Sleep, Internal Medicine FAQ - Page 4

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Understanding Sudden Dizziness: Causes and Concerns in Cold Weather

Occasionally, there is a sensation of dizziness or heaviness? Hello, doctor. I would like to ask why sometimes when the weather is cold, I suddenly feel a sense of dizziness or heaviness for about 1-2 seconds. Although it doesn't feel like spinning or nausea, I initially tho...


Dr. Hong Yuanbin Reply:
Hello, what you mentioned is known as orthostatic hypotension, which commonly occurs with sudden changes in posture or changes in surrounding temperature that cause a temporary drop in blood pressure. This is a physiological response. To improve this condition, it is advisable to...

[Read More] Understanding Sudden Dizziness: Causes and Concerns in Cold Weather


Understanding Sandy Sensation in Oral Mucosa: Causes and Solutions

The oral mucosa feels gritty? Hello, doctor. I apologize for bothering you. After I eat, I feel a gritty sensation when I touch the area around the lower left side (near the inner side of the lower teeth) with my tongue. Sometimes, after drinking water, that sensation goes away. ...


Dr. Hong Yuanbin Reply:
Hello, based on your photo and description, it appears to be the normal physiological structure of taste buds or gland openings. You only need to seek medical attention if there is significant pain or any discharge. Thank you for your inquiry.

[Read More] Understanding Sandy Sensation in Oral Mucosa: Causes and Solutions


Understanding Elevated Fasting Blood Sugar: Causes and Concerns

Fasting blood glucose levels are elevated? On October 14, 2021, I went to the emergency room due to discomfort from vaccine side effects, around 8 PM after dinner, feeling very anxious (due to chest pain). The emergency department recorded a blood glucose level of 171. A few days...


Dr. Li Jian Reply:
Fasting blood glucose greater than 100 mg/dL or hemoglobin A1c greater than 5.6% indicates prediabetes. Low-dose mirtazapine is not commonly associated with hyperglycemia. Maintaining proper dietary control and lifestyle adjustments is key. Thank you for your inquiry.

[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns


Is It Safe for My Diabetic Grandpa to Sleep In? Health Implications Explained

Is it okay for my grandfather with diabetes to sleep until he wakes up naturally, even if that means sleeping until noon or later? Hello Dr. Lee, my grandfather is 80 years old and has been a long-term diabetes patient (with a 40-year history). Two years ago, he had a stroke that...


Dr. Li Jian Reply:
Regarding sleep issues in the elderly and cerebral circulation problems, it is advisable to consult a neurologist. However, if there is a tendency to wake up late, one should be aware of the possibility of hypoglycemia during sleep. If waking up around noon, it may be necessary t...

[Read More] Is It Safe for My Diabetic Grandpa to Sleep In? Health Implications Explained


Understanding Your Blood Test Results: High CPK and Eosinophil Levels Explained

Blood test Hello Doctor, I went to the emergency room yesterday and had a blood test done. My results are as follows: Hb 17.0, HCT 50.1, MCH 31.8, MCHC 34.0, MCV 94, MPV 9.0, Platelet count 156, RBC count 5.36, RDW 12.7, WBC count 45, Eosinophil 1.5, Lymphocyte 39.5, Monocyte 7.9...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Elevated CPK levels can indeed be related to vigorous exercise, and given your age, this is the most likely reason. Basophils are a type of white blood cell associated with allergies, and their proportion in the total white blood cell count is ...

[Read More] Understanding Your Blood Test Results: High CPK and Eosinophil Levels Explained


Managing Chronic Fatigue and Immune Issues: A Comprehensive Guide

Feeling unwell? At the age of 41, my immune system seems to be particularly weak, and I have trouble sleeping. My gastrointestinal digestion has slowed down, and I feel that the nutrients from the food I eat are not being absorbed properly, leading to frequent vaginal infections ...


Dr. Hong Yuanbin Reply:
Hello, 1. It is recommended to maintain a regular routine and engage in regular exercise to boost immunity and reduce the likelihood of infections. 2. Regarding blood pressure, it does not directly affect immunity; however, effectively managing blood pressure can reduce the ri...

