Sleep, Family Medicine FAQ - Page 23

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Understanding Abdominal Pain: When to Seek Medical Attention

Abdominal pain Hello Doctor, I went to the gym on Thursday and did a lot of sit-ups. The next day, my abdomen felt sore as usual, but now it's been four days. It hurts a lot whenever I lie down to sleep, get up, or squat and stand up; any movement involving my abdomen causes...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns, you can first consult a gastroenterologist for evaluation, and then determine if a referral to another specialty is necessary based on the situation. We care about you.

[Read More] Understanding Abdominal Pain: When to Seek Medical Attention


Struggling with Light Sleep and Fatigue: Understanding Your Sleep Issues

Light sleep with frequent dreaming, and waking up still feeling fatigued? Hello, doctor. Recently, I have been visiting the doctor frequently because I have been having trouble falling asleep. Even when I do fall asleep, I tend to wake up after about two hours, but I can fall bac...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it seems that your sleep situation is not ideal, and long-term issues may lead to discomfort. For medication, it is advisable to seek evaluation and adjustment from a psychiatrist. Additionally, if there are other physiological factors affecting yo...

[Read More] Struggling with Light Sleep and Fatigue: Understanding Your Sleep Issues


Height Growth Concerns for High School Boys: Calcium vs. Milk

Height Growth Issues in Male High School Students Currently in the second year of high school, I am about 168 cm tall. I haven't noticed significant height growth since the third year of junior high. In high school, I sleep about 6 hours a day and play basketball for approxi...


Dr. Liao Yaopan Reply:
Hello, regarding concerns about height growth, it depends on whether the growth plates have closed. It is advisable to consult an orthopedic doctor for an evaluation. Of course, health factors are not solely dependent on height; other aspects are also very important. Changhua Hos...

[Read More] Height Growth Concerns for High School Boys: Calcium vs. Milk


Understanding Common Symptoms: Cramps, Itching, and Eye Twitches

Skin + Others Hello, Dr. Liao. I apologize for the interruption. Recently, I have been experiencing three main symptoms, and I would like to ask what possible issues they might indicate: 1. Occasional calf cramps, especially at night while sleeping (about 2-3 times every 2-3 we...


Dr. Liao Yaopan Reply:
Hello, for leg cramps and eyelid twitching, it is recommended to first seek evaluation from a neurologist. For skin itching, it is advisable to consult a dermatologist for confirmation. Changhua Hospital cares about you.

[Read More] Understanding Common Symptoms: Cramps, Itching, and Eye Twitches


Understanding Right Upper Abdomen Discomfort: When to Seek Medical Advice

Pressure sensation under the right rib cage in the upper right abdomen? First, I would like to mention the symptoms I have experienced in the past. I am a college freshman, 164 cm tall and weigh around 45 kg. I used to have frequent diarrhea and constipation, which started around...


Dr. Zhang Hongwei Reply:
Hello, your gastrointestinal symptoms do indeed sound quite similar to irritable bowel syndrome. If the endoscopy shows no issues, you might consider using medications for symptom relief, and also try to establish a regular routine and slow down your pace of life, which may help ...

[Read More] Understanding Right Upper Abdomen Discomfort: When to Seek Medical Advice


Can Gastroenteritis Cause Persistent Headaches? Understanding the Connection

Is it possible for gastroenteritis to cause persistent headaches? Hello, Doctor! I previously experienced occasional headaches, but they would usually resolve after a good night's sleep. Recently, starting from last Sunday (August 21), I suddenly developed a fever, headache,...


Dr. Zhang Hongwei Reply:
Hello, it is possible to experience gastroenteritis along with headaches. Most cases of gastroenteritis are caused by viral infections, and headaches are also a common symptom of viral infections. Generally, symptoms will gradually improve as the immune system recovers. However, ...

[Read More] Can Gastroenteritis Cause Persistent Headaches? Understanding the Connection


Understanding Weight Loss: Stress, Fatigue, and Health Concerns

Weight loss I have been experiencing significant mental stress for over a month, worrying constantly. In the last two weeks, I have started to feel fatigued and have the impression that I am not getting enough sleep. Surprisingly, I have lost 7 kg in this month. What could be the...


Dr. Zhang Hongwei Reply:
Hello, psychological stress is one of the causes of weight loss. However, it is essential to rule out other underlying diseases, such as diabetes, hyperthyroidism, tuberculosis, or HIV. I would like to know if you have experienced changes in appetite, increased thirst and urinati...

