ANA, Internal Medicine FAQ - Page 30

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Understanding Tongue Bumps: When to Seek Medical Advice

Issues with the tongue? Hello doctor, while brushing my teeth after finishing my studies, I noticed some small bumps on the surface of my tongue when I accidentally scraped off a bit of the coating. I hadn't paid attention to them before from a distance. When I pushed my ton...


Dr. Hong Yuanbin Reply:
Hello, what you described is indeed the normal structure of taste buds on the tongue, so you can rest assured. Thank you for your inquiry.

[Read More] Understanding Tongue Bumps: When to Seek Medical Advice


Managing Side Effects After Stent Placement: Dizziness and Dry Mouth Concerns

Dizziness and dry mouth? Hello, Doctor! I underwent a cardiac catheterization and had a stent placed in early June of this year, and I started taking anticoagulant medication daily afterward. I would like to ask if this stent can never be removed? Do I need to take anticoagulants...


Dr. Hong Yuanbin Reply:
Hello, 1. Based on your description, it seems you need to use anticoagulants long-term, which suggests that you have a metal stent. Some metal stents have a limited lifespan and need to be replaced after a certain period, while others can remain in place for a long time unless ...

[Read More] Managing Side Effects After Stent Placement: Dizziness and Dry Mouth Concerns


Why Do I Feel Dizzy When Standing Up Suddenly?

Feeling a bit dizzy when standing up suddenly? Hello, doctor. I was lying down using my phone and suddenly got up to help grab something, and I experienced sudden dizziness, unsteadiness, and slight blurriness in my vision. I would like to ask what kind of condition this might in...


Dr. Hong Yuanbin Reply:
Hello, this is not a vascular rupture but rather orthostatic hypotension, which refers to inadequate cardiovascular function leading to insufficient blood circulation to the brain when there is a sudden change in posture, such as standing up quickly from a seated position or sitt...

[Read More] Why Do I Feel Dizzy When Standing Up Suddenly?


Managing Cholesterol and Wound Care: Your Health Questions Answered

Two questions? Hello Doctor, I received my health check results today as school is starting. The only red flags were a heart rate of 92 and a cholesterol level of 219. I would like to ask if there are any methods to lower cholesterol. I feel that my weight is not high, but this c...


Dr. Hong Yuanbin Reply:
Hello, regarding your health check-up, a heart rate of 92 is still within the normal physiological range, and a liver enzyme level of 37 is also within normal limits, so there is no need to worry. The only thing you should consider is your cholesterol level of 219; it is recommen...

[Read More] Managing Cholesterol and Wound Care: Your Health Questions Answered


Understanding Chest Anatomy: Normal Structures vs. Concerning Lumps

Muscle issues? Hello doctor, when I touch the left side of my chest, I seem to be able to feel my ribs or sternum, and in the area near my armpits, when I raise my hands, it feels like there are muscle-like structures. Is this considered a normal anatomy, or could it be some unsa...


Dr. Hong Yuanbin Reply:
Hello, the area you described is likely muscle or cartilage. If it is a round lump, it could be a lymph node. All of these are normal structures, but it is important to physically examine it to know for sure. Thank you for your question.

[Read More] Understanding Chest Anatomy: Normal Structures vs. Concerning Lumps


Can Chest Pain from Muscle Injury Heal on Its Own?

Excluding heart and lung issues, the chest muscle is injured? Hello Doctor, I am the inquirer with ID 161912. Thank you very much for your response. I would like to ask if, after ruling out heart and lung issues, the sensation of chest tightness and pain is indeed caused by a mus...


Dr. Hong Yuanbin Reply:
Hello, your condition does seem more like a muscle strain. Typically, it's advisable to rest the injured area and consider using topical analgesic ointments. If the pain persists, you may want to consult an orthopedic specialist or a family medicine physician. If a Western m...

[Read More] Can Chest Pain from Muscle Injury Heal on Its Own?


Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels

Is it prediabetes? Hello Dr. Lin, sometimes about two hours after lunch, I feel hungry and experience symptoms similar to hypoglycemia (but this does not happen after dinner). Six months ago, I had a fasting blood glucose test that showed 101 mg/dL, and my blood glucose two hours...


