Skin, Family Medicine FAQ - Page 8

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Understanding Finger Pain: Causes and When to Seek Medical Advice

Swollen, painful, and shortened fingers? Hello Dr. Chen, I have been experiencing intermittent swelling and pain in the skin around the nails of my fingers (distal phalanges) on both hands for about two months. The pain is not in the joints; it is specifically in the flesh beside...


Dr. Chen Bozhang Reply:
Hello! It is recommended to first consult a family medicine physician for a professional evaluation. Thank you.

[Read More] Understanding Finger Pain: Causes and When to Seek Medical Advice


Understanding the Risks of Long-Term Use of Anxiety Medications for Sleep

Medication Consultation Hello, Doctor. Recently, I've been having difficulty falling asleep, so my family medicine clinic doctor prescribed me Ambien to take every night before bed. Initially, I was given a week's supply of seven pills, and I didn't take them every...


Dr. Chen Bozhang Reply:
Hello! It is advisable to consult your primary care physician. Thank you.

[Read More] Understanding the Risks of Long-Term Use of Anxiety Medications for Sleep


Understanding Abdominal and Lower Back Warmth: When to Seek Medical Advice

Heat in the abdomen and lower back? Hello, doctor. For the past two to three months, I have occasionally felt a warmth in my lower abdomen and sometimes in my lower back (near the coccyx), but my skin does not feel hot. Recently, I have also experienced weakness and soreness in m...


Dr. Xiao Yongxun Reply:
Dear Miss Dayu: 1. The causes of lower abdominal pain or discomfort in women include gynecological, urological, musculoskeletal, gastrointestinal, vascular, and metabolic disorders. A detailed medical history and physical examination are usually required to identify potential di...

[Read More] Understanding Abdominal and Lower Back Warmth: When to Seek Medical Advice


Understanding Skin Spots on Fingers and Soles: Melanoma Risks Explained

Skin spots on fingers and soles of the feet? Hello Doctor, I just saw the news that spots on the fingers and soles of the feet could potentially develop into melanoma. I have noticed brown spots on my hands and feet (which have been there for several years) that are irregularly s...


Dr. Xiao Yongxun Reply:
Dear Mr. Wei: 1. Melanoma, also known as malignant melanoma, is more commonly found in Caucasians and individuals with fair skin. The primary causative factor is damage from sunlight (ultraviolet radiation). Other contributing factors for melanoma include dysplastic nevi and cer...

[Read More] Understanding Skin Spots on Fingers and Soles: Melanoma Risks Explained


Understanding Morning Hand Stiffness: Causes and Solutions

Waking up with stiffness in the left fingers? Hello, Dr. Hsiao: I have been experiencing an issue over the past year, which has occurred about ten times. Usually, I am able to sleep through the night, but this phenomenon happens when I suddenly wake up in the middle of my sleep....


Dr. Xiao Yongxun Reply:
Dear Ms. Judy: 1. Clinically, the presence of numbness or tingling sensations in the limbs indicates damage to the sensory nerves. While most cases are due to chronic peripheral nerve injuries, it is common for patients to report acute and transient symptoms such as numbness, ti...

[Read More] Understanding Morning Hand Stiffness: Causes and Solutions


Unexplained Pain and Swelling Under Left Armpit: When to Seek Help?

Unexplained pain in the left armpit and around the collarbone? Hello Doctor: I have swelling under my left armpit extending to the area around my collarbone, with intermittent sharp pain. There are no symptoms on the right side. I have self-checked my skin and pressed on the area...


Dr. Xiao Yongxun Reply:
Dear Ms. Cloud: 1. The differential diagnosis for the unexplained pain in the left axilla and around the clavicle includes lymphadenitis, cellulitis, neuromuscular injury, breast tumors, pulmonary lesions, among others. It is also possible that it could be related to the Modern...

[Read More] Unexplained Pain and Swelling Under Left Armpit: When to Seek Help?


Can You Get Infected from Acupuncture Needles? Understanding Risks

Is there a risk of infection from acupuncture needles? Hello Doctor: I would like to ask, my father is a carrier of hepatitis B and also has issues with antibiotic-resistant bacteria. If on the evening of the 15th, he had acupuncture and the needle fell on a chair, and then on th...


Dr. Xiao Yongxun Reply:
Dear Mr. Hsiao-Lü: 1. Since 1985, all infants and young children in our country have been vaccinated against hepatitis B, unless there are special circumstances. Therefore, the likelihood of you contracting hepatitis B from your father is extremely low. 2. Regarding accidental ...

