Chronic Insomnia, Weight Loss, and Poor Appetite: Seeking Medical Advice
Long-term insomnia, significant weight loss, and poor appetite issues? Hello Doctor, for the past two years, I have been unable to sleep more than three hours a night before waking up and being unable to fall back asleep. I have consulted various psychiatrists and have tried almo...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine clinic.[Read More] Chronic Insomnia, Weight Loss, and Poor Appetite: Seeking Medical Advice
Understanding and Managing Severe Foot Pain in the Elderly
Grandfather's foot pain issue? Hello doctor, I would like to ask about my grandfather who has been experiencing severe foot pain recently. Initially, he mentioned that his foot had been hurting for a month, and he thought he could just endure it. Eventually, he couldn't...
Dr. Liu Hongxiang Reply:
Hello, Sisi: According to the information provided, it seems that you are currently experiencing pain near the left foot's dorsum close to the ankle. An orthopedic examination with X-rays indicated that the bones appear normal, but there is some degeneration. Additionally, t...[Read More] Understanding and Managing Severe Foot Pain in the Elderly
Understanding Elevated ALT Levels: Causes and Prevention Tips
Blood Test Report Hello Doctor, I donated blood a couple of days ago and received my blood report. My height and weight are 185 cm and 95 kg, and my blood pressure on that day was 120/84. My ALT level was 98 U/L, which made me a bit anxious. I have donated blood twice before; the...
Dr. Ye Qianyu Reply:
Hello! The causes of fatty liver include excessive caloric intake, extreme dieting, lack of exercise, and certain medications. It is recommended to maintain a healthy diet and lifestyle, lose weight, and regularly monitor liver function.[Read More] Understanding Elevated ALT Levels: Causes and Prevention Tips
Managing Blood Sugar: Understanding Occasional High Levels with Normal HbA1c
HbA1c 5.5 is normal, but postprandial blood glucose levels are occasionally elevated? Hello, doctor. Since I can use a blood glucose meter in my work environment, I occasionally check my blood sugar at work. However, my blood sugar levels reach 150-160 two hours after meals, and ...
Dr. Liu Hongxiang Reply:
Hello, Xiao Xuan: The normal blood sugar level two hours after a meal is between 80-140 mg/dL. A blood sugar level of 150-160 mg/dL is slightly elevated. Work-related stress, poor sleep, or long-term use of corticosteroids can affect the body's metabolism. Additionally, co...[Read More] Managing Blood Sugar: Understanding Occasional High Levels with Normal HbA1c
Struggling with Headaches and Insomnia: Understanding Your Symptoms
Lying down with a headache makes it difficult to sleep? I often experience tension-type headaches on both sides of my temples and at the back of my head after lying down. The pain feels like pressure. Additionally, when I go to bed and close my eyes, I feel very awake and cannot ...
Dr. Ye Qianyu Reply:
Hello! I recommend that you first visit a family medicine or general internal medicine clinic to rule out any physiological issues. Additionally, please pay attention to sleep hygiene and adjust your daily routine to improve your sleep quality.[Read More] Struggling with Headaches and Insomnia: Understanding Your Symptoms
Understanding Loss of Appetite: Causes and Treatment Options
Loss of appetite Hello Doctor, last October I experienced vomiting after staying up all night to catch up on my studies. Since then, I have had a persistent loss of appetite. I consulted a gastroenterologist who diagnosed me with gastroesophageal reflux disease (GERD). After trea...
Dr. Lin Zhebin Reply:
Hello: Based on your description of physical discomfort and the situation regarding medical consultations and prescriptions, it is inferred that you may be experiencing anxiety and depression. Additionally, it is important to consider the possibility of endocrine disorders, such ...[Read More] Understanding Loss of Appetite: Causes and Treatment Options
Understanding Chest Tightness from Work Stress and Sleep Aid Effects
Chest tightness at work? After a period of busy work or feeling stressed, I often experience a tightness in my chest. I would also like to inquire about the "Good Health Biomedical Flight Mode Capsule" (a sleep aid) that I took. While it helps me fall asleep, I tend to ...
