DR CLARE TONG

08/05/2026

預防骨質疏鬆的小貼士

1. 負重運動
2. 攝取充足的鈣和維生素D

成人每日需攝取1000mg鈣
50歲以上及停經後女性每日需攝取1200mg鈣

富含鈣的食物

- 乳製品
- 帶骨魚類、蝦乾、鮭魚、沙丁魚
- 深綠色蔬菜
- 豆腐
- 杏仁
- 添加鈣的食品

為了更好吸收，含鈣食物最好分餐食用

Tips for preventing osteoporosis

1. Weight bearing exercises
2. Adaquate calcium and vitamin D intake

Adults need 1000mg calcium daily
Over 50 years old and postmenopausal women 1200mg calcium daily

Foods high in calcium
- Dairy foods
- Fish with bones, dried shrimps, salmon, sardine
- Dark green vegetables
- Tofu
- Almonds
- foods fortified with calcium

Spread calcium foods across meals for better absorption

#英國廣東話醫生 #私家醫生

30/04/2026

骨質疏鬆症通常沒有明顯症狀。在出現併發症（即因骨骼脆弱而容易發生骨折）之前，儘早確診骨質疏鬆症至關重要。

如果您符合以下風險因素，可能符合英國NHS 的骨質密度掃描 (DEXA) 條件：

-停經後女性
-50 歲以上且有其他風險因素的男性
-低體重指數 (BMI)
-脆性骨折史
-父母有髖部骨折史
-目前正在服用口服類固醇
-目前吸煙、飲酒
-類風濕性關節炎
其他：
-糖尿病、甲狀腺功能亢進、性腺功能低下、慢性吸收不良。

您的家庭醫生通常會使用一個網上工具來判斷是否建議您進行 DEXA 檢查。

如果您不符合上述條件，您可以考慮自費進行 DEXA 檢查。

#英國廣東話醫生 #私家醫生

Osteoporosis has no obvious symptoms. It will be helpful to identify if you have this condition before complications, which is when you sustain a fracture easily due to weak bones.

You may be able to have the DEXA bone density scan on NHS if you are considered at risk, including these criteria:

Postmenopausal women
Men >50 with other risk factors
Low BMI
Previous fragility fractures
Parental history of hip fractures
Current oral steriod use
Current smoker, alcohol consumption
Rheumatoid arthritis
Others:
Diabetes, hyperthyroidism, hypogonadism, chronic malabsorption.

Your GP will usually use an online tool to see if a DEXA is advised.

If you do not fulfil the criteria, you can consider having a DEXA scan privately.

19/04/2026

您是否曾為告訴醫生您擔心自己症狀的根本原因而感到尷尬？

雖然醫生是好偵探，但我們並不總是知道您擔心症狀的原因，因為每個人都有不同的擔憂。所以請告訴我們。

這對我們醫生來說是一件非常有用的事情，需要了解並幫助回答您的潛在問題，使諮詢的時間更加值得。您在諮詢後也會感覺自己被傾聽了！

我在網上諮詢中提供至少 20 分鐘的諮詢，以便有充分時間去了解您和您的擔憂。
這可能在 NHS 10 分鐘的諮詢比較難做得到。

你可以透過我的網頁跟我預約
Www.drclaretong.co.uk

Have you ever felt embarrassed to tell the doctor the underlying reason why you are worried about your symptoms ?

Although doctors are good detectives, we do not always know as everyone has different worries. So please do tell us.

This is a really useful thing for us doctors to know and to help answer your underlying questions, making the consultation much more time well spent. You will also leave your consultation feeling you have been listened to!

I provide at least 20minute consultations at my online consultations to allow the time for this to get to know more about you, and why you are concerned about the symptoms you see me about.
This can be difficult to achieve in a 10minute consultation in the NHS for the doctor and the patient.

