Understanding Post-Traumatic Headaches: When to See a Neurologist
Occipital pain I was accidentally hit on the head by a classmate during physical education class. That night, I went to a clinic for a cold treatment, which resolved, but my headache persisted. At the moment of impact, I only felt mild pain, so I didn't seek any treatment an...
Dr. Wu Zongying Reply:
Hello: It is recommended that you schedule an appointment with the neurology department for further examination. If the neurology evaluation shows no issues, you may then consider an appointment with the psychiatry department.[Read More] Understanding Post-Traumatic Headaches: When to See a Neurologist
Should I Monitor My Symptoms or Visit a Hospital for Gastro Issues?
I would like to consult a doctor? Two days ago, I suddenly experienced intense intestinal contractions and noticeably elevated body temperature, accompanied by some pain and diarrhea. The situation improved during the day, so I didn't seek medical attention. However, by even...
Dr. Wu Zongying Reply:
Hello: When there is significant abdominal peristalsis, several possible conditions may be present, including excessive fecal accumulation or gastrointestinal inflammation. Please try to have a bowel movement first, and increase your intake of fruits and vegetables while reducing...[Read More] Should I Monitor My Symptoms or Visit a Hospital for Gastro Issues?
Understanding Upper Right Back Pain: When to Seek Medical Attention
Pain in the upper right back? On December 7th, after dinner, I rested and experienced severe pain in the upper right side of my back, to the point where I couldn't move at all. The pain was so intense that I couldn't sleep at night; it came in waves and felt like sharp ...
Dr. Huang Hongshuo Reply:
Hello: This pain is accompanied by numbness and tingling, so nerve compression pain should be prioritized. Right back pain needs to rule out cholecystitis, kidney stones, and ureteral stones, followed by pancreatitis. Please visit a nearby hospital's family medicine departme...[Read More] Understanding Upper Right Back Pain: When to Seek Medical Attention
Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions
Stretching during the transition from sleep to wakefulness can easily lead to calf cramps? Hello: I often experience diarrhea, frequent urination, and insomnia at night, which requires me to take sleeping pills to fall asleep. Sometimes, I wake up in the middle of the night, stre...
Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Regarding your frequent symptoms of "diarrhea, frequent urination, and insomnia," there are many potential causes. It is advisable for you to avoid consuming beverages such as coffee, tea, milk tea, and alcohol. I recommend discussing this matter in de...[Read More] Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions
Understanding Right Chest Pain: Causes and Concerns for Patients
Mild pain in the right chest? Hello, Doctor. I fell asleep around 3 AM and woke up around 7 AM to go to class. Around 8 or 9 AM, I experienced intermittent sharp pain in my right chest. I had a breast examination two days ago, and the doctor mentioned that I have some cysts, but ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, there is likely no direct correlation between flatulence and chest pain. It is possible that the reduction in abdominal pressure after passing gas may provide some relief. You may try applying localized pressure on the cyst area and changing your...[Read More] Understanding Right Chest Pain: Causes and Concerns for Patients
Understanding Memory Loss and Fainting: When Childhood Memories Resurface
After fainting, I became my childhood self? Hello Doctor, I have a friend who is 18 years old. She has been experiencing back pain, and recently it has become severe enough to cause her to faint, losing consciousness completely. However, when she wakes up, she behaves like her yo...
Dr. Ye Qianyu Reply:
Hello! It is recommended to first visit a neurologist. Please observe and document any related symptoms that occur simultaneously to provide the physician with complete information.[Read More] Understanding Memory Loss and Fainting: When Childhood Memories Resurface
Chest Pain While Sleeping: Causes and Solutions for Discomfort
Experiencing some chest pain in the middle of the chest while sleeping? Hello, Doctor: In the past few months, I have been wearing tighter bras, which has caused some pain in the center of my chest. Although there has been some improvement recently, I still experience pain simila...
