Understanding Elevated Lymphocyte Levels: Causes and Concerns
Elevated lymphocyte count? Hello, doctor... Two weeks ago, I went to the emergency room due to dizziness, general weakness, nausea, and abdominal bloating. I have a history of gastroesophageal reflux disease (GERD). They drew several vials of blood, and the results showed mild ja...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Leukemia is primarily classified into four types: acute myeloid leukemia, chronic myeloid leukemia, acute lymphoblastic leukemia, and chronic lymphoblastic leukemia; it also includes a few rarer, more specific types of leukemia. Many leukemias are related...[Read More] Understanding Elevated Lymphocyte Levels: Causes and Concerns
Understanding Dizziness and Nausea: A Guide for Patients
Dizziness and lightheadedness? On May 28 of this year, I slipped on a drink and sustained a distal radius fracture. I did not undergo surgery and only wore a brace. It has since healed, and I am currently in rehabilitation. I have a 28-year smoking history, smoking two packs a da...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. The issues you have described are diverse and may not be explained by a single disease, nor can any one specialty fully address them. 2. It is recommended that you schedule a special appointment with your primary care physician, allowing ample time for a th...[Read More] Understanding Dizziness and Nausea: A Guide for Patients
Understanding Nausea, Sleep Issues, and Anxiety: A Family Medicine Perspective
Nausea and sleep disturbances? I've been feeling nauseous at the sight of food lately. Although I get hungry, I can only eat a few bites before I feel like vomiting. Basically, the only things I can tolerate are water and soup. Sometimes I only eat one or two meals a day. I&...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a gastroenterology clinic. If symptoms such as anxiety and panic do not improve in the short term, you may also need to consult a psychiatry department. Thank you for your inquiry, and I wish you a speedy recovery![Read More] Understanding Nausea, Sleep Issues, and Anxiety: A Family Medicine Perspective
Understanding Niacin's Impact on Blood Sugar Levels in Seniors
Issues related to niacin? Hello Doctor, my mother is 62 years old. A year ago, she was recommended to take niacin supplements. Recently, she underwent a health check-up, and her coronary artery calcium score was 3. Her cholesterol levels are normal, but her fasting blood glucose ...
Dr. Xiao Yongxun Reply:
Dear Ms. Xiao Zhen, 1. Clinically, Niacin can be used as a medication; Niacin is also known as vitamin B3. Its primary function is to reduce VLDL levels, as LDL is synthesized from VLDL. Therefore, Niacin also lowers LDL levels in patients, meaning it can reduce bad cholesterol....[Read More] Understanding Niacin's Impact on Blood Sugar Levels in Seniors
Understanding the Connection Between Abdominal Bloating and Back Pain in Teens
Abdominal bloating and pain accompanied by spinal pain? My daughter is a 14-year-old second-year junior high school student who is suspected of having Asperger's syndrome combined with psychosomatic symptoms. She has been taking Buspirone for six months. A month ago, she vis...
Dr. Xu Peiqi Reply:
Hello, Afun. I can see that you are very concerned about your daughter, and I understand how difficult this must be for you. Currently, it seems that we cannot completely rule out a connection between her spinal pain and gastrointestinal discomfort. Her spinal pain is somewhat un...[Read More] Understanding the Connection Between Abdominal Bloating and Back Pain in Teens
Breathlessness: Understanding Causes and Seeking Medical Help
Shortness of breath? Hello, I would like to consult a doctor on behalf of a friend who has some concerns and is currently unable to see a physician. He often experiences shortness of breath during episodes of heightened emotions, which seems to be more pronounced in situations wh...
Dr. Xiao Yongxun Reply:
Dear Miss Anonymous: 1. Your symptoms are likely indicative of hyperventilation syndrome, which primarily stems from pre-existing anxiety disorders or psychosomatic conditions. However, many other diseases can present with similar symptoms, so a differential diagnosis is necess...[Read More] Breathlessness: Understanding Causes and Seeking Medical Help
Can You Take Uric Acid and Liver Health Medications Together?
Can medications for lowering uric acid be taken simultaneously with liver-protective medications? Recently, I have been experiencing frequent foot pain, so I visited a general clinic for medical attention. Following the doctor's recommendations, I underwent blood tests and d...
