Sleep, Family Medicine FAQ - Page 15

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Should I Stop My Medication? Understanding Symptoms and Next Steps

Should I stop the medication first, and which specialty should I consult? Last week on the 25th, I underwent an upper gastrointestinal endoscopy due to symptoms of bloating, chest tightness, and loss of appetite. The results showed esophageal ulcers, excessive gastric acid, gastr...


Dr. Ye Qianyu Reply:
Hello! Based on your description, since your condition has just improved after treatment by a physician but new symptoms have emerged, it is advisable for you to return to the original medical facility for follow-up treatment.

[Read More] Should I Stop My Medication? Understanding Symptoms and Next Steps


Understanding Unexplained Symptoms: Which Specialist to Consult?

Feeling unwell but unsure where the problem lies? Hello, Doctor Yeh. I would like to ask about the following symptoms I am experiencing and which specialty I should consult to address my sleep issues: 1. It has become more difficult for me to fall asleep compared to before, and...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a cardiology clinic. Additionally, if you are experiencing weight loss, you may want to consult with an endocrinology specialist.

[Read More] Understanding Unexplained Symptoms: Which Specialist to Consult?


Managing High Blood Pressure: What to Do After Taking Medication on an Empty Stomach

Vomiting after taking blood pressure medication on an empty stomach? Grandpa has high blood pressure. This morning, he measured his blood pressure at 185 and took his antihypertensive medication without having breakfast. He then felt dizzy and sweaty, and after taking a sip of mi...


Dr. Liu Hongxiang Reply:
Hello, Mei-Shan: Based on the analysis of your letter, generally speaking, after taking antihypertensive medication for a period of time, the body should have adapted to the blood pressure-lowering effects. It is unusual to experience dizziness and sweating after taking blood pre...

[Read More] Managing High Blood Pressure: What to Do After Taking Medication on an Empty Stomach


Understanding Abnormal Neutrophils and Lymph Nodes: Causes and Concerns

Abnormal lymphocytes and neutrophils, along with lymphadenopathy? Hello Doctor, I visited the obstetrics and gynecology department in mid-November due to adenomyosis and endometriosis. The gynecologist ordered blood tests to assess whether I had anemia and if I was suitable for t...


Dr. Hou Angting Reply:
Hello Ms. Nsi321, the distribution of white blood cells in the body can vary, so if your white blood cell count is normal, temporary abnormalities in neutrophils and lymphocytes can be monitored without concern. You may also consult with an obstetrician-gynecologist to address yo...

[Read More] Understanding Abnormal Neutrophils and Lymph Nodes: Causes and Concerns


Understanding Headaches and Neck Pain: When to Seek Medical Help

Headaches and Neck Issues Hello, Doctor: I have been prone to headaches since childhood, triggered by various factors such as heat and stress. Most of my headaches require pain relievers for relief, but the effects of the medication are usually quick. Does this mean that my heada...


Dr. Xiao Yongxun Reply:
Dear Ms. Kanghua: 1. Headache is a clinical symptom with a complex array of causes, leading to significant variability in the severity and urgency of the condition. Accurate diagnosis of headaches primarily relies on a detailed history and clinical symptoms, supplemented by vari...

[Read More] Understanding Headaches and Neck Pain: When to Seek Medical Help


Understanding Upper Back Pain: Causes and When to Seek Help

Upper back pain? Hello Doctor, about six months ago, I woke up one morning and noticed soreness in the upper back on both sides (from the shoulders down to the upper waist). The pain on the left side is about 80%, while the right side is about 20%. I initially thought it was due ...


Dr. Liao Yaopan Reply:
Hello, it is recommended to have an evaluation by an orthopedic or rehabilitation specialist. Hyperthyroidism should be regularly monitored by an endocrinologist at Changhua Hospital. Take care.

[Read More] Understanding Upper Back Pain: Causes and When to Seek Help


Concerns About Mebendazole and Metronidazole Drug Interactions

The interaction issues between Mebendazole and Metronidazole? Hello Doctor: I have been experiencing itching around the anus, which is particularly bothersome at night. Since I had Mebendazole, a common antiparasitic medication, at home, I took it for about two weeks, at a dosage...


Dr. Xiao Yongxun Reply:
Dear Ms. Ellie: 1. Mebendazole is a synthetic benzimidazole compound that is widely effective against nematodes. This medication is the first-line treatment for whipworm (Trichuris trichiura), pinworm (Enterobius vermicularis), hookworms (Necator americanus and Ancylostoma duode...

[Read More] Concerns About Mebendazole and Metronidazole Drug Interactions


Understanding Right Chest Pain: When to Seek Medical Advice

Chest tightness and pain on the right side? Hello, doctor: On the first day of my recent menstrual period, I experienced a brief sharp pain on the right side of my head. After that, it went away. I also have a feeling of tightness and pain in the right side of my chest, which wor...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a pulmonology clinic and engage in moderate exercise. Staying up late can easily disrupt your sleep cycle, so it is necessary to readjust your sleep schedule. Thank you for your inquiry, and I wish you a speedy recovery!

[Read More] Understanding Right Chest Pain: When to Seek Medical Advice


Understanding Left Upper Abdominal Pain: Causes and Insights

There is a sharp pain in the upper left abdomen? Recently, I have been experiencing a sharp pain in my upper left abdomen. There is also a tingling sensation when I extend my left arm straight, and I feel pain when bending over. However, I do not feel any discomfort while walking...


Dr. Cai Dongqi Reply:
Hello, it is recommended that you consult a gastroenterologist for further examination or an abdominal ultrasound.

