Understanding Persistent Dizziness and Nausea in Elderly Patients
Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of thyroid hormone and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hypertensio...
Dr. Ke Zhengchang Reply:
Hello Kany: Based on your description, your mother has hypertension, dizziness, and suspected intestinal adhesions. It is recommended to schedule an appointment with a neurologist to adjust her antihypertensive and dizziness medications. Additionally, for the issue of intestinal ...[Read More] Understanding Persistent Dizziness and Nausea in Elderly Patients
Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor mentioned a deficiency in thyroid hormones and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hyperten...
Dr. Li Huixiong Reply:
Seeing you write extensively indeed leaves you, as children, unsure of what to do. In fact, simplifying matters and focusing on the key points is essential. The most common situation in outpatient clinics is that after prolonged illness, patients often lose sight of the main issu...[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has be...
Dr. Hong Hongchang Reply:
The patient has hypertension, endocrine disorders, electrolyte imbalances, and postoperative enteritis, which may clinically present with elevated white blood cell counts associated with bacterial infection. Additionally, the patient's use of corticosteroids may lead to decr...[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has been ta...
Dr. Zeng Fenyu Reply:
There are many causes of dizziness, including brain diseases, vestibular nerve disorders, cardiopulmonary diseases leading to insufficient cerebral blood flow, psychogenic factors, and postmenopausal syndrome in women. Regarding the condition you mentioned, if the patient already...[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Understanding Dizziness: Causes and When to See a Doctor
Dizziness Hello: I have been feeling dizzy for the past few days, and I don't have any cold symptoms. Why could this be happening? If I need to see a doctor, which specialty should I consult?
Dr. Ke Zhengchang Reply:
Hello, Wei: There are many causes of dizziness, including insomnia, colds, anemia, inner ear balance issues, and medication effects. Please first visit an otolaryngologist for an examination, and if necessary, you will be referred to a neurologist for further evaluation.[Read More] Understanding Dizziness: Causes and When to See a Doctor
Unusual Symptoms of Hypertension: Understanding Your Health Concerns
Unusual Symptoms of Hypertension Hello, I have a question regarding hypertension. My mother is 60 years old and started showing symptoms of high blood pressure last year. It recurred again before the Lunar New Year this year. She had been controlling it with Western medication, b...
Dr. Zeng Fenyu Reply:
1. The three situations mentioned above are unrelated to chronic hypertension. 2. The primary cause has not been identified; what you mentioned could also be a vascular disease that requires further examination. 3. In terms of diagnosis, there are two conditions present, but on...[Read More] Unusual Symptoms of Hypertension: Understanding Your Health Concerns
Unexplained Symptoms: Understanding Cold and Hot Flashes, Back Pain, and Weakness
Unexplained symptoms Intermittent chills and fever, lower back pain, and weakness in the limbs.
Dr. Ke Zhengchang Reply:
Hello Lulu: There is a high likelihood that your symptoms indicate a urinary tract infection (pyelonephritis). You need to go to the hospital for a urine test and treatment. (Please consult a urologist.)[Read More] Unexplained Symptoms: Understanding Cold and Hot Flashes, Back Pain, and Weakness
Understanding Unexplained Vomiting, Diarrhea, and Breathing Difficulties
Vomiting and diarrhea? I am experiencing unexpected vomiting and diarrhea, along with difficulty breathing, which makes me feel very unwell. Doctor, what could this illness be? Additionally, these symptoms occur every so often.
Dr. Hong Hongchang Reply:
1. Symptoms of gastrointestinal discomfort are related to dietary habits and types of food such as tea, coffee, spicy foods, dairy products, and fried foods. 2. Lifestyle factors such as sleep and stress also play a role. 3. Overall health conditions like colds, pregnancy, insomn...[Read More] Understanding Unexplained Vomiting, Diarrhea, and Breathing Difficulties
Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options
What is Shy-Drager syndrome? My mother has been experiencing gastrointestinal discomfort for over ten years, with frequent abdominal pain and diarrhea. Doctors believe she has colonic dysmotility and have also mentioned irritable bowel syndrome. In recent years, she has been diag...
Dr. Ke Zhengchang Reply:
Hello Ms. Tsai: Sjögren's syndrome is an autoimmune disease characterized by symptoms such as chronic dry eyes, dry mouth, keratoconjunctivitis, and difficulty swallowing (due to reduced saliva), as well as bilateral parotid gland enlargement. It often coexists with other au...[Read More] Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Cold Symptoms: When to See a Doctor for Treatment
Common cold Initially, it starts with a cold, followed by phlegm that is sticky, accompanied by wheezing, and then a cough develops. What type of condition does this belong to, and which specialty should I consult?
Dr. Ke Zhengchang Reply:
Hello Mr. Shen: A cold can trigger complications such as asthma, bronchitis, and pneumonia, so please schedule an appointment with the pulmonology clinic for treatment.[Read More] Understanding Cold Symptoms: When to See a Doctor for Treatment
Can Arrhythmia Be Diagnosed with Just an ECG?
Is an electrocardiogram (ECG) sufficient for diagnosing arrhythmias? I would like to ask Anita if the doctor prescribed any medication for her after she was diagnosed with arrhythmia. (Or could the doctor provide me with Anita's email address so I can reach out to her direct...
Dr. Ke Zhengchang Reply:
Hello Jane: The diagnosis of arrhythmia through an electrocardiogram (ECG) is essential. If necessary, a 24-hour Holter monitor should be performed. Please follow up for treatment at the cardiology outpatient clinic. Thank you.[Read More] Can Arrhythmia Be Diagnosed with Just an ECG?