You can book an online consultation with me at
Www.drclaretong.co.uk

#英國廣東話醫生 #私家醫生

01/04/2026

帶孩子度假時，我總是會帶上撲熱息痛，以備不時之需，應對突發疾病和意外受傷。

旅行時我喜歡帶Calpol 以下兩個版本：

1. Calpol 袋裝撲熱息痛，適合年齡較小的孩子，攜帶更輕盈。

2. Calpol 速溶片也特別方便， 沒有水也可以，藥片在舌頭上就能快速溶解。適合 6 歲以上兒童服用。

祝大家復活節假期愉快！

Going on holidays with children, one of the things I always take with me is Paracetamol for any unexpected illnesses and injuries.

I like these two versions when travelling.

1. The Calpol sachets for the younger children, so it is lighter to carry.

2. The calpol fastmelts are also particularly convenient as there is no need for water. The tablet dissolves and melts quickly on the tongue. It is suitable for over 6 years old.

Hope you are having a good Easter holiday

#英國廣東話醫生 #私家醫生

20/03/2026

這兩天收到很多關於腦膜炎疫苗嘅問題， 透過這條片幫大家解答一下。

1. 我的診所可以接種B型腦膜炎疫苗嗎？

2. 我的孩子從未接種過腦膜炎疫苗，他該接種嗎？

3. MenACWY疫苗

我的孩子從未接種過任何腦膜炎疫苗，Year 9可以接種嗎？

我的孩子在香港接種過MenACWY，他需要加強劑嗎？

4. 作為成年人，我應該接種疫苗嗎？

#英國廣東話醫生 #私家醫生 #腦膜炎疫苗

18/03/2026

針對現時英國的腦膜炎爆發，我給您以下建議：

1. 了解症狀，因為病情發展迅速，可能危及生命。

症狀包括：劇烈頭痛、發燒、畏光、頸部僵硬、嘔吐、手腳冰冷、意識混亂和嗜睡。
如果您或您認識的任何人出現上述任何症狀，請立即就醫，聯絡您的家庭醫生、撥打NHS 111熱線或在緊急情況下撥打999。

2. 檢查您的孩子是否曾接種過腦膜炎ACWY疫苗。如果他們在英國 Year 9之後入學且錯過了接種，您可以在他們25歲之前諮詢您的家庭醫生，讓他們接種。

3. B型腦膜炎疫苗目前可以自費接種，但供應短缺。
腦膜炎仍然是一種罕見疾病，如果您不屬於高風險族群，感染風險仍然很小。
注意個人衛生，避免共用接觸唾液和黏液的物品，並經常洗手。

如果您的孩子在2015年後出生於英國，並且在嬰兒時期接種過疫苗，您可能需要考慮在他們上大學前為他們接種加強劑。

4. 如果您收到英國衛生服務管理局 (UKHSA) 的建議或聯繫，請服用預防性抗生素。

*腦膜炎疫苗不屬於香港兒童免疫計畫的一部分
*在英國，嬰兒自2015年起接種B型腦膜炎疫苗，13-14歲（Year 9）的兒童可接種ACWY腦膜炎疫苗，25歲以下的兒童可補種。

由於腦膜炎病毒株不同，B型腦膜炎疫苗無法預防其他株，ACWY腦膜炎疫苗也無法預防所有腦膜炎。

疫苗需要1-2週才能生效。
預防性抗生素可以阻止病毒傳播。
目前，已有超過2500名符合條件的人群和密切接觸者服用了預防性抗生素。
肯特大學正在為學生進行定向疫苗接種計劃。

My advice to you with the current outbreak :

1. Know the symptoms, as it can develop quickly and can be life threatening.

Severe headache, fever, light sensitivity, stiff neck, vomiting, cold hands, feet, confusion and drowsiness.

If you or anyone you know develops any of these symptoms, seek medical help immediately by contacting a GP, calling NHS 111 or dialling 999 in an emergency.

2. Check if your child had their Meningitis ACWY vaccine. If they started school in UK after year 9 and missed it, you can ask your GP for this before they turn 25 years old.

3. The meningitis B vaccine is available privately but there is a shortage at the moment.
It is still a rare disease and if you are not in a high risk group the risk is still very small.
Take precautions with hygiene and avoid sharing items that involves saliva and mucus, wash your hands regularly.

