Understanding Carotid Ultrasound Reports: Insights on Stroke Risk and Atherosclerosis
Carotid Ultrasound Report Hello Doctor, I have high cholesterol (not on medication, 280), and there is a history of stroke in my family (grandfather and father). Recently, I often feel dizzy several times a day, each episode lasting several seconds. This is the report from my tra...
Dr. Yu Liying Reply:
Hello Ms. Chen, the causes of dizziness are diverse and may indeed be related to cerebral blood circulation. It is advisable for you to visit a neurologist in person. The doctor will conduct a thorough history taking, along with physical and neurological examinations, to provide ...[Read More] Understanding Carotid Ultrasound Reports: Insights on Stroke Risk and Atherosclerosis
Managing Dizziness and Appetite Loss After Mild Stroke in Seniors
Consultation for family members? Hello, doctor. My father is 61 years old. Recently, he has been feeling dizzy every day. He was hospitalized in the neurology department, and the examination results showed a mild cerebral infarction, carotid artery atherosclerosis, and elevated b...
Dr. Zeng Guosen Reply:
The user has reported that their blood pressure and blood sugar levels are well controlled after taking medication, but they still feel dizzy, indicating that there may be other unresolved issues. It is recommended to return for a follow-up appointment with a neurologist, who wil...[Read More] Managing Dizziness and Appetite Loss After Mild Stroke in Seniors
Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Medication-related issues in ankylosing spondylitis? Hello, doctor. I am #191897. 1. During my previous visit, I asked the doctor about the medication Celebrex (celecoxib). The doctor believed that my condition was not severe enough to require the use of Salazopyrin (sulfasalaz...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. When I previously consulted with my doctor regarding the use of Salazopyrin (Salar), the doctor believed that my condition was not severe enough to warrant its use, so I was prescribed Celebrex instead. However, I am a...[Read More] Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Concerns About Eating Undercooked Pork: Do You Need to See an Infectious Disease Specialist?
Eating undercooked pork in barbecue? When eating barbecue, I thought it was beef and consumed it medium-rare, only to later find out it was pork! Doctor, I have two questions: 1. Is it necessary to see an infectious disease specialist for this situation? 2. Is the prevalence of t...
Dr. Liao Zhongxin Reply:
1. According to the information from the Centers for Disease Control in Taiwan, a member of the indigenous community in Hualien County, Peng Zhaoxi, frequently consumed raw wild boar meat. Over a month ago, he developed a hard lump on the inner side of his left thigh. After exami...[Read More] Concerns About Eating Undercooked Pork: Do You Need to See an Infectious Disease Specialist?
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 Autoimmune Disorders: Questions to Ask Your Doctor
Immune system? Hello, Doctor: I previously asked you about issues related to rheumatology and immunology, specifically about skin pain and itching. I believe I may have lupus erythematosus, and the doctors have suggested further monitoring. The patient has been experiencing persi...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is autonomic nervous system dysfunction included in immune system diseases, or should I consult another specialty? --> Autonomic nervous system dysfunction is not related to the immune system, but immune system di...[Read More] Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Understanding Neck Pain: Causes, Concerns, and When to Seek Help
Neck pain issues? Hello, I would like to ask the doctor about something. This morning, while I was working in my usual office administrative role, where I frequently use the computer, I suddenly felt a tightness and pain in the left back of my neck for a brief moment. It lasted a...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that prolonged immobility in a certain posture has led to muscle tension. I recommend incorporating regular movement into your work routine to prevent this issue. If the muscle tightness persists without improvement, it may be necessary ...[Read More] Understanding Neck Pain: Causes, Concerns, and When to Seek Help
Understanding Delayed Reactions to COVID-19 Vaccines in Elderly Patients
Adverse Reactions Following COVID-19 Vaccination Dear Doctor, My mother is 84 years old and has been taking anticoagulants due to a stroke. On June 20, she received her fourth dose of the vaccine; the first three doses were AstraZeneca, AstraZeneca, and Moderna. She did not expe...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the issue is not a delayed reaction but rather an enlargement of the bruise due to long-term use of anticoagulant medication. Could you please specify which anticoagulant your mother is taking? Most commonly, it is Coumadin (warfari...[Read More] Understanding Delayed Reactions to COVID-19 Vaccines in Elderly Patients
Understanding Coughing Up Blood: Causes and Medical Guidance
For vomiting blood or coughing up blood, which medical specialty should be consulted? I would like to ask about my father, who is 67 years old and has been coughing up blood. He was hospitalized in the chest medicine department for two weeks. After returning home, he seemed to re...
