Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
High school student with hypoglycemic coma? Hello Doctor, my daughter, who is in her first year of high school, suddenly reported feeling dizzy and weak while studying at home in mid-December. I intended to check her blood pressure (her school health check and regular measurement...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough consideration of other factors is necessary. Generally, hypoglycemia can...[Read More] Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
Understanding Oral Infections: Tonsillitis, Gum Swelling, and Lip Ulcers
Purulent tonsillitis in the oral cavity, gingival swelling, and purulent lips? Hello Doctor, since I took my sister to the hospital on January 4th and stayed there from 9 AM to 10 PM, I have not slept for eighteen hours. It was the most irregular day for my schedule in over a yea...
Dr. Hong Yuanbin Reply:
Hello, based on your description, your oral ulceration does seem severe. It may not be possible to determine the true cause based solely on your description. I recommend visiting a major hospital's dental department for relevant examinations, including viral testing. If ther...[Read More] Understanding Oral Infections: Tonsillitis, Gum Swelling, and Lip Ulcers
Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Experiencing lower back pain after receiving the flu vaccine? Hello doctor, I received the flu vaccine on Friday afternoon, and since then my lower back has been very sore. Is this a side effect of the vaccine? I need to take care of my child, and especially after sitting in the ...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question "<Is back pain after receiving the flu vaccine a side effect of the vaccine?>", here is the response: I. Please refer to the CDC's Q&A: http://www.cdc.gov.tw/qa.aspx? Q1: Is the flu vaccine safe? What side effects m...[Read More] Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...
Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Kidney problems Hello Doctor, My family member (female, 29 years old) has long-term chronic health issues. She has been diagnosed with refractory epilepsy for 23 years and is currently taking the following medications: Depakote 700mg, Vimpat 100mg, Keppra 1000mg, and Lamictal 30...
Dr. Wu Hongjie Reply:
Hello: Currently, your family member's creatinine levels have returned to normal range. The recent decline in kidney function is likely due to acute kidney injury, but regular monitoring is still necessary. Dietary restrictions are not required at this time. The exact causes...[Read More] Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Understanding Anemia: Symptoms, Types, and Improvement Strategies
Regarding issues related to my anemia? I am a male, naturally tall and thin. At the age of 13-14, I was diagnosed with anemia at a general clinic. I have often experienced dizziness, headaches, and difficulty falling asleep for a long time. This condition has improved over time. ...
Dr. Hong Yuanbin Reply:
Hello, to differentiate between the types of anemia, a blood test is necessary to examine the size of red blood cells. In Taiwan, there is a higher prevalence of thalassemia and iron deficiency anemia. The symptoms of anemia depend on the level of hemoglobin; generally, if it is ...[Read More] Understanding Anemia: Symptoms, Types, and Improvement Strategies
Understanding Unusual Head Sensations: When to Seek Medical Advice
I feel something strange in my head? Hello Dr. Hong: Since early August, I have been feeling a slight aching sensation in my head, although it is very mild and only occurs momentarily a few times. However, afterwards, I feel a heaviness in my head and an overall discomfort, lacki...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed difficult to determine the exact cause of your headache. The most likely possibility is a migraine; however, other causes cannot be ruled out. Therefore, I recommend that you consult a neurologist or a family medicine physician for f...[Read More] Understanding Unusual Head Sensations: When to Seek Medical Advice
Can Syphilis Test Results Ever Be Zero? Understanding Transmission Risks
Can the syphilis index be zero? I would like to ask, if I only have a positive TPHA and negative RPR or VDRL, can I still transmit the infection to others? The test was conducted two years ago, and I received treatment at that time. This year, during follow-up, my titers have dec...
Dr. Liao Zhongxin Reply:
Dear readers: <Can the index for syphilis be zero?> The response is as follows: According to the data from the Centers for Disease Control (CDC) (see attachment) on page 5, the case definition for reporting conditions is as follows: 1. Clinical conditions: (1) The pre...[Read More] Can Syphilis Test Results Ever Be Zero? Understanding Transmission Risks
Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Hyperthyroidism Hello Doctor: Recently, during a routine health check at my company, I found that my Thyroid Stimulating Hormone (TSH) level was 0.01, Free Thyroxine (Free T4) was 3.07, fasting blood glucose was 100, heart rate was approximately 100 beats per minute, and my white...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. In our country, most testing laboratories are certified, and to maintain their reputation, the likelihood of significant errors in test results is low. Additionally, Free T4 and TSH levels do not fluctuate rapidly under normal physiological conditions. This mean...[Read More] Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Rabies Exposure Concerns: What Parents Need to Know
Rabies infection issues Hello, doctor. I would like to ask, if my hand came into contact with the saliva of a stray dog and I only washed my hands normally afterward, touching water 2-3 times during that period, and then handled fruit for my child to eat (with my hands touching t...
Dr. Liao Zhongxin Reply:
Dear readers, Regarding the question of whether contact with the saliva of a stray dog could lead to rabies infection after only washing hands normally, touching water 2-3 times, and then cutting fruit for a child (with the hands touching the fruit), especially since the child h...[Read More] Rabies Exposure Concerns: What Parents Need to Know
Understanding Dizziness and Fatigue After a Cold: What You Need to Know
Hello doctor, I had a fever of 38.2 degrees Celsius the day before yesterday, and I have been feeling dizzy yesterday and today? Hello, doctor! The day before yesterday, I experienced body aches, nasal congestion, and a fever of up to 38 degrees Celsius. After visiting the emerge...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the dizziness and difficulty concentrating you are experiencing may have two possible causes. First, a cold can inherently lead to systemic fatigue and discomfort. Second, the decongestant medication you are taking may contain antihistamines, whi...[Read More] Understanding Dizziness and Fatigue After a Cold: What You Need to Know
Is Industrial Alcohol in Household Cleaners Harmful to Health?
