Low Immunity or Allergies? Understanding Your Symptoms and Next Steps
Low immunity or allergies? Hello, doctor. I am feeling quite troubled and worried because I have many symptoms that appeared almost simultaneously. I attribute this to fatigue (I just finished a week-long autumn trip and drove for 9 hours to get home), which may have lowered my i...
Dr. Liao Yaopan Reply:
Hello, the issue of infection (suspected urinary tract infection) needs to be ruled out first. Additionally, any instances of mosquito or insect bites should also be noted. It is important to have a gynecological examination for the vaginal area. Please be reminded that online co...[Read More] Low Immunity or Allergies? Understanding Your Symptoms and Next Steps
Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms
Is it really a urinary tract infection? Hello, my mother has undergone a bladder suspension surgery, but in recent years, the surgical sutures have come loose, leading to urinary incontinence that requires her to wear adult diapers to maintain her daily life (she also changes the...
Dr. Chen Taicheng Reply:
● If the issue is related to postoperative sutures, the focus should be on addressing the sutures or any ongoing urinary incontinence problems. Women may experience pelvic organ prolapse (such as the uterus, vagina, urethra, and intestines) due to childbirth, aging, estrogen defi...[Read More] Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms
Understanding Ketosis: Causes of Unusual Body Odor and Management Tips
It should not be a diabetic patient; urine ketones were 2+ while blood glucose was normal. After 5 days, urine ketones increased to 3+? I recently underwent a medical examination due to issues with body odor and discovered that my urine ketone levels were abnormal. I would like t...
Dr. Chen Taicheng Reply:
Ketones are products of the body's breakdown of fat for fuel, which can occur in conditions such as type 1 diabetes, prolonged fasting, fever, infections, chronic diarrhea, and vomiting. Unless there is severe ketoacidosis, there may be a distinctive fruity odor. Given your ...[Read More] Understanding Ketosis: Causes of Unusual Body Odor and Management Tips
Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and More
Blood test issues Hello Dr. Chen: I recently received my blood donation report, which shows total cholesterol at 188 mg/dL, LDL-C at 132 mg/dL, glycated hemoglobin (HbA1c) at 5.9%, blood pressure at 115/77 mmHg, and ALT at 13 U/L. I would like to ask: 1. Do these results indica...
Dr. Chen Taicheng Reply:
● Total cholesterol is generally considered normal if it is ≤200 mg/dL, and LDL-C is considered normal if it is ≤130 mg/dL, indicating only a slight increase. This is not classified as high lipid levels, and given your age, your cardiovascular risk is generally low. ● The norma...[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and More
Understanding Abnormal Vaginal Bleeding: Causes and When to Seek Help
Vaginal bleeding Hello, doctor. My menstrual period started on November 5 and lasted for about 7 days. On May 21, after having intercourse with my boyfriend (using a condom), I experienced vaginal pain, swelling, and a small amount of bleeding. Later, I noticed that my vaginal di...
Dr. Chen Taicheng Reply:
● The medication you previously used can treat vaginal candidiasis. In principle, expired medications are not recommended for use. ● This medication generally does not cause early menstruation; there are many causes of abnormal bleeding, such as cervical erosion, luteal phase ble...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and When to Seek Help
Frequent Bedwetting in Sixth Graders: When to Seek Medical Help?
Frequent bedwetting occurs in sixth-grade elementary school students? Hello, is it normal for a sixth grader to frequently wet their pants while awake? Which specialist should I consult? When I ask the child if they feel the urge to urinate, they say they do, but they still wet t...
Dr. Chen Taicheng Reply:
● Bedwetting after the age of ten may indicate an underlying issue, particularly more common in boys. ● There are many causes of bedwetting: (1) Immature brain development: Generally, if a person has a strong urge to urinate, they will wake up to go to the bathroom. (2) Insuffici...[Read More] Frequent Bedwetting in Sixth Graders: When to Seek Medical Help?
Understanding Persistent Health Issues: A Guide to Family Medicine Concerns
Frequent health issues? Since March, I have been feeling unwell and have seen eight doctors so far. It all started one afternoon when I suddenly experienced pain in my lower right abdomen near the groin, so severe that I couldn't stand up straight, along with gastrointestina...
