Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Abnormal blood test results? Hello, I experienced quite severe insomnia two years ago, but my sleep quality has improved significantly over the past six months, allowing me to fall asleep in about 20 minutes. However, I still feel very fatigued and weak; even after sleeping 8-9 h...
Dr. Chen Bozhang Reply:
Dear Ms. CY, I understand from your letter that you have been experiencing persistent fatigue. Your health check report indicates mild anemia and a slightly elevated eosinophil count. Here’s an explanation: 1) The ideal hemoglobin (Hb) level for women is above 12.0 g/dL. You ha...[Read More] Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Understanding Pulsating Head Vessels: Causes and Concerns
Often feel pulsation in the blood vessels of the head? Hello, doctor. As the title suggests, I have recently been feeling pulsations in the blood vessels in my head, especially when I lie on my pillow at night; this sensation is most pronounced during that time. I also dream ever...
Dr. Chen Taicheng Reply:
Headaches can have many causes, with common types including migraines and tension-type headaches. Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exacerbatio...[Read More] Understanding Pulsating Head Vessels: Causes and Concerns
Is Going to Bed Early Beneficial for Sleep Quality?
Sleep duration Hello doctor, I have difficulty falling asleep at night and my mind tends to wander. Even though I go to bed earlier, I still feel like I haven't slept and before I know it, it's dawn. I would like to ask if going to bed earlier (originally at midnight, n...
Dr. Chen Taicheng Reply:
Chronic insomnia has many causes, such as internal medical conditions (cardiopulmonary issues, gastrointestinal problems, pain), medications (such as asthma medications, antihistamines), alcohol consumption, mental health issues (like depression and anxiety), sleep apnea, restles...[Read More] Is Going to Bed Early Beneficial for Sleep Quality?
Unexplained Weight Loss Despite Normal Diet: Seeking Medical Guidance
Normal diet, but the body is becoming increasingly emaciated? Hello Dr. Chen, I am inquiring on behalf of my mother-in-law. Since after the Lunar New Year this year, she has been losing weight continuously. She originally weighed 48-49 kg, but now she is down to 43 kg. She eats a...
Dr. Chen Taicheng Reply:
The causes of involuntary weight loss in the elderly are numerous. For instance, 1. Side effects of medications. 2. Emotional issues, such as depression. 3. Poor appetite, which can occur with normal aging, such as diminished taste, delayed gastric emptying, and gastrointestinal ...[Read More] Unexplained Weight Loss Despite Normal Diet: Seeking Medical Guidance
Which Specialist to Consult for Suspected Chronic Fatigue Syndrome?
If you suspect you have symptoms of "Chronic Fatigue Syndrome," which specialist should you consult? Hello Doctor: My symptoms are as follows: I experience intermittent fatigue, lethargy, and weakness several times a day, along with occasional brief episodes of dizzines...
Dr. Chen Taicheng Reply:
Chronic Fatigue Syndrome is a diagnosis of exclusion; however, your own hyperlipidemia and long-term nasal congestion, post-nasal drip, allergic rhinitis, and gastroesophageal reflux could contribute to symptoms of chronic fatigue. Additionally, if there is a possibility of sleep...[Read More] Which Specialist to Consult for Suspected Chronic Fatigue Syndrome?
Managing Anxiety and Health Concerns After Epididymitis: A Guide
Some questions? Hello, doctor. I tend to be a very pessimistic thinker, and recently I developed epididymitis. I have seen a doctor and have been on antibiotics for three weeks. My symptoms have improved significantly, but whenever I feel slightly uncomfortable, such as pain in t...
Dr. Chen Taicheng Reply:
● Physical discomfort and mental health can influence each other, and sometimes it is difficult to tell oneself not to think that way. There are many relaxation and stress relief methods available in bookstores or online that you can try. Additionally, talking with friends and fa...[Read More] Managing Anxiety and Health Concerns After Epididymitis: A Guide
Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Suspected Antiphospholipid Syndrome Hello, doctor. At the beginning of January this year, I suddenly experienced sharp chest pain, followed by numbness in my limbs. After that, I had many symptoms, such as sudden body jerks that would wake me up when I was about to fall asleep, i...
