Sleep, Family Medicine FAQ - Page 31

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Understanding Painful Bumps in the Armpit: Causes and Solutions

Hard lump in the armpit? Hello.. I've been coughing on and off for nearly three months. Recently, I've developed a painful bump under my armpit that resembles an acne lesion, and it often hurts enough to disturb my sleep. Can you help me understand what this might be?


Dr. Lai Hexian Reply:
A prolonged cough can have a variety of underlying causes, including respiratory issues such as asthma or allergies, infectious diseases like tuberculosis, or gastrointestinal problems related to gastroesophageal reflux. Therefore, it is advisable for you to seek further evaluati...

[Read More] Understanding Painful Bumps in the Armpit: Causes and Solutions


Morning Foot Swelling: Causes and When to Seek Medical Advice

Inquiry When waking up in the morning, if you notice slight swelling on both sides of your feet that subsides after walking around, it could be due to several reasons, such as fluid retention, poor circulation, or prolonged pressure on the feet during sleep. This condition may fa...


Dr. Cai Ruiyuan Reply:
Hello: The issue of leg swelling may be related to diseases of the kidneys, heart, liver, lower limb lymphatics, or thyroid, and it may also be associated with prolonged standing, excessive salt intake, venous stasis in the lower extremities, premenstrual syndrome, or certain med...

[Read More] Morning Foot Swelling: Causes and When to Seek Medical Advice


Struggling with Chronic Nasal Congestion? Find the Right Specialist

Which specialty should I consult for long-term nasal congestion and difficulty breathing? Last year, I visited the emergency department twice due to nasal congestion and difficulty breathing. However, the ENT specialist said that the nasal mucosa appeared normal and attributed it...


Dr. Lai Junlong Reply:
Hello: If the difficulty in breathing is confirmed to be caused by nasal congestion, you should see an otolaryngologist. It is advised not to use xylometazoline HCl nasal spray for an extended period, as it can lead to rhinitis medicamentosa, which may ultimately require surgery ...

[Read More] Struggling with Chronic Nasal Congestion? Find the Right Specialist


Which Medical Specialty Should I See for My Symptoms?

Which department should I make an appointment with? I have recently had a poor appetite, and I find it hard to eat anything. I also feel very fatigued and often want to sleep. Sometimes I sleep for over ten hours and still feel tired. Is there something wrong? Which department sh...


Dr. Cai Mengru Reply:
Dear Mr. A-Guang, Hello. Regarding your concerns, it is possible that they are due to psychosomatic stress, or there may be issues with your internal organs, such as the liver. If you find that you cannot identify any explainable psychosomatic stress and that you do not experien...

[Read More] Which Medical Specialty Should I See for My Symptoms?


Understanding Uncontrollable Teeth Clenching and Facial Movements During Sleep

Questions about Sleep Hello, doctor! I would like to ask you about a problem I encounter while sleeping. Just as I am about to fall asleep, sometimes my teeth suddenly clench together involuntarily, and sometimes it happens twice. What could this be? Each time it happens, I get s...


Dr. Lai Junlong Reply:
Hello: This phenomenon is a symptom that occurs when the brain's control over peripheral nerves weakens during the process of falling asleep. It is also related to emotional tension or stress. If this issue is troubling you, it is advisable to seek assistance from a neurolog...

[Read More] Understanding Uncontrollable Teeth Clenching and Facial Movements During Sleep


Understanding Persistent Headaches: Causes and Solutions for Relief

Headache I have been experiencing headaches, dizziness, nausea, and red eyes, which sometimes become blurry, for almost a month. I have visited a clinic where I received injections and medication that alleviated my symptoms, but they return once I stop taking the medication. What...


Dr. Chen Mengkan Reply:
Hello: There are many potential causes of headaches. I would recommend that you visit the neurology department or family medicine department at a hospital for a differential diagnosis. Pain relievers generally only alleviate symptoms, and whether further examinations are necessar...

[Read More] Understanding Persistent Headaches: Causes and Solutions for Relief


Understanding Symptoms of Mom's Hand Issues: A Guide for Caregivers

Symptoms of mother's hand? My mother is 57 years old and works in a hospital caring for elderly patients, which often requires physical exertion. One day, she woke up feeling numbness in her fingers, which has persisted for over three months. Subsequently, she experiences sw...


Dr. Cai Dongqi Reply:
This type of issue is mostly related to carpal tunnel syndrome. It is advisable to use a wrist brace and rest for several months; if there is no improvement, then consider surgery.

