Bwell Clinic - Imperial Grande

05/05/2026

你平日体检可能需要的检验项目！

05/05/2026

some tests shall be included in your routine medical check up !

30/04/2026

30/04/2026

抽血打针记得要到诊所/医院进行哦！

25/04/2026

Wound care tips !

【Do wounds really need to “breathe” to heal faster? 🤔】

Today in clinic, a mother brought her son in for a wound review 👩‍👦
He had a fall 4 days ago and sustained a **deep abrasion on his knee**.
He was still in pain and refused to bend his knee 😣

On inspection:
➡️ The wound was **open, dry, with minimal discharge**
➡️ The mother had been cleaning it, but **left it uncovered**

Why? Because of a common belief:
👉 “Wounds need air to heal faster.”

But this concept is **not entirely correct ❗**

———

💡【Key Point: Wounds need moisture, not exposure】

✔️ Whether to cover a wound depends on its **depth and location**

👉 **May leave open if:**

* Very superficial
* No bleeding or discharge

👉 **Should be covered if:**

* Deeper abrasions or wounds
* Presence of discharge
* Located on the **leg or foot (high contamination risk) 👣**

Especially for legs and feet:
🚶 Walking kicks up dust
👉 Open wounds are more easily contaminated → higher infection risk

———

💧【Why is a moist environment better?】

Many people worry that discharge means infection, but:

👉 Clear or light yellow discharge is often **part of normal healing**
It contains:
✔️ Plasma
✔️ Fibrin
✔️ Healing factors

These help:
✨ Cell growth
✨ Tissue repair

❗On the other hand, **overly dry wounds**:

* Form thicker scabs
* Slow down cell migration
👉 **Delayed healing + higher risk of scarring or even keloid formation**

———

⚠️【Risks of letting wounds “air dry”】【】

❌ Slower healing
❌ More noticeable scars
❌ Higher infection risk (due to environmental exposure)

👉 So:
“Heals” ≠ “Heals optimally”

———

🧴【A note on wound cleaning】

In my clinical practice, I often prefer:
👉 **Wound cleansing solutions with antimicrobial + healing-support ingredients**

Compared to plain normal saline:
✔️ Helps reduce bacterial load
✔️ Maintains a more optimal wound environment
✔️ More beneficial for deeper or high-risk wounds

(Of course, choice depends on the wound 👍)

———

🚨【When should you see a doctor?】

🔴 Deep or gaping wounds
👉 May require **suturing or wound glue**

🔴 Persistent bleeding

🔴 Signs of infection:

* Increasing redness around the wound
* **Greenish or thick pus** 🤢
* Increasing discharge
* Worsening pain or fever

———

🌱【Tips to promote wound healing】

✔️ Proper cleaning (use appropriate wound cleanser)
✔️ Keep wound **moist and covered**
✔️ Avoid repeated friction (especially over joints)
✔️ Adequate protein + Vitamin C 🥦🍊
✔️ Avoid smoking (impairs circulation 🚫)

———

✨In summary:
👉 Wounds don’t need to “breathe” — they need a **clean, properly moist environment to heal well**

📌【Disclaimer】
This content is for health education only and does not replace professional medical advice.
👉 If in doubt, always consult a doctor 👨‍⚕️👩‍⚕️