Dr. Hong Yuanbin Reply:
Hello, I would like to ask if your father often experiences severe coughing or frequently produces phlegm? If so, this could be due to damage to the mucosal epithelium causing bleeding, which needs to be addressed along with the original cough issue and reducing the frequency of ...[Read More] Understanding Coughing Up Blood: Causes and Medical Guidance
Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered
Inquire about blood lipid and blood glucose issues? Hello: I have a lipid issue and have been taking traditional Chinese medicine and Lipitor for about six months. My last blood test results on February 21 showed: LDL: 185, HDL: 60, total cholesterol: 249, triglycerides: 67, bloo...
Dr. Lin Jianliang Reply:
Hello: Your blood glucose is currently within the fasting range of 70-100 mg/dL, and your hemoglobin A1c is between 4-6%. Whether there are issues with your blood vessels can be determined based on your symptoms or through examinations. Generally, these conditions require long-te...[Read More] Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered
Understanding Nerve Sensations: When to Seek Medical Advice
Please ask your question? Hello, doctor. I would like to ask you a few questions. I visited a place today where an accident recently occurred, and I became quite anxious. After taking a hot shower and then washing my hands with cold water, I noticed a slight tingling sensation on...
Dr. Hong Yuanbin Reply:
Hello, the condition you mentioned is primarily caused by sudden exposure to cold water, leading to vasoconstriction and nerve tingling. This is not a stroke or a cervical spine issue; it is a normal physiological response. Thank you for your inquiry.[Read More] Understanding Nerve Sensations: When to Seek Medical Advice
Understanding HIV Transmission Risks in Barbershops: Key Questions Answered
Inquiry about routes of HIV transmission? Hello, Director. I apologize for asking a few questions. 1) A few days ago, while getting a haircut, I was accidentally scraped on my cheek and neck with a folding razor. The razor had been used by the previous customer about 2 minutes ...
Dr. Lin Wufu Reply:
Hello: 1. Razors can cause small cuts and bleeding, which means there is a risk of transmitting HIV or other bloodborne diseases through sharing razors. It is recommended to avoid sharing razors with others. 2. This cannot be statistically quantified, as individuals infected with...[Read More] Understanding HIV Transmission Risks in Barbershops: Key Questions Answered
Managing Chronic Illness in Hot Environments: Risks and Tips
Chronic diseases in hot environments? Hello, I have renal tubular dysfunction (currently around stage 3 chronic kidney disease) and diabetes. Due to my job, I need to spend about half an hour outdoors in the sun or in hot environments every noon for business. After finishing my w...
Dr. Wu Jiyu Reply:
Regarding the care of diabetes combined with chronic kidney disease, please pay attention to the control of the "three highs" (high blood sugar, high blood pressure, and high cholesterol) to prevent the worsening of the condition. If you need to work in a hot environmen...[Read More] Managing Chronic Illness in Hot Environments: Risks and Tips
Managing High Cholesterol: Diet, Supplements, and Testing Tips
Cholesterol reduction issues? Hello, Doctor. I found out I have high cholesterol after my health check-up at the end of July. My total cholesterol is 234 mg/dL, HDL (good cholesterol) is 51 mg/dL, and LDL (bad cholesterol) is 172 mg/dL. It is not familial hypercholesterolemia. I ...