If your child was born in UK after 2015 and had the vaccine as a baby, you may wish to consider giving them a booster before they go to university

4. Take prophylactic antibiotic if you are advised or contacted UKHSA

Meningitis vaccine is not part of Hong Kong childhood vaccination programme

In UK, babies are vaccinated for meningitis B since 2015, and Meningitis ACWY vaccine is offered to children age 13-14 ( year 9) and catch up dose up to age 25years

Because there are different strains of meningitis the MenB vaccine does not protect against other strains and MenACWY does not protect against Meningitis
Vaccine will take 1-2 weeks to work.

#英國廣東話醫生

16/03/2026

要是我每星期有一日在雷丁一間大私家醫院內提供面診服務， 包括即日抽血， 心電圖和一些放射科服務。
大家有冇興趣？ 星期幾最適合大家？

12/03/2026

當你在英國關節疼痛時，你知道該何時就醫嗎？
關節疼痛可能由多種原因引起。

以下是一些常見原因：
1) 退化性關節疾病，如骨關節炎。
- 俗稱關節「磨損」。膝關節和髖關節等部位經常受到影響。

通常透過調整生活方式、服用止痛藥和物理治療來控制疼痛。如果疼痛影響到您的日常生活和活動能力，請就醫。

2) 自體免疫疾病，例如類風濕性關節炎。
- 常影響手、腳、腕等較小的關節。關節會發熱、僵硬和腫脹。

就醫並專介至風濕病專科醫生進行早期診斷非常重要，這樣才能儘早開始治療，防止關節發炎進一步加重。

3) 晶體性關節病，例如痛風。
- 常影響單一關節，伴隨急性發作，常見於大腳趾，但也可能發生在任何關節。急性痛風有處方藥。

如果您突然出現劇烈疼痛、發燒、腫脹且無法活動的關節，並伴隨發燒，這可能是關節感染，您應該前往急診室就診。這種情況通常會影響肩關節、髖關節或膝關節等部位。
雖然這種情況並不常見，但需要住院治療。

最後，如果您在跌倒等受傷後出現關節疼痛，最好前往Minor Injuries Unit 或急診室，因為很可能需要進行 X 光檢查。
在某些地區，您需要撥打 NHS 111 熱線才能轉診至Minor Injuries Unit，因為他們不提供Walk in就診服務。

Do you know when to seek help when you have joint pains?
Joint pains can have a number of causes.
Here are some common ones

1) Degenerative joint disease such as osteoarthritis.
-Commonly known as " wear and tear" of the joints. It is often joints such as knees and hips that are affected.
It is generally managed with lifestyle, pain medications, and physiotherapy. See a doctor if pain is affecting your daily life and function.

2) Autoimmune conditions such as Rheumatoid arthritis.
-Often affects the smaller joints of the hands, feet, wrists. The joints become hot, stiff and swollen.
It is important to see the doctor to be referred to a rheumatologist for an early diagnosis so treatment can be started to prevent further joint inflammations.

3) Crystal arthropathy such gout.
-Often affects a single joint with a flare up, commonly affects the big toe but can be any joint. There are medications on prescription for acute gout.

If you suddenly develop a very painful, hot and swollen joint which cannot move, and associated with fevers, this could be an infected joint, which you should attend A&E. These usually affects joints such as the shoulder, hip or knee.
Although this is not common, it will need hospital treatment.

Finally if you are concerned about joint pains after an injury such as a fall, it is best to go to Minor Injuries Unit or A&E as an xray is most likely needed.
In some areas, you need to call NHS 111 to be referred to the Minor Injuries Unit as they do not offer a walk in service.

#英國廣東話醫生 #私家醫生 #關節痛

02/03/2026

🩺 今個星期需要睇醫生？

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Get personalised health recommendations and treatment plans from Dr Clare Tong, an experienced private and NHS GP, in Cantonese Chinese or English from the comfort of your own home. Prescriptions sent directly to your email to be dispensed at a pharmacy near you