[Read More] Understanding Left Upper Abdominal Pain: Causes and Insights


Can You Ignore Dislodged Ear Stones? Understanding Symptoms and Solutions

Can you ignore otolith displacement/ectopic otoliths? I have been experiencing dizziness for the past few days. This has happened before, and although I didn't see a doctor, I suspect it might be due to benign paroxysmal positional vertigo (BPPV) because the symptoms match w...


Dr. Xiao Yongxun Reply:
I am experiencing dizziness: Indeed, some physicians perform canalith repositioning procedures; however, I apologize for not having expertise in this area. On the other hand, I am not sure if the otoliths will reposition on their own. I recommend consulting an otolaryngologist to...

[Read More] Can You Ignore Dislodged Ear Stones? Understanding Symptoms and Solutions


Understanding Left Lower Abdominal Pain: A Comprehensive Guide

Left lower abdominal pain? Hello, Doctor: About two months ago, I started experiencing intermittent dull pain in my left lower abdomen at night, which later became a constant pain. I also felt soreness in my left back. I have consulted several specialists: 1. Family Medicine - Th...


Dr. Hou Angting Reply:
Hello, Miss Barley. Given your current situation, it is advisable to wait for the culture report to come back and discuss it with your doctor for the best course of action. Additionally, if you frequently experience symptoms after menstruation, it is recommended to consult with a...

[Read More] Understanding Left Lower Abdominal Pain: A Comprehensive Guide


Struggling with Sleep Issues and Lactose Intolerance: Seeking Solutions

Severe sleep disturbances but with lactose intolerance? Hello Doctor: I often feel exhausted after spending the whole day at work or out on weekends, yet I struggle to fall asleep. I frequently hear people say that if you can't sleep, it's because you're not tired ...


Dr. Xu Peiqi Reply:
Hello: If you have already tried to improve your sleep habits, such as going to bed at the same time, avoiding intense activities an hour before sleep, maintaining a regular exercise routine, and not eating a heavy dinner, but still cannot improve your sleep condition, it is advi...

[Read More] Struggling with Sleep Issues and Lactose Intolerance: Seeking Solutions


Understanding Numbness in Hands and Feet: Causes and Solutions

Numbness in the hands and feet? Hello, Doctor: I previously had no exercise habits and spent a long time sitting in front of the computer. Since the end of August, I have been experiencing hand numbness, which at one point was so painful that I couldn't sleep. This lasted fo...


Dr. Ye Qianyu Reply:
Hello! Based on your description, I recommend that you visit a rehabilitation specialist. Please observe whether the area of numbness has a specific distribution, its duration, any factors that exacerbate or alleviate it, and whether certain positions trigger it. This information...

[Read More] Understanding Numbness in Hands and Feet: Causes and Solutions


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 Numbness and Headaches: When to Seek Medical Advice

Numbness in the limbs and headache? Hello, Doctor Yeh. Yesterday afternoon, after waking up from a nap, I felt soreness in my lower body, and I'm not sure if it was caused by exercising at the gym the day before. About an hour later, I started experiencing a dull headache, s...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms are non-specific. I recommend that you visit a nearby family medicine or general internal medicine clinic. Please recall if you have traveled in the past two weeks and check if any family members or friends have experienced fever or ...

[Read More] Understanding Numbness and Headaches: When to Seek Medical Advice


Understanding Recent Stomach Discomfort: Causes and Concerns

I've been experiencing some discomfort in my stomach lately? Recently, I've been feeling full easily when eating, and if I eat more after feeling full, I feel like vomiting, especially with foods like soup dumplings. The last time I ate them, I couldn't swallow and...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms primarily involve the gastrointestinal tract. Since I cannot confirm your condition online, I recommend that you observe your recent dietary habits, bowel movements, and any discomfort symptoms. Please consult a gastroenterologist fo...

[Read More] Understanding Recent Stomach Discomfort: Causes and Concerns


Is Oversleeping Healthy? Tips for Better Daytime Energy

The Way of Health - Oversleeping In the past, my lifestyle was quite irregular, often staying up until after 4 AM, and sleeping even less when I had assignments. Recently, I have started to change my habits, going to bed around midnight, drinking more water, and running three tim...


Dr. Ye Qianyu Reply:
Hello! The amount of sleep needed varies from person to person. If you wake up feeling refreshed in the morning, it indicates that you have had sufficient sleep. The timing of waking up is crucial for adjusting your circadian rhythm; aim to wake up before 7 AM in the summer and b...

[Read More] Is Oversleeping Healthy? Tips for Better Daytime Energy


Understanding Tongue Pain and Swelling: Common Causes and Remedies

Painful tip of the tongue, swelling under the tongue, swollen lips? A few days ago, I woke up to find that the tip of my tongue was painful, feeling as if it had been burned, even though I hadn't eaten anything too hot in the past few days. The next day, the pain at the tip ...


Dr. Liao Yaopan Reply:
Hello, regarding your question, it may be related to infection, allergies, or inflammation... or even related to stress? Online consultations are not equivalent to in-person medical visits and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares about ...

[Read More] Understanding Tongue Pain and Swelling: Common Causes and Remedies


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


Fast Heartbeat and Insomnia After Stomach Issues: What to Know

Lying flat feels like my heart is racing too fast, making it hard to sleep? Last night, I woke up in the middle of my sleep feeling discomfort in my stomach and went to the bathroom, where I experienced diarrhea that was very watery. I also vomited a little bit. After returning t...


Dr. Ye Qianyu Reply:
Hello! Since you mentioned gastrointestinal symptoms and palpitations, it's important to check for any fever, as lying flat may exacerbate the symptoms. Consider whether it could be related to gastroesophageal reflux disease or cardiopulmonary issues. I recommend visiting a ...

[Read More] Fast Heartbeat and Insomnia After Stomach Issues: What to Know


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