Sleep, Family Medicine FAQ - Page 14

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Understanding Persistent Itching: When to Consult a Specialist

Itchy sensation from the widow's peak to the forehead, extending to the bridge of the nose and the upper and lower gums? Since childhood, I have experienced itching issues from the widow's peak down to the bridge of my nose and along the gums of my upper and lower front...


Dr. Ye Qianyu Reply:
Hello! Abnormal neurological sensations that severely affect sleep may warrant a consultation with a psychiatrist.

[Read More] Understanding Persistent Itching: When to Consult a Specialist


Understanding Breathlessness and Elevated Liver Enzymes: A Patient's Journey

Hello, doctor? Hello Doctor, I apologize for the lengthy message, but I would appreciate your attention. I have been suffering from cellulitis in my leg since March 5th of this year, which has rendered me completely immobile. By early April, my weight increased from 80 kg to 100 ...


Dr. Ye Qianyu Reply:
Hello! Regarding your difficulty in breathing and abnormal liver function, these may be related to weight gain. It is recommended that you reduce caloric intake and engage in moderate exercise (focusing on upper body movements and rolling exercises). For your breathing issues, yo...

[Read More] Understanding Breathlessness and Elevated Liver Enzymes: A Patient's Journey


Understanding COVID-19 Transmission Risks in Social Settings

Transmission potential of Wuhan pneumonia? Hello, doctor. Last week I had a bit of a cold and went to see an ENT specialist. I'm still taking medication. The doctor said my lungs sounded fine, but I sometimes have a sore throat along with phlegm and nasal discharge, so I was...


Dr. Xiao Yongxun Reply:
Dear Miss Ning Ning: 1. The Wuhan pneumonia virus (COVID-19 virus) belongs to the second type of coronavirus (also known as β-coronavirus); it is an enveloped RNA virus with a large genome (26-32 kb) and is classified as a zoonotic virus. Currently, the primary transmission rout...

[Read More] Understanding COVID-19 Transmission Risks in Social Settings


Understanding Sudden Dizziness: When to Worry and When to Relax

Sometimes I suddenly feel dizzy? Hello Doctor: I am not sure if this is related to the increasingly hot weather, but I have occasionally experienced dizziness when sitting or standing up from a low position. I consulted an ENT specialist who mentioned that it is considered normal...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen, There are many causes of dizziness, which can be primarily categorized as follows: 1. Dizziness originating from peripheral issues (approximately 40%): - Meniere's disease - Vestibular neuronitis and acute labyrinthitis - Benign paroxysmal positiona...

[Read More] Understanding Sudden Dizziness: When to Worry and When to Relax


Understanding Post-Surgery Symptoms and Infection Risks in Elderly Care

Please consult a doctor for your questions? Hello, Dr. Hsiao. Last week, my grandfather had surgery for a liver tumor at Taipei Veterans General Hospital in Neihu. I occasionally help take care of him. After the surgery, he stayed in the intensive care unit for two days before be...


Dr. Xiao Yongxun Reply:
Dear Ms. Hs: 1. The primary mode of transmission for COVID-19 is through direct contact with respiratory secretions or droplets containing the virus. The estimated incubation period is mostly between 1 to 14 days, with the most common duration being around 5 days. Clinical manif...

[Read More] Understanding Post-Surgery Symptoms and Infection Risks in Elderly Care


Understanding Sudden Dizziness: When to Worry and When to Relax

Sometimes I suddenly feel dizzy? Hello Doctor: I’m not sure if it’s related to the increasingly hot weather, but I have occasionally experienced dizziness when sitting or standing up from a low position. I consulted an ENT specialist who mentioned it was normal and gave it a name...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen: There are many causes of dizziness, which can be primarily categorized as follows: 1. Dizziness originating from peripheral issues (approximately 40%): - Meniere's disease - Vestibular neuronitis and acute labyrinthitis - Benign paroxysmal positiona...

[Read More] Understanding Sudden Dizziness: When to Worry and When to Relax


Understanding Sudden Dizziness: When to Worry and When to Relax

Sometimes I suddenly feel dizzy? Hello Doctor: I’m not sure if it’s related to the increasingly hot weather, but I have occasionally experienced dizziness when sitting or standing up from a low position. I consulted an ENT specialist who mentioned it was normal and referred to a ...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen: There are many causes of dizziness, which can be primarily categorized as follows: 1. Dizziness originating from peripheral issues (approximately 40%): - Meniere's disease - Vestibular neuronitis and acute labyrinthitis - Benign paroxysmal positiona...

