Sleep, Family Medicine FAQ

Managing Blood Pressure: Navigating Medication Side Effects and Concerns

Blood pressure issues? At home, my diastolic blood pressure has been consistently high, ranging from 90 to over 100, and my systolic pressure is between 130 and 140. On December 27, 2023, I visited a hypertension specialist for the first time, and they prescribed me a three-month...

Dr. Lin Zhebin Reply:
Hello: 1. The occurrence of herpes on your lips and mild abdominal pain should not be related to Epanutin 5/80. 2. Epanutin 5/80 is not commonly associated with arrhythmia as a side effect; rather, tea and coffee are more likely to cause arrhythmias. 3. Your blood pressure has de...

Understanding Chronic Fatigue: Causes, Tests, and Treatment Options

The reasons for fatigue and the desire to sleep can vary widely. To investigate these symptoms, several tests can be conducted, including: 1. Complete Blood Count (CBC) - to check for anemia or infection. 2. Thyroid Function Tests - to assess for hypothyroidism or hyperthyroidis...

Dr. Lin Zhebin Reply:
Hello: Your issue of fatigue and drowsiness may be related to mental health problems or medication side effects, but it is also important to consider the possibility of physiological diseases, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, o...

Understanding Persistent Fatigue: Causes, Tests, and Treatment Options

Dr. Lin Zhebin Reply:
Hello: Your issue of fatigue and drowsiness may be related not only to mental health problems and medication side effects but also to the possibility of underlying physiological conditions, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, or h...

Understanding Persistent Symptoms After Shingles: Tinnitus, Fatigue, and More

Tinnitus, cold, headache, herpes zoster? In addition to experiencing tinnitus for over five months, I went to the ENT department at the hospital for an examination, and everything was normal. My health has been poor recently. After recovering from shingles last month, I had heada...

Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. Based on your description, it is clinically challenging for physicians to pinpoint the actual issue; in other words, it is difficult to determine which specialty you should consult. 2. It is recommended that you first discuss and undergo an examination with a...

Understanding Unintentional Weight Loss: When to Seek Medical Advice

Weight loss within six months? Hello, doctor. This inquiry is on behalf of my mother. She is currently 56 years old and has experienced a weight loss from 61 kg to around 56 kg over the past 5 to 6 months, without any dieting or exercise. My mother is a teacher and often skips lu...

Dr. Ye Qianyu Reply:
Hello! It is recommended to visit the Metabolism Clinic for consultation.

Which Specialist Should I See for My Digestive and Anxiety Issues?

What is wrong with me, and which specialty should I see? Hello Doctor, I would like to ask you some questions. Thank you. Currently, I am experiencing symptoms related to anxiety, extreme fatigue during the day, and gastroesophageal reflux disease (GERD). However, the medication ...

Dr. Ye Qianyu Reply:
Hello! It is recommended that you avoid foods and beverages containing caffeine, sweets, fried foods, and alcohol. Do not drink too much at once when having beverages or soups, and refrain from consuming fluids after dinner at night. If you feel thirsty, sip slowly and in small a...

Understanding Neck Pain: Causes and Symptoms of Cervical Disc Issues

Neck issues I would like to consult a doctor. I have a mild cervical disc protrusion (as seen on MRI), and during cervical traction (with a pull of 5 kg), I experienced an itching sensation at the base of my skull near the vertebrae (I immediately stopped the traction). After ret...

Dr. Chen Bozhang Reply:
It is recommended that you return for an evaluation by a neurosurgeon or a rehabilitation specialist. Thank you.

Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis

Please ask your questions regarding blood tests? Hello, doctor. Last November (2023), I experienced some health issues. Starting around June 2023, I noticed increased appetite, thirst, and urination, but my weight did not decrease. I went to the hospital for a consultation and ha...

Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. Your questions should be discussed with your primary care physician, as there are many factors that need to be considered. 2. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL af...

Understanding Chest Tightness and Breathing Issues After Night Shifts

Chest tightness and difficulty breathing? After working rotating shifts, including both day and night shifts, for about seven years, and having a smoking habit while drinking a cup of American coffee daily, I recently started experiencing episodes of rapid heartbeat, shortness of...

Dr. Xiao Yongxun Reply:
Dear Ms. Huang: 1. The human body has its own physiological clock and circadian rhythms that are inherently aligned with nature. Therefore, long-term night shifts or rotating shifts can have various impacts on sleep, the neuroendocrine system, cardiovascular system, digestive sy...

Understanding Breathing Issues and Fatigue in Elderly Patients

Wheezing, forceful exhalation? My father is 84 years old and has dementia, hypertension, diabetes, and anemia. Recently, he received a blood transfusion due to low hemoglobin levels. After returning home, he has been experiencing excessive sleepiness, and we are unsure of the cau...

Dr. Cai Dongqi Reply:
Hello, Zhang: 1. First, visit an otolaryngologist to check for any issues in the nasal cavity that may be causing respiratory obstruction or sleep apnea. 2. Experiencing shortness of breath during activity and chest pain may indicate heart failure or angina; please consult a card...

