Understanding Loss of Appetite: Causes and Treatment Options
Loss of appetite Hello Doctor, last October I experienced vomiting after staying up all night to catch up on my studies. Since then, I have had a persistent loss of appetite. I consulted a gastroenterologist who diagnosed me with gastroesophageal reflux disease (GERD). After trea...
Dr. Lin Zhebin Reply:
Hello: Based on your description of physical discomfort and the situation regarding medical consultations and prescriptions, it is inferred that you may be experiencing anxiety and depression. Additionally, it is important to consider the possibility of endocrine disorders, such ...[Read More] Understanding Loss of Appetite: Causes and Treatment Options
Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Sleep and physical issues? Hello doctor, I have been experiencing sleep issues for over a month now. I either have light sleep or wake up in the middle of the night, and sometimes I am even aware while I am sleeping. Additionally, for the past two weeks, I have been having headac...
Dr. Lin Zhebin Reply:
Hello: Your symptoms include headache, insomnia, body heat and sweating, dizziness, and nausea. Given your age, you may be concerned about the following issues: 1. Infectious diseases: viruses (such as COVID-19, influenza), bacteria, etc. 2. Hormonal disorders: hyperthyroidism, d...[Read More] Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Understanding Nausea and Loss of Appetite: When to Seek Medical Help
Nausea and loss of appetite? Hello, doctor. Last year, I experienced nausea and loss of appetite, which led to weight loss. After seeing a doctor, my condition improved slightly. However, two weeks ago, I suddenly felt nauseous while eating, accompanied by a rapid heartbeat and c...
Dr. Xiao Yongxun Reply:
Dear Ms. 751: 1. Please consult the physician you saw last year for "weight loss due to nausea and loss of appetite" before making any decisions. 2. Generally, when encountering patients with nausea and loss of appetite, physicians will consider infectious diseases, ...[Read More] Understanding Nausea and Loss of Appetite: When to Seek Medical Help
Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Accidental Borax Ingestion: What You Need to Know for Safety
Ingestion of borax? If you accidentally added about 20 grams of borax instead of flour while making pancakes and consumed it, it's important to seek medical attention immediately. Borax (sodium borate) is toxic and can cause serious health issues. While the amount ingested m...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a medical facility as soon as possible to confirm whether there are any signs of poisoning.[Read More] Accidental Borax Ingestion: What You Need to Know for Safety
Post-Dinner Nausea and Vomiting: Understanding Possible Causes
Nausea and vomiting after dinner? Hello Dr. Hou, Here are my mother's symptoms. I'm not sure if they are related, so I have included all the information I have for evaluation. For the past six months, she frequently experiences sudden nausea and vomiting after dinner,...
Dr. Hou Angting Reply:
Hello, Bala: Since your mother has diabetes, if she experiences similar symptoms in the future, it is advisable to check her postprandial blood glucose levels for assessment. Additionally, you may consult with a family medicine specialist to discuss and evaluate whether there are...[Read More] Post-Dinner Nausea and Vomiting: Understanding Possible Causes
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