Dr. Xiao Yongxun Reply:
Dear Ms. HAKI: 1. There are many causes of chest pain, including myocardial infarction, pulmonary embolism, pneumothorax, aortic dissection, pneumonia, tumors, autoimmune diseases, and neuromuscular pain, among others. 2. Your cause may be related to muscular or ligamentous is...[Read More] Chest Pain While Sleeping: Causes and Solutions for Discomfort
Understanding Breathing Difficulties: Causes and When to Seek Help
Respiratory distress Hello Doctor: I have been experiencing difficulty breathing for the past few weeks, along with persistent phlegm in my throat, but no coughing. Although I don't wake up every one or two hours at night, I do have trouble falling asleep due to breathing di...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhu: 1. There are many causes of dyspnea; it can be caused by pulmonary diseases, cardiac conditions, psychological factors, or metabolic disorders, among others. 2. Acute Respiratory Distress Syndrome (ARDS) has a very strict definition and its symptoms are quite sev...[Read More] Understanding Breathing Difficulties: Causes and When to Seek Help
Understanding Abdominal Distension: When to Seek Medical Advice
Abdominal distension Irregular menstruation; had sexual intercourse on 8/15, and pregnancy tests taken on 9/8, 10/15, and 11/10 all showed one line. Visited a gynecologist on 9/9 for menstrual regulation and started taking emergency contraceptive pills. Menstrual period occurred ...
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, both the obstetrics and gynecology department and the hepatobiliary and gastroenterology department recommend that online consultations are not equivalent to in-person visits, and they cannot provide diagnoses or treatment recommendations. Changhua ...[Read More] Understanding Abdominal Distension: When to Seek Medical Advice
Understanding Blood Test Results After Surgery: What Do They Mean?
Inquiry about blood test report results? I underwent a small intestine surgery, and the doctor ordered a blood test for me. The results for liver, kidney, and white blood cell counts were all within normal ranges. However, my red blood cell and hemoglobin levels did not meet the ...
Dr. Wu Zongying Reply:
Your values may indicate thalassemia, but further testing with hemoglobin electrophoresis is needed for confirmation. Your results are not significantly related to sleep deprivation.[Read More] Understanding Blood Test Results After Surgery: What Do They Mean?
Understanding Low Blood Pressure: Causes and Concerns in Family Medicine
Regarding the issue of low blood pressure? Hello Doctor, I would like to inquire about blood pressure issues. Both my husband and I generally have low blood pressure; when sitting, it usually measures around the 90s/60s, and at its highest, it can reach around 100s/70s, while at ...
Dr. Wu Zongying Reply:
Hello: Actually, lying flat does not lower systolic blood pressure; your dizziness may need to be considered in light of other issues. Generally speaking, if blood pressure is slightly below normal but there are no underlying heart conditions or discomfort, there is no need for c...[Read More] Understanding Low Blood Pressure: Causes and Concerns in Family Medicine
Should You See a Doctor for Drooling While Sleeping?
Drooling during sleep? Hello doctor, I have occasionally drooled while sleeping since I was young, and it happens more frequently when I nap at school. Should I see a doctor for this? Which specialty should I consult?
Dr. Wu Zongying Reply:
Hello: Based on the information you provided, possible causes include 1. increased parasympathetic nervous system activity, 2. sleeping with the mouth open, and 3. taking antidepressants or anticonvulsants. Please try to avoid sleeping on your stomach (for example, during school ...[Read More] Should You See a Doctor for Drooling While Sleeping?
Chest Pain When Lying Down: Understanding Causes and Solutions
Chest pain in specific positions? Hello, doctor. I have had trouble sleeping easily since my student days. In the past three to four years, I have noticed that sleeping in a position where my body is flat, my arms are raised, and my head is resting on the pillow helps me fall asl...