Dr. Chen Taicheng Reply:
● The diagnostic criteria for diabetes include four standards: (1) Fasting blood glucose ≥ 126 mg/dL, (2) Two-hour blood glucose ≥ 200 mg/dL after a 75 g oral glucose tolerance test, (3) Random blood glucose ≥ 200 mg/dL with symptoms of hyperglycemia, (4) Hemoglobin A1c ≥ 6.5%. ...[Read More] Understanding Persistent Health Issues: A Guide to Family Medicine Concerns
Understanding Unusual Symptoms After Antibiotic Use: A Guide
Body issues Hello Doctor, I just finished taking antibiotics last Friday. On Saturday and Sunday, I felt a cool sensation in my mouth and tongue. By Monday, I experienced a bitter taste, and on Tuesday, it was a combination of bitter and sweet. Today, I even have a metallic taste...
Dr. Chen Taicheng Reply:
Hello, the issues mentioned above are similar to this one, please refer to https://goo.gl/wb3Ssj. The metallic taste is likely a side effect of the antibiotic, which should gradually improve. Based on your age, the likelihood of diabetes is low. More severe diabetes is characteri...[Read More] Understanding Unusual Symptoms After Antibiotic Use: A Guide
Managing Post-Infection Symptoms: A Guide for Patients
How to maintain health? Hello, Doctor. At the end of last month, I was diagnosed with urethritis, and the next day I had diarrhea, which was diagnosed as norovirus. On April 7, I was diagnosed with nephritis and have been taking antibiotics for over two weeks. I stopped taking an...
Dr. Chen Taicheng Reply:
● If there were no oral-related symptoms prior, the most likely cause of the altered taste is due to antibiotics. This could be a side effect of the antibiotics themselves, affecting the taste buds; alternatively, antibiotics may disrupt the oral microbiome, leading to an overgro...[Read More] Managing Post-Infection Symptoms: A Guide for Patients
Understanding Abdominal Discomfort and Bladder Pressure: A Guide
Discomfort in the abdominal bladder? Hello Doctor: I have been experiencing a hard and bloated feeling in my abdomen, lower abdomen, and near the bladder for over six months, which is somewhat uncomfortable. I occasionally feel a tight pain in my bladder, have a decreased urine o...
Dr. Chen Taicheng Reply:
● Bladder issues may arise due to the uterus pressing on the bladder (https://goo.gl/kkgH5c). It is important to first rule out problems such as uterine fibroids or endometriosis that could cause adhesions between the uterus, intestines, and bladder. Your previous gynecological e...[Read More] Understanding Abdominal Discomfort and Bladder Pressure: A Guide
Understanding Post-Drinking Body Aches and Urinary Changes
Experiencing body aches the day after drinking alcohol? 1. Why do I feel sore all over my body the day after drinking alcohol? In the past, alcohol made me very diuretic, but now it seems to have the opposite effect. I have a history of urinary stones; could that be related? 2. ...
Dr. Chen Taicheng Reply:
- The components of alcohol can still have a diuretic effect, which varies depending on the concentration and brand. Urinary stones do not inhibit diuresis when drinking water. - Urinary stones themselves do not have a diuretic effect, but they may irritate the urinary system, p...[Read More] Understanding Post-Drinking Body Aches and Urinary Changes
Understanding Your Back Pain: When to See a Family Doctor
I don't know which doctor to see? Hello Doctor, I have been experiencing pain in my lower back and pelvis for over three months. The pain occurs only when I perform certain movements, such as bending over, especially when exerting effort; when I’m not exerting myself, I feel...
Dr. Chen Taicheng Reply:
● There are many causes of lower back pain, with the majority being due to muscle strains in the lumbar region. Most cases will recover within a few weeks, but there is a possibility of recurrence. Given your age, pain during bending or exertion is primarily related to lower back...[Read More] Understanding Your Back Pain: When to See a Family Doctor
Concerns About Urinary Infection and Disease Transmission Risks
Infection issues I'm not a doctor, but I can provide some general information. Based on your description, it seems you are concerned about potential infections after your urine test and subsequent activities. It's important to note that HIV is primarily transmitted thro...
Dr. Chen Taicheng Reply:
● Urinary tract infections are quite common in women, with symptoms such as pain, burning, urgency, and frequency of urination. If a urine sample is accidentally contaminated, a physician can still interpret the results from the laboratory report. Skin breakdown in the perineal a...[Read More] Concerns About Urinary Infection and Disease Transmission Risks
Which Specialist to See for Lower Abdominal Pain?
