Understanding Cyclic Vomiting Syndrome in a 5-Year-Old Child
Periodic Vomiting Syndrome in a Five-Year-Old Child My son was born in April 2019, and when he was over a year old, he began experiencing vomiting, accompanied by abdominal pain, headaches, and weakness leading to falls. I recorded the dates of the episodes and observed a 42-day ...
Dr. Liu Qingshan Reply:
Based on your description, your son began experiencing vomiting at over one year old, accompanied by abdominal pain, headaches, and weakness leading to falls. He is currently taking Domperidone, Neuquinon, and Pelion to manage his symptoms. The possible causes and recommendations...[Read More] Understanding Cyclic Vomiting Syndrome in a 5-Year-Old Child
Which Medical Specialty Should You Consult for Neurofibromatosis?
Which medical specialty should one consult for neurofibromas? Hello, Doctor: I would like to ask, I have a rare disease called neurofibroma, and I have seen many doctors. Most of them are seeing this for the first time or mentioned that they did not study this rare disease in med...
Dr. Liu Qingshan Reply:
1. Genetic and diagnostic issues: Consult a neurologist. 2. Aesthetic concerns: Consult a plastic surgeon or dermatologist. 3. Intracranial nerve tumor compression: Consult a neurosurgeon.[Read More] Which Medical Specialty Should You Consult for Neurofibromatosis?
Exploring Rare Oral Health Issues: Symptoms, Diagnosis, and Treatment
Diagnosis and Treatment of Oral Health Issues Hello Doctor, I have been experiencing symptoms for over five months now, but recently the bloody taste in my mouth has intensified. Sometimes it feels like it's coming from my throat, and at other times I sense a bloody taste in...
Dr. Chen Shunsheng Reply:
Your issue is quite complex and involves multiple specialties. It is recommended that you visit a medical center's Department of Oral Medicine and Otolaryngology in person. The primary concern is to rule out the possibility of head and neck tumors.[Read More] Exploring Rare Oral Health Issues: Symptoms, Diagnosis, and Treatment
Understanding PRUV: Key Considerations for Expecting Mothers After 28 Weeks
At 28 weeks, PRUV was only discovered, and genetic testing was not performed earlier. How can we further confirm the fetal condition? The patient is a 33-year-old woman who had a delayed labor resulting in a cesarean section for her first pregnancy. During her second pregnancy at...
Dr. Wu Wanru Reply:
Currently, what you are seeing are normal variations commonly found on ultrasound, with little correlation to rare diseases. However, there is always a possibility of unexpected findings (although the probability is extremely low). If you are very concerned about this possibility...[Read More] Understanding PRUV: Key Considerations for Expecting Mothers After 28 Weeks
Managing Low Platelets and White Blood Cell Count: A Patient's Journey
Treatment for thrombocytopenia and leukopenia? Hello, doctor. I would like to ask you about my mother. She previously had a low platelet count of around 20,000 and was treated at Changhua Christian Hospital. The doctor prescribed steroids (Dexamethasone) and an over-the-counter g...
Dr. Lin Sixie Reply:
Based on your description, your mother may have idiopathic thrombocytopenic purpura. However, it is important to rule out the possibility of infection or tumors. Bone marrow examination is normal, which excludes the possibility of aplastic anemia. The low white blood cell count m...[Read More] Managing Low Platelets and White Blood Cell Count: A Patient's Journey
Managing Pituitary Tumors: Medication Options and Side Effects
Pituitary tumor If surgery is not an option for a brainstem tumor, it is important to discuss alternative treatment options with a healthcare provider. Medications such as corticosteroids may be prescribed to help reduce swelling and alleviate symptoms. However, if your sister is...
Dr. Liu Qingshan Reply:
Hello: I understand that a pituitary tumor requires long-term monitoring, and it is important to follow the doctor's recommendations for tracking various pituitary hormones. Additionally, regular medication should be taken, and if there are any side effects from the medicati...[Read More] Managing Pituitary Tumors: Medication Options and Side Effects
Understanding Rare Cases of Nipple Bleeding in Infants
Nipple bleeding in a young girl? My daughter is currently 5 months old. Today I noticed blood coming from her right nipple, which stained her clothes. When I squeezed it, it continued to bleed. I took her to a nearby pediatric clinic, and the doctor suggested monitoring the situa...
