Sleep, Family Medicine FAQ - Page 22

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Understanding Right Lower Body Pain: Possible Causes and Next Steps

Pain in the lower right side of the body? Since last August, I have been experiencing sudden pain in my lower right body, which has persisted to this day. The pain worsens during my menstrual period, and I also experience numbness in my feet and gastrointestinal issues. I have co...


Dr. Chen Taicheng Reply:
● There are many possible causes for pain in the right lower body, including numbness in the soles of the feet. Considering your age, it is advisable to first rule out issues related to the lumbar spine, such as herniated discs or spondylolisthesis. (For information regarding bac...

[Read More] Understanding Right Lower Body Pain: Possible Causes and Next Steps


Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights

Elevated white blood cell count, triglycerides, total cholesterol, and fasting blood glucose levels? Hello Doctor: I recently had blood tests done on March 6, which included urine, blood, liver, and kidney function tests. The results showed elevated white blood cells (17,140), tr...


Dr. Chen Taicheng Reply:
● There are many causes for elevated white blood cell counts, including inflammation, infection, or other diseases. It is advisable to monitor for symptoms such as fever, sore throat, diarrhea, or other recent significant physical discomfort. If none are present, it is still reco...

[Read More] Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights


Insomnia and Right Chest Pain: Understanding Your Symptoms

Insomnia and right chest pain? I have been experiencing insomnia for the past two months. Even though I feel very tired, I just can't fall asleep. I often go to bed around 1 AM and don't fall asleep until around 3 or 4 AM, and sometimes I just lie there until dawn. I on...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended that you first consult your family physician for an evaluation. Additionally, for insomnia issues, you may seek assistance from a psychiatrist. Please note: online consultations are not equivalent to in-person medical visits and...

[Read More] Insomnia and Right Chest Pain: Understanding Your Symptoms


Managing Dizziness and Fainting: Understanding Symptoms and Seeking Help

Dizziness and syncope? Hello, Doctor. Since high school, I have experienced similar symptoms multiple times. The symptoms include weakness in my limbs, vision going black, cold sweats, and nausea, lasting about 5 to 10 minutes. If I do not sit or lie down immediately, I will lose...


Dr. Chen Taicheng Reply:
● There are many causes of syncope, and the first thing to rule out is cardiac-related issues, including arrhythmias and structural heart problems (including valve issues), which have already been evaluated by a cardiologist. Please pay attention to whether your pulse is too slow...

[Read More] Managing Dizziness and Fainting: Understanding Symptoms and Seeking Help


Chest Pain and Breathing Issues: When to Seek Medical Help

Chest pain, shortness of breath when going up and down stairs, and throat pain? I have been experiencing pain for the past six months, feeling like I can't catch my breath. The pain is located in the chest, from the middle to the right side (not near the heart), and my throa...


Dr. Chen Taicheng Reply:
● Initial evaluations by cardiology and pulmonology should rule out common cardiopulmonary diseases. Pain when climbing stairs indicates that the discomfort may be exercise-induced, potentially stemming from muscular or orthopedic issues. Possible causes include fibromyalgia (the...

[Read More] Chest Pain and Breathing Issues: When to Seek Medical Help


Understanding Post-Drinking Body Aches and Urinary Changes

Experiencing body aches the day after drinking alcohol? 1. Why do I feel sore all over my body the day after drinking alcohol? In the past, alcohol made me very diuretic, but now it seems to have the opposite effect. I have a history of urinary stones; could that be related? 2. ...


Dr. Chen Taicheng Reply:
- The components of alcohol can still have a diuretic effect, which varies depending on the concentration and brand. Urinary stones do not inhibit diuresis when drinking water. - Urinary stones themselves do not have a diuretic effect, but they may irritate the urinary system, p...

[Read More] Understanding Post-Drinking Body Aches and Urinary Changes


Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective

Cold, diarrhea, numbness in hands? Hello, Doctor. I would like to ask a couple of questions. Q1: I have had a cold for almost a week, with symptoms including nasal congestion, runny nose, cough, and phlegm in my throat (both the nasal discharge and phlegm are clear). I visited ...


Dr. Chen Taicheng Reply:
● Abdominal pain may be related to a first-time cold or could be a new symptom. It is advisable to visit a large hospital's family medicine or gastroenterology department for further evaluation and treatment. Generally, cold symptoms and gastrointestinal issues will graduall...