Dr. Xiao Yongxun Reply:
Dear Mr. Wang: **Allopurinol Tablets® (Allopurinol; 100 mg):** 1. Allopurinol is a purine derivative that reduces uric acid synthesis by competitively inhibiting the last two steps of uric acid biosynthesis, which are catalyzed by xanthine oxidase. Uric acid is less soluble th...[Read More] Can You Take Uric Acid and Liver Health Medications Together?
Understanding Your Symptoms: When to Seek Medical Help for Discomfort
Physical discomfort? Hello Doctor: In recent months, I have been experiencing various pains, and I'm unsure if they are due to stress or if there are actual health issues. For the past few weeks, I have been feeling very dizzy, accompanied by a constant desire to sleep. Ofte...
Dr. Xu Peiqi Reply:
Hello Mr. Hsueh, thank you for your inquiry, and I appreciate your efforts regarding your health condition. To summarize your concerns, you are experiencing dizziness and fatigue, nausea, poor appetite, acid reflux, irregular bowel movements with blood, and occasional chest tight...[Read More] Understanding Your Symptoms: When to Seek Medical Help for Discomfort
Understanding Abnormal Blood Test Results During Pregnancy: What You Need to Know
Pregnancy Blood Test Report Hello, doctor. I would like to ask about the following results in red from my prenatal blood test report. Are there any issues? Will it affect the fetus? Do I need to have further tests? - Protein: +/- - Ketone bodies: 3+ - Leukocyte esterase: 2+ ...
Dr. Cai Dongqi Reply:
Hello, based on the values you provided, you may have a urinary tract infection. If you do not have symptoms (such as fever, nausea, vomiting, or frequent painful urination), it is recommended to drink plenty of water and urinate frequently. Regarding thalassemia, it is advisable...[Read More] Understanding Abnormal Blood Test Results During Pregnancy: What You Need to Know
Which Specialist to See for Cough, Chest Pain, and Ear Discomfort?
For symptoms such as cough, chest tightness, ear pressure, and nasal allergies, you should consider seeing an Ear, Nose, and Throat (ENT) specialist or an Allergist? I have been troubled for over two months and am puzzled. In October, I visited a clinic due to a sore throat and f...
Dr. Cai Dongqi Reply:
Hello, I'm not sure if you were seeing an ENT specialist at National Taiwan University. I recommend that you focus on the ENT department and discuss with your physician whether a cross-specialty consultation is necessary.[Read More] Which Specialist to See for Cough, Chest Pain, and Ear Discomfort?
Understanding Dizziness, Sweating, and Neck Tension: When to Seek Help
Frequent dizziness, cold sweats, nausea, and tightness in the shoulders and neck? Hello doctor, I started experiencing dizziness, cold sweats, nausea, and tightness in my shoulders and neck in mid-April. I went to see a doctor, who said that my symptoms were due to a previous col...
Dr. Ye Qianyu Reply:
Hello! Based on your description, although you experience dizziness each time, the circumstances vary. There are many conditions that can cause dizziness, and it is merely a symptom. I recommend that you observe the frequency of your dizziness episodes: how often they occur and h...[Read More] Understanding Dizziness, Sweating, and Neck Tension: When to Seek Help
Understanding Skin Itch, Dizziness, Loss of Appetite, and Abdominal Pain
Itching skin, dizziness, frequent loss of appetite, and abdominal pain? Hello, doctor: I have been experiencing skin itching, dizziness, frequent loss of appetite, and recurrent abdominal pain for the past five days. When I finally feel like eating, I can only eat about half of m...
Dr. Xiao Yongxun Reply:
Dear Miss Peiru: Your main complaints include: [itchy skin that started 5 days ago, dizziness, frequent loss of appetite, and recurrent abdominal pain, with nausea occurring halfway through meals. Sometimes you eat only one meal a day, and at times you hardly eat at all, resultin...[Read More] Understanding Skin Itch, Dizziness, Loss of Appetite, and Abdominal Pain
Which Medical Specialty Should I See for Dizziness and Ear Pain?
Which department should I see? Hello doctor, recently I have been experiencing dizziness and nausea halfway through eating. I also have tinnitus, ear pain, and headaches. Which specialty should I see for this? Thank you.
Dr. Liao Yaopan Reply:
Hello, it is recommended to first visit an otolaryngologist for evaluation. Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Which Medical Specialty Should I See for Dizziness and Ear Pain?