Dr. Xu Shanjing Reply:
A physical examination is needed to check for hormonal effects, inflammation, or the presence of tumors. I apologize, but without seeing or examining, I cannot provide an answer. Xu Shanjing.[Read More] Understanding Rare Cases of Nipple Bleeding in Infants
Understanding Osteogenesis Imperfecta: Neurological Impacts and Concerns
Neurology Hello Doctor: I am a patient with Osteogenesis Imperfecta (OI). In December 2004, I experienced a severe episode of dizziness that lasted for several days, extending over a month, after which it resolved on its own. However, around November 2006 until now, I have had si...
Dr. Chen Shunsheng Reply:
The condition is relatively complex with numerous questions. It is recommended to seek consultation at a medical center in your area, particularly for discussions with specialists in neurosurgery, neurology, and interventional radiology. If necessary, genetic testing may also be ...[Read More] Understanding Osteogenesis Imperfecta: Neurological Impacts and Concerns
Understanding Anti-NMDA Receptor Encephalitis: A Rare Disease Explained
Meningitis..? Hello, what is rare anti-NMDA receptor encephalitis?
Dr. Chen Shunsheng Reply:
Anti-NMDA receptor encephalitis is an acute encephalitis caused by an autoimmune response against the NR1 and NR2 subunits of the NMDA receptor, leading to encephalitis in the brain, which can be fatal; however, the chances of recovery are high. A review of the literature indicat...[Read More] Understanding Anti-NMDA Receptor Encephalitis: A Rare Disease Explained
Understanding Adult Erdheim-Chester Disease: Treatment and Care Tips
Adult Still's disease Could you please tell me if my condition can be completely cured? What are the ways to maintain my health?
Dr. Lin Sixie Reply:
Adult-onset Still's disease (AOSD) is an important cause of unexplained fever in adults. The course of the disease varies significantly: for those with a single episode of systemic type, non-steroidal anti-inflammatory drugs (NSAIDs) and a small dose of corticosteroids may s...[Read More] Understanding Adult Erdheim-Chester Disease: Treatment and Care Tips
Understanding Scalp Pain: Causes and Concerns Beyond Injury
Scalp pain or scalp tenderness? Hello doctor, for the past two days, I've been experiencing unexplained sharp pain on the scalp at the top right side of my head. I haven't bumped my head or sustained any injuries. The pain started suddenly when I woke up in the morning,...
Dr. Chen Shunsheng Reply:
The scalp on the right side of the head is experiencing unexplained sharp pain, without any trauma or injury, and there is no redness or swelling. Even brushing the hair causes pain. Several important conditions to consider include: temporal arteritis, postherpetic neuralgia, mig...[Read More] Understanding Scalp Pain: Causes and Concerns Beyond Injury
Understanding Eligibility for Major Illness Card with Rare Disease List
Rare Disease List Summary Table Hello, may I ask if the rare disease list announced by the Department of Health includes item number 68, Wilms' tumor, aniridia, genital abnormalities, and intellectual disability syndrome (WAGR syndrome)? Can one apply for a major illness car...
Dr. Jian Yingxiu Reply:
To apply for this major illness card, one must meet the criteria for WAGR syndrome. Some patients may not exhibit all clinical features, which include Wilms tumor, aniridia, genital abnormalities, and intellectual disability. Therefore, the diagnostic method relies on molecular t...[Read More] Understanding Eligibility for Major Illness Card with Rare Disease List
Confusion Over Rare Skin Condition: Seeking Answers from Multiple Specialists
The hematologist suspects that I have vasculitis, while the dermatologist suspects erythema nodosum? I have noticed swollen, red, and warm spots on my calves. They are inflamed! The smaller ones are about the size of a ten-dollar coin, while two areas are larger, roughly the size...
Dr. Lin Sixie Reply:
The symptoms you described are indeed more consistent with erythema nodosum. Its clinical presentation is often acute, painful, with poorly defined borders, and consists of non-ulcerative red nodules, typically found on the extensor surfaces of the lower limbs, and is more common...[Read More] Confusion Over Rare Skin Condition: Seeking Answers from Multiple Specialists
Understanding Insulinoma: A Rare Disease and Its Management Challenges
Insulinoma Is pancreatic neuroendocrine tumor considered a rare disease? Are there other names for it within the category of rare diseases? Recently, our institution admitted a patient with this diagnosis. Currently, the patient's blood glucose levels are maintained between ...