Dr. Lin Jianliang Reply:
A fasting blood glucose level ranging from 100 to 125 mg/dL is classified as impaired fasting glucose (IFG), also known as "early diabetes," latent diabetes, or prediabetes. At this stage, dietary control and increased physical activity can help manage blood glucose lev...

[Read More] Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels


Understanding Tongue Pain: Causes, Symptoms, and Remedies

My tongue seems to be a bit painful? Hello, doctor. Yesterday, I suddenly noticed a small blister on the upper right side of my tongue. Although I'm not sure if it has burst, today I feel a slight pain in that area when I touch it with my teeth or roll my tongue, similar to ...


Dr. Hong Yuanbin Reply:
Hello, 1. Based on your description, having a small sore on the tongue is indeed a common occurrence. Sometimes it happens when you accidentally bite your tongue, and other times it may be due to a decline in your overall health. Typically, it will improve within a few days, so...

[Read More] Understanding Tongue Pain: Causes, Symptoms, and Remedies


Concerns About Infection After Picking Up Trash: What You Should Know

Please consult a doctor for your questions? Hello doctor, I am a freshman this year. During class today, I noticed that last week there was some trash or a bag left under the seat next to me. Today, I sat next to a different person, but the trash ended up being kicked in front of...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you noticed a small abrasion on your hand after picking up trash and are concerned about potential injury during the process. Theoretically, unless the trash contained sharp objects that were contaminated with blood, the risk of infection is mini...

[Read More] Concerns About Infection After Picking Up Trash: What You Should Know


Understanding Anal Fissures: Causes of Swelling and Discoloration

Anal fissure - but the anal swelling appears bluish-purple? Hello doctor, I would like to ask if a long-standing anal fissure can cause swelling around the anus. I have seen a doctor who diagnosed it as an anal fissure, and I have been undergoing treatment for almost two weeks. D...


Dr. Xie Rongyuan Reply:
Hello: There is some pain upon pressure, and there are signs of bruising, indicating that it may not be fully healed yet. It is recommended that if symptoms persist, you should return for a follow-up appointment or continue with your current treatment plan. Thank you for your mes...

[Read More] Understanding Anal Fissures: Causes of Swelling and Discoloration


Understanding the Risks of Abrasions: Tetanus and Infection Concerns

Issues related to contusions? Hello, today I went on an overnight trip with my family to hike and stay in a cabin. While waiting for a table at a noodle shop during lunch, a strong wind caused a large umbrella used by a nearby fruit vendor to fall over. I managed to dodge it, but...


Dr. Hong Yuanbin Reply:
Hello, based on your description and the photos, it appears to be a superficial abrasion. Since you have applied medication, the chance of infection should be very low. I recommend continuing to monitor the condition of the wound. You should seek medical attention only if you dev...

[Read More] Understanding the Risks of Abrasions: Tetanus and Infection Concerns


Does PEP Treatment Affect Previous HIV Infection Test Results?

Does taking PEP affect the results of previous infection assessments? Hello doctor: My situation is as follows. I had sexual intercourse with a person I met online (A) on September 15 and with another person (B) on September 26. The sexual activities included anal intercourse wit...


Dr. Hong Yuanbin Reply:
Hello, the reliability of the HIV rapid test report is high, and PEP should not affect the test results. However, since there was still unsafe behavior on September 26, it is recommended to undergo another screening after October 26 for confirmation. Thank you for your inquiry.

[Read More] Does PEP Treatment Affect Previous HIV Infection Test Results?


Understanding Lip Issues: Causes and Solutions for Cracked Lips

Lip issues Hello, Doctor. Since the year before last, my lips have been cracking whenever there is a change in weather (such as rain or colder temperatures). Sometimes, the corners of my mouth also crack and bleed. I previously consulted a dermatologist who diagnosed me with angu...


Dr. Hong Yuanbin Reply:
Based on your description, it seems that you are experiencing chapped lips, which can be attributed to individual physiological factors. Many people have lower sebum production, making them more prone to this condition. Adjusting your daily habits and supplementing with vitamins ...

[Read More] Understanding Lip Issues: Causes and Solutions for Cracked Lips


Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes

Diabetes Treatment Guidelines Hello Dr. Lee, My basic information is as follows: I have a family history of diabetes and was diagnosed with diabetes two years ago, with a fasting blood sugar of 113 and an HbA1c of 7.1 at that time. My weight was in the 80s (kg). Since then, I ha...


