Understanding Recurring Urticaria: Causes and Treatment Options
Recurrent urticaria? Hello Dr. Tseng, since I started eating canned mackerel in tomato sauce last September, I have experienced a resurgence of urticaria that I hadn't had for many years. I have been intermittently taking medications prescribed by the school doctor or small ...
Dr. Zeng Guosen Reply:
Dear online friend, urticaria is a condition that is not easily cured completely. It is best to keep a record of what you ate before the rash appeared, where you have been, and what you have come into contact with, in order to gradually identify related issues. You can also under...[Read More] Understanding Recurring Urticaria: Causes and Treatment Options
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 Recurrent Colds: Impact of Steroids and Immunosuppressants
Recurrent colds Hello doctor, I am currently taking steroids and immunosuppressants, but for the past two weeks, I have been experiencing continuous colds, tonsillitis, headaches, and a tight feeling in my chest. I feel chest pain when lying flat, and I become short of breath aft...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, the diseases treated with corticosteroids and immunosuppressants are generally autoimmune diseases, such as systemic lupus erythematosus and rheumatoid arthritis. If not well controlled, these conditions can also attack the lungs, leading to lung...[Read More] Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants
Understanding Methylprednisolone: Effects on Liver Enzymes and Potassium Levels
Regarding steroids? Currently, due to vasculitis, I have been using methylprednisolone for three weeks. The initial dosage was an injection twice a day (30 mg each time), administered for three consecutive days, then reduced to half the dosage for another three days, followed by ...
Dr. Ke Zhengchang Reply:
Hello: Long-term use of steroids can lead to obesity and fatty liver, which may result in a mild increase in GOT (AST) and GPT (ALT) levels. However, it is essential to rule out the possibility of hepatitis B and C. Additionally, this may cause mild hypokalemia and an increase in...[Read More] Understanding Methylprednisolone: Effects on Liver Enzymes and Potassium Levels
Understanding Low White Blood Cell Count: Causes and Concerns
Leukopenia Hello Doctor, my health check report on September 10 showed that my white blood cell count was 4.76 (the normal range at that hospital is 5-10). I inexplicably lost 5 kg within two weeks, and one morning in October, I had a nosebleed. On November 27, I went to another ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The reasons for weight loss must consider many diseases, particularly diabetes, hyperthyroidism, tumors, and other rare conditions or diseases. 2. There are also many causes for low white blood cell counts, including viral infections, immu...[Read More] Understanding Low White Blood Cell Count: Causes and Concerns
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
Post-Fever Complications: Understanding Symptoms and Concerns
Problems that may arise after a high fever? Hello, I would like to ask about my condition. Two days ago, I had a high fever of 39.5 degrees Celsius and visited a family medicine clinic. The doctor mentioned that my high fever could be due to either a bacterial or viral infection....
Dr. Li Huixiong Reply:
Based on the symptoms you described, it does seem to be a respiratory infection. Typically, primary care physicians will only provide medications for symptomatic treatment. From the medications you are taking, it appears that the physician who examined you not only prescribed sym...[Read More] Post-Fever Complications: Understanding Symptoms and Concerns
Understanding Your Symptoms: Muscle Pain, Diarrhea, and Coughing
Please consult a doctor for clarification..? I started exercising last week, and after two days, I had to pause due to muscle soreness. The soreness is mainly in the outer part of my upper arms, which hurts significantly when I bend or extend them to a certain degree. I also feel...
Dr. Yang Zhongwei Reply:
1. After exercise, there may be a significant accumulation of lactic acid, which can cause soreness the following day. Please drink plenty of water and rest; you should recover quickly. 2. Your other symptoms resemble those of upper respiratory and gastrointestinal infections. If...[Read More] Understanding Your Symptoms: Muscle Pain, Diarrhea, and Coughing
Why Does Sweet Food Taste Bitter Suddenly? Understanding a Medical Mystery
Why does sweet food taste bitter now? Hello! My dad has recently experienced a strange issue where anything sweet he eats tastes very bitter, while salty or spicy foods taste normal. This problem has suddenly appeared, and it didn't exist before. He took cold medicine in the...
Dr. Li Zhiyao Reply:
Hello: Taste bud cells in humans gradually atrophy with aging, leading to a decline in taste perception. Additionally, diseases, medications, surgical procedures, environmental factors, and nutritional deficiencies (such as zinc deficiency) can also affect taste sensitivity. Some...[Read More] Why Does Sweet Food Taste Bitter Suddenly? Understanding a Medical Mystery
Fast Heart Rate and Cold Extremities: What Could Be the Cause?
What disease is characterized by a rapid heartbeat and cold extremities? Hello doctor, my father had surgery for hyperthyroidism several decades ago. He does not smoke or drink, and his blood pressure is considered normal, but his cholesterol levels are slightly elevated. His BMI...
Dr. Yang Hongzhi Reply:
After thyroid hyperactivity surgery, there is a possibility of recurrence or developing hypothyroidism. The symptoms you described do not clearly align with manifestations of thyroid dysfunction; however, it is advisable to undergo an examination. You may consider consulting with...[Read More] Fast Heart Rate and Cold Extremities: What Could Be the Cause?
Head and Neck Pain During Masturbation: Causes and Solutions
Experiencing pain in the neck and head during masturbation? Hello Doctor: About two weeks ago, one evening the weather suddenly turned cold. I was dressed lightly and rode my scooter home for about 10 minutes (I felt very cold at the time). Once I got home, I immediately felt a h...