[Read More] Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective


Understanding Your Back Pain: When to See a Family Doctor

I don't know which doctor to see? Hello Doctor, I have been experiencing pain in my lower back and pelvis for over three months. The pain occurs only when I perform certain movements, such as bending over, especially when exerting effort; when I’m not exerting myself, I feel...


Dr. Chen Taicheng Reply:
● There are many causes of lower back pain, with the majority being due to muscle strains in the lumbar region. Most cases will recover within a few weeks, but there is a possibility of recurrence. Given your age, pain during bending or exertion is primarily related to lower back...

[Read More] Understanding Your Back Pain: When to See a Family Doctor


Understanding Dizziness and Nausea: Possible Causes and Solutions

Dizziness with mild nausea? Doctor, for the past two nights, I sometimes feel like I'm not breathing while sleeping, and I experience a bit of chest tightness. It's like a sudden feeling of emptiness below my chest that wakes me up, and I wake up easily. I also have to ...


Dr. Liao Yaopan Reply:
Hello, regarding your recent symptoms, it is still recommended that you first consult your family physician for an evaluation, and then determine if a referral to a specialist is necessary based on the situation. Please note that online consultations do not equate to in-person me...

[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions


Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms

Having many health issues can make it difficult to know what to do? Hello Doctor, I have symptoms of mitral valve prolapse, gastroesophageal reflux disease, being a carrier of thalassemia, and headaches. I have previously undergone surgery for bilateral tonsillectomy and a liposa...


Dr. Chen Taicheng Reply:
● There are many possible causes for chest tightness, including the issues you mentioned, such as bronchial problems or gastroesophageal reflux (you can refer to my other article at https://goo.gl/jkWwha). Generally, mild mitral valve prolapse is mostly asymptomatic and does not ...

[Read More] Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms


Understanding Tinnitus and Digestive Issues: When to Seek Help

Tinnitus, gastrointestinal discomfort, and other related issues? Hello, about a month and a half ago, I experienced headaches and was diagnosed with tension-type headaches (muscle tightness) after a consultation. The frequency and intensity of the headaches have since decreased. ...


Dr. Chen Taicheng Reply:
● There are many causes of tinnitus, and the most important step is to rule out the possibility of hearing loss or impairment, such as Meniere's disease (which often presents with vertigo, hearing loss, and tinnitus) or sudden sensorineural hearing loss (which may also be ac...

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Understanding Chest Tightness: Causes and When to Seek Help

Chest tightness issue? Hello Doctor, I am a 22-year-old female. Last November, I contracted enterovirus, and my usual symptoms were diarrhea and cold-like symptoms. However, one night I suddenly felt unwell, experiencing chest tightness and a sensation that I could only breathe d...


Dr. Chen Taicheng Reply:
Premenstrual discomfort is referred to as premenstrual syndrome (PMS), with common symptoms including breast tenderness, abdominal bloating, diarrhea, mood changes, sleep disturbances, headaches, and acne, as you mentioned. Although you had a history of asthma in childhood, which...

[Read More] Understanding Chest Tightness: Causes and When to Seek Help


Understanding Headaches and Swollen Lymph Nodes: When to Seek Help

Headache with a lump-like sensation, swollen lymph nodes on the right side? Hello Dr. Chen, Last Wednesday, I was reading until around midnight, and afterwards, I felt a bit of a headache, so I went to sleep. Usually, when I have a headache, a good night's sleep helps, but ...


Dr. Chen Taicheng Reply:
Based on your description, it seems you have a history of headaches (for more information on headache issues, please refer to another article at https://goo.gl/6h7cll). This may be migraine-related (migraines are moderate to severe headaches that can last from 4 to 72 hours, ofte...

[Read More] Understanding Headaches and Swollen Lymph Nodes: When to Seek Help


Chronic Cough and Allergic Rhinitis: Understanding the Connection

Chronic cough with allergic rhinitis? Hello doctor, my brother has been coughing since he recovered from a cold six months ago. Recently, I saw a news report about a high school student in Kaohsiung whose persistent cough was caused by allergic rhinitis, which bothered his classm...


