Sleep, Internal Medicine FAQ - Page 8

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Can Zinc Deficiency Cause Atrophic Glossitis and Oral Candidiasis?

The issue of zinc? I have been experiencing intermittent pain in my tongue and have consulted both an otolaryngologist and an oral surgeon, but they could not determine the cause. The pain has been fluctuating, and recently the affected area has started to resemble the image at t...


Dr. Hong Yuanbin Reply:
Hello, zinc deficiency can indeed cause the symptoms you described. However, it is still uncertain whether your symptoms are truly due to zinc deficiency. It may be advisable to go to a larger hospital to test your blood zinc levels for confirmation. In Taiwan, the likelihood of ...

[Read More] Can Zinc Deficiency Cause Atrophic Glossitis and Oral Candidiasis?


Understanding Eye Symptoms After Late Nights: What You Need to Know

Questions about issues after staying up late? Hello, Doctor. I would like to ask you two questions. The first one is that when I looked in the mirror while showering this morning, I noticed some red streaks and a slight yellow tint around the edges of my eyes. I'm concerned ...


Dr. Hong Yuanbin Reply:
Hello, based on your photo, your sclera primarily shows blood vessels and is not indicative of jaundice, although it appears slightly cloudy. However, this is not jaundice. Considering the situation you described, it is likely a physiological change caused by staying up late. The...

[Read More] Understanding Eye Symptoms After Late Nights: What You Need to Know


Understanding Pain from Submandibular Lymphadenitis: Duration and Relief

Severe pain in the submandibular lymph nodes? Hello, I have been experiencing pain only in the area below my ear, and it has gotten so severe that I was awakened by the pain the night after it started, making it difficult to sleep. The day before, I visited a clinic, and they dia...


Dr. Lin Wufu Reply:
Hello: Lymphangitis often takes nearly a week to show significant improvement! Additionally, be cautious about the possibility of a bacterial infection or mumps, among other conditions. Medication can help alleviate pain, but it may not provide immediate relief. It is recommended...

[Read More] Understanding Pain from Submandibular Lymphadenitis: Duration and Relief


Understanding Candida Infections: Persistent Anal Itching Solutions

Candida parapsilosis Hello, doctor. I have been troubled by this issue for several months. The symptom is "anal itching." I have seen several proctologists who prescribed various topical medications, but the itching persists. Eventually, after consulting all the doctors...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you have already used topical ointments but are still experiencing significant itching. At this point, you may consider using oral antihistamines for relief. Regarding the diagnosis, theoretically, given your age, it shouldn't be that diffic...

[Read More] Understanding Candida Infections: Persistent Anal Itching Solutions


Managing Kidney Health: Concerns About Sports Drinks and Weight Loss

Kidney issues, diabetes, and constitutional problems? Hello Dr. Lee, I would like to ask you: 1. For the past two years, I have been drinking sports drinks mixed with some water from morning till night. I have developed a habit of drinking sports drinks, and drinking plain water ...


Dr. Li Jian Reply:
Drinking plain water may cause nausea; it is advisable to consult a gastroenterologist. Long-term consumption of sugary beverages can increase the risk of developing fatty liver disease, diabetes, and other chronic conditions. If there has been a significant recent weight loss, i...

[Read More] Managing Kidney Health: Concerns About Sports Drinks and Weight Loss


Understanding Positive COVID-19 Rapid Test Results: A Patient's Journey

Positive result on COVID-19 rapid test? Hello Dr. Hong, I hope you are well. I am currently in Indonesia and am using online consultation services, so I hope to gain a deeper understanding. I apologize for the lengthy description. Starting on the evening of June 12, I experienc...


Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, they do resemble a COVID-19 infection; however, we still need to wait for the PCR test for confirmation. The medications you mentioned are all for relieving cold symptoms. If you have cold symptoms, they can be taken to alleviate discom...

[Read More] Understanding Positive COVID-19 Rapid Test Results: A Patient's Journey


Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help

Shortness of breath lasting for one week + occasional chest pain? On the night of the 7th, I woke up feeling somewhat short of breath for no apparent reason. I hadn't turned on the air conditioning, and it didn't feel like my usual nasal congestion, but it felt very obs...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the main issue is subjective discomfort. I recommend measuring your body temperature and blood oxygen levels. If both are normal, you may consider an outpatient consultation. It could be caused by anemia or hyperthyroidism. However,...

