Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects
Blood Sugar Issues Related to Diabetes Symptoms: Blood sugar before sleep is 105, but fasting blood sugar is 121, which is higher. Duration: Daily. Additional information: I asked for my father, who is a diabetes patient. Does drinking water at night affect fasting blood sugar le...
Dr. Chen Jingwen reply Internal Medicine
Your blood sugar levels are 105 before bedtime and 121 when fasting. In the ideal range for diabetics, which is 90-120, this indicates good control. It would be even better if you could monitor your HbA1c (glycated hemoglobin) every 3 to 4 months to maintain it below 6.5%. Drinki...[Read More] Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects
Understanding Small Hard Bumps on the Inner Thigh: Causes and Concerns
There is a small hard lump on the inner thigh? I apologize, but I'm not sure if this is an internal medicine issue. I would like to ask about a few small hard lumps I feel on the inner side of my thigh near the groin. Are these what is referred to as fibrous nodules? Will th...
Dr. Chen Jingwen reply Internal Medicine
According to the letter, it is possible that the condition could be a lipoma, fibroma, or lymphadenopathy. If it has not changed for several years, it may not require attention. However, if there is pain, an increase in size, or if the lymphadenopathy is due to inflammation from ...[Read More] Understanding Small Hard Bumps on the Inner Thigh: Causes and Concerns
Understanding Green Stool: Causes and Concerns for Adults
Regarding green stool? Hello Doctor, I would like to ask about something. For the past two days, I have been experiencing green stools and I also feel very tired every day. I read online that sometimes infants have green stools due to the ingredients in formula milk, and I recent...
Dr. Chen Jingwen reply Internal Medicine
Possible causes of green stools: 1. Food: Such as consuming a lot of dark-colored fruits and vegetables. 2. Medications: Such as iron supplements, and possibly dark green infant formulas that contain high iron content. 3. Bile pigments: Conditions that secrete more bile pigments ...[Read More] Understanding Green Stool: Causes and Concerns for Adults
Understanding Liver Pain: Causes and Concerns for Gamers
Liver issues? Hello, Dr. Chen! Since I started playing online games at the age of 16, I've often stayed up late. Now that I'm 21, I've noticed some pain in my liver area, but it lasts only 5 to 6 seconds and then goes away. (This phenomenon has only started since y...
Dr. Chen Jingwen reply Internal Medicine
Your pain does not seem to be related to liver issues. If you still have concerns, please visit a hospital for a thorough consultation and examination by a physician to determine the underlying problem.[Read More] Understanding Liver Pain: Causes and Concerns for Gamers
Effective Treatments for Adrenal Hyperplasia Symptoms
How to treat Adrenal-Dependent Sexual Organ Syndrome? My symptoms are very similar to Adrenal Hyperplasia. Since elementary school, my hands and feet have been stronger than others, and I have consistently placed in sports competitions. I can eat a lot without gaining weight, but...
Dr. Chen Jingwen reply Internal Medicine
The condition in question is not within my area of expertise, and I cannot find relevant information in English. I recommend consulting Dr. Hong-Yuan Li from the Endocrinology Department at our hospital.[Read More] Effective Treatments for Adrenal Hyperplasia Symptoms
Effective Medications for Managing Severe Ascites in Liver Cancer Patients
Ascites In patients with advanced liver cancer and severe ascites, when diuretics are ineffective, are there any other medications that can relieve or alleviate the condition besides paracentesis?
Dr. Chen Jingwen reply Internal Medicine
Patients with liver cancer often have reduced albumin production in the body, resulting in low serum albumin levels. This leads to changes in the osmotic pressure both inside and outside the blood vessels in the abdomen. Additionally, the liver disease itself causes an increase i...[Read More] Effective Medications for Managing Severe Ascites in Liver Cancer Patients
Understanding High Blood Alcohol Levels: Can You Drive at 181.5?
