Understanding Neck and Head Heat: When to See a Family Medicine Specialist
If the back of your head feels warm while lying down, which specialist should you see? I've seen many specialists, undergone numerous tests, and spent a lot of money? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. I have been...
Dr. Lin Zhebin Reply:
Hello: The symptoms of heat in your head and upper body accompanied by chest tightness, difficulty breathing, rapid heartbeat, and abnormal sensations may suggest neurological and cardiovascular issues. It is advisable to seek medical evaluation from a neurologist or a cardiologi...[Read More] Understanding Neck and Head Heat: When to See a Family Medicine Specialist
Upper Back Pain and Chest Discomfort: When to Seek Medical Attention
Right upper back pain and chest pain with deep breathing? Yesterday, while reading, I suddenly felt pain in my upper right back. I can't quite describe the pain, but it feels a bit tight. I thought it would get better after a good night's sleep, but when I woke up in th...
Dr. Lin Zhebin Reply:
Hello: Regarding your pain in the upper right back and chest, if there hasn't been any specific trauma, it may sometimes be due to poor posture causing localized muscle tension. If resting for a few days does not improve the situation, it is advisable to seek medical attenti...[Read More] Upper Back Pain and Chest Discomfort: When to Seek Medical Attention
Understanding Cold Sensation in the Left Arm: Causes and Concerns
Coldness in the left arm and other areas? Last night before bed, I suddenly experienced mild pain on the outer side of my left chest, which gradually extended to my armpit, accompanied by a sensation of soreness. Then, my left arm felt cold, as if the coldness was radiating from ...
Dr. Lin Zhebin Reply:
Hello: The coldness and pain in your left chest, left shoulder, and left arm, accompanied by arrhythmia, may indicate a cardiac issue. It is recommended that you see a cardiologist for further evaluation.[Read More] Understanding Cold Sensation in the Left Arm: Causes and Concerns
Exploring the Link Between Fatigue and Vitamin D Deficiency
The association between fatigue and vitamin D deficiency? I have been experiencing fatigue and excessive sleepiness for about 6 to 7 years. I have seen various internal medicine specialists and undergone tests for thyroid function, hormones, etc. I even visited a sleep clinic, an...
Dr. Lin Zhebin Reply:
Hello: Vitamin D deficiency may have the following effects: decreased immune function, anxiety, muscle weakness, osteoporosis, dry skin, cardiovascular diseases, etc. Based on your description of physical discomfort, some of it may indeed be related to vitamin D deficiency. Since...[Read More] Exploring the Link Between Fatigue and Vitamin D Deficiency
Understanding Left Thigh Numbness: Is It Related to Pelvic Misalignment?
Numbness in the left thigh due to prolonged sitting? Hello Doctor: I would like to ask about experiencing numbness in my left thigh after prolonged sitting or occasionally sleeping on my right side. I wonder if this is related to pelvic tilt. Which specialty should I consult to c...
Dr. Liao Yaopan Reply:
Hello, it is recommended to first consult an orthopedic or neurosurgeon to assess whether there is a nerve compression issue. Online consultations are not equivalent to in-person medical visits and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares a...[Read More] Understanding Left Thigh Numbness: Is It Related to Pelvic Misalignment?
Understanding Elevated Fasting Blood Sugar: What You Need to Know
Health examination red flags Hello doctor, I recently had a health check-up for my part-time job, and the report showed a fasting blood glucose level of 106. However, none of my relatives have a history of related illnesses, and my blood pressure, BMI, and waist circumference are...
Dr. Xiao Yongxun Reply:
Dear Student, 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for at least 8 hours, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, ...[Read More] Understanding Elevated Fasting Blood Sugar: What You Need to Know
Understanding Blood Test Results: What Do They Mean for Your Health?
Blood test report I often experience dizziness, chest tightness, palpitations, fatigue, and excessive sleepiness, so I had a blood test done today. Could you please tell me if there are any issues with the lab report? Lab report: - White Blood Cell Count: 12,410 - Red Blood C...
Dr. Lin Zhebin Reply:
Hello: Your blood test report shows two main issues: 1. Severe microcytic anemia, which may require consideration of iron deficiency anemia and thalassemia. 2. Elevated white blood cell count with increased neutrophils and decreased lymphocytes, which may raise concerns about pos...[Read More] Understanding Blood Test Results: What Do They Mean for Your Health?
