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Persistent Sensation of Choking Without Eating: Causes and Concerns

Feeling a constant sensation of choking despite not having eaten anything? About six months ago, I occasionally experienced a sensation of something stuck in my throat even when I hadn't eaten anything. Now, this feeling has extended to my chest. Every time I feel this sensa...


Dr. Chen Qingbin Reply:
It is recommended to proceed for further examination and treatment in the hepatobiliary and gastroenterology department.

[Read More] Persistent Sensation of Choking Without Eating: Causes and Concerns


Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns

Kidney problems Hello, doctor. Recently, I have been drinking a lot of water, but the amount I urinate is very little. I usually exercise a lot and sweat a lot, but lately, my sweat has had a very sour smell, somewhat like ammonia. Additionally, I have been experiencing a dull pa...


Dr. Wu Jiyu Reply:
1. Regarding acute renal failure (acute renal failure, also known as acute kidney injury): It is essential to understand the functions of the kidneys in the body. The kidneys primarily eliminate toxins produced from protein metabolism (commonly referred to as uremia) and regulate...

[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns


Understanding Right Groin Discomfort: Seeking the Right Medical Advice

Right groin? Since last summer, I've been experiencing discomfort on the right side of my body, starting with pain that is hard to describe. The uncomfortable area is located to the right of my right testicle, in the perineum, and the upper right side of my anus (initially, ...


Dr. Wu Jiyu Reply:
First, let's clarify a few points that may not seem related to nephrology (I am a nephrologist). 1. Where exactly do you feel discomfort? Is it in the scrotum, inner thigh, perineum, or near the anus? A physician examining you in person would have a better understanding of...

[Read More] Understanding Right Groin Discomfort: Seeking the Right Medical Advice


Understanding Right Side Lower Back Pain: When to Seek Medical Help

Pain in the right lower back? Hello Doctor: I often experience a dull pain in my lower back, and occasionally on the left side as well. The pain comes and goes. Which specialty should I consult or what kind of examination should I undergo? Thank you!


Dr. Zeng Guosen Reply:
Hello, online user: The causes of pain in the right lower back can be related to visceral issues such as the kidneys, ureters, or retroperitoneal problems. Additionally, differential diagnoses should include spinal, neurological, muscular, and fascial conditions. It is advisable ...

[Read More] Understanding Right Side Lower Back Pain: When to Seek Medical Help


Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy

Uremia Hello Doctor: My friend is 56 years old and was diagnosed with uremia due to diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialysis? How long can he expect to ...


Dr. Chen Jianyu Reply:
1. If vomiting is caused by uremic symptoms, it should improve after dialysis; if it is not caused by uremia, vomiting will likely persist. 2. Dialysis is not a terminal condition; the duration of life is more closely related to the control of diabetes and its vascular complicati...

[Read More] Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy


Understanding Nighttime Chest Pain: Causes and Solutions

Chest pain at night? Hello Dr. Lee, I have been experiencing chest pain for the past five nights since February 1st. I cannot determine if the pain is superficial or internal; it feels like being punched or having a heavy weight pressing down. During the day, after I get up, th...


Dr. Li Huixiong Reply:
Since there are no issues with your cardiology consultation, you can at least be relieved about heart-related problems. In my opinion, your issue may not be easily identified through blood tests, X-rays, or electrocardiograms. I recommend that you visit a trusted internal medicin...

[Read More] Understanding Nighttime Chest Pain: Causes and Solutions


Understanding Foamy Urine: Should You Be Concerned?

Urinary bubble issue? For over a month, I have noticed bubbles in my urine. Sometimes they disappear quickly, while other times they take several minutes. The first urine of the morning has a lot of bubbles. I have seen a doctor who conducted a one-time blood and urine protein te...


Dr. Wu Jiyu Reply:
This question can be answered in two parts: 1. Does foamy urine indicate proteinuria? The answer is not necessarily, but the issue that needs to be addressed is proteinuria. (Some unusual causes, such as having just undergone cystoscopy or having a bladder-rectal fistula, will ...

[Read More] Understanding Foamy Urine: Should You Be Concerned?