Dr. Li Jian Reply:
1. Lifestyle modifications combined with medication management yield better results; relying solely on diet and exercise to control blood sugar is more likely to fail. Having medication assistance makes it easier to achieve targets. 2. If significant weight loss can be achieved...

[Read More] Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes


Understanding Muscle Pain Near the Armpit: When to Seek Medical Advice

Muscles near the axilla (armpit) Hello Doctor, today I felt a sudden soreness in the muscles under my right armpit or near my chest. When I poke it, it feels like there's something in the muscle or tissue, and it hurts a bit when I press on the bone area. I'm not sure i...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the most likely issue is a strain. The pain from a strain typically worsens with elevated use of the affected hand. As for the pneumothorax you mentioned, it usually presents with asthma-like symptoms and more severe breathing difficulties. Cance...

[Read More] Understanding Muscle Pain Near the Armpit: When to Seek Medical Advice


Understanding Sudden Breast Pain: Strain or Sprain?

Is it a strain or a sprain? Hello Doctor: I would like to ask about occasional sharp pain under my breast, near the side. A few days ago, it was on the left side, and now it has switched to the right side. I also feel some discomfort near my armpit when I deliberately raise my ar...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed most likely a strain. The symptoms of a strain are typically localized to one side and can worsen with changes in hand position. Generally, for a strain, it is recommended to rest and allow the affected area to heal. If the pain pers...

[Read More] Understanding Sudden Breast Pain: Strain or Sprain?


Understanding HPV Transmission Risks and Safe Practices in Relationships

I'm sorry, but I need more context or content to provide a translation. Please provide Hello doctor, my girlfriend had a small growth on her genital area earlier this year. I accompanied her to see a gynecologist, and after a biopsy, it was identified as condyloma. She told ...


Dr. Hong Yuanbin Reply:
Hello, 1. The most common cause of cauliflower-like lesions is a sexually transmitted infection; however, it can also be transmitted through casual contact or contact with contaminated clothing, making it difficult to directly identify the source of infection. 2. If your phys...

[Read More] Understanding HPV Transmission Risks and Safe Practices in Relationships


Understanding Mild Chest Pain: Should You Worry About Heart Issues?

Mild discomfort in the chest area? Hello, Doctor Hong. For the past couple of days, I've been experiencing a slight pain near the upper left side of my chest, which seems to be around the bone area when I touch it. Sometimes, when I move my left arm near the back of my armpi...


Dr. Hong Yuanbin Reply:
Hello, 1. The symptoms of arrhythmia typically include palpitations, usually felt near the left anterior chest. These symptoms do not worsen with arm elevation, so your condition is likely not arrhythmia. 2. Based on the symptoms you described, the most probable cause is a st...

[Read More] Understanding Mild Chest Pain: Should You Worry About Heart Issues?


Understanding Kidney Cysts: Diagnosis, Monitoring, and Management

Kidney cyst issues? Due to hematuria, the patient visited the urology department at a medical center. A CT scan of the urinary system revealed several tiny cysts in both kidneys. One of them appears hyperdense on non-contrast CT, suggesting a complicated cyst, classified as Bosni...


Dr. Wu Jiyu Reply:
According to your inquiry, Bosniak type II refers to a classification of renal cysts based on computed tomography, which theoretically does not require intervention, and the percentage of it becoming malignant is zero. If you are still concerned, you may consider follow-up imagin...

[Read More] Understanding Kidney Cysts: Diagnosis, Monitoring, and Management


Understanding Sleep Paralysis: Causes, Symptoms, and Solutions

Waking up with a clear mind but unable to control the body, and always feeling very fatigued upon waking? Hello, doctor. This issue has been intermittently bothering me for several years. I am in my twenties, and it started when I was preparing for university in high school. Some...


Dr. Hong Yuanbin Reply:
Hello, the condition you described is a type of sleep disorder, which is quite common among people in Taiwan. There are many potential causes, including irregular sleep patterns, stress, and airway obstruction. It is recommended that you consult a sleep medicine clinic, where a s...

[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions


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