[Read More] Understanding Symptoms of Mom's Hand Issues: A Guide for Caregivers


Which Medical Specialty Should You See for Muscle Cramps?

For muscle cramps, you should consult a specialist in the field of Orthopedics or a Neurologist? Twenty years ago, I suffered a severe ankle sprain on my right foot while on duty. At that time, I did not see a doctor and only used topical ointments for treatment, which took about...


Dr. Cai Mengru Reply:
Dear Mr. A-Jia, Based on your situation, if you are considering seeking medical treatment, it is important to first rule out a condition known as "Restless Legs Syndrome." The diagnostic criteria include: symptoms worsening when at rest; relief upon movement; and varia...

[Read More] Which Medical Specialty Should You See for Muscle Cramps?


Understanding Rapid Weight Loss in Adolescents: Causes and Solutions

Weight decreased from 45 kilograms to 36.8 kilograms within two months? Hello Dr. Wang, my child is 14 years old. Before August, his weight was 45 kg, but after two months, it has suddenly dropped to 36.8 kg. On June 26, 2008, he was injured by a classmate before the final exam. ...


Dr. Wang Zhengzhong Reply:
Hello: Your questions are as follows: "1. What diseases can cause such rapid weight loss? Besides organ diseases, significant psychological stress can also be a factor, such as depression or loss of motivation in life. 2. Which specialty should we consult? An experienced fam...

[Read More] Understanding Rapid Weight Loss in Adolescents: Causes and Solutions


Understanding Headaches: Essential Tests and Treatment Options

Headache Hello, Doctor: What tests can be done for headaches? Are there any covered by health insurance? Due to frequent headaches, my symptoms include pain in the left occipital area, with intermittent sharp and throbbing pain. Sometimes I also experience neck pain, or a general...


Dr. Cai Jueren Reply:
Hello: The symptoms you described do resemble a migraine, but there are still some conditions that need to be considered: 1. Hypertension - you should monitor your blood pressure daily to know. 2. Chronic rhinitis - this must be diagnosed by an otolaryngologist. 3. Elevated intra...

[Read More] Understanding Headaches: Essential Tests and Treatment Options


Unusual Behaviors in My Father: Signs of Possible Health Issues?

Some strange behaviors of my dad? Hello, my father is 53 years old and has a long history of smoking and drinking. Recently, he has been exhibiting some strange behaviors, and I am concerned that there may be some changes in his health. He has developed an uncontrollable craving ...


Dr. Lai Junlong Reply:
Response: The public should seek medical attention promptly to investigate the symptoms mentioned regarding their father. Alcohol overdose could potentially lead to neurological disorders, or there may be an underlying condition such as diabetes. It is recommended to first consul...

[Read More] Unusual Behaviors in My Father: Signs of Possible Health Issues?


Overcoming Morning Grogginess and Post-Lunch Fatigue: Solutions

Lethargy after meals and excessive sleeping? Hello, I would like to ask two questions. First, my bedtime is usually between 2 AM and 3 AM. Recently, I have developed a habit of staying in bed, and although I sleep for about seven hours, I often cannot get up before noon unless I ...


Dr. Cai Mengru Reply:
Dear Master, Regarding your question, it is likely a common issue faced by many modern individuals. If you are able to get up despite feeling unwell, it generally indicates that there are no significant physical problems. However, many people have the mindset that they must slee...

[Read More] Overcoming Morning Grogginess and Post-Lunch Fatigue: Solutions


Jaw and Neck Pain During Pregnancy: Causes and Solutions

Pain in the jaw and neck/shoulder region? I am experiencing soreness in my jaw and neck, and the symptoms worsen when I lie down to sleep, especially under the molars on both sides of my jaw. I even feel chest tightness... My hands and feet are involuntarily twitching to the poin...


Dr. Chen Yuchao Reply:
The pain in the jaw and neck, which worsens when lying down to sleep, particularly around the mandible below the molars, may be accompanied by chest tightness. Additionally, there are involuntary movements in the hands and feet that have reached a point where sleep is impossible....

[Read More] Jaw and Neck Pain During Pregnancy: Causes and Solutions


Why Does Sleeping Over 7 Hours Cause Lower Back Pain?

The strange phenomenon of experiencing lower back pain after sleeping for more than 7 hours? Hello, doctor: Every morning when I wake up, my lower back feels sore. Interestingly, this only happens if I sleep for more than 7 hours; if I sleep for about 6 hours, it doesn't occ...


