Sleep, Family Medicine FAQ - Page 6

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Understanding Sudden Weakness: When to Seek Medical Advice

Waking up in the middle of the night with weakness in the limbs? My boyfriend, 35 years old, does not smoke or drink. A few nights ago, he woke up in the middle of the night and found it very difficult to get out of bed, needing to lean against the wall for support. After finally...


Dr. Lin Zhebin Reply:
Hello: 1. Stress and insomnia can indeed affect the body, but your boyfriend's sudden onset of generalized weakness suggests that he should seek medical evaluation to rule out any issues related to the nervous system, cardiovascular system, or endocrine system. 2. It is a go...

[Read More] Understanding Sudden Weakness: When to Seek Medical Advice


Understanding Sleep Mechanisms: The Impact of Sleeping Pills vs. Natural Sleep

Sleeping pills and sleep? Recently, I have been experiencing insomnia along with slight muscle soreness, which has affected my sleep quality. I would like to know if there is a difference in the body's mechanisms between falling asleep with sleeping pills and naturally falli...


Dr. Lin Zhebin Reply:
Hello: Sleep can generally be divided into two cycles: Rapid Eye Movement (REM) sleep and Non-Rapid Eye Movement (NREM) sleep. REM sleep is associated with information integration and dreaming, while NREM sleep is related to deep sleep and bodily repair. There are many types of s...

[Read More] Understanding Sleep Mechanisms: The Impact of Sleeping Pills vs. Natural Sleep


Understanding Blood Test Results: Diabetes and Anemia Concerns Explained

Inquiry Regarding Blood Test Report Hello, doctor. I went to a laboratory for blood tests and would like to ask you a few questions. I have issues with gastroesophageal reflux, insomnia, and anxiety, and my blood pressure is around 105-120/78-90. Recently, I've been feeling ...


Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you follow up with a family medicine clinic in three months. IgE levels tend to be elevated in cases of allergies or parasitic infections, so it is advisable for you to see...

[Read More] Understanding Blood Test Results: Diabetes and Anemia Concerns Explained


Understanding Blood Test Results: What Do Abnormal Values Mean?

Blood test report Hello, doctor. Last month, I had a check-up for urinary stones and had a blood test done. The report showed several values highlighted in red. I have been sleeping around midnight for over two years, and in the past few months, I have noticed that using a fan at...


Dr. Liao Yaopan Reply:
Hello, based on the data, there is mild anemia. Further evaluation is necessary to determine if it is related to your discomfort. If you have any concerns, it is advisable to seek medical attention. Please note: online consultations are not equivalent to in-person visits and cann...

[Read More] Understanding Blood Test Results: What Do Abnormal Values Mean?


Understanding Sudden Left Upper Back Pain: When to Seek Medical Advice

Pain in the upper left back? Last night, while lying down, I suddenly experienced an unexplained soreness in the left side of my back, which felt similar to the soreness after running three kilometers. The discomfort was so intense that I could hardly sleep through the night. It ...


Dr. Liao Yaopan Reply:
Hello, please consult your family physician for an initial assessment. If necessary, they may refer you to the appropriate subspecialty. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhu...

[Read More] Understanding Sudden Left Upper Back Pain: When to Seek Medical Advice


Understanding Persistent Low-Grade Fever in Patients with Chronic Conditions

Elevated body temperature? A little over a week ago, I had a fever of 38 degrees Celsius at midnight, and I was awakened from sleep by pain in my hand joints. In the morning, my temperature remained at 38 degrees, and I had no appetite. At the hospital, my tests showed SEG neutro...


Dr. Lin Zhebin Reply:
Hello: Regarding your symptoms of fever and discomfort, it is essential to first consider the possibility of an infection. Currently, the prevalence of COVID-19 is high. If your rapid test result is negative but you continue to feel unwell, it is advisable to visit a hospital for...

[Read More] Understanding Persistent Low-Grade Fever in Patients with Chronic Conditions


Understanding Chest Tightness After Vaccination: When to Seek Help

Chest tightness? Hello Dr. Lin, I received my first dose of the BNT vaccine last October, and that same night I experienced chest tightness and discomfort, prompting me to go to the emergency room. The ER physician jokingly informed me that vaccine side effects do not occur that ...