[Read More] Managing Chronic Fatigue and Immune Issues: A Comprehensive Guide


Understanding Parasite Concerns and Blood Test Results in Internal Medicine

Continuation #188061 Suspected Parasites and Blood Test Values Thank you, doctor, for your response. I have a few more questions. In your previous answer regarding point 2, you mentioned that "it could take months to years." Therefore, can we basically rule out that the...


Dr. Hong Yuanbin Reply:
Hello, 1. Based on your description, the likelihood of a parasitic infection seems very low. 2. Yes, headaches can indeed be a post-acute sequela of SARS-CoV-2 infection (PASC), but they may also be caused by other factors such as high stress, insufficient sleep, or significan...

[Read More] Understanding Parasite Concerns and Blood Test Results in Internal Medicine


Understanding Loss of Appetite: Causes and Concerns for Your Health

Loss of appetite I have been experiencing a loss of appetite for two weeks. It started with nausea due to lack of sleep, and since then, I have not felt hungry at all, even having a constant sensation of fullness. My weight has dropped from 43 kg to 40 kg, and my BMI has fallen t...


Dr. Hong Yuanbin Reply:
Hello, insufficient sleep can indeed affect appetite. As for whether there are issues with the liver or other organs, such as the thyroid, a detailed examination may be necessary to determine that. It is recommended to visit a family medicine clinic for a thorough evaluation. Tha...

[Read More] Understanding Loss of Appetite: Causes and Concerns for Your Health


Relieving Left Shoulder, Neck, and Arm Pain After Late Nights

Left shoulder, neck, and arm pain? Hello, doctor. For the past five days, I have mostly been sleeping after 3:00 AM. After drinking alcohol yesterday, I started to feel soreness in my left arm and shoulder after 4:00 AM, which sometimes extends to my neck. I would like to know ho...


Dr. Hong Yuanbin Reply:
Hello, after drinking, it is common to experience lactic acid accumulation, and due to posture issues, it is very easy to have the situation you described. I recommend applying a hot compress and using analgesic ointment or pain relief patches to alleviate the discomfort. When sl...

[Read More] Relieving Left Shoulder, Neck, and Arm Pain After Late Nights


Understanding Internal Itching: Causes and Solutions After Diagnosis

It feels itchy inside the body? Since the third day after being diagnosed, I have not had a fever, but I feel an internal itch throughout my body. It's very uncomfortable and hard to describe; I feel the need to keep moving to feel a bit better. Even before going to sleep at...


Dr. Hong Yuanbin Reply:
Hello, it is true that some individuals may experience skin rashes due to COVID-19, although the likelihood is low. I would like to know if you are currently taking any medications, as it may be necessary to rule out drug or food allergies. If there are none, then it could be att...

[Read More] Understanding Internal Itching: Causes and Solutions After Diagnosis


Understanding Hormonal Imbalance: When to See a Specialist

Endocrine disorder Hello, Doctor: I visited the obstetrics and gynecology department in April and was diagnosed with polycystic ovary syndrome (PCOS). Due to not having my period for several months, the doctor prescribed Norethindrone 5.705 mg to be taken twice daily for 14 days....


Dr. Lin Jianliang Reply:
Hello: You can first consult with an obstetrician-gynecologist. Inform them of your condition completely, and then ask if you need to see any other specialists.

[Read More] Understanding Hormonal Imbalance: When to See a Specialist


Understanding Steroid Dosage and Side Effects in Myositis Treatment

Steroid dosage usage Hello Dr. Gao, my mother is 68 years old. She was diagnosed with COVID-19 in May of this year. During the infection, she did not experience any severe symptoms. However, one month after testing negative, she developed unexplained muscle pain in both legs, whi...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Steroids can be taken on an alternating schedule, which is a method we use to gradually taper the dosage when there isn't a lower dose formulation available for adjustment. Steroids may cause edema and can also affect sleep, so it is advis...

[Read More] Understanding Steroid Dosage and Side Effects in Myositis Treatment


Concerns About Infection from a Stranger: HIV and Hepatitis Risks

Questions about infection from strangers? Hello Doctor, after class today, while I was checking out at a convenience store, a stranger suddenly pushed past me to throw away his aluminum drink. It seemed like he had finished drinking outside and brought it in to dispose of it. I n...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that there are suspected scratch marks on your hand, but no obvious wounds have been caused. In this case, there is no risk of contracting HIV or hepatitis B or C, so please do not worry. Thank you for your inquiry.