[Read More] Can You Get Infected from Acupuncture Needles? Understanding Risks


Understanding Zinc Deficiency: Symptoms, Treatment, and Safety Concerns

Difficult medical conditions Hello, doctor. I would like to ask two questions. First, is there any toxicity associated with heating glucosamine zinc tablets? I usually dissolve them in hot water before taking them. Second, I have an anal fissure, chronic acne on my skin, oily and...


Dr. Wu Zongying Reply:
Hello: Soaking in regular warm water may damage zinc. Zinc is found in many types of food, such as seafood (especially oysters), whole grains, cereals, nuts, meats (red meat and poultry), legumes, and dairy products. If you typically do not lack these foods in your diet, you shou...

[Read More] Understanding Zinc Deficiency: Symptoms, Treatment, and Safety Concerns


Understanding Unexplained Chest Discomfort and Body Symptoms

Physical discomfort? Hello Doctor: Recently, due to the pandemic, I have been staying at home and I'm not sure if it's because of frequently using the air conditioning that I have been experiencing some minor health issues. I do not have any underlying health conditions...


Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing abnormal temperature regulation, chest pain, and sleep issues, and it seems you can identify triggers for these symptoms. I recommend that even if you are staying at home due to the pandemic, you should plan a regular daily r...

[Read More] Understanding Unexplained Chest Discomfort and Body Symptoms


Can People with Chronic Hives Safely Get the COVID Vaccine?

Can individuals with urticaria receive the COVID-19 vaccine? Hello Doctor: My father is 56 years old and he occasionally experiences sudden episodes of urticaria. Whenever he feels itchy, he takes an antihistamine and it resolves the issue. This occurs about once or twice a month...


Dr. Xiao Yongxun Reply:
Dear Ms. Lee: 1. The AstraZeneca COVID-19 vaccine contains a non-replicating adenoviral vector carrying the gene for the SARS-CoV-2 spike protein (S protein), as well as L-Histidine, L-Histidine hydrochloride monohydrate, magnesium chloride, Polysorbate 80, ethanol, sucrose, sod...

[Read More] Can People with Chronic Hives Safely Get the COVID Vaccine?


Post-Medication Guidelines: Can You Exercise, Bathe, or Lie Down?

Precautions after medication - Is it safe to exercise, take a shower, or lie down immediately after taking the medication? Hello, I have been on long-term medication, and I previously experienced discomfort in my stomach after taking medication and then lying down or exercising. ...


Dr. Xiao Yongxun Reply:
Dear Ms. Ann: 1. When using medications, it is essential to consider the unique pharmacokinetics and pharmacodynamics of each drug. This means that every medication, whether it is an injection, oral medication, inhaled drug, suppository, or topical treatment, involves the absorp...

[Read More] Post-Medication Guidelines: Can You Exercise, Bathe, or Lie Down?


Concerns About Self-Transmission of STDs After Minor Injury

Infectious issues? Hello, Dr. Hsiao. Yesterday, while trimming my nails, I accidentally broke the skin. Although it stopped bleeding this morning and I applied some medication, I still feel a slight pain when using hydrogen peroxide, indicating that there might still be a wound. ...


Dr. Xiao Yongxun Reply:
Dear Mr. Lin: 1. The term "cauliflower" refers to skin lesions in the genital or perineal area caused by infection with the human papillomavirus (HPV). These lesions are almost exclusively transmitted through sexual contact. It is highly unlikely for this condition to...

[Read More] Concerns About Self-Transmission of STDs After Minor Injury


Can Rest Alone Treat Suspected Acute Mercury Poisoning?

Can resting resolve suspected acute mercury poisoning? Hello, doctor: Seven days ago, I broke a mercury thermometer before going to bed (I have been taking my temperature daily due to the pandemic). I started feeling dizzy and nauseous while cleaning it, and after sleeping, I sti...


Dr. Liao Yaopan Reply:
Hello, generally speaking, direct skin contact with liquid mercury is not highly toxic. If mercury poisoning is suspected, its blood concentration can be monitored. The symptoms mentioned in the text require further evaluation. Please note: online consultations are not equivalent...

[Read More] Can Rest Alone Treat Suspected Acute Mercury Poisoning?


Understanding Right Abdominal Skin Redness and Pain: When to Seek Help

Redness of the skin in the right abdominal area without itching and tenderness upon palpation? Hello Doctor, due to the pandemic, I am hesitant to go to the hospital. My issue began today (May 20), and I experienced it once in April and twice in March. I recall that during all th...