Dr. Chen Qingbin Reply:
You may have recently caught a cold and engaged in masturbation, which your body may not be able to handle. It's best to rest and avoid masturbation for 1-2 weeks.[Read More] Head and Neck Pain During Masturbation: Causes and Solutions
Managing High Blood Sugar Levels in Diabetes: Tips and Insights
High blood sugar? Hello Dr. Lee, I would like to ask how to handle high blood sugar levels? My mother has been a diabetic for about 15 years. She was previously controlled with oral medications, but for the past three years, she has started using insulin injections, which have no...
Dr. Li Zhiyao Reply:
Hello Amin, Your question can be summarized as "how to effectively manage diabetes." In addition to the patient and their family, a team consisting of physicians, dietitians, and diabetes educators should be involved in managing diabetes. Currently, health bureaus in v...[Read More] Managing High Blood Sugar Levels in Diabetes: Tips and Insights
Understanding Complications After Peritoneal Dialysis Surgery
Postoperative Recovery After Peritoneal Dialysis Surgery Dear Dr. Yang, My father has been undergoing peritoneal dialysis for over a year. Recently, due to some exposure of the dialysis catheter, the doctor recommended a surgical procedure to fix the catheter. We initially thoug...
Dr. Yang Zhongwei Reply:
Hello: Exposed tubing can easily lead to infections, and it should be reconstructed. As for the infections, stroke, ulcers, and intubation you mentioned, I cannot comment on your father's condition since I am not present. I apologize for that! I sincerely wish your father a ...[Read More] Understanding Complications After Peritoneal Dialysis Surgery
Understanding Hospitalization for Severe Pneumonia in Leukemia Patients
Hospitalization due to severe pneumonia complicated by cold and fever (rapid test negative)? My father has leukemia and is hospitalized with a cold, fever, and severe pneumonia (rapid test negative). He has been admitted to the intensive care unit, with lung shadows spreading acr...
Dr. Chen Junwei Reply:
Your father has been admitted to the intensive care unit due to respiratory failure caused by severe pneumonia. He has a history of leukemia, which places him in a category of patients with compromised immune function, resulting in a poorer prognosis compared to patients with nor...[Read More] Understanding Hospitalization for Severe Pneumonia in Leukemia Patients
Understanding Arrhythmia: When to Seek Medical Attention for Heart Issues
Arrhythmia Hello Doctor: I am currently a university student majoring in design, with a height of about 170 cm and a weight of approximately 63-65 kg. I often stay up late and exercise at least once a week (playing softball and basketball). I do not smoke or drink alcohol, but I ...
Dr. Chen Qingbin Reply:
Hello, Xiao Hei: Incomplete right bundle branch block and sinus bradycardia generally do not require treatment unless there are significant symptoms, such as chest discomfort, chest pain, or shortness of breath. It is advisable to visit a cardiologist at the hospital.[Read More] Understanding Arrhythmia: When to Seek Medical Attention for Heart Issues
Managing Severe Sore Throat After Influenza A: What to Do Next?
Influenza A virus issues I tested positive for influenza A and have been taking Tamiflu for five days. I no longer have a fever, but I still have a sore throat, cough, and phlegm. What should I do? "My throat hurts much more than with a regular cold." Every time I swall...
Dr. Guo Hanyue Reply:
It is recommended that you first consult an otolaryngologist to check for any injuries or ulcers in the throat. If there are no visible abnormalities, you may need to use a stronger cough suppressant along with pain relievers to manage the symptoms, as it may take some time to gr...[Read More] Managing Severe Sore Throat After Influenza A: What to Do Next?
Understanding Post-Meal Vomiting: High Protein and Rich Broth Issues
Postprandial vomiting discomfort after high-protein and thick broth consumption? Hello, Dr. Sun! For the past two years, I have experienced severe gastrointestinal discomfort and vomiting 2-3 hours after consuming broth (such as the thick chicken soup from Ji Yuan in Taipei, whic...
Dr. Sun Yizhen Reply:
It is recommended that you see a gastroenterologist for further evaluation.[Read More] Understanding Post-Meal Vomiting: High Protein and Rich Broth Issues
Persistent Low-Grade Fever and Back Lump: Possible Causes and Next Steps
Mild fever for a week, chills (sudden cold awakening at night), and a sudden hard lump on the back? Hello, I am currently working in mainland China and will need some time before I can return to Taiwan for medical treatment. Therefore, I would like to ask for a preliminary diagno...
Dr. Cai Yaozhou Reply:
Visit the medical center to see the Infectious Disease Department for fever and the Surgery Department for a hard lump on the back. For traditional Chinese medicine treatment, first go to the hospital's affiliated Traditional Chinese Medicine Department for consultation.[Read More] Persistent Low-Grade Fever and Back Lump: Possible Causes and Next Steps
Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Irritable Bowel Syndrome (IBS) Hello Dr. Sun, on August 29 (Saturday), I had a scratchy throat and was diagnosed with a common cold. After taking medication, I briefly experienced a fever on Monday morning due to forgetting to take my medicine, but it quickly subsided after I res...
Dr. Sun Yizhen Reply:
Hello: It is recommended to visit the outpatient clinic for a clinical evaluation.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Persistent Fatigue and Headaches: When to See a Doctor?
Persistent fatigue and headache for a week? Hello, I felt very tired, dizzy, and had a headache since last Saturday morning. Since I had cold symptoms, I went to see a doctor, but I was only prescribed cold medication, and my symptoms have not improved. I would like to know which...
Dr. Chen Junwei Reply:
If it is just a cold, symptoms should improve within about a week. However, if fatigue and headaches persist, cold medications containing antihistamines may also cause drowsiness. If it is not related to medication, it is recommended to seek further evaluation from a family medic...[Read More] Persistent Fatigue and Headaches: When to See a Doctor?