25/04/2026

伤口护理的小知识！

【伤口真的需要“呼吸”才会好得快吗？🤔】

今天门诊遇到一个妈妈带孩子来复诊👩‍👦
孩子4天前跌倒，膝盖有**较深擦伤**，一直疼痛、不敢弯曲😣

检查时发现：
➡️ 伤口是**开放、干燥、分泌物很少**
➡️ 原来妈妈有帮忙清洗和处理，但**没有覆盖伤口**

原因是很多人都会相信的一句话：
👉「伤口要透气，才会好得快」

但这个观念，其实**不完全正确❗**

———

💡【关键重点：伤口要“湿润”，不是“暴露”】

✔️ 伤口是否要覆盖，**取决于深度与位置**

👉 **可以开放的情况：**

* 非常表浅
* 没有出血、没有分泌物

👉 **建议覆盖的情况：**

* 较深的擦伤或伤口
* 有分泌物
* 位于**腿部或脚部（高污染风险）👣**

特别是腿和脚：
🚶‍♂️走路时灰尘很容易被带起
👉 开放伤口更容易被污染 → 增加感染风险

———

💧【为什么“湿润环境”更好？】

很多人看到伤口有分泌物会担心是感染，其实：

👉 大多数透明或淡黄色分泌物 = 正常愈合过程
包含：
✔️ 血浆
✔️ 纤维蛋白
✔️ 修复因子

这些可以：
✨ 帮助细胞生长
✨ 加快组织修复

❗反而**过度干燥的伤口**：

* 结痂变厚
* 细胞迁移变慢
👉 **愈合更慢 + 更容易留疤甚至形成疤痕体质（keloid）**

———

⚠️【让伤口“风干”的风险】

❌ 愈合时间延长
❌ 疤痕更明显
❌ 感染风险增加（直接暴露环境）

👉 所以：
“会好” ≠ “最好方式”

———

🧴【关于伤口清洁的小补充】

在临床上，我个人更常使用的是：
👉 **含抗菌成分 + 促进愈合的伤口清洁液**

相较单纯生理盐水：
✔️ 可以帮助降低细菌负荷
✔️ 同时维持更理想的伤口环境
✔️ 对于较深或污染风险高的伤口更有帮助

（当然，选择还是需要根据伤口情况来决定👍）

———

🚨【这些情况一定要看医生！】

🔴 伤口很深 / 裂开（gaping）
👉 可能需要**缝合或伤口胶**

🔴 持续出血止不住

🔴 感染迹象：

* 伤口边缘**红肿范围扩大**
* **绿色或浓稠脓液** 🤢
* 分泌物明显增加
* 疼痛加剧或发热

———

🌱【促进伤口愈合的小Tips】

✔️ 适当清洁（选择合适的伤口清洁液）
✔️ 保持**湿润+覆盖**（选择合适敷料）
✔️ 避免反复摩擦（特别是关节位置）
✔️ 充足蛋白质 + 维生素C 🥦🍊
✔️ 避免抽烟（影响血液循环🚫）

———

✨总结一句话：
👉 伤口不是要“呼吸”，而是要在**干净 + 适度湿润的环境下修复**

📌【温馨提醒 / Disclaimer】
以上内容仅供健康教育参考，不可替代专业医疗建议。
👉 若不确定伤口处理方式，或有任何疑问，请尽早咨询医生👨‍⚕️👩‍⚕️

#伤口护理 #健康科普 #门诊日常 #医生分享

18/04/2026

The cases of chicken pox is rising up , be cautious !

🦠 Why is chickenpox mild in kids, but more severe in adults?

Many people think:
👉 “Chickenpox is just a childhood illness”

Not exactly.
Varicella (chickenpox) can be much more serious in adults, with higher risk of complications ⚠️

👶 Why is it usually mild in children?

🛡️ 1. Maternal antibodies protection

If the mother had chickenpox or vaccination
Antibodies are passed to the baby during pregnancy 🤰
➡️ Provides early-life protection

👉 Not full immunity
👉 But helps reduce severity

⚖️ 2. More “balanced” immune response

Children’s immune systems are still developing
Less aggressive inflammatory response
➡️ Less tissue damage

🧑 Why is it more severe in adults?