[Read More] Understanding Weight Loss: Stress, Fatigue, and Health Concerns


Why Am I Always Tired? Understanding Sleep and Screen Time Effects

I am not getting enough sleep every day? I used to have a habit of staying up late, but now I sleep around 11 to 12 PM and wake up at 8 AM. However, I often wake up around 3 to 4 AM and spend a long time using my phone and computer every day, which has caused my eyes to feel very...


Dr. Zhang Hongwei Reply:
Hello, based on your description, it seems that your sleep is somewhat disrupted, and there may be excessive use of electronic devices. I recommend starting with lifestyle changes, such as reducing the use of electronic devices, increasing outdoor physical activity, avoiding caff...

[Read More] Why Am I Always Tired? Understanding Sleep and Screen Time Effects


Why Am I Always Tired? Understanding Chronic Fatigue Symptoms

Feeling sleepy all day long? In the past two weeks, I've been feeling unusually fatigued and waking up with sore eyes every day. I underwent an abdominal ultrasound and liver function tests, all of which came back normal, except for the presence of small polyps in my gallbla...


Dr. Zhang Hongwei Reply:
Hello, I'm not sure about your sleep schedule, including what time you go to bed, the duration of your sleep, your daytime routine, and whether you spend long periods using your phone or computer screens. If the abdominal ultrasound shows a polyp that is less than 1 centimet...

[Read More] Why Am I Always Tired? Understanding Chronic Fatigue Symptoms


Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?

Feeling fatigued and drowsy? Could it be due to Mediterranean anemia or fatty liver disease? Hello Dr. Chen, I have been diagnosed with beta-thalassemia since childhood. I failed two blood tests before my military service, both due to "beta-thalassemia." Additionally, d...


Dr. Chen Bozhang Reply:
Dear Mr. A-Shan, You mentioned a history of thalassemia, and recent health check-ups have revealed severe fatty liver with elevated levels of GOT and GPT, indicating that your fatty liver has led to chronic hepatitis. You often feel fatigued or sleepy, occasionally experience di...

[Read More] Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?


Which Specialist Should My 72-Year-Old Dad See for Breathing Issues?

Please advise me on which medical specialty my dad should see? Hello, doctor! My father is 72 years old and does not have a smoking habit. However, he has been experiencing some symptoms over the past few years, and despite seeing doctors, we haven't found any answers, so I&...


Dr. Hou Angting Reply:
Hello, if your father has been experiencing shortness of breath after exercise and his cardiology examination shows no abnormalities, he can undergo further evaluation by a pulmonologist. Regarding the impact of surgery, it may vary based on your father's overall health stat...

[Read More] Which Specialist Should My 72-Year-Old Dad See for Breathing Issues?


Understanding Dizziness: Insights from a Family Medicine Perspective

About Dizziness Hello Dr. Chen, I forgot to mention during my last outpatient visit whether I discussed my dizziness issue. Nearly 20 years ago, I was treated for dizziness at the Department of Health and Chang Gung Memorial Hospital, where I was diagnosed with Meniere's dis...


Dr. Chen Bozhang Reply:
Hello Mr. Zhang: The dizziness symptoms you mentioned, such as paroxysmal vertigo caused by abnormal interference with the vestibular system, are common. A history of Meniere's disease can also lead to recurrent episodes. It is recommended that during an episode, you ensure ...

[Read More] Understanding Dizziness: Insights from a Family Medicine Perspective


Understanding Swelling Under the Collarbone and Enlarged Lymph Nodes

Swelling below the clavicle and axillary lymphadenopathy? Hello, Doctor. I have noticed a lump approximately 2.5 cm in diameter under my left clavicle over the past two days. After another day, I found that the lymph nodes in my left armpit are also swollen, about 2.5 cm in size,...


Dr. Liao Yaopan Reply:
Hello, based on your description, an abnormal mass requires a physician to conduct a personal examination for further evaluation. It is recommended to consult a specialist in "Hematology and Oncology." Changhua Hospital cares about you.

[Read More] Understanding Swelling Under the Collarbone and Enlarged Lymph Nodes


Chest Tightness, Numbness, and Digestive Issues: Seeking Answers

Chest tightness, hand numbness, and gastrointestinal discomfort? Hello, doctor. Recently, I have been experiencing chest tightness accompanied by numbness and weakness in my arms (often the left arm), gastrointestinal discomfort (diarrhea), and a sensation of something stuck in m...