Understanding White Lesions on the Tongue: Causes and Concerns

Tongue The white objects on both sides at the back of the tongue, each measuring 1x2.5 cm and having some thickness that does not resolve, could be indicative of several conditions. It is advisable to consult a healthcare professional for an accurate diagnosis. Possible causes ma...


Dr. Xiao Yongxun Reply:
Hello, here is the response to your question: There are many different manifestations of tongue diseases. In addition to diseases of the oral mucosa and the tongue itself, systemic diseases (such as anemia, rheumatoid arthritis, tumors, endocrine disorders, amyloidosis, etc.) can...

[Read More] Understanding White Lesions on the Tongue: Causes and Concerns


Could I Have Ankylosing Spondylitis? Understanding Symptoms and Self-Diagnosis

Is it possible to have ankylosing spondylitis? Hello doctor, recently I have experienced occasional heel pain after sitting for long periods (about over an hour). I previously consulted a neurologist, and X-rays revealed osteophyte formation at the L4 and L5 vertebrae, resulting ...


Dr. Gao Jiankai Reply:
Hello, ankylosing spondylitis often presents with chronic back pain, especially when the pain lasts for more than three months. This should be taken seriously. If the symptoms are only short-term, there is no need for excessive concern; however, if the symptoms recur or become pe...

[Read More] Could I Have Ankylosing Spondylitis? Understanding Symptoms and Self-Diagnosis


Which Specialist to Consult for a Hard Lump on the Lower Back?

Which specialty should I consult for a hard lump protruding on the right side of the lower back? Hello doctor, I have a small hard lump on the right posterior side of my lower back. The skin over it appears normal and it is not painful. The lump does not seem to extend deep enoug...


Dr. Xiao Yongxun Reply:
It is recommended to schedule an appointment with a general surgeon for an initial assessment before deciding on the next steps for treatment.

[Read More] Which Specialist to Consult for a Hard Lump on the Lower Back?


Could Your Sweet Tooth Be Causing Unexplained Skin Issues?

Is this diabetes? Hello Doctor, I tend to eat more sweets on my days off, but the next day after exercising, I develop large red rashes or spots on my thighs. Both legs have these rashes, which are neither painful nor itchy. They usually disappear after 2 to 3 days, but the skin ...


Dr. Chen Qingbin Reply:
It could be diabetes; it's best to visit a hospital for an internal medicine examination.

[Read More] Could Your Sweet Tooth Be Causing Unexplained Skin Issues?


Managing Itchy Skin While Treating Hyperthyroidism with Methimazole

Hyperthyroidism medication can cause skin itching? Hello, doctor. I have hyperthyroidism and have been taking medication for a month and a half. Recently, I've started experiencing severe itching on my skin, particularly on my shoulders, sides of my abdomen, arms, calves, an...


Dr. Yang Hongzhi Reply:
Antithyroid medications are relatively prone to causing skin side effects. If the skin reactions are not severe, it may be considered to switch to another antithyroid medication. Radioactive iodine treatment is another option. Hypothyroidism is a common result following radioacti...

[Read More] Managing Itchy Skin While Treating Hyperthyroidism with Methimazole


Which Medical Specialty Should You Consult After Abnormal Health Check Results?

Which medical specialty should you consult after a health check-up? Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin le...


Dr. Zeng Guosen Reply:
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...

[Read More] Which Medical Specialty Should You Consult After Abnormal Health Check Results?


Where to Seek Help for Chronic Fatigue Syndrome in Taiwan?

If you suspect you have chronic fatigue syndrome, you can consult a primary care physician or a specialist in internal medicine. Additionally, you may consider seeing a rheumatologist or an infectious disease specialist, as they often have experience in diagnosing and managing th...


Dr. Gao Jiankai Reply:
Hello, based on your symptoms, here are a few suggestions. 1. Hepatitis B requires close monitoring, with liver function tests every three months and abdominal ultrasounds every six months. Liver issues can also cause fatigue, so please do not take this lightly. Therefore, cons...

[Read More] Where to Seek Help for Chronic Fatigue Syndrome in Taiwan?


