Sleep, Family Medicine FAQ - Page 30

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Addressing Concerns About Colonoscopy: Expert Insights for Family Health Checks

Issues regarding colonoscopy (forwarded from the Director's mailbox) I have just reached out to various hospitals and health check-up centers, including MeiX, to inquire about the following questions. I would appreciate it if your esteemed experts could provide clarification...


Dr. Chen Bozhang Reply:
Hello: I will respond to your questions in order. 1. If there is a severe intestinal perforation, surgery is required; if it is mild, observation may be sufficient. Compensation will be determined based on the extent of the damage. 2. Generally, the procedure is performed by an a...

[Read More] Addressing Concerns About Colonoscopy: Expert Insights for Family Health Checks


Understanding Stiff Fingers at Night: Causes and When to See a Doctor

Stiffness in the fingers? My mother is 52 years old, and recently she often wakes up in the middle of the night with her fingers feeling stiff and unable to move. What could be the reason for this? I experienced something similar during winter and thought it was just because it w...


Dr. Cai Mengru Reply:
Dear Ms. Hsieh, Regarding your question, if this occurs during sleep (when a person is in a semi-conscious state), it may be commonly referred to as sleep paralysis. During this time, brain activity is awake, and some individuals may also experience visual hallucinations, while ...

[Read More] Understanding Stiff Fingers at Night: Causes and When to See a Doctor


Understanding Chest Discomfort: Causes and When to Seek Help

Chest breathing issues Hello Doctor: I would like to ask, I previously had an X-ray, and the doctor diagnosed that no issues were found. However, when I lean forward to read or when I sleep, I feel a tightness in my chest, and there is pain near my heart, which may be in the bone...


Dr. Chen Bozhang Reply:
Hello: In response to your question, based on your description, it seems more like muscle pain. However, I recommend that you see a pulmonologist or neurologist, as there are many causes of chest pain that require careful examination and assessment. Typically, the pain associated...

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


Understanding Chronic Headaches: Causes, Solutions, and Emotional Well-being

Head discomfort? Hello Doctor, I have the following questions: 1. I have been experiencing headaches for ten years. Is it possible to treat them? Sometimes I feel very fatigued and want to sleep. How can I address this? 2. I started dyeing my hair ten years ago due to white hai...


Dr. Chen Bozhang Reply:
Hello, In response to your inquiry, you mentioned several issues including physiological symptoms such as chronic headaches, irregular menstrual cycles, and premature graying of hair, as well as psychological stress and forgetfulness. You also noted a range of symptoms like fat...

[Read More] Understanding Chronic Headaches: Causes, Solutions, and Emotional Well-being


Understanding Dizziness, Nausea, and Bloating: Seeking the Right Medical Help

Frequent dizziness, nausea, and abdominal bloating? Hello Dr. Wu: Since the beginning of this month, I have been experiencing dizziness and nausea (I have had these symptoms before, but not as severely as this month). The symptoms are milder during the day, but I still feel dizzy...


Dr. Wu Fangcan Reply:
Your symptoms may indicate anemia, and individuals with allergic rhinitis often experience nasal congestion, which can also occur after a cold. If you have tinnitus, decreased hearing, and dizziness, Meniere's disease should be suspected. If dizziness occurs during menstruat...

[Read More] Understanding Dizziness, Nausea, and Bloating: Seeking the Right Medical Help


Understanding Your Child's Excessive Sleepiness: When to Seek Help

Child Health Consultation Hello Dr. Tsai, I would like to ask for your advice. My child has been very prone to sleepiness since the third grade. He often dozes off in class and has difficulty concentrating. Sometimes, as soon as he comes home from school, he runs straight to bed...


Dr. Cai Mengru Reply:
Hello, Qiqi's mother: Regarding your question, since it is related to sleep issues, it is more likely to be associated with the fields of neurology or psychiatry (child or adolescent psychology). I recommend seeking assistance from these two specialties. Additionally, while ...

[Read More] Understanding Your Child's Excessive Sleepiness: When to Seek Help


Unsure Which Specialist to See for Unexplained Symptoms?

I'm not sure which specialty to consult or what tests to undergo? Hello, doctor. My diet is generally normal; I usually have three meals a day, although I occasionally skip breakfast on weekends. My weight is within the standard range (160 cm / 49 kg), but I appear "thi...


