Sleep, Family Medicine FAQ - Page 3

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Understanding Facial Numbness After Cheekbone Surgery: Next Steps

Zygomatic bone surgery? Hello Doctor, ten years ago I was in a car accident that resulted in fractures of my zygomatic bone and orbital bone. After surgery, titanium metal was placed in my zygomatic bone, and the nerve part healed on its own after six months. In recent years, I h...


Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Based on the symptoms you described, it may be indicative of the distribution of the trigeminal nerve; its branches innervate the gums and the roots of the teeth. Any changes affecting the nerve distribution could lead to sensations of numbness or pain. 2. Of c...

[Read More] Understanding Facial Numbness After Cheekbone Surgery: Next Steps


Understanding Nutcracker Syndrome: Seeking the Right Diagnosis and Treatment

Nutcracker Syndrome Hello Doctor: In June of this year, I went to the emergency room at Hospital A due to lower abdominal pain, and a CT scan suggested possible Nutcracker Syndrome. However, after undergoing a CTA scan at Hospital B, they said everything was fine. Yet, I continue...


Dr. Xiao Yongxun Reply:
Dear Ms. Moon Star: 1. Nutcracker syndrome refers to a condition where the left renal vein is compressed between the abdominal aorta and the superior mesenteric artery or other structures, leading to narrowing. It is akin to a nut being crushed. I apologize, but I do not have e...

[Read More] Understanding Nutcracker Syndrome: Seeking the Right Diagnosis and Treatment


Post-COVID Symptoms: Understanding Persistent Neurological Issues

Several symptoms appear after COVID-19? Hello, doctor. I was diagnosed with COVID-19 at the end of July, during which I experienced a loss of taste and smell, but they returned to normal after some time. One night during my COVID-19 illness, I woke up feeling something was off wi...


Dr. Cai Dongqi Reply:
Hello, Aurora: First, consult a neurologist to check for any nerve compression causing numbness. If there are no issues, then see a psychiatrist to evaluate for autonomic nervous system dysfunction (panic disorder).

[Read More] Post-COVID Symptoms: Understanding Persistent Neurological Issues


Understanding Flu Symptoms and When to Seek Medical Help

Suspected influenza, symptoms include generalized weakness and fatigue? A family member began experiencing symptoms (cough, fever, body aches) starting on November 24. They went to the hospital for testing for influenza and COVID-19, both of which were negative. They were prescri...


Dr. Liao Yaopan Reply:
Hello, based on your description, if your symptoms do not improve, it is advisable to seek medical evaluation. Online consultations are not equivalent to in-person visits and cannot provide diagnostic or treatment recommendations. Changhua Hospital cares about you.

[Read More] Understanding Flu Symptoms and When to Seek Medical Help


Understanding Arm Pain After Pneumococcal Vaccine: When to Seek Help

Soreness in the upper arm occurred one week after receiving the pneumococcal vaccine? When raising the upper arm, there is a noticeable muscle soreness, and the arm feels slightly swollen. There is no pain when the arm is lowered, and there is no pain when moving the lower arm. T...


Dr. Lin Zhebin Reply:
Hello: The arm soreness caused by vaccine injection typically resolves within three days. Since your arm pain has persisted for almost a week, along with a mild fever, it is advisable to seek medical evaluation and treatment. Given your described symptoms, there is concern about ...

[Read More] Understanding Arm Pain After Pneumococcal Vaccine: When to Seek Help


Understanding Finger Issues: When to Seek Medical Help for Numbness

Finger issues One day, I woke up and suddenly noticed that my right hand's middle finger, ring finger, and little finger felt a bit stiff when trying to bend them, accompanied by a sensation like a "pop." I also felt some tingling at the tips of these three fingers...


Dr. Xiao Yongxun Reply:
Dear Ms. Xiao, Based on your limited description, clinical considerations should include cervical nerve compression, ulnar or median nerve pathology, peripheral vascular disease, ulnar collateral ligament inflammation, and shoulder muscle and ligament inflammation, among others...