[Read More] Understanding Sudden Dizziness: When to Worry and When to Relax


Understanding Night Sweats: Causes and Solutions for Better Sleep

Waking up frequently due to feeling hot during sleep? Hello, doctor. For the past few years, I have frequently woken up at night feeling hot. When I wake up, I can hardly fall back asleep unless I get up and turn on a fan to cool down. When I wake up from the heat, my whole body ...


Dr. Chen Bozhang Reply:
Hello! 1. Based on your description of symptoms such as hot flashes, palpitations, and insomnia, these are similar to manifestations of male menopause. 2. However, since each individual's constitution varies, online consultations cannot provide accurate answers. It is recomm...

[Read More] Understanding Night Sweats: Causes and Solutions for Better Sleep


Chronic Headaches and Back Pain: Seeking Solutions for Relief

Severe headache and lower back pain? I have been experiencing chronic headaches (since kindergarten, and they have been getting worse). I previously underwent a brain scan at Gengxin Hospital and an MRI at Taipei Heping Hospital, both of which reported no issues and diagnosed me ...


Dr. Chen Bozhang Reply:
Dear Ms. Ko83277, The long-term headache symptoms you described appear to be indicative of severe chronic migraine, which significantly impacts your daily life. If treatment at one hospital has not been effective, you might consider seeking a second opinion at another neurology ...

[Read More] Chronic Headaches and Back Pain: Seeking Solutions for Relief


Understanding Sleep Paralysis: Causes, Symptoms, and Solutions

Electrostatic discharge issues? The condition you are describing sounds like sleep paralysis, which occurs when a person is temporarily unable to move or speak while falling asleep or waking up. During an episode, individuals may experience a feeling of pressure on their chest, a...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it may occur during the rapid eye movement (REM) phase, which is part of the sleep cycle. If this happens frequently, it is advisable to consult a neurologist or a sleep center for a detailed examination.

[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions


Essential Tests for Diabetes Diagnosis and Dietary Guidance

Dear Dr. Hsiao: What tests should be done to diagnose diabetes? When visiting a medical laboratory for tests, what should be checked? Should I test for fasting blood glucose levels, hemoglobin, or other items? Additionally, if someone has diabetes, can they consume sugar-free bev...


Dr. Xiao Yongxun Reply:
Dear Mr. Luka: According to the diagnostic criteria for diabetes set by the American Diabetes Association, a. Fasting plasma glucose level ≥126 mg/dL after fasting for more than 8 hours, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA1c ≥6.5...

[Read More] Essential Tests for Diabetes Diagnosis and Dietary Guidance


Should You Worry About Dengue Fever from Mosquito Bites in Taiwan?

Mosquito-borne diseases Hello, Doctor. I would like to ask if I should be concerned about dengue fever after being bitten by mosquitoes in Taiwan. My father is Japanese, and I have been living in Osaka since middle school, only returning to Taiwan during the Lunar New Year to vis...


Dr. Ye Qianyu Reply:
Hello! Taiwan is located in a subtropical region, characterized by a hot and humid environment, which is ideal for mosquito breeding, making it a high-risk area for dengue fever outbreaks. Dengue fever is an acute infectious disease caused by the dengue virus, which is transmitte...

[Read More] Should You Worry About Dengue Fever from Mosquito Bites in Taiwan?


Unexplained Symptoms: When to Seek Medical Help for Your Health

I've been experiencing unusual health conditions for a while and I'm unsure whether I should seek medical attention? Hello, doctor. Recently, I have been experiencing some symptoms that I am unsure are due to psychological stress or a viral infection. My condition fluct...


Dr. Liao Yaopan Reply:
Hello, it is recommended that you first consult your family physician for a basic evaluation. If there are specific issues, you can be referred to other specialty clinics. It is important to maintain a regular routine, ensure a balanced diet, engage in moderate exercise, and get ...

[Read More] Unexplained Symptoms: When to Seek Medical Help for Your Health


Leg Cramps at Night: Causes and Solutions for Better Sleep

Calf cramps during the night? Hello, doctor. I would like to ask about a problem I've been experiencing for the past five years. I start to feel soreness in my calves around 3 or 4 AM, which comes and goes. It gets better when I bind them with something, but that no longer h...


