Understanding Numbness in Hands and Feet During Heat and Illness
I would like to ask about the issues of hand and foot numbness? Hello, I would like to ask a question. My body seems to have a strange reaction; whenever I exercise under the hot sun, I experience numbness in my hands and feet, particularly in the fingertips. This sensation becom...
Dr. Chen Shunsheng Reply:
Exercising under the hot sun can lead to numbness in the fingertips and toes, which becomes more severe during fever. This is likely due to temperature sensitivity polyneuropathy. The abnormal proteins produced during heat exposure, particularly pyrogenic abnormal proteins (pyopr...[Read More] Understanding Numbness in Hands and Feet During Heat and Illness
Understanding Epilepsy: Seeking Diagnosis and Resources After a Seizure
Epilepsy A few days ago, I visited a clinic due to nasal congestion and reflux symptoms. After receiving injections of Dexamethasone and Ketoprofen from the nurse, I experienced dizziness and lost consciousness before I could inform anyone. After being treated, the doctor told me...
Dr. Ye Poxiu Reply:
(1) In simple terms, a diagnosis of epilepsy can be made if a patient experiences multiple episodes of similar seizures or altered consciousness, and other causes such as drug effects or metabolic disorders have been ruled out. (2) An accurate diagnosis of epilepsy relies on a th...[Read More] Understanding Epilepsy: Seeking Diagnosis and Resources After a Seizure
Understanding Rare Disorders: When Children's Behavior Mimics Monkeys
The child's behavior is becoming increasingly monkey-like? Hello Dr. Jian, I have a friend whose son is currently about 4-5 years old. His mother has noticed that the child's behavior and appearance are increasingly resembling that of a monkey. For example, he is very a...
Dr. Jian Yingxiu Reply:
There are many potential causes of developmental delays in intelligence. A diet consisting solely of fruits may lead to abnormal protein metabolism, causing the child to stop consuming protein on their own. Please take the child to a pediatric genetic specialist at a major medica...[Read More] Understanding Rare Disorders: When Children's Behavior Mimics Monkeys
Understanding Progeria: Diagnosis Challenges and Insights
Please help me? Dr. Jian: Is it possible to diagnose "progeria," this rare disease, in the field of medicine, or must one wait until symptoms appear to determine if it is indeed "progeria"? This condition involves metabolic abnormalities, but why are metabolic...
Dr. Jian Yingxiu Reply:
Progeroid syndromes encompass a variety of diseases collectively referred to as progeroid-like syndromes. Some of the pathogenic genes are known, while others remain unclear. Patients with typical progeroid syndromes are born with normal weight and appearance, but usually begin t...[Read More] Understanding Progeria: Diagnosis Challenges and Insights
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello, Dr. Yeh: About two months ago, I experienced an increased heart rate, palpitations, and chest tightness, and I became very easily anxious. I thought it might be hyperthyroidism or heart disease. I consulted a doctor who prescribed medic...
Dr. Ye Poxiu Reply:
Hello: 1. There are numerous conditions that can lead to autonomic nervous system dysfunction, such as acute illnesses causing discomfort, hyperthyroidism, physiological dysfunction, insufficient sleep and rest, chronic stress, anxiety or agitation, and medications that are uns...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Improving Quality of Life for Patients with Ataxia: Tips and Treatments
How to improve the condition? Dear Dr. Chen, I would like to express my gratitude to Dr. Lu Ching-Song and his colleagues at Linkou Chang Gung Memorial Hospital for their assistance. My medical record number is 1457244, and it has been confirmed that I am a patient with Spinocer...
Dr. Chen Shunsheng Reply:
There are no specific curative medications available. Typically, antioxidants such as vitamin E and coenzyme Q10 or its derivative idebonone are used for symptomatic treatment. Symptomatic management may involve trialing medications like sodium valproate, baclofen, and L-dopa. Or...[Read More] Improving Quality of Life for Patients with Ataxia: Tips and Treatments
Understanding Favism: Causes, Symptoms, and Daily Precautions
Favism What is Favism? Favism is a condition that occurs due to a deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD). This enzyme deficiency can lead to hemolytic anemia, especially after the consumption of fava beans or exposure to certain infections, medication...
