Understanding Hyperthyroidism: Managing Low TSH Levels and Treatment Adjustments
Hyperthyroidism Dr. Yuan: Hello! I have been taking medication for hyperthyroidism for nearly two years. Initially, I took 5 mg of Methimazole (MMI) twice daily. After one month of treatment, my Free T3 and Free T4 levels normalized, and I switched to taking one tablet daily, whi...
Dr. Yuan Tianmin Reply:
Low Thyroid-Stimulating Hormone (TSH) levels indicate that thyroid hormones are elevated, which suppresses the secretion of TSH. Therefore, dosage adjustments may be necessary. Additionally, antithyroid medications do not have the side effect of causing thyroid enlargement.[Read More] Understanding Hyperthyroidism: Managing Low TSH Levels and Treatment Adjustments
Dietary Concerns After Fibroadenoma Surgery: What You Need to Know
Dietary Issues Related to Fibromatosis Hello Doctor, I underwent minimally invasive surgery for a fibroid in December this year because the fibroid had grown to a size of 3 centimeters and had to be removed. Fortunately, the biopsy results showed it was a benign fibroid. However,...
Dr. Yuan Tianmin Reply:
Currently, there are dietary restrictions specifically for breast cancer patients, while there are no dietary limitations for benign tumors. The issue of breast size reduction may be more related to individual constitution.[Read More] Dietary Concerns After Fibroadenoma Surgery: What You Need to Know
Itchy Areola with Yellow Discharge: Causes and Solutions
The areola is itchy and has discharge? I have a yellowish discharge from my right areola that is wet and itchy. When the discharge dries, it causes my underwear to stick to my breast, and when I pull my underwear away, the areola has peeling skin. What could be the cause of this?
Dr. Yuan Tianmin Reply:
The openings of some glands above the areola may occasionally secrete some mucus, which is a normal phenomenon and should not be a cause for concern.[Read More] Itchy Areola with Yellow Discharge: Causes and Solutions
Understanding Breast Cysts: Monitoring and Management Tips
Breast cyst If a breast cyst is irregular, what precautions should I take? The doctor mentioned a follow-up in six months; is that too long? Should I not do anything in the meantime? My mother is a breast cancer patient.
Dr. Yuan Tianmin Reply:
At your age, an ultrasound examination is sufficient. If there are any abnormalities in the breast ultrasound images, you may consider undergoing a core needle biopsy.[Read More] Understanding Breast Cysts: Monitoring and Management Tips
Understanding Armpit Pain and Breast Discomfort: Causes and Solutions
Axillary pain and chest tightness? Hello Doctor, as mentioned in the subject, ever since I had a massage under my armpit a while ago, my armpit has become very sensitive. It doesn't exactly hurt, but it feels like there is something soft under my armpit; it’s not hard, but i...
Dr. Yuan Tianmin Reply:
Since you have already undergone an examination in the breast surgery department, the swelling and pain in your breasts and armpits are likely still related to your menstrual cycle.[Read More] Understanding Armpit Pain and Breast Discomfort: Causes and Solutions
Understanding Bilateral Thyroid Nodules: Should You Be Concerned?
Bilateral thyroid nodules [Current Issues] I just learned today during my health check-up that I have bilateral thyroid nodules. About 15 years ago, my mother noticed some swelling in my neck and took me for an examination. An ultrasound was performed, and the doctor mentioned th...
Dr. Yuan Tianmin Reply:
If you have undergone a medical examination by a physician, there is no need to be overly anxious; you should only need to have a check-up approximately once a year.[Read More] Understanding Bilateral Thyroid Nodules: Should You Be Concerned?
Understanding Small Hard Bumps on the Areola: Causes and Solutions
There is a small hard lump on the areola? Recently, I noticed a small hard lump on my areola that is darker in color. It doesn't hurt or itch if I don't touch it, and after showering, there are some flakes on the surface, but there is no discharge. How can I restore it?...
Dr. Yuan Tianmin Reply:
I cannot understand your condition; I recommend that you visit a specialized breast clinic for an examination.[Read More] Understanding Small Hard Bumps on the Areola: Causes and Solutions
Thyroid Issues and Autoimmune Diseases Linked to Uterine Drug Systems
Thyroid issues, intrauterine drug delivery system autoimmune diseases? Due to endometriosis and severe adenomyosis, I have had the Mirena IUD for a total of 6 years. During these years, I have also been diagnosed with Sjögren's syndrome, thyroiditis, and my lipid profile sho...
Dr. Yuan Tianmin Reply:
This issue falls under the specialty of obstetrics and gynecology.[Read More] Thyroid Issues and Autoimmune Diseases Linked to Uterine Drug Systems
Post-Surgery Concerns: Arm Tightness and Pain After Sarcoma Removal
[Postoperative Issue] Postoperative stretching of the surgical side arm, with slight tightness on the surgical side? Hello, doctor. I underwent a resection surgery for a phyllodes tumor about three weeks ago, almost a month now, and I have a few questions I would like to ask you:...
Dr. Yuan Tianmin Reply:
After the local excision of a breast tumor, the wound may feel firm for a period of time due to an inflammatory response. There is no need to worry too much, but it is important to ensure regular follow-up appointments for monitoring and check-ups.[Read More] Post-Surgery Concerns: Arm Tightness and Pain After Sarcoma Removal
Understanding Itchy and Sensitive Nipples: Causes and When to Seek Help
Unilateral nipple and areola itching with increased sensitivity? I can't recall the exact onset time, but I know it has been two to three years. One winter, both of my nipples became dry, itchy, and peeled. After applying body lotion, it healed. However, in the summer, I wan...
