Sleep, Internal Medicine FAQ - Page 6

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Unexplained Blisters and Weakness in Legs: Possible Causes and Solutions

Weakness in the feet accompanied by unexplained blisters? Dear Dr. Lin, My mother is 58 years old. Over the past six months, she has experienced weakness in her legs (mainly feeling unsteady while walking, as if she is walking on cotton). In the last three months, she has develo...


Dr. Lin Wufu Reply:
Hello: It is difficult to determine the issue based solely on this information. I recommend separating the concerns of foot weakness and blisters. For foot weakness, it is indeed advisable to consult a neurologist, preferably at a regional hospital or higher, as they can arrange ...

[Read More] Unexplained Blisters and Weakness in Legs: Possible Causes and Solutions


Understanding Jaw Pain: When to See a Doctor for Ear and Jaw Discomfort

Please ask your question? Hello, I would like to ask the doctor about something. After waking up today, I noticed that after having breakfast, there is a slight pain when I press on the area below my right ear where it connects to my jaw. I also feel a bit of discomfort when yawn...


Dr. Hong Yuanbin Reply:
Hello, the area you mentioned is where the fascia and nerves are located without the protection of bones, so it is normal to feel some pain when pressure is applied. This is a normal phenomenon. Just keep in mind a few points: 1. Have you had any fever recently? 2. Have you exper...

[Read More] Understanding Jaw Pain: When to See a Doctor for Ear and Jaw Discomfort


Understanding Severe Head Pain: Is It Related to Encephalitis?

Severe headache? Sometimes I experience severe and tight headaches that are unbearable, but they are not constant. The pain is not something that can be described as a typical headache; it comes in intense bursts. When I was in elementary school, I saw my name followed by the ter...


Dr. Hong Yuanbin Reply:
Hello, regarding your headache, based on your description, it seems more like a tension-type headache, which typically worsens during specific physiological conditions such as the menstrual cycle, lack of sleep, or high stress. Maintaining a regular routine and consistent exercis...

[Read More] Understanding Severe Head Pain: Is It Related to Encephalitis?


Consulting Your Doctor: Blood Tests and Quinine Treatment Insights

Medication consultation, laboratory consultation? Thank you for your response, Doctor. I would like to ask, in addition to the blood tests I previously underwent, what other tests would you recommend to confirm whether I need to start treatment with quinine? By the way, I have be...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. You might want to ask your physician whether you need to test for SSA/SSB, CCP or ACPA, ESR, etc. Quinine can be discontinued at any time. Quinine may cause headaches as a side effect, while dizziness is rare, and visual disturbances are a "...

[Read More] Consulting Your Doctor: Blood Tests and Quinine Treatment Insights


Understanding Blood Sugar Fluctuations: Dawn Phenomenon or Poor Sleep?

Diabetes issues Hello Doctor, I was diagnosed with diabetes in early February. I would like to ask you about my blood sugar levels. On the evening of February 23rd, after taking my blood sugar medication following dinner, my blood sugar was 94 two hours post-meal. However, my fas...


Dr. Li Jian Reply:
This is typically referred to as the dawn phenomenon, which is commonly observed in patients with diabetes.

[Read More] Understanding Blood Sugar Fluctuations: Dawn Phenomenon or Poor Sleep?


Understanding Kidney Function: Interpreting Your Blood Test Results

Kidney problems? Hello Doctor, I recently had a blood test and my kidney function indicators were slightly elevated: Blood Urea Nitrogen (BUN) was 17 (normal range is within 20), Creatinine was 1.16 (normal range is within 1.20), and Glomerular Filtration Rate (GFR) was 83 (norma...


Dr. Hong Yuanbin Reply:
Hello, based on the slight changes in your blood test results, particularly in creatinine levels, it is suggested that this may be due to mild dehydration. It is recommended to maintain a regular habit of drinking water, engage in consistent exercise, and follow a regular daily r...

[Read More] Understanding Kidney Function: Interpreting Your Blood Test Results


Understanding Lower Body Numbness: Symptoms and Recommended Health Checks

Numbness in the lower half of the body, including the neck and abdomen? In recent months, the symptoms have become more frequent, especially when lying down, which significantly affects sleep quality. There is a tingling sensation from the abdomen down to the legs; it's not ...