[Read More] Understanding Finger Issues: When to Seek Medical Help for Numbness


Safe Medication Tips for Divers: Managing Allergies and Motion Sickness

Diving-related medication consultation? Hello, doctor. I have been intermittently taking allergy medication (Loratadine) at night, and I usually don't experience any side effects. I am also prone to motion sickness, so I take Dimenhydrinate before going on a boat or engaging...


Dr. Li Zhenggang Reply:
Currently, the main medications for allergies are antihistamines, which may cause drowsiness. For safety reasons, it is recommended that you avoid using these medications before diving. Additionally, for nasal congestion, it is advisable to seek assistance from an otolaryngologis...

[Read More] Safe Medication Tips for Divers: Managing Allergies and Motion Sickness


Unexplained Finger Pain: Causes, Symptoms, and Treatment Options

Unexplained finger pain? Hello, doctor. One day, I suddenly experienced pain in my left middle finger. When I lightly press on the nail bed, it feels like being pinched, and touching the tip of the nail gives me the sensation that the nail might flip open (though it doesn't ...


Dr. Chen Bozhang Reply:
Recommendation for evaluation at a family medicine outpatient clinic. Thank you.

[Read More] Unexplained Finger Pain: Causes, Symptoms, and Treatment Options


Understanding Bowel Issues: Anxiety and Gastrointestinal Health

Bowel movement issues Hello Doctor: I have been experiencing intermittent bowel issues for quite some time. I wonder if this is related to the anxiety I developed while caring for my father, who had esophageal cancer, about 4 to 5 years ago. I'm not sure what to do... Around...


Dr. Chen Bozhang Reply:
Hello, it is recommended to seek medical attention at a regional or higher-level hospital for a comprehensive evaluation. You may visit the Department of Family Medicine, Hepatobiliary and Gastroenterology, or the Department of Colorectal Surgery. Thank you.

[Read More] Understanding Bowel Issues: Anxiety and Gastrointestinal Health


Understanding Persistent Leg Swelling: Causes and Solutions

Bilateral lower extremity edema? My mother has been experiencing swelling in both legs for the past year, sometimes to the point of discomfort. She has consulted with cardiologists, orthopedic specialists, family medicine doctors, obstetricians, nephrologists, and urologists, and...


Dr. Chen Bozhang Reply:
If the elderly person has already consulted multiple specialists and all tests have confirmed no abnormalities, in addition to continuing regular medication and outpatient follow-ups, it may be beneficial to consult a nutritionist for advice. Trying adjustments in diet or daily r...

[Read More] Understanding Persistent Leg Swelling: Causes and Solutions


Which Medical Specialty Should I Consult for My Abdominal Pain?

Which specialty should I see? Hello Doctor: Five weeks ago, I started experiencing intermittent bloating and pain in my lower left abdomen, which was relieved by painkillers. Three weeks ago, the pain became daily, requiring me to take pain medication twice a day; otherwise, the ...


Dr. Liu Hongxiang Reply:
Hello, Xiaoyu: The abdominal pain and accompanying soreness in the lower back and legs have not improved, and the cause is more likely related to issues with the abdominal organs. It is recommended to follow up with a gastroenterologist. Please discuss the medication dosage with ...

[Read More] Which Medical Specialty Should I Consult for My Abdominal Pain?


Understanding Unexplained Internal Itching: Seeking Answers for Your Symptoms

Itching sensation in the body? Hello doctor, I often feel an itch deep within my muscles and nerves (not on the skin surface), which makes me want to move and stretch in unnatural positions to alleviate this sensation, but it only provides temporary relief. This significantly aff...


Dr. Chen Bozhang Reply:
It is recommended to seek evaluation from a neurologist or a sleep clinic. Thank you.

[Read More] Understanding Unexplained Internal Itching: Seeking Answers for Your Symptoms


Which Medical Specialty Should My Elderly Grandmother See?

Which department should I see? Hello, doctor. My grandmother is nearly 80 years old and has been suffering from depression since my grandfather passed away. She has been taking medication for depression over the past few years, and her symptoms have included some signs resembling...


Dr. Liu Hongxiang Reply:
Dear Miss Hao, The main issue in your letter is that you have been feeling very hungry throughout the day after meals, to the point where you cannot sleep without eating, which is quite uncomfortable. If there are no issues with diabetes or obesity, feeling hungry after meals is...

