Sleep, Internal Medicine FAQ - Page 25

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Understanding Asthma: Symptoms, Diagnosis, and Treatment Options

Asthma Hello, doctor. I would like to ask if I have asthma. I have had allergic rhinitis for several years. I always sneeze when I wake up in the morning, and sometimes I experience allergies before bed, which leads to poor sleep quality. I often find myself gasping for air, feel...


Dr. Li Huixiong Reply:
Whether your allergic rhinitis is a self-diagnosis or a diagnosis made by a physician, individuals with an allergic constitution often experience issues with their nose, skin, and airways, which manifest as allergic rhinitis, atopic dermatitis, and asthma. It is recommended that ...

[Read More] Understanding Asthma: Symptoms, Diagnosis, and Treatment Options


Understanding Persistent Health Issues: Seeking Answers for Common Symptoms

Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...


Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...

[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms


Understanding Severe Leg Swelling: Causes and Relief Strategies

My mother initially had swelling in her thigh, and now her calf is also swollen? Hello Doctor: My mother previously had severe swelling in her right thigh, feeling as if the skin was about to burst. There is a significant size difference between her legs. Initially, we thought it...


Dr. Lin Mingfeng Reply:
First, press on the foot to see if there is any indentation; if so, it may indicate lower extremity edema. There are many diseases that can cause lower extremity edema, such as heart failure, renal failure, liver dysfunction, malnutrition, as well as conditions like cellulitis, t...

[Read More] Understanding Severe Leg Swelling: Causes and Relief Strategies


Persistent Hissing Sound Near Neck: Causes and Solutions

There is often a hissing sound near the back of the neck? I have been experiencing a constant hissing sound near the back of my neck (as if something is continuously passing through that area), especially noticeable before sleep. My work schedule is often irregular (I work on a c...


Dr. Chen Zhongshu Reply:
Dear Liu, In response to your letter, there are several factors to consider regarding the noise in the back of your head, such as tinnitus, cerebral vascular stenosis, or even excessive anxiety or stress, which can also lead to this phenomenon. It may be related to your work ove...

[Read More] Persistent Hissing Sound Near Neck: Causes and Solutions


Effective Remedies for Persistent Lower Back Pain: When to Seek Help

Lower back pain? Hello. This morning when I woke up, I felt some soreness in my back and lower back. The symptoms persisted until I finished work. By around 10 PM, the soreness in my lower back turned into pain. Any position I tried caused unbearable pain. The lower back pain pre...


Dr. Wang Weijie Reply:
There are many causes of lower back pain. It is recommended that you first consult a urologist or nephrologist to determine if there are any issues with the urinary system. If it is confirmed that there are no problems with the urinary system, you may then see an orthopedic speci...

[Read More] Effective Remedies for Persistent Lower Back Pain: When to Seek Help


Understanding Sleep Disruptions: Is Your Kidney Health at Risk?

Lower back pain causing difficulty sleeping? Hello Doctor: In the past year, when I sleep on my right side at night, I often wake up around 3-4 AM due to a strong urge to urinate and lower back pain. Each time, the volume of urine is quite large, over 500cc. After waking up, I fr...


Dr. Wu Jiyu Reply:
Check/Precautions: 1. Please monitor your blood pressure first. 2. Then arrange for urine and kidney function tests. 3. Lower back pain, aside from the kidneys (such as infections or stones), is often due to inflammation of the muscles and tendons alongside the spine, and may not...

[Read More] Understanding Sleep Disruptions: Is Your Kidney Health at Risk?


How to Stay Awake and Alert While Driving for Deliveries

Driving while delivering goods can lead to drowsiness? Hello Doctor: I am a delivery driver, and for the past week or two, I have been feeling really unwell. During the day, I feel extremely fatigued and drowsy. As soon as I start driving or sit in the car, I naturally fall aslee...


Dr. Zeng Guosen Reply:
Fatigue, tiredness, and drowsiness. It is recommended to seek medical evaluation to rule out potential underlying causes. It is not advisable to consume stimulants without knowing the underlying reason. Wishing you good health!