Dr. Lin Zhebin Reply:
Hello: According to the information I found online, the ingredients of the Good Health Biomedical Flight Mode Capsule are: magnesium glycinate complex (magnesium glycinate, citric acid), microcrystalline cellulose, taurine, calcium phosphate, saffron extract (saffron extract, dex...[Read More] Understanding Chest Tightness from Work Stress and Sleep Aid Effects
Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Sleep and physical issues? Hello doctor, I have been experiencing sleep issues for over a month now. I either have light sleep or wake up in the middle of the night, and sometimes I am even aware while I am sleeping. Additionally, for the past two weeks, I have been having headac...
Dr. Lin Zhebin Reply:
Hello: Your symptoms include headache, insomnia, body heat and sweating, dizziness, and nausea. Given your age, you may be concerned about the following issues: 1. Infectious diseases: viruses (such as COVID-19, influenza), bacteria, etc. 2. Hormonal disorders: hyperthyroidism, d...[Read More] Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Managing Sleep Disruptions from Upper Body Heat and Poor Circulation
Prolonged sitting causes heat in the upper body, particularly in the back of the head, which can negatively impact sleep? The main issue I want to address is the overheating of my occipital region due to prolonged sitting, which leads to insomnia. I find it frustrating that I hav...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that you are experiencing neurological sensory abnormalities due to cervical spine compression. I recommend that you consult a neurologist or a rehabilitation specialist. Additionally, it is advisable to get up and move for 5-10 mi...[Read More] Managing Sleep Disruptions from Upper Body Heat and Poor Circulation
Managing Dizziness: Tips for Better Sleep and Nutrition
Dizziness issues? I have been having trouble sleeping lately, often not falling asleep until around 4 or 5 in the morning. Because of this, I usually skip breakfast. From Monday until today, I've only been eating instant noodles for all three meals, just noodles and broth cu...
Dr. Ye Qianyu Reply:
Hello! There can be many underlying causes for dizziness. It is recommended that you first visit a nearby medical facility for an examination. If internal medical issues are ruled out, it is advisable to adjust your sleep patterns as soon as possible. If there is still no improve...[Read More] Managing Dizziness: Tips for Better Sleep and Nutrition
Understanding Shortness of Breath: When to Seek Medical Attention
Shortness of breath? Last Wednesday, I went to see a doctor due to chest pain. An electrocardiogram (ECG) was performed, and the doctor said there were no significant issues, just that my heart rate was a bit elevated, so he prescribed me New Kangle. However, I went back to see t...
Dr. Lin Zhebin Reply:
Hello: Regarding your discomfort in the chest and difficulty breathing, if both the electrocardiogram and chest X-ray show no significant abnormalities, it is less likely to be a serious heart or lung condition. Given your mother's history of thyroid-related issues and your ...[Read More] Understanding Shortness of Breath: When to Seek Medical Attention
Understanding Itchy Bottoms: Causes and Solutions for Children
Itchy buttocks? Hello, Dr. Yeh! I have a question. Recently, I've noticed that my daughter sometimes moves around in her sleep and touches her bottom and genital area during the night when I get up to use the restroom. A neighbor mentioned that this could be due to a pinworm...
Dr. Ye Qianyu Reply:
Hello! The situations you mentioned are all possible. Since I cannot provide a personal examination, I suggest you rule them out one by one. If you are unable to confirm the issue, please visit a pediatrician for further evaluation.[Read More] Understanding Itchy Bottoms: Causes and Solutions for Children
Is My Sleep Schedule of Short Naps Healthy for Adults?
What is the recommended sleep duration? Most reports suggest that adults should aim for 6 to 8 hours of sleep per day. However, due to the unique nature of my work, I am unable to sleep for long periods at once. I typically manage to sleep about two hours in the morning, two hour...
Dr. Lin Zhebin Reply:
Hello: Your sleep pattern is characterized by segmented sleep, and the main issue with segmented sleep is the insufficient duration of deep sleep. During deep sleep, the cerebral cortex is in a state of inactivity and complete rest, allowing the body to effectively eliminate fati...[Read More] Is My Sleep Schedule of Short Naps Healthy for Adults?
Understanding Heartbeat Issues: When to Seek Medical Advice
Heart rate issues? Hello doctor, I have recently noticed that after concentrating on a task for a while, I often experience chest tightness, as if my heart is a bit weak and I feel like I'm lacking oxygen. My heart rate seems slower, but when measured, it's actually bet...