Dr. Xie Rongyuan Reply:
Hello: The tingling sensation in both feet may indicate nerve compression, so it is best to consult a neurologist. As for the abdominal pain and bloating, you may need to see a gastroenterologist to check for peptic ulcers or Helicobacter pylori infection. Additionally, for abnor...

[Read More] Understanding Lower Body Numbness: Symptoms and Recommended Health Checks


Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case

Very thin with high cholesterol? Hello doctor, I am 22 years old, 176 cm tall, and weigh 49 kg, which is quite thin. However, my total cholesterol is 201, which exceeds the standard. Due to my work schedule, I often have irregular sleeping patterns and eat convenience store food....


Dr. Wu Jiyu Reply:
In response to your inquiry regarding oral isotretinoin, it is important to note that a small percentage of patients may experience an increase in blood lipids. It is advisable to monitor lipid levels after discontinuing the medication; if levels decrease, this may indicate a rel...

[Read More] Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case


Understanding Lower Back Pain and Hand Numbness: Causes and Solutions

Lower back pain with hand numbness? Hello, I have been experiencing a dull pain in my left lower back since Tuesday. At night, whether I sleep on my side or on my back, I feel pain, but it is less when I lie on my right side. Additionally, I have mild numbness in my left hand. Wh...


Dr. He Yonghe Reply:
Hello, please go to the internal medicine department for an examination.

[Read More] Understanding Lower Back Pain and Hand Numbness: Causes and Solutions


Understanding Neck Pain and Throat Issues After Sneezing: Expert Insights

Please ask your two questions? Hello, I would like to ask the doctor about something. When I sneeze or blow my nose forcefully, I sometimes feel a connection in the area just above the left side of my neck. Today, I felt a slight dizziness or pain at the top of my head, but it on...


Dr. Hong Yuanbin Reply:
Hello, regarding your symptoms, they do not resemble those associated with vaccine-related thrombosis. They are more similar to migraine issues caused by irregular sleep patterns or stress. It is indeed recommended to maintain a regular schedule and engage in moderate exercise, w...

[Read More] Understanding Neck Pain and Throat Issues After Sneezing: Expert Insights


Understanding Throat Irritation and Blood in Mucus: Causes and Solutions

Nasal and throat issues? Hello doctor, sometimes when I stay up late at night working on design assignments, I suddenly feel an itch in my throat before going to sleep, so I take throat lozenges and go to bed. The next morning, when I wake up and touch the area at the back of my ...


Dr. Hong Yuanbin Reply:
Hello, it is indeed difficult for the tongue to reach the back of the throat; what you are likely touching is the gums. Typically, the gums can become more swollen during late nights or periods of high stress. If you frequently press your tongue against them, it can lead to sligh...

[Read More] Understanding Throat Irritation and Blood in Mucus: Causes and Solutions


Understanding Thyroid Index: When to Seek Medical Advice?

Thyroid index The laboratory tests showed a TSH level of 1.90 (normal reference range: 0.27–4.20) and a Free T4 level of 1.73 (normal reference range: 0.93–1.70). You mentioned experiencing insomnia the day before the blood draw and having poor sleep quality throughout the week. ...


Dr. Li Jian Reply:
Currently, the index does not require treatment; follow-up can be done in about three to six months.

[Read More] Understanding Thyroid Index: When to Seek Medical Advice?


Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights

Cushing's syndrome endocrine disorder Hello, doctor. For the past month, I have not had my period. My face appears round, and I have what seems to be "buffalo hump" at my collarbone. My mood has become depressed and irritable. My hands have become dry and even crac...


Dr. Lin Jianliang Reply:
Hello: It is recommended to visit a hospital for evaluation and examination by a physician. A diagnosis can only be made after a thorough consultation and examination; one should not rely solely on personal subjective feelings to make a diagnosis.

[Read More] Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights


Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey

Discomfort after receiving the BNT vaccine? Hello Dr. Hong, I received my first dose of the BNT vaccine on June 20 at 15:58, and I began experiencing pain under my left clavicle at 16:08. Twelve hours after the first dose, I developed a fever and redness and swelling at the injec...


