Swollen Face Upon Waking: Causes and When to Seek Help
Swollen face? In recent days, I have been waking up with a swollen face. I feel tightness in the upper half of the right side of my face, and sometimes I can noticeably feel the swelling, although it is not painful; rather, it feels tight when I move it. My gums and teeth do not ...
Dr. Xiao Yongxun Reply:
Dear Sir: 1. In clinical medicine, edema is classified into localized edema and generalized edema. The causes of edema are numerous; some are due to liver dysfunction leading to insufficient albumin production, which can cause edema. Others may result from heart failure, where i...[Read More] Swollen Face Upon Waking: Causes and When to Seek Help
Understanding the Effects and Duration of Anxiety Medication: A Guide
Anxiolytic medications I recently visited a doctor who prescribed an anti-anxiety medication, Lyrica (pregabalin) 10 mg capsules. How long does the effect of this medication last? Can it help with sleep?
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, we hope you can discuss it with your attending physician. Please be reminded that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Understanding the Effects and Duration of Anxiety Medication: A Guide
Understanding Left Armpit Pain, Fever, and Potential Causes
Swelling and pain in the left armpit accompanied by fever? Hello, doctor. Starting from Sunday the 23rd, I began to feel a vague pain and discomfort under my left armpit. By Monday, I noticed soreness and tingling in my left shoulder and arm. That evening, I went to a breast surg...
Dr. Wu Zongying Reply:
Hello: Based on the situation you described, I cannot determine the specific disease without a personal examination. I recommend that you first adjust your routine and maintain a normal sleep schedule. If the symptoms persist, it is advisable to consult a specialist in endocrinol...[Read More] Understanding Left Armpit Pain, Fever, and Potential Causes
Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?
After taking the Japanese B-complex supplement, I experienced numbness in the soles of my feet? Hello Doctor: I am a 54-year-old woman with two children, currently taking medications for heart disease, pseudodiabetes, and sleeping pills (taken before bed). I have been experiencin...
Dr. Wu Zongying Reply:
Hello: If you confirm that the numbness in your feet is caused by taking the medication, you may consider discontinuing it. Aside from the elderly, those with poor dietary habits, or individuals with gastrointestinal absorption issues, vitamins can typically be obtained from natu...[Read More] Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?
Could Tooth Decay Be Causing My Left-Sided Pain and Discomfort?
I have been experiencing tightness and pain in my left chest, along with tightness in the left side of my neck and throat pain. Could this be related to a cavity? Hello Doctor, I would like to ask for your advice. In February, I suddenly experienced tightness, soreness, and numbn...
Dr. Liao Yaopan Reply:
Hello, based on your description, it may be difficult to explain your symptoms with a single disease, as there could be various reasons causing multiple discomforts. Dental issues should be properly addressed, and chest pain must be evaluated to rule out any cardiopulmonary abnor...[Read More] Could Tooth Decay Be Causing My Left-Sided Pain and Discomfort?
Understanding Heart Rate: Optimal Levels and Health Implications
Rapid pulse issue Hello, doctor. I have been measuring my blood pressure and pulse rate myself. My systolic blood pressure is usually around 120, and my pulse rate is between 80 and 90. What is the ideal pulse rate? I've heard that a pulse rate above 70 may be associated wit...
Dr. Xiao Yongxun Reply:
Dear Mr. Jfkdjk: 1. The factors affecting heart rate are quite complex, with autonomic nervous system control being the most significant. The autonomic nervous system regulates heart rate primarily through the "cardioacceleratory center (CAC)" and the "cardioinhib...[Read More] Understanding Heart Rate: Optimal Levels and Health Implications
Understanding Tardive Dyskinesia: Risks and Concerns with Long-Term Medication
Irreversibility and severity Hepatobiliary and Gastroenterology: Take Lansoprazole 30mg and Promethazine 3.84mg (Gastric Mebendazole) before breakfast, and KASCOAL after meals. Hepatobiliary and Gastroenterology: Take Promethazine 3.84mg (Gastric Mebendazole) before lunch, and KA...