Dr. Xiao Yongxun Reply:
Dear Ms. H: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, differential diagnoses should be conside...[Read More] Chest Pain When Lying Down: Understanding Causes and Solutions
How to Manage Bowel Movement Timing for Better Sleep Quality
Bowel issues Hello doctor, I am 20 years old. Recently, I have been going to bed between midnight and 1 AM and waking up at 7 AM. Although I feel sleepy, I experience a strong urge to have a bowel movement and have to go to the bathroom. My stools are somewhat soft and moist, wit...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you have diverticulitis, and it is important to maintain regular bowel movements. Having a consistent daily schedule for bowel movements can benefit your intestinal health. The timing of bowel movements is related to your biological clock, so you...[Read More] How to Manage Bowel Movement Timing for Better Sleep Quality
Understanding Leg Pain: When to Seek Medical Advice
Leg problems I suddenly feel extreme soreness in my entire leg, but my level of physical activity is about the same as usual. The soreness persists whether I'm sitting or standing, and this has happened before. I often feel weakness in my legs, especially before sleeping or ...
Dr. Liao Yaopan Reply:
Hello, based on your description, the symptoms are indeed atypical. It is recommended that you first consult a neurologist for evaluation. Thank you for your concern from Changhua Hospital. Please note: online consultations are not equivalent to in-person visits and cannot provid...[Read More] Understanding Leg Pain: When to Seek Medical Advice
Can I Take Doxepin and Rifampin Together Safely?
Can Du Shiping and Rifampicin be taken together? The otolaryngologist prescribed me Rifampicin 0.5 mg for the treatment of tinnitus to be taken before bedtime. I have been taking it for nearly 9 months and recently developed a shingles rash. The dermatologist prescribed me Doxepi...
Dr. Chen Bozhang Reply:
Hello Mr. Eagle: Both Lyrica (Pregabalin) and Duloxetine have anxiolytic effects and can aid in sleep. Using them together may enhance the sedative effect; this might be acceptable for patients with long-term severe sleep disorders, but for individuals without sleep issues, it co...[Read More] Can I Take Doxepin and Rifampin Together Safely?
Frequent Typing Errors: Understanding Possible Neurological Issues
I often make typos; even though the phonetic symbols I see are correct, the words I type come out wrong? Recently, for the past 1 to 2 months, I have been experiencing a frequent issue while typing on my phone. Although I intend to type the correct Zhuyin symbols in my mind, my f...
Dr. Chen Bozhang Reply:
Dear Anonymous Lady, In your recent letter, you mentioned that you often make typing errors on your phone. This may not necessarily indicate any pathological reason. You can start by raising both hands to see if you experience any tremors; pay attention to whether you have diffi...[Read More] Frequent Typing Errors: Understanding Possible Neurological Issues
Managing Diabetes and Severe Depression: Long-Term Medication Concerns
I have diabetes and severe depression? I have diabetes and severe major depressive disorder. Cardiology: Somil S.C. Tab - 40mg or Diltiazem (Cartil) 60mg, take one at bedtime. Psychiatry: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazep...
Dr. Ye Qianyu Reply:
Hello! For questions related to medication, it is advisable to discuss them directly with your prescribing physician. The medication you inquired about is generally considered relatively safe; however, please avoid consuming grapefruit or grapefruit juice, and be cautious with th...[Read More] Managing Diabetes and Severe Depression: Long-Term Medication Concerns
Understanding Summer Breathing Issues: When to Seek Medical Help
Respiratory issues Hello, doctor! During the summer, I often experience a sensation of not being able to breathe, and I need to take deep breaths to relieve it. However, this only happens in the summer, and I don't have any particular discomfort at night while sleeping. This...
Dr. Chen Bozhang Reply:
Hello! If you have any concerns, it is recommended to consult with a family medicine clinic. Thank you![Read More] Understanding Summer Breathing Issues: When to Seek Medical Help
Understanding Symptoms: When to Seek Medical Help for Breathing Issues
Shortness of breath, rapid heartbeat, insomnia, constipation? I am currently a high school student with no obesity issues and no history of congenital heart disease or asthma. A few years ago, a traditional Chinese medicine practitioner suggested that I might have an arrhythmia, ...
Dr. Huang Hongshuo Reply:
Please measure your blood pressure and heart rate once or twice a day, noting the time and any activities prior to measurement, as well as whether you are experiencing any discomfort at that time. Your current diet is significantly unbalanced; please consult a nutritionist about ...[Read More] Understanding Symptoms: When to Seek Medical Help for Breathing Issues