Dr. Hong Yuanbin Reply:
Hello, muscle and joint pain after vaccination is quite common. However, if you have been experiencing pain for two months and it is getting worse, it may be necessary to consider that it might not be solely caused by the vaccine and that other underlying conditions could be invo...

[Read More] Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey


Managing Significant Weight Loss: When to Seek Medical Advice?

Please consult the outpatient clinic for significant weight loss evaluation? Hello, doctor. In February of this year, I weighed 116 kg, and I currently weigh 87 kg (I have lost 30 kg over 8 months). My current BMI is 25.9. During my weight loss journey, I have made the following ...


Dr. Li Jian Reply:
1. It is better to reduce the BMI to below 24 and the waist circumference to below 90 centimeters. 2. Rapid weight loss may lead to decreased thyroid function.

[Read More] Managing Significant Weight Loss: When to Seek Medical Advice?


Understanding Sleep Duration and Quality: Is Timing Really Important?

Sleep duration and sleep length? It is commonly heard from doctors or elders that one should go to bed early and wake up early, with the advice to be in bed before 11 PM, otherwise it is considered staying up late. However, modern lifestyles have significantly changed compared to...


Dr. Hong Yuanbin Reply:
Hello, according to the current state of modern individuals, sufficient sleep quality is indeed the most important factor, and most people need a regular routine to maintain sleep quality. Therefore, a regular schedule is recommended. As for whether going to bed early and waking ...

[Read More] Understanding Sleep Duration and Quality: Is Timing Really Important?


Understanding Left Chest Pain and Its Possible Causes: When to Seek Help

Chronic pain in the left chest area and underarm? Hello Dr. Hong, about a week ago I suddenly experienced pain in the upper left back, specifically in the area of the scapula. Subsequently, I began to feel sharp pain in the corresponding left anterior chest. Over the past two day...


Dr. Hong Yuanbin Reply:
Hello, based on your description, there are two likely possibilities. The first is a muscle strain, which is characterized by increased pain during movement. The second possibility is pleuritis, which may have resulted from a previous respiratory infection, and is characterized b...

[Read More] Understanding Left Chest Pain and Its Possible Causes: When to Seek Help


Joint Pain and Stiffness: When to Seek Further Medical Evaluation

The finger joints are swollen and painful, but the doctor said it is not rheumatoid arthritis? Hello Doctor, since late last year, I have noticed stiffness in my finger joints upon waking up, which was mild at first. Recently, the frequency has increased, and almost every day my ...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. An ANA value of 1:80 falls into a gray area. However, if you continue to experience joint pain and stiffness, along with occasional nighttime pain that disrupts your sleep, I recommend that you visit a rheumatology clinic to discuss your concern...

[Read More] Joint Pain and Stiffness: When to Seek Further Medical Evaluation


Understanding Unexplained Symptoms: Which Specialist Should You See?

My mother is 52 years old and has various health issues. Which specialty should she see? Symptoms: I often smell irritating odors (such as sewage, chili pepper, and a cool scent) and sometimes cough due to these irritating smells. Occasionally, it feels like I am being burned by ...


Dr. Li Jian Reply:
If there are abnormal skin sensations, one can consult a neurologist. If there are abnormalities in the sense of smell, one can see an otolaryngologist.

[Read More] Understanding Unexplained Symptoms: Which Specialist Should You See?


Struggling with Sleep: Tips to Regain Healthy Sleep Patterns

Sleep issues I have always gone to sleep around 2 AM, but recently, after sleeping for about an hour, I wake up from dreaming. In the morning, I keep waking up and only feel rested after noon. For the past couple of days, I've been trying to adjust my sleep schedule, but I f...


Dr. Hong Yuanbin Reply:
Hello, regarding the adjustment of your sleep schedule, there are a few suggestions I can offer: 1. Try to avoid sleeping after 7-8 AM, especially avoid taking naps. This way, you will be able to sleep better at night. If you feel sleepy during the day, consider going for a wal...

[Read More] Struggling with Sleep: Tips to Regain Healthy Sleep Patterns


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