[Read More] How to Stay Awake and Alert While Driving for Deliveries


Understanding Internal Discomfort in Hands, Feet, and Chest During Sleep

Nourishing the hands and feet? Why do I sometimes feel a tingling or aching sensation in my palms, soles, and heart (chest) while I sleep? It's not on the surface; it feels like it's coming from within, and I can't seem to fall asleep as if someone is scratching me...


Dr. Lin Mingfeng Reply:
Based on your description of itching in the palms and soles, this is an issue related to sensory abnormalities. It is important to first observe for any skin lesions and the possibility of allergies, and to also consider neuropathy. However, if there is also itching in the chest ...

[Read More] Understanding Internal Discomfort in Hands, Feet, and Chest During Sleep


Understanding Bloating and Discomfort: Causes and Solutions

Stomach feels bloated, stomach feels tight? Hello, my family member experienced sudden abdominal distension about six months ago. They visited a gastroenterologist and underwent examinations, which indicated that everything was normal. It was also suggested that it could be relat...


Dr. Cai Yaozhou Reply:
Perform an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease and gastric ulcers.

[Read More] Understanding Bloating and Discomfort: Causes and Solutions


Understanding the Connection Between Bloating and Lymph Node Pain

Lymph nodes Hello, doctor. I have been experiencing frequent bloating in my stomach, to the point where I sometimes can't sleep well. Following that, I feel pain in my lymph nodes and nerves throughout my body. Is there a connection between these symptoms?


Dr. Yang Hongzhi Reply:
Generalized lymphadenopathy is not a common clinical symptom; it is likely neuropathic pain and does not have a direct correlation with gastrointestinal symptoms.

[Read More] Understanding the Connection Between Bloating and Lymph Node Pain


Understanding Recurrent Fever: Causes and Concerns in Adults

High fever Hello Doctor: Two years ago, on October 10th, while I was walking with a friend after visiting a night market, I started to feel pain in the back of my head, which then radiated to my back. Generally, I experience pain in the back of my head when I am very tired, but i...


Dr. Liao Zhongxin Reply:
Hello Nancy: 1. The fever and headache on October 10, 2005, may indicate a viral infection, possibly even symptoms of a central nervous system infection. After treatment (such as intravenous fluids and medication), the white blood cell count quickly rose from over 1000 to 4000,...

[Read More] Understanding Recurrent Fever: Causes and Concerns in Adults


Persistent Back Pain at Night: Possible Causes and Solutions

Persistent back pain during sleep at night? Hello, Doctor. I have been troubled by back pain for a long time. Since one night in May of last year, I have been waking up with back pain, which occurs only at night while I sleep. The pain is located between my shoulders and lower ba...


Dr. Zeng Guosen Reply:
There are many causes of back pain, and it is not possible to determine the true reason from your email content. If ankylosing spondylitis is suspected, you should see a rheumatologist for an "HLA-B27" blood test and an X-ray of the sacroiliac joints in the lower back f...

[Read More] Persistent Back Pain at Night: Possible Causes and Solutions


Understanding ECG Results: Next Steps for Heart Health Concerns

Electrocardiogram & Heart Hello doctor, I recently experienced sudden palpitations, dizziness, and shortness of breath, so I went to the provincial hospital for an electrocardiogram, which showed no abnormalities. However, I am still experiencing chest tightness and difficult...


Dr. Chen Qingbin Reply:
Hello KIKI: Your condition may be caused by anxiety disorder. However, it is best to visit a hospital for a physician's assessment and appropriate examination and treatment.

[Read More] Understanding ECG Results: Next Steps for Heart Health Concerns


Understanding Vascular Nodules: Causes, Symptoms, and When to See a Doctor

Vascular plaque I have hard lumps under the skin of the blood vessels in front of, below, and behind my ear. It hurts when I press on them. I pressed on it yesterday, and it hurt for a long time while I was sleeping last night! Is it a tumor? Which specialist should I see?