Which Specialist Should I See for My Dizziness and Nausea?
Which specialty should I see? I experience dizziness and nausea when I see things moving, such as: 1) When walking or riding a bike, the motion causes me to perceive everything as shaking intensely, similar to being in an earthquake; 2) Watching television with special effects or...
Dr. Xiao Yongxun Reply:
Neurology.[Read More] Which Specialist Should I See for My Dizziness and Nausea?
Identifying Influenza-Induced Pneumonia: A Family Medicine Perspective
Determining the presence of pneumonia caused by influenza? Hello Doctor, on the morning of February 27th, I had a fever that fluctuated, so I went to a traditional Chinese medicine clinic to get a one-day supply of medicine. After taking it, I had another fever on February 28th, ...
Dr. Liao Yaopan Reply:
Online consultations are not equivalent to in-person medical visits, and they cannot provide accurate diagnoses or treatment recommendations. Please seek in-person medical care for a proper examination by a physician. Changhua Hospital cares about your health.[Read More] Identifying Influenza-Induced Pneumonia: A Family Medicine Perspective
Fever and Eye Pain: Understanding Symptoms and When to Seek Help
Fever with pain when moving the eyes? Hello, Doctor. I started experiencing a mild cough on Friday (about once every five minutes), but my temperature was normal. On Saturday afternoon, I checked my temperature and found I had a fever of 38 degrees Celsius. I also felt pain aroun...
Dr. Liao Yaopan Reply:
Hello, based on the description, there is still a fever present. It is recommended to visit the Infectious Disease Clinic for further evaluation, and then determine if a referral to an ophthalmologist is necessary. Please note that online consultations do not equate to in-person ...[Read More] Fever and Eye Pain: Understanding Symptoms and When to Seek Help
Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions
Decreased hemoglobin and hematocrit levels? Hello, doctor. Last week, I underwent an adult health check and blood tests, and compared to two years ago, my hemoglobin, hematocrit, mean corpuscular volume, and mean corpuscular hemoglobin have all decreased significantly. In 2015 ...
Dr. Huang Xunying Reply:
In addition to Mediterranean anemia, you may also have concurrent iron deficiency anemia. If you are experiencing symptoms, it is advisable to consume other iron-rich foods in addition to apples. Regarding the white blood cells, if there are only abnormalities in the differential...[Read More] Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions
Understanding Chest Pain: Heart Issues or Intercostal Neuralgia?
Chest pain near the heart? Hello Doctor: 1. I have been experiencing intermittent pain in the left chest area, specifically at the location of the heart, which occurs even during static activities. I can pinpoint the pain, and it worsens with breathing. The pain usually resolve...
Dr. Liao Yaopan Reply:
Cardiac issues should still be evaluated by a cardiologist. If cardiac causes are ruled out, other factors may be responsible. The ideal blood pressure is currently defined as not exceeding 120/80 mmHg. It is important to maintain regular cardiovascular exercise and gradually ada...[Read More] Understanding Chest Pain: Heart Issues or Intercostal Neuralgia?
What Happens If You Swallow Plastic Wrap While Eating Sushi?
Ingesting plastic wrap? Swallowing plastic wrap while eating sushi can lead to various complications. The plastic wrap may cause a blockage in the digestive tract, which can result in symptoms such as abdominal pain, nausea, vomiting, or constipation. In some cases, it may requir...
Dr. Liao Yaopan Reply:
Although plastic wrap is not absorbable by the gastrointestinal tract and should be expelled naturally, it is important to monitor for any potential obstruction due to foreign body ingestion. If there are any discomforts, medical attention is necessary. Please be sure to inform p...[Read More] What Happens If You Swallow Plastic Wrap While Eating Sushi?
Confused About Which Specialist to See for My Symptoms?
Unsure which specialty to consult? Frequent dizziness or headaches, mild anemia (but it's been a year since I started medication), palpitations, shortness of breath, sore throat, irregular menstrual cycle with low flow, abdominal pain, nausea, constipation, low blood pressur...
Dr. Ye Qianyu Reply:
Hello! I recommend that you first visit a family medicine or general internal medicine clinic. Thank you for your inquiry![Read More] Confused About Which Specialist to See for My Symptoms?