Dr. Jian Yingxiu Reply:
The formal medical term for Favism is "Glucose-6-Phosphate Dehydrogenase Deficiency," abbreviated as G6PD deficiency. G6PD is an enzyme that assists in the metabolism of glucose in the human body, producing a substance that protects red blood cells. Patients with Favism...[Read More] Understanding Favism: Causes, Symptoms, and Daily Precautions
Caring for MS Patients: Insights and Considerations for Management
Care for Patients with Multiple Sclerosis (MS) Dear Dr. Hou, It is quite rare to find a specialist in multiple sclerosis (MS), and I have several questions to ask you regarding a patient. The patient is a 67-year-old female who underwent surgery for unknown causes of syringomyel...
Dr. Hou Zhigong Reply:
Hello! First of all, I would like to express my sympathy for your recent experiences and hope that your confidence and willpower can strengthen as you fight against this illness. Due to my lack of detailed information regarding your medical history, neurological examinations, and...[Read More] Caring for MS Patients: Insights and Considerations for Management
Understanding Kawasaki Disease: Symptoms, Risks, and Long-Term Effects
Kawasaki disease What is Kawasaki disease? Does Kawasaki disease have any long-term complications?
Dr. Chen Jiayu Reply:
Kawasaki disease was first described by Dr. Tomisaku Kawasaki in Japan in 1967 and was later confirmed in the early 1970s in the United States. It is now recognized worldwide. Most cases occur in young children, particularly those under the age of 2. The etiology of Kawasaki dise...[Read More] Understanding Kawasaki Disease: Symptoms, Risks, and Long-Term Effects
New Insights on Familial Hypercholesterolemia Treatment for Children
Homozygous Familial Hypercholesterolemia Dear Dr. Hou, I have a very lovely daughter who is 3 years old. A year ago, we discovered that she has familial hypercholesterolemia. After medical evaluation, her results were as follows: SGOT: 45, SGPT: 16, Total Cholesterol: 766, Trigl...
Dr. Hou Jiawei Reply:
Familial hypercholesterolemia is an autosomal dominant metabolic disorder that is not uncommon in the general population. It requires dietary management, and when cholesterol levels exceed 200 mg/dL, or when high-density lipoprotein (HDL) is low (less than 35 mg/dL) and low-densi...[Read More] New Insights on Familial Hypercholesterolemia Treatment for Children
Understanding Mucinous Adenocarcinoma: Treatment Options and Disability Benefits
Adenocarcinoma What is abdominal mucinous adenocarcinoma, what are the treatment options, and is it possible to apply for a disability certificate?
Dr. Qian Xinnan Reply:
Mucinous adenocarcinoma of the peritoneum is characterized by the presence of adenocarcinoma lesions in the peritoneal cavity, with mucinous components identified in the pathological tissue. Common sites for mucinous adenocarcinoma include the stomach, lungs, peritoneum, ovaries,...[Read More] Understanding Mucinous Adenocarcinoma: Treatment Options and Disability Benefits
Understanding Cholangiocarcinoma: Causes, Symptoms, and Prevention
How do bile duct tumors occur? Hello, Doctor Qian. I would like to ask how bile duct tumors occur? How are the symptoms diagnosed? What are the prevention methods? Thank you.
Dr. Qian Xinnan Reply:
Dr. Hwang Hsing-Hua from the Tri-Service General Hospital's Department of General Surgery responds as follows: Bile duct tumors are one of the causes of bile duct obstruction and are relatively rare. Generally, the incidence increases with age, and the occurrence rate is sim...[Read More] Understanding Cholangiocarcinoma: Causes, Symptoms, and Prevention
Understanding Smoke Disease: Causes, Treatments, and Genetic Concerns
Smoke disease Dr. Chen would like to ask the following questions: 1. What is smoke disease? 2. What are the causes of smoke disease? (Some doctors suggest it may be a sequela of an untreated cold.) 3. Besides taking aspirin, what else can help with the condition? 4. I have unde...