Dr. Cai Yaozhou Reply:
General Surgery

[Read More] Understanding Vascular Nodules: Causes, Symptoms, and When to See a Doctor


Understanding Chest Tightness and Abdominal Discomfort: When to Seek Help

Chest tightness... abdominal discomfort..? Dear Doctor, I often feel discomfort in my abdomen after eating certain foods, experiencing a bloated sensation, although it doesn't seem to be gas. Sometimes, I even feel this way in the morning right after waking up, without hav...


Dr. Li Huixiong Reply:
This is commonly referred to as indigestion. I recommend the following: 1. Try not to talk while eating. 2. Limit your intake of bamboo shoots, glutinous rice products, legumes, and carbonated beverages such as soda and cola. 3. Avoid overeating; aim for about 70-80% fullness. If...

[Read More] Understanding Chest Tightness and Abdominal Discomfort: When to Seek Help


Understanding Right Chest Pain When Lying Down: Causes and Next Steps

Chest pain on the right side when lying down? Dear Dr. Lee: Recently, I have been experiencing pain in my right chest when lying down to sleep. I need to adjust my position (lying on my side) to reduce the pain, and I also experience pain when getting up. Sometimes, I feel pain w...


Dr. Li Huixiong Reply:
Your pain seems to be related to changes in posture, particularly in the right chest area. Clinically, it does not appear to be a cardiac issue, nor does it seem to involve the lungs or liver; it is more likely related to a musculoskeletal problem. You can start by scheduling an ...

[Read More] Understanding Right Chest Pain When Lying Down: Causes and Next Steps


Managing Complications of Diabetes: Addressing Nerve Pain and Fatigue

What are some complications associated with diabetes? Hello Dr. Shi, I would like to ask about my mother, who is 68 years old and has a hereditary form of diabetes. She has been diagnosed for over 30 years. Previously, she managed her condition with oral medications, but two year...


Dr. Shi Guangzhong Reply:
Regarding your mother's condition, the main concern is complications. Your mother has had diabetes for 30 years, which can lead to various complications. Numbness in the hands and feet is a common neuropathic complication related to past blood sugar control and the duration ...

[Read More] Managing Complications of Diabetes: Addressing Nerve Pain and Fatigue


Understanding Chest Pain: Causes and Concerns for Your Health

Chest pain Hello, doctor! For the past two or three days, I have been experiencing persistent pain in my chest, specifically in an area where a bone protrudes. There hasn't been any external trauma, and the pain is less noticeable when I am relaxed. Some people have suggeste...


Dr. Li Huixiong Reply:
At the age of 21, the likelihood of experiencing angina is low. Typically, a protrusion in the chest area is a normal anatomical structure. Have you ever experienced ulcers in your stomach or duodenum? It is possible that you may be dealing with a peptic ulcer or gastric spasms. ...

[Read More] Understanding Chest Pain: Causes and Concerns for Your Health


Does Daily Exercise Weaken Immunity and Increase Cold Risk?

About the common cold? Hello Doctor: I would like to ask if exercising every day can weaken the immune system and make one more susceptible to colds? I regularly train at the gym, and when I'm not at the gym, I play sports, so I hardly have a day without any exercise.


Dr. Liao Zhongxin Reply:
Dear readers: 1. If you can maintain a daily exercise routine, get sufficient sleep, and have a balanced diet (including vegetables and fruits), most people will enjoy good health and stay away from various illnesses. 2. If you sweat after exercising and immediately drink cold wa...

[Read More] Does Daily Exercise Weaken Immunity and Increase Cold Risk?


Essential Daily Tips for Managing Hepatitis C in Your Life

Hepatitis C What should be taken into consideration in daily life for individuals with hepatitis C?


Dr. Xiao Jingqin Reply:
Diet: 1. A fresh, light, natural, and balanced diet is best. Artificial additives such as colorings, spices, and preservatives can burden the liver, so it's advisable to avoid excessive intake. Some patients with severe hepatitis may experience nausea and loss of appetite, m...

[Read More] Essential Daily Tips for Managing Hepatitis C in Your Life


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