Understanding Enlarged Earlobes: Causes and When to Seek Help
Swelling of one earlobe? Doctor, I have a habit of sleeping on my side, but not throughout the entire night. Today, I woke up to find that my earlobe has become enlarged, but it doesn't hurt, itch, or have any wounds. I do rub my ears a bit while showering, but I don't ...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is advisable to have your family physician evaluate you in person to confirm whether there are any abnormalities. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Ch...[Read More] Understanding Enlarged Earlobes: Causes and When to Seek Help
Understanding Symptoms: Liver Pain, Lymph Nodes, and Sleep Issues
Lymph nodes, liver, neck, rib pain, and bruising during sleep? 1. About five years ago, I had liver inflammation issues when I was around 20 years old. I felt a bloated, numb sensation, as if there was something hard inside. At that time, the doctor diagnosed me with fatty liver....
Dr. Lin Zhebin Reply:
Hello: 1. The more common causes of liver inflammation are hepatitis B, hepatitis C, fatty liver disease, and alcoholic hepatitis. Liver function tests require blood draws for diagnosis. Regarding the intermittent sharp pain in your left and right abdomen, it is advisable to cons...[Read More] Understanding Symptoms: Liver Pain, Lymph Nodes, and Sleep Issues
Understanding Low Body Temperature: Causes and Management for Chronic Conditions
Recently, I have noticed that my body temperature is abnormally low, at 34.7 degrees Celsius? Hello, doctor. I have a history of diabetes, hypertension, and kidney disease for 32 years. My hemoglobin A1c was 6.6 in December last year. I was diagnosed with myasthenia gravis in Jul...
Dr. Lin Zhebin Reply:
Hello: Your issue of having a low body temperature may be related to hypothyroidism, adrenal insufficiency, hypoglycemia, nutritional deficiencies, neuromuscular diseases, infections, and so on. Additionally, the frequent cramping you experience may be associated with electrolyte...[Read More] Understanding Low Body Temperature: Causes and Management for Chronic Conditions
Understanding Blood Sugar Levels: Factors Affecting Readings in Daily Life
Blood sugar issues 1. Consuming a bowl of beef noodles that was 70% full at around 8 PM, along with a few sips of sugary drinks and a small amount of fried food between 10 PM and 12 AM, combined with staying up until 5 AM, could indeed affect your fasting blood glucose levels. Th...
Dr. Liu Hongxiang Reply:
Hello Ms. Chou: Fasting for more than 8 hours is required to measure fasting blood glucose. If the fasting period is sufficient and the blood glucose level is 110 mg/dL, this single measurement indicates elevated blood sugar. It is recommended to conduct multiple tests to confi...[Read More] Understanding Blood Sugar Levels: Factors Affecting Readings in Daily Life
Understanding Foot Numbness: Causes, Symptoms, and When to Seek Help
Numbness in the soles of the feet? I would like to inquire about the issue of foot numbness. Recently, I have noticed that I frequently experience numbness in the soles of my feet. I have had this issue before, but it was not common. My usual work involves sitting at a desk for l...
Dr. Hou Angting Reply:
Hello: I suggest that you consult with a neurologist for evaluation. Wishing you good health.[Read More] Understanding Foot Numbness: Causes, Symptoms, and When to Seek Help
Understanding Cholesterol Changes: Causes and Solutions for Your Health
Increased cholesterol Hello Doctor, since I turned 30, I have been getting annual check-ups. My total cholesterol has been around 200-220 (with HDL around the 80s and LDL around 100, and the doctor said my HDL is good, so it's not a concern). However, I noticed in last year&...
Dr. Xiao Yongxun Reply:
Dear Ms. Ann: 1. Your total cholesterol or low-density lipoprotein (LDL) cholesterol levels are elevated, and it is advisable to first manage this through diet and exercise. It is recommended to reduce the intake of high-cholesterol and trans fats (commonly found in creamers, bu...[Read More] Understanding Cholesterol Changes: Causes and Solutions for Your Health
Understanding Sleep Issues: Why Am I Always Tired Despite Long Sleep?