Dr. Jian Yingxiu Reply:
Nesidioblastosis, a type of pancreatic neuroendocrine tumor, can be effectively managed through surgical intervention in some patients to alleviate hypoglycemic symptoms. For those who are not surgical candidates, pharmacological treatment may be considered. Currently, we are usi...[Read More] Understanding Insulinoma: A Rare Disease and Its Management Challenges
Understanding Pheochromocytoma: Rarity, Risks, and Recovery Insights
Pheochromocytoma? Pheochromocytoma is indeed considered a rare tumor. The incidence is estimated to be about 2 to 8 cases per million people per year. Your friend's long-standing issues with unstable blood pressure and chest discomfort, which led to a diagnosis of pheochromo...
Dr. Hou Jiawei Reply:
Pheochromocytoma is a rare metabolic disorder that arises from the growth of chromaffin cells in the adrenal gland or the extra-adrenal sympathetic nervous system. Extra-adrenal pheochromocytomas account for 15% of adult cases and 30% of pediatric cases. Patients with pheochromoc...[Read More] Understanding Pheochromocytoma: Rarity, Risks, and Recovery Insights
Post-Surgery Complications of Mandibular Amputation for Malignant Tumors
Complications after mandibulectomy (malignant tumor resection) include: 1. Difficulty in chewing and swallowing. 2. Changes in speech or articulation. 3. Facial asymmetry or changes in appearance. 4. Nerve damage leading to numbness or altered sensation in the lower lip and chi...
Dr. Chen Shunsheng Reply:
Please consult with the oncology or radiation therapy department.[Read More] Post-Surgery Complications of Mandibular Amputation for Malignant Tumors
Understanding Taste Disorders After Thyroid Surgery: Causes and Solutions
Taste disorder Dear Dr. Chen, My mother underwent surgery for a benign thyroid tumor in her neck a year ago, and since then, her appetite has significantly decreased. She feels that her sense of taste has been greatly altered, and food has become tasteless to her, leading to a g...
Dr. Chen Shunsheng Reply:
Taste function is governed by branches of the facial nerve, and the pathway of the facial nerve is far removed from the location of the thyroid gland, making it unlikely that taste function would be affected by surgical trauma to the taste nerves. Additionally, taste function is ...[Read More] Understanding Taste Disorders After Thyroid Surgery: Causes and Solutions
Understanding Rare Muscle Pain: Causes and Solutions for Thigh Discomfort
I experience soreness in my thigh muscles when leaning backward at a certain angle? Hello Dr. Chen: When I stand and lean back about 30 degrees, I experience soreness from my right hip down to my knee. This has been going on for almost six months, and it seems to be getting more ...
Dr. Chen Shunsheng Reply:
The symptom description closely resembles spondylolisthesis at the fourth and fifth lumbar vertebrae. There are many causes of low back pain, which vary with age, gender, occupation, and the medical specialty consulted, leading to a phenomenon where different specialties offer di...[Read More] Understanding Rare Muscle Pain: Causes and Solutions for Thigh Discomfort
Navigating Treatment Decisions for Rare Pediatric Tumors: A Parent's Dilemma
Regarding pediatric tumors: A father who should not make decisions? Dear Director Qian, I have previously sent the same inquiry but have not yet received a response, so I am reaching out again. I apologize for the inconvenience! Our main concern is whether, after three years of ...
Dr. Qian Xinnan Reply:
After three years of regular follow-up with no abnormalities, it is appropriate to continue rigorous monitoring as described. At that time, the clinical group was classified as Group I/FH. According to current pediatric cancer treatment guidelines, the chemotherapy agents used in...[Read More] Navigating Treatment Decisions for Rare Pediatric Tumors: A Parent's Dilemma
Understanding Muscle Twitches: Is It a Sign of ALS?
Muscle twitching Hello Dr. Chen: I experienced muscle twitching between April and May of last year. It started in the web of my hand, and then I noticed that muscles all over my body would twitch intermittently and at various locations. This has been going on for almost a year, a...
Dr. Chen Shunsheng Reply:
Your questions are answered as follows: 1. Is muscle twitching in ALS necessarily caused by dead muscle? If so, will the twitching muscles also show atrophy? (I have not noticed atrophy or weakness in the twitching muscles.) Answer: Typically, muscle atrophy should be present....[Read More] Understanding Muscle Twitches: Is It a Sign of ALS?