Dr. Yuan Tianmin Reply:
It is advisable to first consult a dermatologist for itching of the nipple and areola.[Read More] Understanding Itchy and Sensitive Nipples: Causes and When to Seek Help
Understanding Surgical Concerns for Fibroadenoma: What You Need to Know
Inquire about breast surgery issues? Dear Dr. Yuan, Recently, I have observed a significant change in my fibroadenoma after monitoring it for over a year, so I am seeking active treatment. I consulted two doctors, both of whom indicated that the biopsy report showed "atypic...
Dr. Yuan Tianmin Reply:
Typically, the pathology report is the primary source of information. If you have doubts about your physician, you can seek a second opinion from another doctor; however, please make sure to bring your pathology report with you.[Read More] Understanding Surgical Concerns for Fibroadenoma: What You Need to Know
Understanding Breast Swelling and Pain After Menstruation: What to Know
Breast engorgement? Hello, doctor! After my menstrual period ended, I've been experiencing breast engorgement for over a month now! It hurts when I touch them or when I jump or run! However, when I touch them, I'm not sure if there are any lumps. The last time I visited...
Dr. Yuan Tianmin Reply:
If you are concerned about any issues with your breasts, you can visit a specialist clinic for a breast ultrasound examination.[Read More] Understanding Breast Swelling and Pain After Menstruation: What to Know
Breast Pain and Hard Lumps: Should You Worry About Cancer?
Pain and hard lumps upon nipple pressure? Hello, doctor. It has been a week since my menstrual period ended. I did not experience any nipple pain during my menstrual cycle, but about a week after my period, I started to feel pain when pressing on my nipples, and there is also a d...
Dr. Yuan Tianmin Reply:
If you're concerned about the low probability of cancer, it's advisable to schedule an appointment with a breast surgeon.[Read More] Breast Pain and Hard Lumps: Should You Worry About Cancer?
Understanding Itchy Nipples: Causes and Concerns for Teens
Itching of the nipples and areola? Hello, doctor! My 15-year-old daughter has been experiencing severe itching in her nipple recently. Upon inspection, I noticed that the right nipple has turned dark, and there is a small, soft, sticky, and moist bump near the nipple (within the ...
Dr. Yuan Tianmin Reply:
That is a normal distribution of glands on the areola and does not require concern.[Read More] Understanding Itchy Nipples: Causes and Concerns for Teens
Understanding Itchy Nipples and Areolas: Causes and Insights
Itching of the nipples and areola? Hello, doctor! I would like to inquire about itching of the nipple, but there are no visible abnormalities, and the surrounding skin shows no signs of redness or inflammation. The itchy area feels like it's inside the nipple and around the ...
Dr. Yuan Tianmin Reply:
During the transition of seasons, skin dryness can lead to feelings of itchiness.[Read More] Understanding Itchy Nipples and Areolas: Causes and Insights
Should You Get a Breast Examination? Understanding Your Symptoms and Next Steps
Recommended examinations? Hello, Doctor: Thank you for your previous response. It has been almost three weeks since then, and I believe my left nipple condition has improved significantly. Initially, both the areola and nipple were red, but now the redness has subsided, and there...
Dr. Yuan Tianmin Reply:
If you're really concerned, you should visit a breast clinic for an examination.[Read More] Should You Get a Breast Examination? Understanding Your Symptoms and Next Steps
Understanding Painful Lumps Below the Nipple: Causes and Concerns
A hard lump beneath the nipple? Could you please explain why a small hard lump appeared just below the right nipple that was painful when pressed, but gradually became less painful after a few days?
Dr. Yuan Tianmin Reply:
If you feel a lump, it's advisable to visit a breast clinic for an examination.[Read More] Understanding Painful Lumps Below the Nipple: Causes and Concerns
Understanding Painful and Swollen Nipples: Causes and Treatments
Nipple pain with redness and swelling? Hello Doctor: A few days ago, my left nipple suddenly became red, swollen, and painful. It hurts a lot when my clothes rub against it. The nipple itself is red and swollen, but the areola appears unchanged and there is no accompanying itchin...
Dr. Yuan Tianmin Reply:
Based on the issue, it appears to be a subcutaneous infection. Medication can help, but there is a chance of recurrence.[Read More] Understanding Painful and Swollen Nipples: Causes and Treatments
Understanding Breast Pain in Teenagers: Is It Normal Development?
Breast pain I am currently 17 years old, but I still experience chest pain when pressure is applied, which feels like growing pains. I don't feel any noticeable lumps when I touch my chest. Am I still in the process of development? Thank you!
Dr. Yuan Tianmin Reply:
Breast pain is a common symptom in women during menstruation. If you are concerned, it is advisable to undergo a professional examination.[Read More] Understanding Breast Pain in Teenagers: Is It Normal Development?
Understanding Hereditary Breast Cancer Risks Across Generations
The hereditary risk of breast cancer? Hello, doctor. I would like to ask if individuals with hereditary breast cancer genes will have a reduced risk of developing breast cancer if several generations (for example, children, grandchildren, great-grandchildren, etc.) marry partners...
Dr. Yuan Tianmin Reply:
The general hereditary risk is approximately 10%, but it rises to 30% in younger patients; however, it is not as closely associated as in other countries. Male breast cancer is considered to be an isolated case.[Read More] Understanding Hereditary Breast Cancer Risks Across Generations