Alcohol intoxication issues I would like to ask the doctor if inhaling industrial alcohol is harmful or poses a risk of chronic poisoning. I recently remembered that I have a bottle of lemon cleaner given by my neighbor, and I'm not sure if it is made from medical-grade or i...
Dr. Xiao Yongxun Reply:
Dear Sir/Madam, 1. To my knowledge, industrial alcohol primarily consists of approximately 95% ethanol (C2H5OH) and 5% methanol (CH3OH). The metabolic pathway for alcohols generally follows the sequence of alcohol → aldehyde → acid. In the human body, the metabolic enzymes are s...[Read More] Is Industrial Alcohol in Household Cleaners Harmful to Health?
Understanding Unexplained Fever: When to Seek Medical Attention
Fever of unknown origin (FUO) Hello, since I caught a cold at the end of September, I have been experiencing recurrent fevers. I also suddenly feel very cold, and when I have a fever, I experience palpitations, chest tightness, muscle aches, and weakness. I constantly feel fatigu...
Dr. Hong Yuanbin Reply:
Hello, I suggest that you take your temperature to see if you actually have a fever, especially when you feel warm or very cold, as this is when the measurement is most accurate. However, given your overall discomfort, it is advisable to visit a hospital for a check-up. You may c...[Read More] Understanding Unexplained Fever: When to Seek Medical Attention
Understanding Elevated White Blood Cell Count and Its Health Implications
Increasing white blood cell count, hypertension, anemia..? I have been diagnosed with hypertension and frequently experience palpitations, anemia, shortness of breath, chest tightness, chest pain, headaches, and hypoglycemia. Additionally, I experience left shoulder pain during e...
Dr. Hong Yuanbin Reply:
Hello, it is important to first understand if you have been ill a few days prior to the blood test, with the most common illnesses being a cold or gastroenteritis. If so, it is likely due to an acute infection, and usually, your results will return to normal after a few days. If ...[Read More] Understanding Elevated White Blood Cell Count and Its Health Implications
Understanding Injection Allergies: Symptoms and What to Do Next
Injection allergy Hello Doctor: Two days ago, I strained my neck and it became swollen and painful, so yesterday I went to a clinic to receive anti-inflammatory injections (one clear and one yellow, administered in the back of my right hand). Shortly after the first injection, I ...
Dr. Xiao Yongxun Reply:
Dear Miss Wang: 1. During a single intravenous injection, it is almost always possible to see some degree of blood return; generally, it is not excessive, and you can simply push the blood back into the syringe. 2. Intravenous injections circulate throughout the body quickly und...[Read More] Understanding Injection Allergies: Symptoms and What to Do Next
Chest Pain and Breathing Issues: When to Seek Medical Attention
Chest tightness or pain? Doctor, I have been experiencing chest tightness and difficulty breathing for the past few days, along with headaches and dizziness. Yesterday, I also had unexplained diarrhea and vomiting. A Chinese medicine doctor previously mentioned that I have palpit...
Dr. Li Zhiyao Reply:
Hello: You are experiencing significant physical discomfort and should seek medical attention at a hospital immediately. In the future, if you encounter similar situations, please go directly to a healthcare provider instead of consulting online to avoid delaying your condition.[Read More] Chest Pain and Breathing Issues: When to Seek Medical Attention
Understanding Persistent Discomfort: Common Symptoms and Solutions
Physical discomfort? 1. This symptom has persisted for several months without a clear cause. The symptoms include a feeling of pressure in the eyes and a sensation of obstruction in vision, followed by dizziness, headaches, and even nausea. The first occurrence happened after a f...
Dr. Hong Yuanbin Reply:
Hello, 1. The symptoms you are experiencing may be related to your eyes or headaches. It would be advisable to consult an ophthalmologist to check your intraocular pressure. If your eyes are normal, it is likely a mild tension-type headache, which is often caused by significant...[Read More] Understanding Persistent Discomfort: Common Symptoms and Solutions
Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Excess stomach acid Hello, doctor. I previously underwent an endoscopy which showed that my gastrointestinal tract is generally fine, but I have gastroesophageal reflux disease (GERD). I have been taking Pantoprazole for a month, but I occasionally experience acid reflux, a burni...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Nexium® (generic name: Esomeprazole) is indicated for gastroesophageal reflux disease (GERD). Possible side effects include abdominal pain, constipation, diarrhea, bloating, nausea, dry mouth, headache, drowsiness, allergic reactions, fever, and others. Genera...[Read More] Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? Hello, doctor. First of all, thank you for your response to my questions last month. After that, I visited a physician who initially diagnosed me with general gastritis. I was prescribed medications for gastrointestinal motility disorders, to reduce b...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Please discuss your concerns with your attending physician; avoid seeking opinions online that may interfere with your physician's assessment. 2. Nexium® (generic name: Esomeprazole) is a proton pump inhibitor primarily used to treat peptic ulcers and ga...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Symptoms: Anxiety vs. Physical Health Concerns
I'm sorry, but the content you provided is not sufficient for Hello, doctor regarding the infection issue from case 108042. I am a resident of Chiayi City who asked a question a few days ago. I have been experiencing a sensation of throat tightness (some discomfort) and occa...
Dr. Hong Yuanbin Reply:
Based on the symptoms you described, they do not appear to be consistent with a true rabies infection. It is advisable to relax and manage stress appropriately. If the same symptoms persist, you may seek assistance from a psychiatrist or psychologist. Wishing you a speedy recover...[Read More] Understanding Symptoms: Anxiety vs. Physical Health Concerns