Dr. Cai Dongqi Reply:
It seems that the symptoms cannot rule out irritable bowel syndrome or functional gastrointestinal disorders; it would be advisable to consult a gastroenterologist first.

[Read More] Unsure Which Specialist to See for Unexplained Symptoms?


Understanding Headaches After Night Shifts: Is Sleep the Culprit?

Sure! How can I assist you? Hello: I work a fixed night shift, and I often experience headaches in the afternoon. However, after I sleep and wake up, I feel normal. Is this related to my sleep?


Dr. Lai Hexian Reply:
Hello, it is likely due to excessive fatigue, and it should recover after a period of rest.

[Read More] Understanding Headaches After Night Shifts: Is Sleep the Culprit?


Effective Remedies for Shoulder and Neck Pain Relief

Shoulder pain Hello Doctor, I have recently been experiencing soreness in both shoulders and my neck. Pressing on my shoulders and neck causes pain and discomfort (I do not spend long hours sitting in front of a computer or TV). For a long time, I have felt that my shoulders and ...


Dr. Cai Jueren Reply:
Hello: Shoulder and neck pain is often caused by muscle fatigue due to prolonged hand work. Therefore, even with rest, one may still feel stiffness and soreness in the shoulders and neck. Generally, this condition can improve with adequate rest, such as taking a break from work a...

[Read More] Effective Remedies for Shoulder and Neck Pain Relief


Is Your Temperature Fluctuation Normal? Understanding Fever and Health Concerns

Is this fluctuation in body temperature normal? Hello Doctor: Since October of last year, due to work fatigue, emotional stress, and irregular eating and sleeping habits, I have experienced difficulty sleeping for over two weeks, frequent diarrhea, and later developed gastroesoph...


Dr. Lai Junlong Reply:
Hello: In response to your questions. 1. Human body temperature is generally stable, but it does fluctuate slightly throughout the day due to physiological activities of the muscles and liver. Body temperature gradually rises after waking up in the morning, peaks in the afternoon...

[Read More] Is Your Temperature Fluctuation Normal? Understanding Fever and Health Concerns


Frequent Colds: Is Your Immune System Declining?

I have been catching colds frequently lately? Hello Doctor: I have been experiencing frequent colds over the past six months, sometimes getting sick twice a month and at other times once every two months. Is this a sign that my immune system is weakening, or could there be other ...


Dr. Cai Ruiyuan Reply:
If you are experiencing more frequent colds, it is important to pay attention to this. Please schedule an appointment with an infectious disease specialist for an examination, especially during cold episodes. Additionally, avoid excessive fatigue, ensure adequate sleep, engage in...

[Read More] Frequent Colds: Is Your Immune System Declining?


Understanding Neck Tightness: Causes, Symptoms, and When to Seek Help

Neck tightness..? Hello Doctor: Recently, I have been feeling a tightness in my neck, as if someone is choking me. I also experience eye pain and dizziness, and I feel very tired every day. Even after getting eight hours of sleep, I still feel fatigued, and I wake up with body ac...


Dr. Lai Hexian Reply:
Hello, due to your concerns, additional information is needed for a proper assessment, making it difficult to determine what health issue you may have. For this condition of unknown etiology, it is still recommended that you consult a family medicine specialist.

[Read More] Understanding Neck Tightness: Causes, Symptoms, and When to Seek Help


Understanding White Hair: Genetics, Health, and Future Concerns

Gray hair issue? Hello Doctor, I would like to ask you: 1. I am over thirty and have a full head of gray hair. My mother started dyeing her gray hair at the age of 18. So I wonder if this is due to genetic factors or if it is caused by excessive mental stress? Also, does having...


Dr. Lai Junlong Reply:
Hello: Here are the responses to your questions: 1. The early onset of gray hair is related to the decline in the body's ability to synthesize melanin. Genetic factors and excessive mental stress are among the causes that hinder melanin production, and it does not necessari...

[Read More] Understanding White Hair: Genetics, Health, and Future Concerns


Morning Dizziness and Nausea: Causes and Solutions

Nausea and dizziness..? Hello Dr. Tsai: Recently, I've been experiencing dizziness and a feeling of unsteadiness every morning upon waking up, which lasts for quite a while before I feel normal again. Additionally, I feel nauseous and have a tendency to vomit right after bre...