[Read More] Which Medical Specialty Should My Elderly Grandmother See?


Which Medical Specialty Should My Elderly Grandmother See?

Which department should I visit? Hello, doctor. My grandmother is nearly 80 years old and has been suffering from depression since my grandfather passed away. She has been taking antidepressant medication for the past few years, and her symptoms have progressed to resemble those ...


Dr. Liu Hongxiang Reply:
Dear Miss Hao, The main issue in your letter is that you have been feeling very hungry after meals, to the point where you feel hungry all day long, and it becomes difficult to sleep without eating, which is quite uncomfortable. If there are no issues with diabetes or obesity, f...

[Read More] Which Medical Specialty Should My Elderly Grandmother See?


Understanding Night Sweats: Differentiating Heat from Medical Concerns

Regarding night sweats? Hello, I would like to ask the doctor. When I sleep at night without air conditioning and only have a fan, sometimes I wake up a bit sweaty. How can we differentiate whether the sweating is due to heat or if it's night sweats? Is night sweating the sa...


Dr. Liao Yaopan Reply:
Hello, what is commonly referred to as night sweats is not the same as sweating due to high room temperature or consuming spicy food. Other possible causes of unusual sweating may be related to underlying health conditions that require further evaluation. Online consultations are...

[Read More] Understanding Night Sweats: Differentiating Heat from Medical Concerns


Understanding Intermittent Chest Pain: Causes and Concerns

Intermittent pain in the left and right chest? Hello Doctor: For the past three days, I have been experiencing frequent chest discomfort, particularly on the left side. Sometimes it feels sharp, and other times it feels like pressure. The pain often starts when I am quiet or rest...


Dr. Lin Zhebin Reply:
Hello: The discomfort in your chest may be related to your late sleeping habits and anxiety. Additionally, it is important to consider the possibility of cardiovascular disease and thyroid disorders. Since you are still a minor, it is advisable to inform and discuss your health c...

[Read More] Understanding Intermittent Chest Pain: Causes and Concerns


Understanding Sleep Issues: Could Your Circadian Rhythm Be Affected?

Sleep issues How can I determine if I have a suprachiasmatic nucleus issue? I previously had a CT scan of my brain, but it was focused on a pituitary tumor. Would that scan show the suprachiasmatic nucleus? Personally, I feel that I am not sleeping well. The last time I visited m...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you return to the medical facility where you received the brain CT scan for further evaluation to better understand if there are any structural impacts.

[Read More] Understanding Sleep Issues: Could Your Circadian Rhythm Be Affected?


Understanding Genetic Disorders and Their Impact on Childhood Tics

Familial genetic disorders? Hello, my child was diagnosed with tic disorder three months ago, and the symptoms have been worsening. I would like to understand the related conditions in my in-laws' family as follows. Could these conditions be related to my child's tic di...


Dr. Chen Bozhang Reply:
It is advisable to consult the child's primary physician. Thank you.

[Read More] Understanding Genetic Disorders and Their Impact on Childhood Tics


Do I Have Sleepwalking Disorder? Understanding My Symptoms

Do I have narcolepsy? I fell asleep around 11 AM this morning and woke up at about 5 PM, but my father said I got up at 1 PM, walked out of my room, and talked to him, which I have no recollection of. Additionally, every time I fall asleep in a chair or while leaning on the table...


Dr. Ye Qianyu Reply:
Hello! Narcolepsy typically does not require medication treatment. It is important to avoid triggers that can activate symptoms and to strengthen environmental preventive measures. If you experience sleep disturbances or have questions, it is recommended to consult a sleep specia...

[Read More] Do I Have Sleepwalking Disorder? Understanding My Symptoms


Morning Saliva Discoloration: Causes and Health Implications

Waking up with yellow saliva? Hello Doctor: Recently, I have noticed that when I wake up in the morning, my saliva is yellowish. I'm not quite sure if it has a bitter taste. After I brush my teeth and drink water, this issue disappears. Could this be related to liver, gallbl...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that you have gastroesophageal reflux disease (GERD). It is recommended to follow a light diet and avoid overeating. If symptoms persist, please consult a gastroenterologist.

[Read More] Morning Saliva Discoloration: Causes and Health Implications


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