Sleep, Family Medicine FAQ

Post-Car Accident Injuries: When to Seek Medical Attention

Car accident injuries? Hello Doctor: I was in a car accident two days ago, where I was rear-ended by another vehicle. At the moment of impact, I experienced severe pain in my left hip and was unable to get up; I had to crawl on the ground. After being transported to the hospital ...

Dr. Liao Yaopan Reply:
Hello, the pain from a bruise may take some time to heal. If you continue to experience discomfort or have neurological symptoms, you may want to seek further evaluation from a neurosurgeon. Online consultations are not equivalent to in-person medical visits and cannot provide di...

Why Did My Boyfriend's Alcohol Tolerance Suddenly Decrease After COVID?

Has having been diagnosed with COVID-19 affected alcohol tolerance? Hello Doctor: My boyfriend was diagnosed with COVID-19 in early June, and his symptoms were mild. He rarely drinks alcohol, only occasionally having a drink with his mother, and the last time he drank was about t...

Dr. Lin Zhebin Reply:
Hello: 1. There are many reasons for a decrease in alcohol tolerance, including the individual's physical condition at the time (recent fatigue or lack of sleep), whether food was consumed and the type of food (drinking on an empty stomach can lead to quicker intoxication), ...

Does COVID-19 Affect Alcohol Tolerance? Understanding Post-Recovery Changes

Has having been diagnosed with COVID-19 affected alcohol tolerance? Hello Doctor: My boyfriend was diagnosed with COVID-19 in early June, and his symptoms were mild. He rarely drinks alcohol and only occasionally has a drink with his mother, the last time being three to four mont...

Dr. Lin Zhebin Reply:
Hello: 1. There are many reasons for a decrease in alcohol tolerance, including the individual's physical condition at the time (such as recent fatigue or lack of sleep), whether food was consumed and the type of food (drinking on an empty stomach can lead to quicker intox...

Sudden Dizziness, Nausea, and Cold Sweats: What Could It Mean?

Sudden dizziness, vomiting, and cold sweats? Hello, Doctor. I would like to consult about my symptoms. On July 7th, at around 3 AM, I was suddenly awakened from deep sleep by a wave of dizziness. After waking up, the dizziness intensified, and my vision felt shaky. I then had an ...

Dr. Xiao Yongxun Reply:
Dear Miss Hsuan: 1. Vertigo is a common clinical symptom; however, there are sometimes differing perspectives on its definition. Many people often confuse vertigo with dizziness, and physicians, due to time constraints and communication difficulties, may not make a clear distinc...

Is It Too Late to Measure Blood Pressure at 10 AM?

Regarding the timing of blood pressure measurement? Hello doctor, I recently experienced dizziness for unknown reasons and visited a family medicine clinic. The doctor advised me to measure my blood pressure every morning for two weeks. My wake-up time is around 10:00 or 10:30 AM...

Dr. Hou Angting Reply:
Hello: It is generally recommended to measure blood pressure half an hour after waking up and one hour before bedtime, while maintaining a relaxed state during the measurement. There are no strict regulations regarding the time of waking up. Wishing you good health.

Can You Take Cold Medicine After Receiving the BNT Vaccine?

Can I take cold medicine the day after receiving the BNT vaccine? Hello, doctor. Yesterday, before receiving the BNT vaccine, I experienced a dry throat, which I initially thought was due to spending too much time in an air-conditioned room. However, today I started experiencing ...

Dr. Hou Angting Reply:
Hello: After receiving the BNT vaccine, you can take over-the-counter cold medications to relieve symptoms. However, since COVID-19 can present similar symptoms, it is recommended that you use a rapid test kit before taking any medication. Wishing you good health.

Understanding Underarm Pain: When to Seek Medical Attention

Axillary pain Initially thought to be premenstrual symptoms, but due to intermittent pain lasting about a month, with pain in the right armpit, shoulder pain, back pain, and chest tightness (unable to sleep lying down). I have tried massage to relieve discomfort, but I experience...

Dr. Lin Zhebin Reply:
Hello: Your discomfort involves the armpit, shoulder, back, and chest. The organs to consider include the skin, muscles, tendons, ligaments, bones, breasts, lungs, and heart. Therefore, it is recommended that you first visit a family medicine physician for an initial examination....

Persistent Hand Numbness and Muscle Atrophy: Which Specialist to See?

Numbness in the hands during sleep + muscle atrophy? I have been experiencing numbness in both hands while sleeping for the past year. Three months ago, I visited a neurologist and underwent nerve conduction studies, which showed normal results. I also had a cervical X-ray, and t...

Dr. Lin Zhebin Reply:
Hello: Based on your description of numbness in both hands and muscle atrophy, and having ruled out cervical nerve compression, it is possible that you have carpal tunnel syndrome. If you consult a neurologist, they can arrange for relevant nerve and muscle tests to assist in the...

Dealing with Hand Numbness and Muscle Atrophy: A Comprehensive Guide

Dr. Hou Angting Reply:
Hello: It is recommended that you seek further consultation with a physician and arrange for examinations. Wishing you good health.

Understanding Dizziness: Causes, Symptoms, and Home Remedies

Dizziness and lightheadedness? Hello Doctor: Last night around 9 PM, I suddenly felt a bit dizzy and lightheaded. When I lay down to rest, I found it more comfortable to lie on my left side; lying on my right side made me feel extremely dizzy. When I opened my eyes to look at the...

Dr. Lin Zhebin Reply:
Hello: Based on your description, you may be experiencing Benign Paroxysmal Positional Vertigo (BPPV), which is usually caused by disturbances in the inner ear's balance organs (otoliths). It could also be related to head trauma, viral infections, or other inner ear disorder...