Dr. Chen Shunsheng Reply:
Moyamoya disease, commonly referred to as "moyamoya angiopathy," was named by Japanese physician Dr. Suzuki in 1969. Moyamoya disease is a chronic cerebrovascular occlusion, primarily affecting the internal carotid arteries, which are the main arteries supplying blood t...[Read More] Understanding Smoke Disease: Causes, Treatments, and Genetic Concerns
Persistent Forehead Swelling After Injury: Rare Condition Insights
Forehead injury? I accidentally bumped my forehead against a wall, and it swelled up. I thought it was normal and would go down after a few days, but it has remained swollen for two years now. Is there any way to resolve this? This has been bothering me for a long time. Thank you...
Dr. Qian Xinnan Reply:
Two years ago, there was swelling in the forehead area due to a collision, and it remains swollen to this day. The impact on the head raises concerns about potential vascular damage leading to intracranial hemorrhage. At the time of the incident, there were no immediate issues, s...[Read More] Persistent Forehead Swelling After Injury: Rare Condition Insights
Understanding the Impact of Sulfite Oxidase Deficiency Beyond the Nervous System
Sulfite oxidase Hello Dr. Lin: May I ask, besides the toxic reactions in the nervous system, what other organs or tissues may be affected in a 3.5-year-old child with sulfite oxidase deficiency?
Dr. Lin Xuanpei Reply:
We have received your message and will do our best to assist you. However, we are unable to read the Chinese medical terms. Please provide the full English names so we can respond accordingly.[Read More] Understanding the Impact of Sulfite Oxidase Deficiency Beyond the Nervous System
Concerns Over SARS Exposure: A Call for Transparency and Safety
SARS (Severe Dear Director, I am writing anonymously as a member of the Matsu Defense Command due to concerns about potential repercussions for speaking out. Recently, I saw news reports about a SARS incident at Peace Hospital. Notably, one of my fellow soldiers, Corporal Yen Fa...
Dr. Wang Baotian Reply:
We recommend that you address your concerns to the health authorities.[Read More] Concerns Over SARS Exposure: A Call for Transparency and Safety
Understanding Statutory Infectious Diseases in Taiwan: A Comprehensive Overview
Statutory infectious diseases What are the currently recognized statutory infectious diseases in the country?
Dr. Wang Baotian Reply:
In Taiwan, legally mandated infectious diseases are classified into four categories, comprising over thirty types. This includes rabies, cholera, smallpox, plague, typhoid fever, malaria, scarlet fever, and diphtheria, among others. Among these four categories, Category I is the ...[Read More] Understanding Statutory Infectious Diseases in Taiwan: A Comprehensive Overview
Understanding Otosclerosis: Treatment Options and Medication Insights
Otosclerosis Hello Dr. Jian: A classmate's mother has otosclerosis, and I would like to ask you: 1. How is this condition treated? 2. Are there any medications that can help manage it? 3. If medication is available for management, can the doctor prescribe a long-term prescri...
Dr. Jian Yingxiu Reply:
Most patients with otosclerosis can be treated surgically by drilling a small hole in the stapes footplate and inserting a piston to replace the function of the hardened ossicle. For patients who are unable or unwilling to undergo surgery, hearing aids can be used. As for the ora...[Read More] Understanding Otosclerosis: Treatment Options and Medication Insights
Understanding Rare Neurological Disorders: A Patient's Struggle
Nerve Hello, Dr. Yeh. My condition involves erratic electrical discharges from my lumbar spine, and I feel a lot of movement in my abdominal cavity as well as in my right side. The sensations are highly variable; sometimes they come and go, which has made it difficult for me to s...
Dr. Ye Poxiu Reply:
Hello Grace: Regarding your question, I am unable to provide an answer here. I recommend that you visit a neurology or psychiatry outpatient clinic at a relevant medical institution for further evaluation and treatment.[Read More] Understanding Rare Neurological Disorders: A Patient's Struggle