Dr. Hong Yuanbin Reply:
Hello, 1. Red yeast rice and similar nutritional supplements can partially help improve blood lipid levels, but their effects are not as exaggerated as advertised. It is recommended to focus on exercise, maintain a regular routine, and avoid a diet primarily consisting of fried...[Read More] Managing High Cholesterol: Diet, Supplements, and Testing Tips
Understanding Blood Pressure and Head Pain: When to Worry?
Blood pressure brain issues Hello doctor, after eating or sometimes when the air conditioning blows for too long, I suddenly feel a slight pain in the blood vessels in my head. In my follow-up with family medicine, the doctor has not recommended that I take antihypertensive medic...
Dr. Hong Yuanbin Reply:
Hello, your question can be addressed from several angles: 1. Regarding the headache you mentioned, headaches caused by prolonged exposure to air conditioning are typically due to temperature changes leading to the constriction or dilation of blood vessels in the head. This pain...[Read More] Understanding Blood Pressure and Head Pain: When to Worry?
High White Blood Cell Count: Should You Be Concerned?
Last October, during the school health check-up, my white blood cell count was elevated? Hello Doctor, during my health check-up last October, my white blood cell count was elevated to 18,000. I had a fever and cold in September but did not seek medical attention and just rested....
Dr. Hong Yuanbin Reply:
Hello, white blood cells are an indicator of inflammation, and they will increase whenever there is inflammation in the body. The most common cause is infection, such as a cold, which can lead to an elevation in white blood cell count. Other common causes include dehydration, hea...[Read More] High White Blood Cell Count: Should You Be Concerned?
Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Shock Prevention How can physicians prevent the occurrence of various types of shock?
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here are the details: Shock can be classified into several types: (1) Cardiogenic shock: The heart is unable to provide sufficient cardiac output, such as in cases of myocardial infarction, arrhythmias, and heart failure. (2) Hypovolemic shock: Flu...[Read More] Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Choking Risks: Sneezing While Eating and Its Health Implications
Choking on a sneeze in the trachea? Hello, Doctor Hong. While I was having breakfast, I suddenly felt the urge to sneeze. However, since I had food in my mouth, I didn't open my mouth like I usually do. Later, my sister told me that this could be dangerous and might lead to ...
Dr. Hong Yuanbin Reply:
Hello, the human trachea is very sensitive, and even a small foreign object can trigger a severe reaction, such as coughing. Additionally, the epiglottis protects the trachea, making the chances of foreign objects entering it quite low. Based on your description, it seems unlikel...[Read More] Choking Risks: Sneezing While Eating and Its Health Implications
Managing Concurrent Tuberculosis and Stroke: Challenges and Solutions
The coexistence of pulmonary tuberculosis and cerebrovascular accident (stroke)? Hello, Director. A family member has a history of pulmonary tuberculosis, which was previously treated and resolved. However, they suddenly suffered a stroke, which has made it difficult for them to ...
Dr. Lin Wufu Reply:
Hello, I don't quite understand your question. In principle, the treatment for pulmonary tuberculosis does not conflict with the treatment for a stroke. Anticoagulants or platelet inhibitors do not affect pulmonary tuberculosis (unless the tuberculosis poses a risk of signif...[Read More] Managing Concurrent Tuberculosis and Stroke: Challenges and Solutions
Understanding Persistent Fatigue and Heat Sensation After Napping
Feeling hot in the head? Hello, doctor... A week ago, after waking up from a nap, I started feeling a warm sensation in my head and overall weakness, feeling very fatigued. These symptoms have persisted until now, and I feel like I have a fever, but my body temperature is normal ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, you were completely normal until a week ago when you started experiencing fatigue and a feeling of fever. It is highly suspected that you may have an infection, especially since the flu is currently prevalent. The common symptoms of the flu inclu...[Read More] Understanding Persistent Fatigue and Heat Sensation After Napping