Dr. Lin Zhebin Reply:
Hello: Although your increased heart rate is still within the normal range (60-100 bpm), the discomfort in your chest and the noticeable sensation of your heartbeat may raise concerns about potential arrhythmias. Indeed, after recovering from COVID-19, it is possible to experienc...[Read More] Understanding Heartbeat Issues: When to Seek Medical Advice
Understanding Left Lower Abdominal Pain: Causes and When to Seek Help
Left lower abdominal pain, like being punched (the sensation is similar to overeating, but it feels like the distension is not in the stomach)? Two days ago, I stayed up late to finish work and went to sleep around 7 AM yesterday after drinking three bottles of beer and having a ...
Dr. Liu Hongxiang Reply:
Hello Mr. Li, Based on your letter, if you have no history of gastrointestinal diseases, it is possible that your discomfort is due to indigestion from eating a lot during gatherings and late-night snacks. If you are still experiencing abdominal discomfort, I recommend visiting ...[Read More] Understanding Left Lower Abdominal Pain: Causes and When to Seek Help
Feeling Hot and Tired Without a Fever: Possible Causes Explained
Feeling warm and lethargic, but without a fever? Hello, doctor. Since yesterday morning, I've been feeling a bit warm, but I'm not sweating. I feel somewhat lethargic, but both my ear and forehead temperatures are normal, and my appetite is fine. I usually eat out for a...
Dr. Cai Dongqi Reply:
Hello, A-Yuan: I'm not sure how to respond.[Read More] Feeling Hot and Tired Without a Fever: Possible Causes Explained
Nighttime Neck Heat and Pulsing Vessels: Which Specialist to Consult?
If you are experiencing increased heat and pulsation in the back of your neck and head, making it difficult to lie down comfortably, you should consider seeing a neurologist or a primary care physician. They can evaluate your symptoms and determine if further investigation or tre...
Dr. Chen Bozhang Reply:
Dear Mr. Anonymous: In your letter, you mentioned that there is a blood vessel in the back of your neck that is pulsating and causing heat, making it difficult for you to sleep. This may be related to a disorder of the nervous or endocrine system. It is recommended that you fir...[Read More] Nighttime Neck Heat and Pulsing Vessels: Which Specialist to Consult?
Fever Mimicking Cold Symptoms: When to Seek Medical Advice
Fever resembling a cold? Measure palm temperature every 1 to 3 hours, which ranges from 39.3 to 39.5 degrees Celsius; forehead temperature is between 37.3 and 37.9 degrees Celsius; temple temperature ranges from 37.2 to 38.4 degrees Celsius. Rapid test for COVID-19 is negative. R...
Dr. Xiao Yongxun Reply:
Dear Ms. Yun: If you are experiencing persistent fever, headache, sore throat, runny nose, and cough, it is important to consider the possibility of infections from pathogens other than COVID-19 and influenza, as well as rare causes. Additionally, rapid testing for COVID-19 can y...[Read More] Fever Mimicking Cold Symptoms: When to Seek Medical Advice
Understanding Left Chest and Upper Back Pain: When to Seek Medical Help
Pain in the lower left chest and upper back? Hello Doctor: Around February 20th of this year, I started experiencing cold symptoms, including a runny nose and a persistent cough that has become quite severe and continues to this day. I recently visited a traditional Chinese medic...
Dr. Liao Yaopan Reply:
Hello, based on your description, if the symptoms persist or change, it is advisable to return to the original treating physician for further evaluation. It is also appropriate to have a specialist in pulmonary medicine assess for any specific underlying causes. If necessary, ref...[Read More] Understanding Left Chest and Upper Back Pain: When to Seek Medical Help
Excessive Yawning and Tears: Is It Normal and How to Improve?
Medical Consultation: Family Medicine Issue - Yawning I would like to ask the doctor, even after getting enough sleep, I still find myself yawning excessively and tearing up, to the point where I can yawn 5 to 6 times in a row, and my mask gets wet from the tears. Is this normal?...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. Essentially, the physiological mechanisms behind yawning are not yet fully understood in the medical field. It may be triggered by insufficient cerebral blood circulation or the accumulation of carbon dioxide, prompting yawning to expel carbon dioxide and inhale...[Read More] Excessive Yawning and Tears: Is It Normal and How to Improve?