🔥 1. Stronger immune reaction

Adult immune system is fully developed
Produces a more intense inflammatory response
➡️ Can cause more damage than the virus itself

🫁 2. Higher risk of lung involvement

Serious complication: Varicella pneumonia ⚠️
Can lead to breathing difficulty and hospitalization

🧠 3. Higher complication rates

Encephalitis
Hepatitis
Secondary bacterial infections

😖 4. Worse skin involvement

More lesions
Deeper inflammation
Higher risk of scarring

💊 Key point: Adults need early treatment‼️

👉 If suspected or diagnosed
Start antiviral early

Medication:
👉 Acyclovir

⏰ Best within 72 hours
✔️ Reduces severity
✔️ Lowers complication risk

💉 Not sure if you had chickenpox before? Do this 👇

Many adults:
❓ Don’t remember childhood infection
❓ Unsure about vaccination

👉 The safest option: Get vaccinated

Vaccine:
👉 Varicella vaccine

📌 Recommended: 2 doses
✔️ Prevent infection
✔️ If infected → much milder

✨ Simple takeaway:
👉 Kids: maternal antibodies + milder immune response
👉 Adults: stronger inflammation = higher risk ⚠️

📣 What you should do:
✔️ Unsure immunity → Get vaccinated 💉
✔️ Adult infection → Start antivirals early 💊
✔️ Any breathing symptoms → Seek care immediately 🚑

18/04/2026

最近诊所的水痘病例有增加哦，大家要小心提防！

🦠 为什么小时候出水痘很轻，长大了反而更严重？

很多人都有一个误区：
👉 “水痘只是小孩子的病”

其实不完全对！
Varicella (chickenpox) 在成年人身上，往往更严重，甚至会有并发症⚠️

👶 小朋友：为什么通常比较轻？关键在这里👇

🛡️ 1. 来自妈妈的“被动免疫”

妈妈如果曾感染或接种过水痘
会通过胎盘把抗体传给宝宝 🤰
➡️ 宝宝出生后会有一段时间的保护

👉 虽然不是100%防感染
👉 但可以降低严重程度

⚖️ 2. 免疫系统反应较“温和”

儿童免疫系统还在发育中
对病毒的反应较平衡
➡️ 不容易出现过度炎症

🧑 成年人：为什么更严重？关键在这里👇

🔥 1. 免疫反应更“激烈”

成人免疫系统成熟
产生更强烈炎症反应
➡️ 反而造成身体组织损伤

🫁 2. 更容易影响肺部

常见严重并发症：水痘肺炎（Varicella pneumonia）⚠️
可导致呼吸困难甚至住院

🧠 3. 并发症风险更高

脑炎
肝炎
继发细菌感染

😖 4. 皮肤表现更严重

水疱更多、更深
更容易留下疤痕

💊 重点‼️ 成年人感染要更积极处理

👉 一旦确诊或高度怀疑
越早使用抗病毒药越好！

常用药物：
👉 Acyclovir

⏰ 建议72小时内开始
✔️ 减轻症状
✔️ 降低并发症风险

💉 不确定自己有没有得过水痘？这样做最安全👇

很多成年人其实：
❓ 不记得有没有感染过
❓ 不确定是否接种过疫苗

👉 最简单直接：接种疫苗！

疫苗：
👉 Varicella vaccine

📌 标准：2剂完成保护
✔️ 预防感染
✔️ 即使感染也较轻微

✨ 一句话总结：
👉 小孩有“妈妈抗体 + 温和免疫”，所以较轻
👉 成人“免疫反应强”，反而更容易严重⚠️

📣 给你的建议：
✔️ 不确定免疫状态 → 打疫苗 💉
✔️ 成人感染 → 尽早抗病毒 💊
✔️ 有咳嗽、气喘 → 立即就医 🚑

07/04/2026

Do you often feel dizzy or nauseous?

A very common case… but often MISSED 🧠

A patient came in with persistent dizziness for several days.
Had already visited a panel clinic multiple times and was given:
💊 Anti-dizziness medication
💊 Muscle relaxants

But instead of improving, the condition actually got worse 😵‍💫

---

👉 On deeper history taking, one important clue appeared:
Besides dizziness, the patient also had
❗ Poor appetite
❗ Occasional reflux / gastric discomfort

And here’s the key point 👇
Muscle relaxants can relax the gastric sphincter,
👉 making reflux symptoms WORSE 🔥

---

💡 In clinical practice, this is actually VERY common but easily overlooked:

👉 The root cause may be: Indigestion

The stomach sits at the center of our body. When digestion is poor:
🍽️ Food ferments
💨 Gas builds up

This can:
➡️ Compress the heart ❤️
➡️ Compress the lungs 🫁
➡️ Stimulate the vagus nerve

Leading to “unusual” symptoms like:
😵‍💫 Dizziness
😮‍💨 Shortness of breath
🤢 Nausea
🥴 Poor appetite
💨 Bloating & frequent burping

---

⚠️ Why is this often missed?