[Read More] Concerns About Infection from a Stranger: HIV and Hepatitis Risks


Understanding Dizziness: Possible Causes Beyond Viral Infections

Dizziness, feeling of heaviness in the head, and lightness in the legs? Hello, doctor. I've been feeling a bit dizzy these past few days. It's not severe, and I feel dizzy whether I'm standing or sitting, but I don't feel anything when lying down. I visited a ...


Dr. Hong Yuanbin Reply:
Hello, there are indeed many factors that can cause dizziness. Based on your situation, the following possible factors may apply: 1. Staying up late or irregular sleep patterns 2. Excessive stress 3. Anemia 4. Side effects of cold medications 5. Inner ear imbalance. It is recomme...

[Read More] Understanding Dizziness: Possible Causes Beyond Viral Infections


Understanding Asthma: Managing Persistent Cough and Heart Concerns

Asthma issues I would like to ask the doctor a few questions. Since last winter, I have been coughing persistently. I have visited many clinics, and the doctors have said it is due to allergies caused by changes in the weather, and that it would improve as the weather warms up. I...


Dr. Hong Yuanbin Reply:
Hello, chronic cough can indeed have many causes. The most important thing is to rule out lung and heart issues. If auscultation is normal, the chances of severe asthma are lower, but there may be other lung problems. It is advisable to consult a pulmonology or family medicine ou...

[Read More] Understanding Asthma: Managing Persistent Cough and Heart Concerns


Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk

Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...


Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...

[Read More] Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk


Understanding Dizziness After Sudden Movements: When to Seek Medical Advice

Please ask your question? I apologize for bothering you, doctor, but I have a question. I was lying down playing on my phone when my grandmother suddenly needed to use the bathroom and called for my help. I rushed over, and after standing up, I suddenly felt dizzy and unsteady fo...


Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are referred to as "orthostatic hypotension," which occurs when there is a significant change in body posture and the cardiovascular system is unable to adequately adjust, resulting in temporary low blood pressure. It is recommended t...

[Read More] Understanding Dizziness After Sudden Movements: When to Seek Medical Advice


Understanding Unexplained Body Heat: When to Seek Medical Help

There is always a sense of heat within the body? Hello, doctor. For the past ten days, I have been feeling a constant sensation of heat in my body, although my temperature readings are normal. I often feel a wave of heat throughout the day, and my toes and the soles of my feet fe...


Dr. Hong Yuanbin Reply:
Hello, it is recommended to first consult a Western medicine physician to check for any endocrine issues, such as thyroid or adrenal gland problems. You can make an appointment with the Family Medicine or Metabolism department. If these tests are normal, then you can consider con...

[Read More] Understanding Unexplained Body Heat: When to Seek Medical Help


Sudden Back Pain and Nausea: When to Seek Medical Help?

Sudden lower back pain accompanied by nausea? Hello doctor, I urgently need advice. My girlfriend woke up that morning with lower back pain and discomfort. When she got to work, she started vomiting and even vomited blood. Later, she felt like she had a fever. At that moment, she...


Dr. Xie Rongyuan Reply:
Hello: If you have symptoms such as fever, lower back pain, and vomiting blood, you should go to the emergency room immediately to determine the cause. Thank you for your message!

[Read More] Sudden Back Pain and Nausea: When to Seek Medical Help?


Understanding Unusual Breathing Sounds: When to Seek Medical Advice

Regarding respiratory issues? Hello, doctor. I have a question. Sometimes my breathing sounds very loud (not during sleep). It’s like after normal breathing, there’s a sudden loud exhale, and it feels like I have tightness in my chest and can’t breathe out properly. I’m not sure ...


Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the respiratory sounds, being overweight can cause airway compression, which may lead to wheezing or audible breathing. If you are feeling very uncomfortable, you can visit an outpatient clinic for an X-ray to ensure that your lungs are healthy. If it is alr...

[Read More] Understanding Unusual Breathing Sounds: When to Seek Medical Advice


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