Dr. Chen Bozhang Reply:
Dear Ms. Moses, In your letter, you mentioned that you have been experiencing calf cramps while sleeping for the past five years. This could potentially be a case of Restless Legs Syndrome, which may be related to genetic predisposition or deficiencies in certain vitamins and mi...

[Read More] Leg Cramps at Night: Causes and Solutions for Better Sleep


Understanding Post-Lunch Sleepiness: When to Seek Medical Help

After lunch, one tends to enter a state of drowsiness? I have been experiencing persistent drowsiness issues. When I'm not working, I can sleep all day long, and even after waking up to complete tasks, I find myself falling back asleep in bed. Recently, I have been working, ...


Dr. Chen Bozhang Reply:
Dear Ms. Maggie, I understand that you have been experiencing persistent sleepiness. If these symptoms have lasted for a long time and are causing you distress, I recommend scheduling an appointment with a sleep specialist for a thorough evaluation.

[Read More] Understanding Post-Lunch Sleepiness: When to Seek Medical Help


Understanding Chest Discomfort: Causes and Solutions for Your Symptoms

Chest issues When sleeping with my chest resting on the table, my right chest becomes increasingly numb, and I experience a slight pain. When lying on my side or flat on my back, with my head angled slightly downward towards my feet, my right chest feels numb.


Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is recommended that you visit your family physician for an evaluation. Online consultations are not equivalent to in-person visits and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares about you.

[Read More] Understanding Chest Discomfort: Causes and Solutions for Your Symptoms


Understanding Sleep Issues and Dizziness: When to Seek Medical Help

Excessive daytime sleepiness and sleep issues related to the head? Since this Monday, I have been experiencing a feeling of pressure in my head upon waking up, and I haven't been feeling very refreshed in the mornings. Additionally, I've had some ear pain. After seeing ...


Dr. Ye Qianyu Reply:
Hello! Based on your description, you have acute symptoms and changes after taking medication. Since we cannot assess your condition online, I recommend that you visit a medical facility for evaluation and treatment. Thank you for your inquiry, and I wish you a speedy recovery!

[Read More] Understanding Sleep Issues and Dizziness: When to Seek Medical Help


Understanding Low Lymphocyte Count: What It Means for Your Health

The lymphocyte count is very low? Hello, doctor. Last month, my health check report showed that my lymphocyte count is only 7. What does this value indicate? It seems extremely low; am I at risk of immediate health issues? (I'm quite anxious.) How should I proceed with furth...


Dr. Huang Xunying Reply:
Lymphocytosis may indicate an infection with a filtrating virus or tuberculosis; conversely, lymphopenia may suggest issues such as immunodeficiency diseases or aplastic anemia. It is common to also evaluate the "neutrophil count," which often serves as an indicator for...

[Read More] Understanding Low Lymphocyte Count: What It Means for Your Health


Understanding Low Lymphocyte Count: What It Means for Your Health

The lymphocyte count is very low? Hello, doctor. Last month, my health check report showed that my lymphocyte count is only 7. What warning signs does this value indicate? It seems extremely low; am I at risk of immediate bodily changes? (I'm quite anxious.) How should I pro...


Dr. Huang Xunying Reply:
Lymphocytosis may indicate an infection with a filterable virus or tuberculosis; a decrease in lymphocytes could suggest immunodeficiency diseases, aplastic anemia, and other issues. It is common to also evaluate neutrophil counts, which can serve as indicators of immune resistan...

[Read More] Understanding Low Lymphocyte Count: What It Means for Your Health


Understanding Heat Sensation in Hands and Neck: Possible Causes and Solutions

Heat sensation in the palms and back of the neck? Hello doctor, I have been experiencing chest tightness, warmth in my palms, and heat in the back of my neck lately. I went for an internal medicine check-up, including X-rays and blood tests, which showed no signs of inflammation ...


Dr. Xiao Yongxun Reply:
Dear Mr. Hsu: 1. Based on your statements and records, it is difficult to determine the exact issue. 2. I can personally suggest maintaining a regular diet with three balanced meals a day, avoiding high-fat, high-sugar, and overly salty foods. Additionally, do not overeat; it is...

[Read More] Understanding Heat Sensation in Hands and Neck: Possible Causes and Solutions


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