Dr. Ye Qianyu Reply:
Hello! In response to your questions: 1. +2. You mentioned the possible side effects of Promeran, which can cause extrapyramidal symptoms (such as bradykinesia, akathisia, and tremors). These side effects are more commonly observed in children and adolescents, typically occurring...[Read More] Understanding Tardive Dyskinesia: Risks and Concerns with Long-Term Medication
Understanding Symptoms: Shortness of Breath, Dizziness, and Visual Disturbances
Shortness of breath, gradual loss of vision, feeling lightheaded or unsteady? Hello Dr. Yeh, I initially suspected anemia; however, during my previous health check-up, although my levels were close to the borderline, my blood results were within the acceptable range. I apologize...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you have mild anemia and orthostatic hypotension. It is recommended that you visit a general internal medicine clinic.[Read More] Understanding Symptoms: Shortness of Breath, Dizziness, and Visual Disturbances
Understanding Unexplained Weight Loss in a 56-Year-Old Man: Causes and Solutions
Weight loss Hello, my husband is 56 years old. Since I met him, he has never been overweight, with a maximum weight of 58 kg. He is 175 cm tall, but in recent years, his weight has dropped to around 51 kg, which is quite underweight. We have a light diet and consume protein; he e...
Dr. Ye Qianyu Reply:
Hello! Based on your description, the patient has experienced significant weight loss. To investigate the underlying causes, it is recommended to conduct a thorough medical history and physical examination. It would be advisable to visit a family medicine or general internal medi...[Read More] Understanding Unexplained Weight Loss in a 56-Year-Old Man: Causes and Solutions
Managing Panic Disorder and Hypertension: Insights and Strategies for Relief
Panic disorder (hypertension and values) Hello, Doctor. I have been taking medication for panic disorder (Xanax 0.5mg) for nearly twenty years, and I also have hypertension, which I manage with medication (Micardis/Concor). Whenever I experience a panic attack, my blood pressure ...
Dr. Wu Zongying Reply:
Hello: There are many factors that can affect high blood pressure. The prevalence of hypertension is higher among modern individuals, primarily due to lifestyle factors such as stress and tension, which can lead to increased secretion of adrenaline in the endocrine system, result...[Read More] Managing Panic Disorder and Hypertension: Insights and Strategies for Relief
Persistent Warm Sensation in Hands, Feet, and Stomach: Causes and Concerns
Long-term sensation of heat in the hands, feet, and stomach? I would like to ask about my long-term experience of feeling a constant warmth in my hands, feet, and stomach every day. I have undergone tests for thyroid function and autoimmune antibodies, and everything came back no...
Dr. Wu Zongying Reply:
Hello: Individuals with hyperthyroidism may experience increased body temperature, trembling hands, a rapid heartbeat, and possible swelling in the front of the neck. Thyroid-related hormones and ultrasound can be tested for confirmation. If you are concerned that your elevated b...[Read More] Persistent Warm Sensation in Hands, Feet, and Stomach: Causes and Concerns
Constant Hunger: Understanding Causes and Solutions for Unexplained Weight Loss
Always feeling hungry? Recently, I have been feeling hungry all the time. Not long after eating, I start to feel hungry again, and I don't feel full after meals. It's also difficult for me to fall asleep at night. My weight has dropped from 60 kg to 45 kg (I don't ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, since your weight has decreased by more than 10% in a short period of time, it could be related to metabolic issues or an infection. It is recommended that you seek medical attention as soon as possible.[Read More] Constant Hunger: Understanding Causes and Solutions for Unexplained Weight Loss
Managing Sleep Issues Linked to Allergic Rhinitis: Expert Advice
Sleep issues & allergic rhinitis Hello Dr. Tsai: I have been a patient with allergic rhinitis since childhood, and I almost sneeze every morning. I would like to ask about my long-standing sleep issues. During my sleep, I tend to rub my eyes vigorously and pinch my nose hard ...
Dr. Cai Dongqi Reply:
Hello, based on your symptoms, you may have some sleep disorders or issues with sleep apnea. It is recommended that you visit a sleep disorder clinic at a hospital for further evaluation.[Read More] Managing Sleep Issues Linked to Allergic Rhinitis: Expert Advice
Managing Sleep Issues Linked to Allergic Rhinitis: Expert Advice
Sleep issues & allergic rhinitis Hello Dr. Tsai: I have been a patient with allergic rhinitis since childhood, and I almost sneeze every morning. This time, I would like to ask about my long-term sleep issues. During sleep, I tend to rub my eyes vigorously and pinch my nose f...