Dr. Chen Taicheng Reply:
Chronic cough has many causes. The most common causes include post-nasal drip, gastroesophageal reflux disease (GERD), asthma, or certain medications (such as antihypertensives). Smoking can also lead to bronchial inflammation, resulting in chronic cough. Allergic rhinitis, havin...

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Understanding Common Concerns in Family Medicine: A Student's Health Dilemma

Family medicine issues? I am a student preparing for exams, and recently I've been experiencing a feeling of tightness in my chest, as if I'm not getting enough air. My throat feels constricted, and sometimes my left elbow feels sore. I also have a strange sensation in ...


Dr. Huang Xunying Reply:
Due to various uncomfortable symptoms such as chest tightness and shortness of breath, it is recommended to visit a family medicine clinic for evaluation. Regarding concerns about whether one might have amyotrophic lateral sclerosis (ALS), the symptoms do not align closely, as mo...

[Read More] Understanding Common Concerns in Family Medicine: A Student's Health Dilemma


Understanding Chronic Fatigue and Right-Side Discomfort: What to Do?

Fatigue on the right side of the body? Dear Dr. Chang, Hello! I have been feeling extremely fatigued for the past two and a half years, unable to get enough sleep, and struggling with concentration. Additionally, my right side feels particularly heavy, and my bones are very sore...


Dr. Zhang Hongwei Reply:
Hello: Due to the multiple symptoms you are experiencing, it is recommended that you visit a family medicine department at a hospital for a thorough examination. This may need to include blood tests and abdominal imaging studies. Additionally, these symptoms could also be influen...

[Read More] Understanding Chronic Fatigue and Right-Side Discomfort: What to Do?


Which Medical Specialty Should You Consult for Your Symptoms?

Which department should I consult? Hello, doctor. I have multiple and varied health issues, and I'm unsure what to pay attention to or which specialty to consult. 1. I frequently get mouth ulcers that take a long time to heal, sometimes occurring in two or three places at ...


Dr. Wu Fangcan Reply:
Based on the situation you described, it is advisable to consult a trusted family physician or a traditional Chinese medicine practitioner for examination and treatment. Thank you.

[Read More] Which Medical Specialty Should You Consult for Your Symptoms?


Can I Still Grow Taller at 15? Understanding Growth Patterns in Teens

Can I still grow taller? I am 15 years old, and I got my first period during the summer break of fifth grade. I don't understand why I experienced two growth spurts of 7 centimeters when I was younger, but now I haven't grown even a centimeter. I sleep 8 to 9 hours ever...


Dr. Wu Fangcan Reply:
There is still a chance to grow taller during puberty, but it requires the coordination of many factors such as exercise, weight, hormones, bone growth age, sleep, nutrition, and genetics. It is advisable to seek a youth-friendly clinic or a pediatric metabolic department for a d...

[Read More] Can I Still Grow Taller at 15? Understanding Growth Patterns in Teens


Understanding Blood Test Results: Anxiety and White Blood Cell Count Changes

Health Checkup Issues (Part Two) Hello, doctor. I apologize for not expressing myself clearly during my previous inquiry. I would like to ask again. The days of my school entrance health check coincided with my scheduled colonoscopy, and I have been feeling very anxious due to bl...


Dr. Liao Yaopan Reply:
Hello, there are no significant abnormalities in the data. The reference values are provided by the laboratory, and based on a comprehensive assessment, the current data shows no obvious abnormalities. If there are any other clinical changes, it cannot be determined solely based ...

[Read More] Understanding Blood Test Results: Anxiety and White Blood Cell Count Changes


Understanding Non-Specific Dizziness: Causes and Management in Primary Care

Nonspecific dizziness Hello, doctor. Seven years ago, I weighed 109 kg and was diagnosed with severe obstructive sleep apnea. I used a ventilator for a month but stopped because it was uncomfortable. Over the past seven years, my weight increased to 116 kg. In early February of t...


Dr. Liao Yaopan Reply:
Hello, respiratory arrest may lead to hypoxia, which could be related to dizziness; this cannot be ruled out, so efforts should be made to maintain and improve the situation. As for the gastrointestinal symptoms that have not improved, it is still recommended to seek evaluation f...

[Read More] Understanding Non-Specific Dizziness: Causes and Management in Primary Care


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