Understanding Cold Extremities and Sweaty Palms: Causes and Solutions
Palmar hyperhidrosis and cold extremities? I am 21 years old and I often exercise, but I don't understand why my limbs are frequently cold, not just in winter; even in summer, it's the same. Sometimes, even after exercising, my body temperature seems to be lower than ot...
Dr. Hong Hongchang Reply:
Cold extremities and sweaty palms may be caused by hyperhidrosis, endocrine disorders, or poor peripheral circulation. It is advisable to follow up with a neurosurgery outpatient clinic.[Read More] Understanding Cold Extremities and Sweaty Palms: Causes and Solutions
Understanding Post-Exercise Heart Palpitations and Breathing Issues
Increased heart rate after exercise? Hello Dr. Ke, I would like to ask you about a heart-related issue. I often experience rapid heartbeat and shortness of breath after exercising, which usually resolves with a bit of rest. However, yesterday was more severe; after cycling, I had...
Dr. Ke Zhengchang Reply:
Hello, Antia; it is recommended that you undergo an exercise electrocardiogram (ECG) to check for any arrhythmias and signs of cardiac hypoxia.[Read More] Understanding Post-Exercise Heart Palpitations and Breathing Issues
Does Early Detection of Heart Disease Lead to Better Outcomes?
Is early detection of heart disease better than late detection in terms of severity? Will the treatment outcomes also be better compared to cases diagnosed later? You also mentioned the sympathetic nervous system. What I'm more interested in is whether delaying medical treat...
Dr. Zeng Fenyu Reply:
If it is indeed "viral myocarditis" (the initial symptoms are similar to those of a cold, but the virus type is different), early diagnosis and treatment will certainly affect the condition, quality of life, future lifespan, and even the risk of arrhythmias, heart failu...[Read More] Does Early Detection of Heart Disease Lead to Better Outcomes?
Can I Drink Yogurt After Having a Duodenal Ulcer?
If you have a history of gastric ulcers, is it safe to drink yogurt? Hello Dr. Hong: A few months ago (in May), I was diagnosed with a duodenal ulcer, but my condition has improved. Currently, I am experiencing bloating, and a recent colonoscopy revealed signs of inflammation. I ...
Dr. Hong Hongchang Reply:
Peptic ulcers are closely related to Helicobacter pylori. Generally, it is necessary to take specific medications for three to four months. Additionally, it is important to avoid irritant foods (such as tea, coffee, tobacco, and alcohol) and pain relievers. Maintaining regular me...[Read More] Can I Drink Yogurt After Having a Duodenal Ulcer?
Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks
Cardiovascular disease Last February, I experienced difficulty breathing and muscle tightness (in my neck), and the doctor diagnosed it as a cold. After taking medication for a few days, the symptoms disappeared. Around June or July of this year, I felt a persistent heaviness in ...
Dr. Zeng Fenyu Reply:
Hello Jane! The information you provided is insufficient to determine whether it is myocarditis. Relying solely on one electrocardiogram for diagnosis and prognosis seems a bit inadequate. It is recommended to seek a differential diagnosis from a cardiologist. Sincerely, Dr. Feng...[Read More] Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks
Understanding Low White Blood Cell Count: Causes and Recovery Tips
Leukopenia I am an intern teacher in Taipei. Last Friday, I felt unwell, experiencing symptoms similar to a cold, dizziness, and fever. After taking medication for three days without improvement, I had a poor appetite and felt very weak. On the fourth day, I was hospitalized, and...
Dr. Ke Zhengchang Reply:
Hello, A-Jing: Generally, viral infections may cause a temporary decrease in white blood cell count (which can last for one to two weeks). If subsequent monitoring shows recovery to above 4000, there should be no major concerns. However, if the count remains persistently low, it ...[Read More] Understanding Low White Blood Cell Count: Causes and Recovery Tips
Persistent Cough After Cold: Causes and Remedies for Relief
Coughing Dear Doctor: I am asking on behalf of my wife. She is 30 years old. Recently, she caught a cold and has already seen a doctor three times. Most of her other symptoms have improved, but her cough just won't go away. What are some ways to alleviate it? Additionally, w...
Dr. Ke Zhengchang Reply:
Hello Jimmy: It is normal for a cough to persist for a period of time (1-2 weeks) after a cold due to airway sensitivity. However, if the symptoms continue, it is necessary to see a pulmonologist for further examination and treatment.[Read More] Persistent Cough After Cold: Causes and Remedies for Relief
Understanding Unexplained Fevers: Potential Causes and Solutions
Fever I have been experiencing fevers of unknown origin since I returned to Taiwan about two years ago. It is quite bothersome, as they do not resemble the fevers typically associated with a cold. They occur so frequently that I have begun to wonder if there is something wrong wi...
Dr. Ke Zhengchang Reply:
There are many diseases that can lead to fever of unknown origin. These require thorough investigation and treatment. Please visit our outpatient clinic for blood tests and evaluation of the fever.[Read More] Understanding Unexplained Fevers: Potential Causes and Solutions
Chronic Morning Cough and Nausea: Causes and Solutions
Nausea? Hello Dr. Hong: I often experience a mild cough upon waking up every day, accompanied by nausea and excessive stomach acid. This condition has persisted for 10 years, and it is particularly noticeable during colder weather. I am unsure of the cause. What should I pay atte...
Dr. Hong Hongchang Reply:
A dry cough after waking up may be due to allergic bronchitis or gastroesophageal reflux disease (GERD) causing the cough. It is recommended to avoid irritating foods and sweets in your diet, as well as the habit of eating late at night. Additionally, if symptoms persist or worse...[Read More] Chronic Morning Cough and Nausea: Causes and Solutions