Dr. Chen Taicheng Reply:
● Antiphospholipid syndrome is typically diagnosed due to venous and arterial thrombosis or recurrent miscarriages in women of childbearing age. It is an autoimmune disease characterized by the presence of "antiphospholipid antibodies" in the blood, which cause blood to...[Read More] Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Understanding Abdominal Pain: A Comprehensive Guide for Women
Abdominal pain issues? Doctor, my friend is 37 years old and has been experiencing abdominal pain after her menstrual period for the past few months. Sometimes, the pain also occurs before her period. Her menstrual flow is normal, but at times the pain is severe enough to affect ...
Dr. Chen Taicheng Reply:
● It is important to first determine whether abdominal pain is related to menstruation. Discomfort experienced before menstruation is referred to as premenstrual syndrome (PMS), with common symptoms including breast tenderness, abdominal bloating, diarrhea, mood swings, sleep dis...[Read More] Understanding Abdominal Pain: A Comprehensive Guide for Women
Understanding Breathing Difficulties: When to Seek Medical Help
Shortness of breath? Hello Doctor, I currently have the following conditions: 1. Occasionally, I need to slightly open my mouth and take a deep breath to feel a sense of lung expansion (I usually do not have significant stress or anxiety). 2. I find myself yawning more frequently...
Dr. Chen Taicheng Reply:
● Considering your age, the likelihood of severe cardiopulmonary abnormalities is low. The sensations of chest tightness and difficulty breathing should first rule out atopic conditions (such as asthma, allergic rhinitis, atopic dermatitis) that may cause respiratory discomfort. ...[Read More] Understanding Breathing Difficulties: When to Seek Medical Help
Understanding TMJ Disorders: Symptoms and Treatment Options
Temporomandibular disorder (TMD) Hello Doctor, due to extremely poor sleep quality, I have been diagnosed with sleep apnea and underwent orthognathic surgery. On the day after the surgery, I experienced significant pain in the upper part of both eyes. It has been a year and a hal...
Dr. Chen Taicheng Reply:
● The initial impression is that the postoperative pain issue is related to the extensive involvement of muscles, blood vessels, and nerves in orthognathic surgery. If there have been no issues after multiple visits to neurology, ophthalmology, or otolaryngology, it is advisable ...[Read More] Understanding TMJ Disorders: Symptoms and Treatment Options
Experiencing Numbness in Left Leg: When to Seek Medical Help?
Only the left foot is numb? Recently, I've been feeling like something is stuck near my left pelvis when sitting, and my left leg feels quite uncomfortable. In the past few days, I've gradually noticed that my left leg becomes numb while sitting, and I even hesitate to ...
Dr. Wu Fangcan Reply:
It is recommended to consult an orthopedic examination. Thank you.[Read More] Experiencing Numbness in Left Leg: When to Seek Medical Help?
Can Viagra and Sleep Meds Be Safely Used Together?
Drug interactions with Viagra (sildenafil)? I previously went to the hospital for insomnia and was prescribed sleeping pills. If I engage in sexual activity with my girlfriend before bed (but I need to take Viagra), and then take the sleeping pills afterward to help me sleep, wil...
Dr. Chen Taicheng Reply:
● Viagra and common sleeping medications such as (1) benzodiazepines: Clonazepam (Rivotril), Brotizolam (Lendormin), Fludiazepam (Erispan), Alprazolam (Xanax), Estazolam (Eurodin), Lorazepam (Ativan), Diazepam (Valium) and (2) non-benzodiazepine medications like Zolpidem (Stilnox...[Read More] Can Viagra and Sleep Meds Be Safely Used Together?
Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend
Fatigue and early sleep? Doctor, may I ask why my girlfriend has suddenly become fatigued? Her work and class schedule have been normal, and previously, she would stay up until 1 or 2 AM regardless of her menstrual cycle, and she was always energetic during the day. However, ever...