Which specialty should I see for abdominal pain? Hello, I started experiencing lower abdominal pain last night and I'm unsure about the situation and which specialist to see: 1. I have a history of constipation and haven't had a bowel movement for 4 days. 2. I had sexua...
Dr. Liao Yaopan Reply:
Hello, for lower abdominal pain in women, it is recommended to seek evaluation from both gastroenterology and obstetrics and gynecology specialists. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatments. Changhua H...[Read More] Which Specialist to See for Lower Abdominal Pain?
Understanding Abdominal Pain: Which Specialist to Consult?
Abdominal issues? Doctor, I'm not sure which organ is causing my issues—whether it's my gastrointestinal system, liver, gallbladder, kidneys, or pancreas. I have sharp pain in the upper left abdomen, and I still feel very hungry shortly after eating. My stomach feels bl...
Dr. Wu Fangcan Reply:
Based on your description, peptic ulcer disease or irritable bowel syndrome cannot be ruled out. It is recommended to consult a gastroenterologist for examination and treatment.[Read More] Understanding Abdominal Pain: Which Specialist to Consult?
Understanding Unintentional Weight Loss: Causes and Concerns
Weight loss I apologize, but if there is continuous weight loss, could it indicate an underlying illness? What about increased or decreased appetite and frequent urination? I'm asking on behalf of someone else.
Dr. Gao Qingyun Reply:
Hello: Although your symptoms appear to be related to an endocrine disorder, it is still recommended that you visit a family medicine outpatient clinic for a thorough examination and treatment by a specialist. Wishing you a speedy recovery. Sincerely, Dr. Gao Qingyun, Department ...[Read More] Understanding Unintentional Weight Loss: Causes and Concerns
Understanding Weight Loss: Stress, Fatigue, and Health Concerns
Weight loss I have been experiencing significant mental stress for over a month, worrying constantly. In the last two weeks, I have started to feel fatigued and have the impression that I am not getting enough sleep. Surprisingly, I have lost 7 kg in this month. What could be the...
Dr. Zhang Hongwei Reply:
Hello, psychological stress is one of the causes of weight loss. However, it is essential to rule out other underlying diseases, such as diabetes, hyperthyroidism, tuberculosis, or HIV. I would like to know if you have experienced changes in appetite, increased thirst and urinati...[Read More] Understanding Weight Loss: Stress, Fatigue, and Health Concerns
Is It Normal for Your Lower Abdomen to Swell When You Need to Urinate?
Is it normal for the lower abdomen to bulge when feeling the urge to urinate? I recently noticed that my lower abdomen appears significantly different before and after urination. When I feel the urge to urinate, my lower abdomen bulges out, particularly noticeable when lying flat...
Dr. Xu Peiqi Reply:
Hello, thank you for your inquiry. If the ultrasound has been performed and both pre- and post-void assessments confirm that the bladder is distended but the residual urine is normal, there is actually no need for concern. It is advisable to avoid holding in urine. The noticeable...[Read More] Is It Normal for Your Lower Abdomen to Swell When You Need to Urinate?
Do I Have Hyperthyroidism? Symptoms and What to Do Next
Do I have hyperthyroidism? Recently, I've been eating a bit more than usual, feeling hot, and sweating easily. My eyes are not bulging, and my neck is not swollen. I've been having slightly more bowel movements than usual, but my urination is normal. I'm concerned ...
Dr. Liao Yaopan Reply:
Hello, please have your parents accompany you and consult your family physician for an evaluation. Based on the condition observed during the in-person consultation, necessary tests or treatments can be arranged. Changhua Hospital cares about you.[Read More] Do I Have Hyperthyroidism? Symptoms and What to Do Next
Understanding Constipation: When to Seek Medical Advice
Constipation issues? Hello, I have a habit of weighing myself daily. Recently, for the past three days, my weight has increased by about half a kilogram to one kilogram each day. However, my diet has been normal, even on the lighter side; sometimes I eat normally for lunch and on...
Dr. Liao Yaopan Reply:
Hello, a normal diet, hydration, and regular bowel movements are equally important. Based on your description, I cannot fully understand your eating habits and dietary content. It is advisable to visit a hospital for a comprehensive evaluation by a physician. Changhua Hospital is...[Read More] Understanding Constipation: When to Seek Medical Advice