Dr. Lin Zhebin Reply:
Hello: Since your chest discomfort has persisted for almost a year, the likelihood of it being related to the BNT vaccine is quite low. Persistent chest discomfort may indicate potential issues with the heart or lungs. It is recommended that you consult a cardiologist or a pulmon...

[Read More] Understanding Chest Tightness After Vaccination: When to Seek Help


Post-Car Accident Health Concerns: When to Seek Medical Attention

Post-accident physical condition? Hello Dr. Liao, I was rear-ended in a car accident on September 9th. At the time, I only felt pain in my coccyx. After being taken to the hospital, an X-ray showed that I had a contusion of the coccyx and lower back, and I was prescribed acetamin...


Dr. Liao Yaopan Reply:
Hello, based on your description and concerns: 1. Given the symptoms mentioned, is it necessary to see a doctor? If so, which specialty should I consult? --> If you still feel unwell, it is advisable to have your primary care physician evaluate your condition first, and then...

[Read More] Post-Car Accident Health Concerns: When to Seek Medical Attention


Understanding Close Contacts of COVID-19 Patients: Key Questions Answered

Some issues regarding close contacts of COVID-19 confirmed cases? Hello, Doctor: I would like to inquire about issues related to close contacts. My mother and I received our third dose of the BNT vaccine on June 1. My mother tested positive on June 21, and according to her, she h...


Dr. Lin Zhebin Reply:
Hello: 1. The level of viral load does indeed affect the results of rapid tests. A negative rapid test indicates a low viral load and low infectiousness, but it does not mean that you are not infected with COVID-19. Based on your description, I believe you may have been infected ...

[Read More] Understanding Close Contacts of COVID-19 Patients: Key Questions Answered


Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained

Symptoms have worsened, with sudden sharp pain in the heart? I have been experiencing chronic headaches and dizziness for about three years (I often take painkillers, consuming an entire bottle during one summer). I am currently trying to control my intake. Previously, I had an E...


Dr. Hou Angting Reply:
Hello: I recommend that you visit a cardiology or family medicine clinic for further evaluation. Wishing you good health.

[Read More] Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained


Understanding Weight Gain and Abdominal Changes: A Medical Perspective

Weight gain and body shape changes - increased abdominal fat? Hello Dr. Hou, I have a few questions regarding weight gain (I am 156 cm tall and weigh 48.4 kg). 1) Since the Lunar New Year, my weight has been steadily increasing (from 46 kg to the current 48.4 kg), and fat has s...


Dr. Hou Angting Reply:
Hello: Generally speaking, an increase in the intake of sugary beverages can easily lead to weight gain, so it is recommended that you start with dietary control. As for whether steroids have an impact, it is advisable to discuss this with your rheumatology and immunology special...

[Read More] Understanding Weight Gain and Abdominal Changes: A Medical Perspective


Nighttime Fever: Should You Seek Medical Attention?

Fever at night? For the past five days, my nighttime ear temperature has been hovering around 37.5°C, and I feel sensations similar to when I used to have a fever, but during the day, I have no discomfort, and my ear temperature ranges between 36.2°C and 36.7°C. I used to sleep s...


Dr. Hou Angting Reply:
Hello: If you continue to feel unwell, it is recommended that you visit a family medicine clinic for a physician evaluation. Wishing you good health.

[Read More] Nighttime Fever: Should You Seek Medical Attention?


Understanding Novavax Vaccine Side Effects: Chest Pain Concerns

Adverse reactions associated with the Novavax COVID-19 vaccine? Hello Doctor, I just received my first dose of the Novavax vaccine on the morning of August 18. There were no immediate reactions during the vaccination, but that evening I started experiencing mild pain in my left c...


Dr. Liao Yaopan Reply:
Hello, if you are experiencing discomfort, it is still advisable to return to a medical facility for evaluation to clarify the cause of your symptoms. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua H...

[Read More] Understanding Novavax Vaccine Side Effects: Chest Pain Concerns


Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms

Rapid heartbeat. Nausea and the urge to vomit? I sometimes experience sleep issues, but last night I slept well due to exhaustion. This morning, I felt okay, but suddenly during breakfast, I felt nauseous and had the urge to vomit, along with a rapid heartbeat and slight cold swe...