Dr. Wu Fangcan Reply:
According to your statement: Does your girlfriend have any signs of anemia? Is she taking any medication? Please have your girlfriend consult a family medicine physician nearby and arrange for an examination. Thank you.[Read More] Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend
Understanding Unexplained Abdominal Pain: Causes and Next Steps
Intermittent referred pain in the abdomen? Hello Doctor, my boyfriend (28 years old) has been experiencing intermittent radiating abdominal pain (similar to an electric shock) since March of last year. The pain does not occur when pressure is applied, and it has persisted for ove...
Dr. Wu Fangcan Reply:
Based on your statement, it is recommended to consult a neurologist or neurosurgeon for an examination. Thank you.[Read More] Understanding Unexplained Abdominal Pain: Causes and Next Steps
Understanding Tension Headaches: Symptoms, Triggers, and Anxiety Links
Headache and fever? Hello doctor, I have been experiencing tension-type headaches, especially on exam days, and I also tend to get headaches after spending a long time in an air-conditioned room. These symptoms usually resolve after I wake up from sleep. Recently, while at home, ...
Dr. Chen Taicheng Reply:
● There are many causes of headaches, with common types including migraines and tension-type headaches. Migraines are moderate to severe headaches that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exacerbation due ...[Read More] Understanding Tension Headaches: Symptoms, Triggers, and Anxiety Links
Understanding Upper Back Pain: Causes, Symptoms, and Diagnostic Tests
Frequent upper back pain? Hello, I would like to ask... I often experience pain in my upper back and feel the urge to stretch my chest and twist my waist. The specific area of pain is in the upper back, around the rib cage, similar to the "gāo huāng" point, with a sensa...
Dr. Zhang Hongwei Reply:
It is still necessary to visit a hospital and consult a physician for a physical examination in order to make an accurate differential diagnosis.[Read More] Understanding Upper Back Pain: Causes, Symptoms, and Diagnostic Tests
Persistent Bloating: Understanding Gastrointestinal Issues and Solutions
Bloating for several days? I have been experiencing bloating for about five days now, which has caused me to lose my appetite and have trouble sleeping. The bloating is located in the area below my chest and above my navel. During my recent visit to the doctor, I was diagnosed wi...
Dr. Chen Taicheng Reply:
Considering your age and condition, it is likely that you are experiencing gastrointestinal issues, which may include dyspepsia, gastritis, gastroesophageal reflux disease (GERD), or peptic ulcers. Generally, gastrointestinal problems tend to improve gradually; however, if sympto...[Read More] Persistent Bloating: Understanding Gastrointestinal Issues and Solutions
Rabies Risk: What to Do If Your Cat Scratches You
Rabies issues Hello, doctor… I found my cat outside and it hasn't been vaccinated for rabies yet. While I was sleeping, it scratched my foot, and I only treated it 10 hours later. Is there a possibility of infection?
Dr. Wu Fangcan Reply:
According to your statement: It is recommended to receive a booster rabies vaccine, and the rescued cat should also be taken to a veterinarian for a booster shot. Please be aware that if there is a high fever, seizures, or confusion, seek medical attention immediately.[Read More] Rabies Risk: What to Do If Your Cat Scratches You
Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey
Causes of sore throat and issues related to insomnia? Hello Doctor: In February, I had a cold and felt unwell, so I went to a clinic to see a doctor and took some medication. My throat still felt a bit uncomfortable; initially, I thought it was due to a fishbone, but after examin...
Dr. Chen Taicheng Reply:
● There is a strict definition for contacts of tuberculosis: individuals who have been in contact with an index case (such as a colleague with pulmonary tuberculosis) for more than 8 hours in a single day, or a cumulative total of over 40 hours during the infectious period. If th...[Read More] Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey
Understanding Sudden Dizziness and Nausea: Possible Causes and Concerns
I have been experiencing sudden dizziness lately? I have been experiencing sudden dizziness and nausea recently, occurring four times with the same symptoms. My eyes suddenly feel uncomfortable, and there is a sensation of whiteness in both eyes as if there is light, followed by ...
Dr. Wu Fangcan Reply:
What you described seems more like an episode of migraine; however, primary thrombocythemia causing blood thickening or vascular obstruction cannot be ruled out. Please consult a neurologist for further evaluation and differential diagnosis.[Read More] Understanding Sudden Dizziness and Nausea: Possible Causes and Concerns