Because it doesn’t present like classic gastritis:
👉 No obvious localized upper abdominal pain

But if you:
👉 Press on the epigastric area
You may feel a bloated stomach,
and sometimes even trigger burping 🤭

---

✅ In this case, instead of focusing only on:
❌ Acid suppressants
❌ Antacids
❌ H2 blockers

👉 I prefer:
✔️ Digestive enzymes

The response is often:
⏱️ Improvement within minutes ✨

---

📌 You can also support with:
🍎 A small amount of apple cider vinegar
👉 Helps increase gastric acidity and improve protein digestion

---

📍 Root causes are usually:
😣 Stress
⏰ Irregular eating habits
😬 Poor chewing

👉 Proper chewing is crucial — it signals the brain to release gastric acid and digestive enzymes

---

💬 Key takeaway:

👉 Not all dizziness comes from the brain
👉 Sometimes, it’s your stomach asking for help 🥲

---

If you’re experiencing similar symptoms
(dizziness + bloating + poor appetite),
👉 consider looking at your digestive health 👌

07/04/2026

你有没有常常晕晕，作呕的感觉呢？😵‍💫🤢

最近遇到一个很典型、但很容易被忽略的案例 🧠

一位病人因为头晕持续好几天，已经去过诊所几次，被给予常见的：
💊 止晕药
💊 肌肉放松剂

但情况不但没有改善，反而越来越严重 😵‍💫

👉 进一步询问后发现一个关键点：
除了头晕，病人还有
❗ 食欲差
❗ 偶尔反胃 / 胃酸倒流

而肌肉放松剂其实会放松胃部括约肌，
👉 更容易引发胃酸倒流 🔥

---

💡 其实，这类情况在临床上非常常见，却很容易被忽略：

👉 真正原因可能是：消化不良

我们的胃位于身体核心中间，当消化不好时：
🍽️ 食物发酵
💨 产生气体

这些气体会：
➡️ 压迫心脏 ❤️
➡️ 压迫肺部 🫁
➡️ 刺激迷走神经

从而出现一系列“很奇怪”的症状：
😵‍💫 头晕
😮‍💨 呼吸不顺
🤢 恶心
🥴 食欲差
💨 胀气、打嗝

---

⚠️ 为什么容易被忽略？

因为它不像典型胃炎那样：
👉 明显的上腹部疼痛

但如果你：
👉 按压上腹部
通常可以感觉到胀气的胃
甚至会按一按就打嗝排气 🤭

---

✅ 这个案例的处理重点不是一味使用：
❌ 抑制胃酸药
❌ 中和胃酸药
❌ 抑制胃酸分泌药

👉 我更倾向：
✔️ 补充消化酶

效果往往是：
⏱️ 几分钟内就能明显改善 ✨

---

📌 另外可以辅助：
🍎 少量苹果醋或食用醋
👉 帮助提高胃部酸度，促进蛋白质消化

---

📍 根本原因通常来自：
😣 压力大
⏰ 饮食不规律
😬 咀嚼不充分

👉 咀嚼其实非常重要！
它会刺激大脑分泌胃酸和消化酶

---

💬 总结一句：

👉 不是所有头晕都是“大脑的问题”
👉 有时候，是你的“胃在求救” 🥲

---

如果你也有类似症状（头晕 + 胀气 + 食欲差）
👉 不妨从“消化”这个角度去思考 👌

#临床分享 #消化问题 #头晕不一定是脑的问题 #健康管理