Understanding Chest Tightness and Throat Irritation: When to Seek Help
Chest tightness and a sensation of itchiness in the throat with a feeling of slight swelling? Hello Doctor: I started experiencing chest tightness since the afternoon of the day before yesterday, along with a scratchy throat and various sensations. The color of my phlegm is sligh...
Dr. Chen Qingbin Reply:
Hello, Xiao Ming. Regarding the chest pain, I recommend that you first consult a pulmonologist for further diagnosis and evaluation, so that appropriate treatment can be provided. Thank you for your message.[Read More] Understanding Chest Tightness and Throat Irritation: When to Seek Help
Chest Pain After Cold Medicine: When to See a Doctor?
After taking cold medicine, eating food causes a feeling of tightness (pain) in the chest? Hello, I visited the doctor for the first time and after taking the medication, my cold didn't improve, so I went to a second doctor. After taking the first packet of medication, I sta...
Dr. Cai Zonglin Reply:
If medication is taken without sufficient water or with too little water, the drug may remain in the esophagus, potentially causing localized ulcers and discomfort. If pain occurs while eating, it is important to consider issues related to the throat or esophagus, and a visit to ...[Read More] Chest Pain After Cold Medicine: When to See a Doctor?
Understanding Cellulitis: A Patient's 21-Day Struggle with Infection
Cellulitis, hospitalized for 11 days... on the 21st day... still suffering? Dear Dr. Liao, The patient does not have liver disease or diabetes and has sinusitis. The bacteria causing the infection and the substances they have been exposed to cannot be determined. The patient is ...
Dr. Liao Zhongxin Reply:
Dear readers: 1. If the knee is still swollen and round, rehabilitation exercises can be performed at the bedside or on a chair to improve circulation and reduce edema. 2. The goal is to keep the C-reactive protein (CRP) level below 1. Sometimes it may take a bit longer to gra...[Read More] Understanding Cellulitis: A Patient's 21-Day Struggle with Infection
Understanding Inflammatory Back Pain: Is It Ankylosing Spondylitis?
Ankylosing Spondylitis Hello, Doctor! I would like to ask about my HLA-B27 test result, which came back negative, but X-rays show inflammation in my sacroiliac joints, approximately at a grade two level on both sides. Does this mean I have ankylosing spondylitis? Although I don&#...
Dr. Zeng Guosen Reply:
Hello, online user: Inflammation of the bilateral sacroiliac joints, combined with morning lower back pain, raises the suspicion of ankylosing spondylitis. However, it is still recommended to consult a rheumatologist for further differential diagnosis. Most patients experience li...[Read More] Understanding Inflammatory Back Pain: Is It Ankylosing Spondylitis?
Dehydration and Heat Illness: When to Seek Medical Attention
After feeling unwell due to hot weather? Hello doctor, I would like to ask: A week ago, I drank too much beer one night, and the next day I vomited while on a boat. The weather was hot, and I didn't drink much water. After some activity in the afternoon, I vomited again. I t...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, hot weather combined with a lack of hydration and electrolyte replenishment can indeed lead to heat-related illnesses such as heat exhaustion, heat cramps, or heat stroke. The symptoms you described cannot completely rule out these conditions....[Read More] Dehydration and Heat Illness: When to Seek Medical Attention
Understanding Risks of Dialysis: Can Patients Face Life-Threatening Issues?
Dialysis-related issues (forwarded from the Director's mailbox) Is it possible for dialysis patients to experience life-threatening situations during the dialysis process? I saw news from mainland China where someone died during dialysis, and the doctors there mentioned that...
Dr. Wu Jiyu Reply:
Ms. Weng: Hello, regarding your inquiry, it should be related to the patient's pre-existing conditions. If you have the opportunity to accompany your father to dialysis, you will notice that each individual's situation is different and cannot be compared. If your father...[Read More] Understanding Risks of Dialysis: Can Patients Face Life-Threatening Issues?
Managing Diabetes in Elderly Patients After Pneumonia: Seeking Guidance
I would like to inquire about diabetes issues in elderly patients after illness? Hello, my grandmother is 85 years old and has a history of diabetes, hypertension, and heart disease. She was hospitalized for pneumonia at Kaohsiung Veterans General Hospital on March 19. On April 3...
Dr. Chen Qingbin Reply:
Hello, your grandmother is advanced in age and has experienced multiple organ failure. It is best to go to a treatment hospital for an evaluation of her condition before proceeding with further management and treatment.[Read More] Managing Diabetes in Elderly Patients After Pneumonia: Seeking Guidance
Understanding Symptoms: Seeking Medical Advice for Unexplained Health Issues
Inquire about the etiology? Hello Dr. Chen, I have a friend who is experiencing some health issues. She has never received proper treatment throughout her life and, due to a lack of time and financial resources, she is seeking help online in hopes of finding some assistance! Her ...
Dr. Chen Jianyu Reply:
Your friend has many symptoms and requires a detailed health examination. I cannot determine the potential disease based solely on a brief two-line description; a personal examination of the patient is necessary for diagnosis. Your friend can visit an otolaryngologist, pulmonolog...[Read More] Understanding Symptoms: Seeking Medical Advice for Unexplained Health Issues
Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Health Consultation In the morning, my urine is foamy, and it is usually yellow and cloudy. I frequently feel the urge to urinate, have lower back pain, and feel fatigued.
Dr. Wang Weijie Reply:
Dear Aron, In the early stages of kidney disease, there are often no obvious symptoms. However, if you experience the following symptoms, it is crucial to seek medical attention promptly, especially for individuals with hypertension, hyperlipidemia, heart disease, or diabetes. R...[Read More] Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Can Diabetic Patients Donate Blood While on Medication?