Sleep issues I can sleep up to 12 hours a day, but I still feel sluggish during the day and lack motivation for anything. When my sleep schedule is irregular, I sometimes take naps for two to three hours in the afternoon. No matter how much I sleep, I still feel fatigued. What co...
Dr. Cai Dongqi Reply:
Hello Zhixiang: First, go for a health check-up, adjust your sleep schedule and daily routine. You may want to consult a sleep specialist to help with your sleep patterns.[Read More] Understanding Sleep Issues: Why Am I Always Tired Despite Long Sleep?
Understanding Night Sweats: When to Seek Medical Help for Fatigue
Night sweats? Since this summer, my physical condition has noticeably worsened. I have to wear long sleeves and long pants to sleep even with the air conditioning set at 27°C. About two months ago, I occasionally woke up at night sweating from my shoulders, neck, chest, and back....
Dr. Cai Dongqi Reply:
Hello, I hope you are well. It is important to adjust your lifestyle (which is currently not normal) by avoiding staying up late and the habit of eating late-night snacks. The causes of night sweats may include menopause, hyperthyroidism, diabetes, and autonomic nervous system di...[Read More] Understanding Night Sweats: When to Seek Medical Help for Fatigue
Understanding Left Lower Back Pain, Frequent Urination, and Bloating
Left lower back pain, frequent urination, and bloating? A few days ago, I experienced a dull pain in my lower left back during the night, which affected my sleep. The pain is near the kidney area, and I also noticed a frequent urge to urinate. I went to see a doctor, but the urin...
Dr. Xiao Yongxun Reply:
Dear Miss Xiao Gao: 1. When experiencing back pain, it is important to consider conditions such as lumbar strain, degenerative disc disease, herniated discs, osteoporotic compression fractures, spinal stenosis, spondylolisthesis, tumors, inflammatory arthritis, infections, pelv...[Read More] Understanding Left Lower Back Pain, Frequent Urination, and Bloating
Understanding Pain at the Back of the Head While Sleeping
Headache when lying on the pillow while sleeping? There is a spot on the upper back of my head that hurts every time I press on it while sleeping. I also feel pain when I apply pressure with my fingers. This has been going on for a while, located about 3 centimeters above the nap...
Dr. Lin Zhebin Reply:
Hello: The localized pain and tenderness in your head may be due to a skin or scalp lesion. However, since it has persisted for a while, I recommend that you visit a family medicine physician for an examination to determine the cause of the pain.[Read More] Understanding Pain at the Back of the Head While Sleeping
Understanding Shoulder Pain: Causes and Solutions for Office Workers
Shoulder pain Hello, doctor! I have been troubled by some issues for a while. I usually spend long hours (about 3 hours at a time) sitting at my computer desk for work or gaming, and my sleep schedule is fixed around 12 to 1 or 2 AM. Over time, I have developed back pain that onl...
Dr. Liao Yaopan Reply:
Hello, based on your condition, it is important for you to have an evaluation by a rehabilitation physician and to change your daily habits. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Cha...[Read More] Understanding Shoulder Pain: Causes and Solutions for Office Workers
Supporting Elderly Recovery: Navigating Health Challenges After Illness
The elderly person was generally healthy but is unable to get up after a serious illness? Hello, doctor. I would like to ask for advice regarding medical management for my grandfather, who is currently 97 years old. Two years ago, he experienced confusion upon waking up and had l...
Dr. Cai Dongqi Reply:
Hello: 1. In elderly patients with fever and shortness of breath, the primary consideration is infection, especially pneumonia. If there are confirmed cases in the household, it is likely that the grandfather may also be infected (rapid testing at the emergency department may be ...[Read More] Supporting Elderly Recovery: Navigating Health Challenges After Illness
Understanding Body Aches and Restlessness During Sleep: When to Seek Help
Feeling body aches all over while sleeping and constantly tossing and turning? Hello, doctor. Recently, I've been experiencing body aches while sleeping, particularly in my lower back, back, and legs. I do fall asleep, but I feel like I'm constantly tossing and turning....
Dr. Lin Zhebin Reply:
Hello: Given your age, the most common causes of generalized body aches are usually due to overwork or intense exercise. If neither of these situations applies, it may be worth considering whether an infection is present, such as influenza or COVID-19, both of which can cause sym...[Read More] Understanding Body Aches and Restlessness During Sleep: When to Seek Help