Dr. Cai Jueren Reply:
Hello: Usually, these symptoms are related to orthostatic hypotension, and sometimes it is necessary to consider central vertigo. If you are under stress and not sleeping well, this can also occur. A less common situation is having gastrointestinal issues. I recommend that you vi...

[Read More] Morning Dizziness and Nausea: Causes and Solutions


Understanding Persistent Left Rib Pain: Possible Causes and Concerns

excuse me? The pain is located about two fingerbreadths below the V-shaped area of the left rib cage. I have been experiencing this pain frequently for the past six months, especially in the morning when I wake up, and it is quite severe. I don't believe it is related to hun...


Dr. Cai Mengru Reply:
Dear Dr. Ito, Regarding your question, the stomach is indeed located just below the left rib cage. Additionally, pain in the V-shaped area below the sternum may correspond to the position of the duodenum. Symptoms of ulcerative diseases typically worsen when hungry and may also ...

[Read More] Understanding Persistent Left Rib Pain: Possible Causes and Concerns


Understanding Anal and Genital Itching: When to Seek Medical Help

Anal itching and genital itching? Doctor: Hello! I have been experiencing anal itching for quite some time. I have been hesitant to seek medical attention due to embarrassment, but I have researched various methods to alleviate the itching and possible causes online. I have initi...


Dr. Wu Fangcan Reply:
There are many causes of anal itching, including atopic dermatitis, contact dermatitis, scabies, pubic lice, lichen planus, xerosis, psoriasis, and seborrheic dermatitis. Some are associated with systemic diseases such as hyperthyroidism, hypothyroidism, chronic renal failure, ir...

[Read More] Understanding Anal and Genital Itching: When to Seek Medical Help


Overwhelming Fatigue at Night: Causes and Solutions

Feeling constantly fatigued? I have been feeling very strange for the past six months. Every night, I feel particularly fatigued and have an overwhelming desire to sleep, to the point where it feels like I would die if I don't sleep. How can I improve this condition?


Dr. Lai Junlong Reply:
Hello: In response to your question, there are many causes of abnormal fatigue. In addition to physical factors, the impact of stress is often overlooked. Furthermore, long-term sleep disturbances can also lead to feelings of exhaustion. In addition to seeking a thorough evaluati...

[Read More] Overwhelming Fatigue at Night: Causes and Solutions


Struggling with Sleep and Bloating: A Family Medicine Perspective

Hello, Dr. Lai! Dr. Lai: I haven't been sleeping well for the past few days. I can't seem to fall asleep, so I thought it might be too hot and tried using the air conditioning, but it didn't help. I lie down at midnight and it takes me 1 to 2 hours to fall asleep, ...


Dr. Lai Junlong Reply:
Hello: Both physical and psychological issues can lead to sleep disturbances, and gastrointestinal discomfort may also affect sleep. The concerns raised by the online user cannot be fully understood from the message alone, so it is recommended to consult a family medicine physici...

[Read More] Struggling with Sleep and Bloating: A Family Medicine Perspective


Understanding Unexplained Hypertension in Young Adults: A Medical Perspective

Young people with unexplained hypertension? Hello, Doctor Lai. I take medication for schizophrenia every day, and I am not on any other medications (I have been on this medication for about nine years). This week, I had my blood pressure and pulse checked at the hospital. The fir...


Dr. Lai Hexian Reply:
Hello, I would recommend that you measure and record your blood pressure regularly for at least one week. Then, bring the medications you are currently using and your blood pressure records to the cardiology outpatient clinic for further evaluation and treatment.

[Read More] Understanding Unexplained Hypertension in Young Adults: A Medical Perspective


Understanding Excessive Daytime Sleepiness: When to Seek Help

Easily drowsy and unable to resist falling asleep? Hello Doctor: Since elementary school, I have often experienced drowsiness during class. After being disciplined by my teacher, my mother took me to a family medicine clinic, where the doctor diagnosed me with "laziness"...


Dr. Cai Jueren Reply:
Hello, I apologize for not being able to respond to your question in a timely manner due to my absence from the country. Your issue seems to be related to a sleep disorder, which is affecting your ability to concentrate. Many hospitals now have sleep centers that specialize in ad...

[Read More] Understanding Excessive Daytime Sleepiness: When to Seek Help


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