Understanding Bedwetting in Children: When to Seek Medical Advice

Childhood bedwetting Hello Doctor: I would like to ask about my younger son, who is almost 7 years old and in the first grade. He often wets the bed at night. Should I take him to see a doctor? Which specialty should I consult? He usually wakes up only after he has already wet th...

Dr. Lin Zhebin Reply:
Hello: Common causes of bedwetting in children, aside from psychological factors, may include nocturnal polyuria, overactive bladder, and abnormalities in the brain's awakening centers (where the brain does not sense urine). If your son experiences any of the following sympt...

Unexplained Fatigue: How Euzip Can Help You Feel Energized Again

Unexplained fatigue can only be alleviated by taking Euzip? Hello Doctor: I am a 31-year-old female. Four years ago, I experienced severe nasal septum deviation and significant work-related stress, which led to a period of severe sleep deprivation and facial nerve paralysis. Sinc...

Dr. Chen Bozhang Reply:
It is recommended that you visit an internal medicine or family medicine outpatient clinic for evaluation. Thank you.

Understanding Morning Yellow Saliva: Is It GERD or Something Else?

Waking up with yellow saliva? Recently, I've been waking up every morning with yellow saliva (it feels like it's coming from my throat, and it goes away after drinking water). Occasionally, my throat feels swollen, but I can be sure that it’s not caused by a cold. I men...

Dr. Xiao Yongxun Reply:
It is recommended that you visit a family medicine or gastroenterology clinic for evaluation. Thank you.

Why Do I Feel Sleepy After Lunch? Understanding Post-Meal Fatigue

Feeling extremely sleepy after eating? Hello, doctor. I've noticed that about an hour after having Chinese food, I tend to feel very sleepy, whether I'm at work (sitting at a desk) or at home on a day off (sitting in front of the computer). I suddenly become very tired ...

Dr. Ye Qianyu Reply:
Hello! Feeling sleepy after a meal is not directly related to any disease. A common situation may occur when eating too much at once, which causes blood to be diverted to the gastrointestinal tract and activates the parasympathetic nervous system, leading to drowsiness. It is adv...

Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations

Nasal congestion + runny nose + chest pain + vomiting + palpitations? Hello, I have been experiencing severe nasal congestion since December, which often prevents me from sleeping at night. (When my nose is clear, I have thick white phlegm.) After two to three weeks of significan...

Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, we should consider the possibility of a respiratory or gastrointestinal infection. Additionally, the symptoms of chest pain and palpitations may indicate a cardiac issue, as potential causes can involve multiple organs. It is recommende...

Should a 14-Year-Old Take Arginine Capsules for Fatigue?

A 14-year-old junior high school student? Hello doctor, my son is a 14-year-old in the ninth grade, weighing 46 kilograms. He sleeps until noon on weekends and seems very fatigued throughout the day. Is it safe for him to take over-the-counter arginine capsules?

Dr. Ye Qianyu Reply:
Hello! A 14-year-old male middle school student is still in the growth and development stage. If there is an unusual sense of fatigue, it is advisable to first visit a pediatrician to rule out any underlying medical conditions. Nutritional supplementation should primarily focus o...

Understanding Diabetes Diagnosis: Is One Test Enough?

Diabetes Diagnosis Issues Hello, doctor. I would like to ask a question. Recently, I was diagnosed with high blood sugar during a health check-up. On November 9th, I went to the hospital for a blood test and found that my fasting blood glucose level was 142 mg/dL, and my hemoglob...

Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. 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. HbA...

Persistent Low-Grade Fever After Kidney Infection: What to Know

The body temperature has been consistently around 37 degrees Celsius for several days? Hello, doctor. I was hospitalized for pyelonephritis two weeks ago and stayed for a week, followed by another week of antibiotics after discharge. My menstrual period started right after and la...

Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. The diagnosis of acute pyelonephritis primarily presents with symptoms such as frequent urination, dysuria, flank pain, and may even include fever, chills, and headache. Laboratory tests typically show an increase in white blood cells with a rise in the proport...

Is 5 Hours of Sleep Enough? Understanding Sleep Needs and Health

The relationship between sleep deprivation and sleep duration? It is currently widely believed that a sleep duration of 7 to 8 hours at night is the healthiest; however, there is significant individual variation. Is it necessary to sleep a full 7 hours to be considered healthy? I...

Dr. Lin Zhebin Reply:
Hello: It is generally recommended that adults (18 years and older) get more than 7 hours of sleep at night. However, since you do not feel tired during the day, it indicates that your sleep quality is likely adequate. Additionally, your habit of taking a midday nap may also affe...

Understanding High Platelet Count and Urine Sugar Levels: Key Insights

I would like to inquire about issues related to platelets and urine glucose? Doctor, I would like to ask if my platelet count of 416 and PCT of 40, which are both elevated, could be related to my blood donation on October 20. My health check-up was on November 1. Additionally, I ...

Dr. Cai Dongqi Reply:
Hello, Yu: 1. Elevated platelet count can be monitored again; if it remains high, you may consider seeing a hematologist. 2. Positive urine glucose indicates a potential risk for diabetes; you should consult with an endocrinologist to check for diabetes.

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