Understanding Acid Reflux: Causes and Solutions for Your Health

Gastrointestinal issues Hello, my mother has been experiencing a situation where she seems to be regurgitating sour liquid (like the contents of her esophagus coming back into her mouth, which tastes acidic). What could be the possible reasons for this?


Dr. Sun Yizhen Reply:
The most likely causes are as follows: 1. Gastroesophageal reflux disease (GERD) 2. Gastric distension or dyspepsia 3. Recent gastrointestinal issues, such as viral gastroenteritis or constipation. If symptoms persist without improvement, please visit a gastroenterology clinic fo...

[Read More] Understanding Acid Reflux: Causes and Solutions for Your Health


Understanding Numbness and Tingling During a Cold: Causes and Concerns

Cold with numbness in hands and feet? Hello Doctor: On October 1st (Friday), I visited an ophthalmologist due to discomfort in my eyes. The doctor diagnosed me with inflammation of the trigeminal nerve in the eye, which was considered a minor issue, and prescribed eye drops. Afte...


Dr. Liao Zhongxin Reply:
Hello: 1. After taking medication for sinusitis (AMBROXOL, CIMETIDINE, PARAN) and drinking coffee, I experienced mild numbness in my hands and feet, a sore throat, and upon waking up on Saturday morning, I started sneezing, had a fever, dizziness, and cold symptoms. I went to s...

[Read More] Understanding Numbness and Tingling During a Cold: Causes and Concerns


Understanding Fluctuations in ANA Antibody Test Results: A Patient's Dilemma

excuse me? Hello, I received different results for the ANA (antinuclear antibody) test from Renai Hospital and National Taiwan University Hospital within the same week. One result was 1:320+ and the other was 1:40+. Three years ago, my result was also 1:320+. I consulted Dr. Wu Y...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. ANA (Antinuclear Antibody) results can vary between different laboratories, which is related to the testing methods and the experience of the laboratory personnel. Generally, manual testing methods are considered the most accurate, but this als...

[Read More] Understanding Fluctuations in ANA Antibody Test Results: A Patient's Dilemma


Dealing with Excessive Sweating: Solutions and Risks Explained

Hyperhidrosis I have severe sweating in my hands, feet, and armpits... it's really very serious and I don't know what to do to stop sweating. Can I have the sweat glands removed? Are there any side effects? I'm not sure if I've made the right choice! I think i...


Dr. Xiao Yongxun Reply:
Hello: 1. Generally, for patients requiring laparoscopic surgery to ablate the sympathetic ganglia, those with both palmar and plantar hyperhidrosis may experience improvement in foot sweating even if only the hand sweating is treated. The surgery typically lasts about 30 minutes...

[Read More] Dealing with Excessive Sweating: Solutions and Risks Explained


Understanding Vasculitis Treatment: Key Questions and Insights

Treatment of vasculitis My father underwent cataract surgery on his left eye on April 9, and since then, his vision has been blurry. During a follow-up appointment two days ago, the doctor mentioned that he has vascular occlusion and dilation of the optic nerve. Since November of...


Dr. Qiu Zhengbin Reply:
Hello, I am a physician in the Department of Metabolism at Changhua Hospital. Regarding your concerns, I would like to address them from two aspects. First, you mentioned that your father has experienced a weight loss of 11 kilograms over the past few months, along with fatigue...

[Read More] Understanding Vasculitis Treatment: Key Questions and Insights


Understanding Thyroid Issues: Weight Gain and Management Tips

I would like to inquire about thyroid issues? I was diagnosed with thyroid issues this year. Initially, I had hyperthyroidism, which was controlled with medication, but now it has turned into hypothyroidism. When I had hyperthyroidism, I lost a lot of weight, but now that it has ...


Dr. Yang Hongzhi Reply:
Weight gain after treatment for hyperthyroidism is common and typically stabilizes at a certain point. Controlling lifestyle and diet can help reduce the extent of weight gain. The timing of medication related to hyperthyroidism has little impact on this.

[Read More] Understanding Thyroid Issues: Weight Gain and Management Tips


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