Dr. Cai Mengru Reply:
Dear Mr. Pengpeng, Hello, regarding the relationship between your lower back pain and sleeping longer, there is not much medical evidence to support this connection. However, if you are sleeping longer due to factors such as 1. fatigue, 2. poor mood, 3. poor sleep quality, 4. al...

[Read More] Why Does Sleeping Over 7 Hours Cause Lower Back Pain?


Understanding Severe Headaches, Fever, and Weakness: A Guide for Patients

Headache, fever, weakness? I started experiencing headaches a few days ago, and I can feel pain around my eyes near the brow bone. At first, I didn't think much of it, but the headaches became more severe (it felt like my head was about to explode), and I started feeling wea...


Dr. Cai Mengru Reply:
Hello Ms. Miao Miao: Regarding your symptoms, if you have had a fever for more than three days or if the fever does not subside with medication, it is best to go to the hospital for an examination. Do not rely solely on acetaminophen to reduce the fever, as it may be caused by a ...

[Read More] Understanding Severe Headaches, Fever, and Weakness: A Guide for Patients


Understanding Unexplained Fatigue: A Guide for Patients

Intractable Somnolence Disorder Hello, doctor. I would like to ask about a problem that has been bothering me for a long time: for the past two to three months, I often feel a sense of brain fog. This fatigue doesn't go away with sleep; I frequently experience a feeling of w...


Dr. Cai Mengru Reply:
Dear Student Chen, Do you have emotional issues (such as fluctuations or persistent low mood)? Do you find it difficult to sleep well (including waking up feeling unrefreshed)? Have activities that used to bring you joy become uninteresting? Do you feel worthless, believing that...

[Read More] Understanding Unexplained Fatigue: A Guide for Patients


Understanding Unexplained Symptoms: A Guide for Patients

Unexplained symptoms Hello Doctor: Two years ago, I experienced dizziness three times and underwent various tests at nearby hospitals, all of which were normal. Since that experience, I often feel very fatigued, with a heavy head and light legs, and I feel dizzy. I am very afraid...


Dr. Cai Mengru Reply:
Mr. Rock: Hello, regarding your discomfort, it indeed aligns with symptoms of anxiety disorder. Typical manifestations include muscle tension, widespread aches, mood swings, difficulty concentrating, insomnia, and restlessness, among others. Of course, these symptoms must persist...

[Read More] Understanding Unexplained Symptoms: A Guide for Patients


Struggling to Gain Weight: Tips for Firefighters with Fast Metabolism

Wanting to gain weight when you are underweight? I am 28 years old and work as a firefighter. I have a fast metabolism and weigh about 55 kg at a height of 175 cm, which makes me quite thin. I eat normally, but I often feel like my stomach has something in it after eating, yet I ...


Dr. Wang Zhengzhong Reply:
Hello: You are 28 years old and work in firefighting. Your eating habits are generally normal, but you feel like there is something in your stomach after eating, and you quickly feel hungry again. Your weight is approximately 175 lbs with a height of 55 inches, resulting in a BMI...

[Read More] Struggling to Gain Weight: Tips for Firefighters with Fast Metabolism


Understanding Frequent Dreaming: When to Seek Medical Advice

Experiencing dreams every night during sleep? Hello, doctor. I dream every night, even during a short nap of just ten minutes. I have seen a psychiatrist who believes that I am under a lot of stress, but I don't think that's the case. Could there be an issue with my bra...


Dr. Cai Mengru Reply:
Dear Ruijuan, Hello! Sleep remains a relatively unclear area in medicine. Currently, in the field of medical specialties, sleep difficulties primarily fall under the domain of psychiatry. Of course, if there are physical issues, they can also affect brain activity, and certain m...

[Read More] Understanding Frequent Dreaming: When to Seek Medical Advice


Understanding Unexplained Headaches and Tonsillitis: Treatment Options

Headache Hello Doctor: In recent months, I have been experiencing frequent unexplained headaches and tonsillitis. Sometimes it is triggered by a cold or lack of sleep, but at other times it occurs suddenly. Besides seeing an ENT specialist, what further treatments can I pursue? T...


Dr. Cai Jueren Reply:
Hello, recurrent tonsillitis is often caused by tonsillar hypertrophy or allergic conditions. Sometimes it can be due to poor physical condition, such as excessive fatigue or lack of sleep. If tonsillar hypertrophy is present, some physicians may recommend a tonsillectomy. It is ...

[Read More] Understanding Unexplained Headaches and Tonsillitis: Treatment Options


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