Understanding Fatigue: Is Exercise the Cause of Your Tiredness?

Fatigue issues Doctor, I have a question. I recently started exercising, but the next day I woke up with some soreness in my back, thighs, and calves. It's not painful, but I feel very fatigued overall and find it hard to concentrate on studying. Could this be related to the...

Dr. Xiao Yongxun Reply:
Dear Mr. S: 1. In fact, exercise itself can potentially cause injuries. For instance, individuals who do not have a regular exercise routine or have low physical activity levels may suddenly engage in intense exercise, which may not only prevent them from reaping the benefits bu...

How to Adjust Your Sleep Cycle When Waking Up at Night?

How to improve an irregular circadian rhythm? I wake up every day around 3:00 to 3:30 AM and feel the urge to use the bathroom. I initially thought that drinking less water at night would help avoid this, but even on nights when I drink less, I still wake up at the same time, alt...

Dr. Ye Qianyu Reply:
Hello! "The biological clock has its circadian rhythm. If you maintain a normal routine during the day, the chances of abnormalities at night are relatively low. However, if you disrupt its function during the day, such as taking a three-hour nap, the operation of the biolog...

Understanding Numbness and Appetite Loss: When to Seek Medical Help

Numbness in the hands and feet, along with loss of appetite? A year ago, I experienced shortness of breath, chest tightness, and numbness in my hands, feet, and knees. I went to a family medicine clinic where I had a chest X-ray and heart rate monitoring. The doctor said there we...

Dr. Lin Zhebin Reply:
Hello: Since your discomfort includes symptoms of the upper respiratory tract and considering the current severity of the pandemic, it is recommended that you first conduct a rapid test to check for COVID-19. If the rapid test is negative and there are no significant findings fro...

Struggling to Breathe: Understanding Yawning Difficulties and Solutions

Inability to yawn / Breathing issues Hello Doctor, I have been experiencing a sensation of not being able to take a deep breath for about five years. It feels like I am inhaling, but I don't feel like the air is actually getting in. I also find it difficult to yawn completel...

Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, it is recommended that you consult an otolaryngologist.

Managing Persistent Dry Cough and Blood-tinged Phlegm After COVID-19

Dry cough and hemoptysis after diagnosis? My boyfriend was diagnosed the day after he started experiencing symptoms. On the first day, he visited a pandemic response clinic and received medication. His initial symptoms included occasional dry cough, productive cough with some blo...

Dr. Lin Zhebin Reply:
Hello: 1. Your boyfriend's blood-tinged sputum may be caused by repeated dry coughing leading to throat injury. However, if the dry cough worsens or the amount of blood in the sputum increases, it is advisable to seek medical attention immediately. 2. The most common side ef...

Understanding Discrepancies in COVID-19 PCR Results Among Family Members

Why is it that some family members test positive for COVID-19 via PCR while others test negative? It's truly puzzling whether those who tested negative have recovered from the infection or if they never contracted the virus at all? Hello Dr. Lin, I would like to first descri...

Dr. Lin Zhebin Reply:
Hello: Regarding your inquiry, I will explain it in three aspects: 1. Positive and negative results of rapid tests and PCR: The sensitivity of both tests depends on the viral load and the sampling process (the latter has a lower probability). Additionally, rapid tests may have ...

Understanding Rapid Heartbeat Before Sleep: Causes and Solutions

Increased heart rate during sleep? Recently, just as I am about to fall asleep, I experience sudden episodes of rapid heartbeat. During these episodes, I feel weakness in my limbs, and my mouth feels too weak to open. However, if I take deep breaths through my nose, my heartbeat ...

Dr. Lin Zhebin Reply:
Hello: Regarding your issue of experiencing palpitations before falling asleep, I suspect that these palpitations may lead to poor blood circulation, which could cause feelings of weakness. Over time, this not only affects your sleep but may also impact heart function, resulting ...

Understanding Zopiclone: Are Health Sleep and Lepec the Same?

Healthy Sleep and Lyrica Hello: The generic name for both Health Sleep and Lopic is Zopiclone. I would like to ask: 1. Since both have the same generic name, does this mean that Health Sleep and Lopic are exactly the same medication, or are there slight differences? 2. If there a...

Dr. Lin Zhebin Reply:
Hello: These two medications are the same because they have the same generic name, and their active ingredients are identical. Both are classified as sedative-hypnotics.

Understanding Blood Sugar Levels and Acanthosis Nigricans: Key Insights

Blood sugar issues Hello Dr. Hsiao, I am currently 26 years old, 176 cm tall, and I weighed 103 kg at my heaviest. I have now reduced my weight to 89 kg and am continuing to lose weight. My body fat percentage is 23% (down from 32% at my heaviest), and my visceral fat is 12 (down...

Dr. Xiao Yongxun Reply:
Dear Mr. Zhou: 1) Could this indicate prediabetes? Generally, a normal fasting plasma glucose level is less than 100 mg/dL. If it falls between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the postprandial glucose level ...

Understanding Numbness and Pain in the Left Knee and Back

Numbness in the left knee? Last time, I experienced pain and numbness in my left leg while sleeping. However, yesterday when I got up to use the bathroom, I felt a tingling sensation in my left knee. After returning to bed, I noticed a tingling feeling in my lower back, along wit...

Dr. Lin Zhebin Reply:
Hello: Regarding your description, it may be necessary to consider spinal issues, with a common condition being a herniated disc. Your soreness and numbness could be symptoms of nerve compression. It is recommended that you seek medical evaluation to determine the cause.

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