Diabetes mellitus Can a person with diabetes who is on medication donate blood?
Dr. Zhang Guoji Reply:
According to the "Health Standards for Blood Donors" published by the Department of Health: Article 4: Blood donors who have any of the following conditions should postpone their donation: 5. Currently suffering from syphilis, active tuberculosis, diabetes, heart diseas...[Read More] Can Diabetic Patients Donate Blood While on Medication?
Managing Symptoms of Nausea and Fatigue in Peritoneal Dialysis Patients
Peritoneal dialysis, but my physical condition has been very poor recently? Dear Dr. Wu, My mother has a history of hypertension for over 30 years. In January of this year, she was hospitalized for treatment due to renal failure and is currently undergoing peritoneal dialysis. P...
Dr. Wu Jiyu Reply:
1. Based on your description, I infer that your mother has been undergoing peritoneal dialysis for about 10 months. Theoretically, you should have a certain level of familiarity with the peritoneal dialysis nurse. You can discuss or clarify the symptoms you described with your mo...[Read More] Managing Symptoms of Nausea and Fatigue in Peritoneal Dialysis Patients
Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?
Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Understanding Diabetic Neuropathy: Symptoms, Treatment, and Management
Diabetic neuropathy? Dear Li, Question 1: Recently, my grandmother has experienced a loss of sensation in the tips of her fingers, particularly in her index, middle, and ring fingers, which has become more severe. In addition to the numbness in her fingers, she also experiences ...
Dr. Cai Zonglin Reply:
Diabetic neuropathy commonly presents with numbness, tingling, or a sensation of wearing gloves in the extremities. If a diabetes educator is available at the hospital, a monofilament test can be performed initially. For further evaluation, a referral to a neurologist may be nece...[Read More] Understanding Diabetic Neuropathy: Symptoms, Treatment, and Management
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Rapid heartbeat? Hello, doctor. My usual blood pressure is 90 over 60, but recently it has dropped a bit to 80 over 55. When I exercise, I feel dizzy, and my face and hands turn pale. I often experience headaches at the top of my head. Recently, one night, my right leg started tw...
Dr. Chen Qingbin Reply:
Hello, Xiao Li: Your blood pressure is low, and you are experiencing symptoms such as dizziness, pale complexion, and leg cramps. It is advisable to go to the hospital for a thorough examination and treatment.[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Understanding Sepsis Risks in Elderly Patients with High White Blood Cell Count
The causes of sepsis? Hello, doctor: I would like to ask a question! A male patient in his seventies or eighties has a white blood cell count elevated to 17,501/cumm and a platelet count decreased to 67,000/cumm. Is it possible for him to develop sepsis and potentially die from i...
Dr. Cai Zonglin Reply:
Clinically, a systemic inflammatory response due to infection (characterized by elevated temperature, respiratory rate, heart rate, and white blood cell count) is referred to as sepsis. The prognosis may be influenced by factors such as the patient's age, nutritional status,...[Read More] Understanding Sepsis Risks in Elderly Patients with High White Blood Cell Count
Understanding Dizziness and Breathing Difficulties: Possible Causes and Solutions
I started feeling dizzy today and have some difficulty breathing? Hello, today I don't know why I often feel dizzy, and I have difficulty breathing along with chest tightness. I measured my blood pressure, which is 108/68, and my heart rate is 72 beats per minute, both of wh...
Dr. Zeng Guosen Reply:
Hello, the user often feels dizzy, experiences difficulty breathing, and has chest tightness. These symptoms could be related to various issues, including cardiovascular problems, thoracic conditions, neuromuscular disorders, as well as systemic diseases such as kidney issues and...[Read More] Understanding Dizziness and Breathing Difficulties: Possible Causes and Solutions
Understanding Heart Issues in Premature Infants: Risks and Care Tips
Cardiac issues in premature infants? Hello Dr. Lee, My sister-in-law gave birth to two new lives half a month ago. Due to premature birth, the weights of the two baby girls are 1100 and 1200 grams, and it seems that both of their hearts are underdeveloped. So far, they have rec...
Dr. Li Huixiong Reply:
There are many reasons for congenital heart defects in premature infants, with the most common being patent ductus arteriosus. Some cases may require medication or surgical intervention. Other types of developmental abnormalities will be managed based on the specific circumstance...[Read More] Understanding Heart Issues in Premature Infants: Risks and Care Tips
Struggling with Severe Constipation: Seeking Solutions and Dietary Tips
Hello, doctor. I am experiencing severe constipation? Three years ago, I experienced autonomic nervous system dysfunction, which led to rapid heartbeat and severe constipation. I relied on laxatives and enemas until the laxatives became ineffective! Even the doctors are unsure of...
Dr. Li Huixiong Reply:
Chronic constipation is indeed a very frustrating issue. Based on your age, it is less likely to be caused by a disease and is more likely related to individual constitution. I recommend that you eat fruit on an empty stomach before breakfast every day, such as bananas or apples ...[Read More] Struggling with Severe Constipation: Seeking Solutions and Dietary Tips
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 Fatigue: Causes and Solutions for Low Energy and Dizziness
Physical fitness and bodily issues? Doctor, recently I have been experiencing decreased energy levels, dizziness, nausea, and a feeling of weakness in my heart. I often feel fatigued for no apparent reason. What should I do?
Dr. Li Huixiong Reply:
You should go to the family medicine clinic for a blood test for further examination.[Read More] Understanding Fatigue: Causes and Solutions for Low Energy and Dizziness