Dr. Liao Yaopan Reply:
Hello: Based on your description, it is recommended that you consult your family physician to comprehensively review the results of the tests you have already undergone, as well as to conduct a personal examination for further evaluation and recommendations. Changhua Hospital car...

[Read More] Chest Tightness, Numbness, and Digestive Issues: Seeking Answers


Understanding Unexplained Chest and Abdominal Pain: A Family Medicine Perspective

Pain points are not always definitive? Hello doctor, I have been experiencing symptoms for over six months. Initially, I had unexplained pain in my left chest, and one time while sleeping, I suddenly had severe pain in my left rib cage and fainted for a moment. After that, I freq...


Dr. Gao Qingyun Reply:
Hello: The symptoms you described are quite nonspecific, and further examination may be necessary to make a proper assessment. I recommend that you visit the Family Medicine outpatient clinic for an in-person evaluation by a physician. Thank you. Wishing you safety and health. Si...

[Read More] Understanding Unexplained Chest and Abdominal Pain: A Family Medicine Perspective


Understanding Unintentional Weight Loss: Causes and Concerns for Students

Continuous weight loss? When I entered my department as a freshman, I weighed about 85 kg and was 176 cm tall, with a relatively robust build. Since I was interested in basketball, I joined the department's basketball team, which involved a significant amount of training—abo...


Dr. Liao Yaopan Reply:
Maintaining a standard body weight is beneficial for health; however, rapid weight loss should be monitored for any underlying physiological abnormalities. It is advisable to consult your family physician for an evaluation. Changhua Hospital is here to support you.

[Read More] Understanding Unintentional Weight Loss: Causes and Concerns for Students


Do I Have Hyperthyroidism? Symptoms and What to Do Next

Do I have hyperthyroidism? Recently, I've been eating a bit more than usual, feeling hot, and sweating easily. My eyes are not bulging, and my neck is not swollen. I've been having slightly more bowel movements than usual, but my urination is normal. I'm concerned ...


Dr. Liao Yaopan Reply:
Hello, please have your parents accompany you and consult your family physician for an evaluation. Based on the condition observed during the in-person consultation, necessary tests or treatments can be arranged. Changhua Hospital cares about you.

[Read More] Do I Have Hyperthyroidism? Symptoms and What to Do Next


Understanding Cholesterol Levels: Insights from Health Check Results

Health Check Report - Total Cholesterol 195, Triglycerides 22, Globulin 37? Hello Dr. Chen: I had a health check-up in May this year, and my total cholesterol was 195, triglycerides were 22, and globulin was 37. Last year, my total cholesterol was 207, with both high-density lipo...


Dr. Chen Bozhang Reply:
Dear Ms. Ahi, You mentioned that after a year of dedicated exercise and dietary control, your health check results showed only a slight decrease in total cholesterol. In fact, the more important indicators of cholesterol are high-density lipoprotein (HDL) and low-density lipopro...

[Read More] Understanding Cholesterol Levels: Insights from Health Check Results


Understanding Persistent High Body Temperature and Dizziness After Infection

Abnormal elevated body temperature due to internal heat? Two months ago, I had a severe illness due to a bacterial infection, and since then, I've been experiencing frequent dizziness—not just when standing up or getting up from a seated position, but also while looking at t...


Dr. Liao Yaopan Reply:
Hello, regarding the elevated body temperature, it is recommended to consult an infectious disease specialist for further evaluation and to continue monitoring your temperature to observe any changes. Changhua Hospital cares about you.

[Read More] Understanding Persistent High Body Temperature and Dizziness After Infection


Managing Multiple Medications: Addressing Side Effects and Health Concerns

Family medicine issues In the morning, I take medication for insomnia and high blood pressure. I have been switching insomnia medications for about four years. I take a capsule of 0.5 mg of Mecobalamin (Vitamin B12) because I experience a tingling sensation in my head, as if bloo...


Dr. Chen Zonglin Reply:
Based on what you mentioned, you have been feeling a bit fatigued lately, experiencing pain under your left and right ribs, and tightness with a prickling sensation in the back of your neck. Poor sleep at night can easily lead to daytime fatigue. It would be advisable for you to ...

[Read More] Managing Multiple Medications: Addressing Side Effects and Health Concerns


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