[Read More] Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help


Persistent Symptoms After Negative COVID-19 Tests: What to Do?

Negative rapid test for COVID-19 and normal test results, yet persistent illness? Hello Dr. Hong, First of all, I do not have any chronic illnesses, a travel history, or overlapping exposure to confirmed cases. I live in Taichung City, which is not a hot zone, and I was in good ...


Dr. Hong Yuanbin Reply:
Hello, I'm not sure if the two tests you received were rapid antigen tests (ELISA) or PCR tests. If they were antigen tests, there is indeed a high chance of false negatives, and you may need to consider getting an RT-PCR test for confirmation. If both tests were PCR, the ch...

[Read More] Persistent Symptoms After Negative COVID-19 Tests: What to Do?


Understanding Unexplained Dizziness: Symptoms and When to Seek Help

Sometimes I experience unexplained dizziness? Hello Doctor: Recently, I have been experiencing occasional dizziness, sometimes accompanied by nausea or pain in the temples. I would like to know what these symptoms might indicate and what type of specialist I should see if I need ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the dizziness may be caused by irregular sleep patterns or stress factors. If you maintain a regular schedule, engage in moderate exercise, and manage stress, it should improve. If you need further evaluation, you can schedule an ap...

[Read More] Understanding Unexplained Dizziness: Symptoms and When to Seek Help


Understanding Chronic Eczema: Treatment, Management, and Concerns

Chronic eczema consultation? Hello, Doctor. I would like to consult you about psoriasis. About six months ago, I visited a dermatologist who diagnosed it as chronic eczema. The doctor prescribed two ointments for me. Initially, after applying them, I felt that the flaking had dim...


Dr. Hong Yuanbin Reply:
Chronic eczema refers to chronic inflammation of the skin and is not a specific disease. In contrast, the conditions you mentioned, psoriasis and lupus, are specific diseases that must be diagnosed by a qualified physician based on the overall clinical condition. However, based o...

[Read More] Understanding Chronic Eczema: Treatment, Management, and Concerns


Understanding Water Intoxication: Symptoms, Risks, and Recovery Tips

Concern about water intoxication? A week ago, I had a mild cold and saw a doctor. The doctor advised me to drink plenty of water, so I forced myself to drink about 5000 milliliters daily for around 5-6 days. Sometimes, I accidentally consumed over 1000 milliliters within an hour,...


Dr. Li Jian Reply:
For information related to water intoxication, you can consult the nephrology outpatient clinic.

[Read More] Understanding Water Intoxication: Symptoms, Risks, and Recovery Tips


Understanding Symptoms: Numbness, Low Fever, and Heart Issues

Numbness in the cheeks, unexplained fever, and heart rate issues? Around 1 AM on June 2, my family member received a notification from the "Taiwan Social Distancing" app indicating possible contact with a confirmed COVID-19 case. They went to work in the morning, but in...


Dr. Lin Wufu Reply:
Hello! It is common to experience palpitations and other discomforting symptoms during a fever. A single negative test result does not definitively confirm that you are negative for the virus. If you still have the same symptoms after 3-4 days (which is now), it is advisable to c...

[Read More] Understanding Symptoms: Numbness, Low Fever, and Heart Issues


Understanding Mild Throat Pain: Tonsil Stones or Something More?

Slight pain in the tonsils? Hello, Doctor. I would like to ask you about some symptoms I've been experiencing. A few days ago, I felt a slight discomfort on the right side of my throat or tonsil, and later I expelled a yellowish substance, which seemed to relieve the discomf...


Dr. Hong Yuanbin Reply:
Hello, the condition you described is likely caused by tonsillitis, which is usually triggered by a cold. The chance of cancer is very low. Additionally, some individuals may experience tonsillitis due to factors such as lack of sleep, stress leading to a weakened immune system, ...

[Read More] Understanding Mild Throat Pain: Tonsil Stones or Something More?


Understanding Blood Test Results: Concerns About Lymphocyte Levels and Health

Blood Test Report I would like to consult a doctor about my recent blood test results. I found some information online that sounds quite alarming, and I'm worried I might have leukemia. My monocyte count is 41%, and I also have eosinophils at 3%. Could this be related to my ...