Dr. Lin Zhebin Reply:
Hello: Based on your description, your discomfort seems to be related to transient hypotension. There are many potential causes for transient hypotension, including orthostatic hypotension, dehydration, food or medication effects, anemia, endocrine disorders, and heart diseases, ...

[Read More] Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms


Exploring Causes of Progressive Leg Weakness: A Guide for Patients

Weakness in the calf extending to the foot? Dear Dr. Yeh, My mother is 58 years old, 158 cm tall, and weighs 48 kg. She has had a long-standing issue with kyphosis and has undergone cardiovascular stenting. Her regular medication includes anticoagulants, and she drinks 150 cc of...


Dr. Ye Qianyu Reply:
Hello! Clinical issues are often the result of multiple contributing factors. Based on the information you provided regarding the causes of intermittent claudication in your mother, here are some analytical suggestions: 1. X-ray shows bone spurs causing nerve compression: This i...

[Read More] Exploring Causes of Progressive Leg Weakness: A Guide for Patients


Weight Loss Concerns: Understanding Symptoms and When to Seek Help

Weight loss Hello doctor, I have lost five kilograms in the past month due to gastrointestinal issues. Recently, I visited an ENT clinic, and during an endoscopy, they found a bleeding mass. The clinic mentioned it could possibly be nasopharyngeal cancer. However, a biopsy at a l...


Dr. Ye Qianyu Reply:
Hello! If the biopsy of your nasopharyngeal issue shows no cancer, it is recommended that you have regular follow-up appointments to reduce your anxiety. However, if you experience a decreased appetite, insomnia, frequent urination, or other autonomic nervous system symptoms that...

[Read More] Weight Loss Concerns: Understanding Symptoms and When to Seek Help


Understanding Post-COVID Fatigue: Symptoms and Possible Causes

Generalized weakness and fatigue? Hello, doctor! I was diagnosed in June and isolated at home for seven days. After recovering, I returned to work normally, but about half a month later, I started to feel noticeably fatigued, dizzy, and generally unwell. (I had a platelet count o...


Dr. Lin Zhebin Reply:
Hello: Based on the information you provided regarding your fatigue, several possibilities should be considered: 1. Post-acute sequelae of SARS-CoV-2 infection (PASC): This may persist for 1-3 months, or even up to six months, but it should gradually improve. 2. Anemia: You have ...

[Read More] Understanding Post-COVID Fatigue: Symptoms and Possible Causes


Understanding Headaches: When to Seek Further Medical Evaluation

Headache-related issues? I have been experiencing headaches for quite some time, usually occurring when I am very fatigued, feeling unwell, or lacking sleep. Typically, a good night's sleep alleviates the pain, and it feels like a migraine. I mentioned this to my family beca...


Dr. Chen Bozhang Reply:
It is advisable to consult a neurologist for an examination regarding headache issues. Thank you.

[Read More] Understanding Headaches: When to Seek Further Medical Evaluation


Post-Car Accident Pain: Which Specialist Should You See?

Car accident injuries? A few weeks ago, I was injured in a car accident and had X-rays and a CT scan, both of which showed no issues. However, the inner thigh near the groin still hurts a lot. It hurts when I sleep on my side or lie flat, and I walk with a limp. Which specialty s...


Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, there may be concerns regarding issues with the pelvis or hip joint. It is recommended that you consult an orthopedic specialist.

[Read More] Post-Car Accident Pain: Which Specialist Should You See?


Understanding Jaw Pain: When to Seek Medical Advice for Facial Issues

Facial issues Hello, Doctor: Since around July 17th (Sunday), I have noticed some swelling in the area of my right masseter muscle (the area near the bone) compared to the left side. It is tender to the touch, and if I lie on my right side while sleeping, it can be painful. Chewi...


Dr. Lin Zhebin Reply:
Hello: Your discomfort is likely caused by inflammation of the right temporomandibular joint. Treatment typically focuses on symptom management, which may include taking pain relievers and anti-inflammatory medications, as well as muscle relaxants to alleviate symptoms. Additiona...

[Read More] Understanding Jaw Pain: When to Seek Medical Advice for Facial Issues


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