Dr. Cai Dongqi Reply:
Hello, your symptoms may be causing sleep disturbances due to allergic rhinitis. It is recommended that you visit an otolaryngology department or a sleep disorders clinic for further evaluation.[Read More] Managing Sleep Issues Linked to Allergic Rhinitis: Expert Advice
Managing Sleep Disorders in Epilepsy Patients: Seeking Solutions
Sleep issues Hello, Doctor. I have issues with epilepsy and sleep disorders, and I have been consistently visiting the hospital for consultations and medication. However, my epilepsy seems to be more severe (I frequently have grand mal seizures and have been hospitalized), so my ...
Dr. Liao Yaopan Reply:
Hello, regarding your sleep issues, they are indeed quite complex. It is recommended that you consult both a neurologist and a psychiatrist to collaboratively adjust your medications for improvement. Additionally, engaging in moderate exercise and stress relief, while ensuring a ...[Read More] Managing Sleep Disorders in Epilepsy Patients: Seeking Solutions
Understanding Back and Side Pain: Causes and Solutions
Back pain on both sides of the lower back? I have been experiencing pain in both sides of my lower back and back since the day before yesterday. My legs are also swollen, and the pain is so severe that I can't sleep. I'm also experiencing cold sweats.
Dr. Wu Zongying Reply:
Lower back pain is commonly associated with several conditions: 1. Inflammation of the renal and urinary systems: A urinary tract infection (UTI) may initially present with symptoms such as frequent urination, urgency, or discomfort during urination, resembling cystitis. If lef...[Read More] Understanding Back and Side Pain: Causes and Solutions
Accidentally Hitting Your Throat: What to Know and When to Worry
Accidentally hit your own throat? Hello, Doctor. I accidentally hit my throat while waving my hand. Although it shouldn't have been too hard, I feel a strange sensation when swallowing saliva. It's not painful, just odd. I looked it up online and found that being hit in...
Dr. Xiao Yongxun Reply:
Hello! If you have any concerns, it is recommended that you consult with a family medicine clinic. Thank you![Read More] Accidentally Hitting Your Throat: What to Know and When to Worry
Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns
Numbness in the hands, feet, and head, as well as dizziness during sleep? Hello Dr. Hsiao, Over the past year, I have experienced intermittent numbness in my hands, feet, and head while sleeping. This does not occur continuously but happens during the sleep process. It seems to ...
Dr. Xiao Yongxun Reply:
Dear Miss, 1. There are many causes for numbness in the hands, feet, and head; more common and serious issues include atherosclerosis, atrial fibrillation, gout, hypertension, diabetes, cervical and lumbar spine diseases, vitamin deficiencies, and autonomic nervous system disord...[Read More] Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns
Post-Surgery Health Decline: Understanding Symptoms and Next Steps
After the surgery, my father's health has deteriorated significantly? My father is currently 53 years old and has been smoking for at least 30 years. He does not drink alcohol and occasionally chews betel nut. He has obstructive sleep apnea and underwent extensive surgery in...
Dr. Liao Yaopan Reply:
Hello, it is essential to return to the outpatient clinic of the primary surgeon for follow-up after surgery. Any concerns should be discussed and evaluated with the attending physician, who will determine if a referral to another subspecialty is necessary. Chronic diseases shoul...[Read More] Post-Surgery Health Decline: Understanding Symptoms and Next Steps
Understanding Blood Sugar Levels in Children with Influenza Fever
Blood sugar levels in children with influenza and fever? Dear Doctor, Last October, my son (6 years and 3 months old) had a fever due to influenza for five days and had some small red spots on his hands. We went to the clinic for a follow-up, and the doctor referred us to a maj...
Dr. Xiao Yongxun Reply:
Dear Mr. Kelvin: 1. There are many diseases associated with fever and rash in children. In our country, it is particularly important to consider varicella (chickenpox), measles, rubella, roseola, enterovirus infections, scarlet fever, infectious erythema, Kawasaki disease, dengu...[Read More] Understanding Blood Sugar Levels in Children with Influenza Fever