Dr. Hong Yuanbin Reply:
Hello, your monocyte count is indeed abnormal. Common reasons for this include hematologic disorders or some atypical infections. However, you have previously been evaluated for hematologic disorders in the hematology department. As for atypical infections, they typically recover...

[Read More] Understanding Blood Test Results: Concerns About Lymphocyte Levels and Health


Understanding Atypical Infections and Blood Test Results: Key Insights

Follow-up on blood test results? Thank you for your response, Doctor. I'm not quite clear on what atypical infections are. Could it be related to my late sleeping habits after the New Year, or the fact that I had a wound when I had my blood drawn? Should I mention this to th...


Dr. Hong Yuanbin Reply:
Hello, atypical infections refer to infections caused by less common bacteria, with the most notable examples being Mycobacterium tuberculosis and Rickettsia. Regarding the wound, you can discuss it with a hematologist, although it may not necessarily be related to your report. A...

[Read More] Understanding Atypical Infections and Blood Test Results: Key Insights


Persistent Headaches and Nausea: Should You See a Doctor?

Experiencing headaches, nausea, and a desire to vomit for several consecutive days? Hello doctor, I have been experiencing dizziness and headaches for the past 2-3 days. The pain is located at the back of my head, and sometimes it feels like it's inside my brain. The pain pe...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed important to be cautious of subacute intracranial hemorrhage. I recommend returning to a major hospital for a follow-up, as you may need to undergo a CT scan or MRI of the brain to rule out the risk of intracranial bleeding. Thank yo...

[Read More] Persistent Headaches and Nausea: Should You See a Doctor?


Understanding Unexplained Elevated Body Temperature: Is It a Fever?

Unexplained elevated body temperature? Hello doctor, my body temperature has been unusually high in the past few days, measuring around 37.8 to 38.0 degrees Celsius with a forehead thermometer. However, I have no symptoms; I am not coughing, I don't have a headache, and impo...


Dr. Hong Yuanbin Reply:
Hello, this temperature is indeed on the higher side. It is recommended to measure with another thermometer. If the reading is still the same, it is advisable to visit an infectious disease clinic for further evaluation. Thank you for your inquiry.

[Read More] Understanding Unexplained Elevated Body Temperature: Is It a Fever?


Unraveling Mysterious Immune Reactions: Antibiotic Allergies or Autoimmune Disorders?

Is the strange illness experienced personally due to a drug allergy or an autoimmune disorder? Hello, doctor. I have encountered a strange immune reaction while taking medication and would like to ask for your advice. Earlier this year, I was on long-term antibiotics due to a pro...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. I suspect that you may have Reiter's syndrome, also known as reactive arthritis, and I recommend that you consult a rheumatologist at a major hospital. There are several reasons for my suspicion related to this condition, including chronic ...

[Read More] Unraveling Mysterious Immune Reactions: Antibiotic Allergies or Autoimmune Disorders?


Understanding Finger and Wrist Pain: Is It Rheumatoid Arthritis?

Regarding finger and wrist pain associated with rheumatoid arthritis? Dear Dr. Gao, Hello. Last June, during a routine check-up, I unexpectedly found out that my RF factor was positive. Subsequently, I visited the hospital, where the doctor arranged for additional blood tests. T...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. Here are the responses to your questions: 1. Regarding the fluctuations in your Anti-CCP test results: On March 7, the hospital test was normal; on April 20, your self-test showed a significantly elevated level; however, on April 24, another fa...

[Read More] Understanding Finger and Wrist Pain: Is It Rheumatoid Arthritis?


Understanding Sudden Tongue Bleeding: Causes and When to Seek Help

Sudden slight bleeding under the tongue? Hello Doctor, I just brushed my teeth and when I stuck out my tongue and moved it, I suddenly felt a burst of fluid coming from underneath. I noticed a slight bleeding near the area of the lingual frenulum or submandibular gland, and it se...


Dr. Hong Yuanbin Reply:
Hello, the spraying you mentioned is likely the salivary glands secreting saliva. As for the bleeding part, it is true that if you stay up late, experience high stress, or have a weakened immune system, your gums can easily bleed. Just make sure to get plenty of rest and exercise...

[Read More] Understanding Sudden Tongue Bleeding: Causes and When to Seek Help


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