Dr. Chen Bozhang Reply:
Dear Mr. Feng Gai, In your letter, you mentioned experiencing recurrent abdominal pain and redness upon abdominal palpation. Without a physical examination, it is not possible to determine the underlying cause. I recommend that you go directly to the hospital and consult with a...

[Read More] Understanding Right Abdominal Skin Redness and Pain: When to Seek Help


Persistent Fever Above 37.2°C for Two Weeks: When to Seek Medical Help?

A body temperature above 37.2°C for two consecutive weeks? Thank you, doctor, for your response despite your busy schedule! I started experiencing headaches, skin itching, and a temperature ranging from 37.4 to 36.8 degrees Celsius since May 14, which has continued until today (M...


Dr. Chen Bozhang Reply:
Hello, You mentioned that you have a slightly elevated body temperature, accompanied by fatigue, a headache, and a sore throat. Given these symptoms during the pandemic, if they persist, it is advisable to contact your local health department to arrange for an appointment at a ...

[Read More] Persistent Fever Above 37.2°C for Two Weeks: When to Seek Medical Help?


Health Risks of Using Organic Solvents in Indoor Spaces

Some issues related to organic solvents? Dear Doctor, I have been using some spray paint (nitro paint) in my room for work. I sprayed it outdoors for about two weeks but brought it inside to dry, averaging two hours a day. I wore a mask, but I still sensed the smell. I don't...


Dr. Xiao Yongxun Reply:
Dear Mr. Lee: 1. Nitro paint is primarily composed of nitrocellulose, combined with resins, plasticizers, solvents, and additives. Nitro paint is a single-component paint that forms a film upon evaporation and is a liquid mixed in proportion with thinner. The harmful effects of ...

[Read More] Health Risks of Using Organic Solvents in Indoor Spaces


Is It Normal to Have a Slight Fever After AZ Vaccine?

After receiving the AZ vaccine, the body temperature may be elevated? Hello, doctor. I would like to ask, I received the AstraZeneca vaccine a week ago, and my current body temperature fluctuates between 37.2 and 37.8 degrees Celsius (my usual temperature is between 35.8 and 36.5...


Dr. Xiao Yongxun Reply:
Dear Ms. Yu: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine that contains the gene for the SARS-CoV-2 spike protein (S protein) delivered via an adenovirus vector. 2. Possible reactions after vaccination primarily include pain and swelling at the ...

[Read More] Is It Normal to Have a Slight Fever After AZ Vaccine?


Is It Normal for Wound to Darken During Healing? Expert Advice

Wound healing issues Three days ago, I fell and scraped myself while using a treadmill at home. The injury was somewhat severe, so I used saline solution and cotton swabs to disinfect it, and then applied medication and bandaged it. Today, the exudate has decreased, and I switche...


Dr. Xiao Yongxun Reply:
Dear Ms. YC: 1. Please consult your family physician or visit a surgical outpatient clinic at a regional hospital to have your wound examined and determine the next steps. 2. There are many reasons why a wound may turn black: it could be due to blood coagulation leading to iro...

[Read More] Is It Normal for Wound to Darken During Healing? Expert Advice


Managing Suspected Painkiller Allergies: Can Hydration Help?

Suspected allergy to pain medication? Hello, doctor. I suspect that I have an allergy to pain medication, as one of my eyelids is swollen. Will drinking more water help improve the situation faster?


Dr. Huang Xunying Reply:
Mild drug allergies can cause symptoms such as redness, swelling, and itching of the skin. It is also common to see swelling of the facial features. Severe drug allergies can lead to asthma or anaphylactic shock, which can be life-threatening. Drinking water can help accelerate t...

[Read More] Managing Suspected Painkiller Allergies: Can Hydration Help?


Understanding Blood Test Results: Concerns About Lymphocytes and Monocytes

Please ask questions regarding blood draws and related issues? Hello Doctor, about a year ago, I started follow-ups in family medicine due to a liver enzyme level of 60. I was advised to have blood tests every three to six months. Later, during one of the tests, my lymphocyte cou...


Dr. Xiao Yongxun Reply:
1. White blood cells are classified into neutrophils, eosinophils, basophils, lymphocytes, monocytes, etc., each with its own reference range. 2. Their distribution can vary due to different diseases or physiological states. Atypical lymphocytes may appear in peripheral blood dur...

[Read More] Understanding Blood Test Results: Concerns About Lymphocytes and Monocytes


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