Excessive alcohol consumption If a blood test shows an alcohol concentration of 181.5 mg/dL, can this person still have the capacity to drive a vehicle? What would their level of consciousness be like? Thank you for your response!
Dr. Chen Jingwen reply Internal Medicine
The stages of acute alcohol intoxication are as follows: Blood Alcohol Concentration (% mg/dl) Symptoms of Intoxication Stage 0.01-0.05 Asymptomatic 0.03-0.12 Euphoria, intoxication 0.09-0.25 Excitement 0.18-0.30 ...[Read More] Understanding High Blood Alcohol Levels: Can You Drive at 181.5?
Understanding Rough Liver Surface: Implications and Next Steps
Rough surface of the liver? I underwent an ultrasound examination which showed a rough liver surface, but my liver function tests were normal. The doctor ordered additional blood tests to check "if my immune system is attacking my liver," but those results also came bac...
Dr. Chen Jingwen reply Internal Medicine
1. The ultrasound examination shows a rough liver surface, which may indicate the presence of parenchymal liver disease. However, due to the subjective nature of the operator's assessment, this does not necessarily imply a problem. It is essential to consider other laborator...[Read More] Understanding Rough Liver Surface: Implications and Next Steps
Understanding Right Lower Abdominal Pain: Possible Causes and Tests
Right lower abdominal pain? Hello, doctor. For the past two days, I have experienced pain when pressing on a specific point in my lower right abdomen, without any other gastrointestinal discomfort. What could this condition be? What kind of examination should I undergo?
Dr. Chen Jingwen reply Internal Medicine
Right lower abdominal pain, without gastrointestinal discomfort, may have several possible causes: 1. Acute appendicitis 2. Acute diverticulitis 3. Certain renal and urinary system diseases, such as hydronephrosis, pyelonephritis, and ureteral stones 4. Colorectal tumors 5. Local...[Read More] Understanding Right Lower Abdominal Pain: Possible Causes and Tests
Understanding Hypoglycemia: Is It Related to Diabetes?
Hypoglycemia Hello: I recently conducted a fasting blood glucose test (I had a meal around 12:00 PM, only drank water afterward, and did not eat again) and found that my blood glucose level was 54 at around 6:30 PM. I would like to know if this is related to diabetes, as I have a...
Dr. Chen Jingwen reply Internal Medicine
Normal blood glucose levels range from 60 to 110 mg/dL. If you ate at 12 PM and did not consume anything else until measuring your blood sugar at 6:30 PM, it is expected that a normal person's blood sugar would drop below 110, potentially reaching as low as 60 mg/dL. Your me...[Read More] Understanding Hypoglycemia: Is It Related to Diabetes?
Understanding the Impact of Spleen Removal: Short and Long-Term Effects
Spleen Hello, Doctor: I have a friend who has a tumor in the spleen and needs to undergo surgery for removal. Could you please explain what the short-term and long-term effects of spleen removal might be on the body? Are there any specific aspects that need special attention? Can...
Dr. Chen Jingwen reply Internal Medicine
1. Tumors of the spleen can be classified as malignant or benign. The former may require surgical removal or other treatments (such as chemotherapy if malignant lymphoma invades the spleen), while the latter does not need to be removed if it does not affect spleen function, and o...[Read More] Understanding the Impact of Spleen Removal: Short and Long-Term Effects
Is Dialysis Effective for Diabetes? Long-Term Effects and Risks Explained
Dialysis is effective for diabetes? Is dialysis beneficial for diabetes? Will there be any long-term side effects?
Dr. Chen Jingwen reply Internal Medicine
Diabetes is classified into four main types, with only Type 1 diabetes being caused by an autoimmune response involving autoantibodies. Therefore, "plasmapheresis" can theoretically reduce the immune response by removing these antibodies, potentially alleviating the sym...[Read More] Is Dialysis Effective for Diabetes? Long-Term Effects and Risks Explained
Understanding Frequent Urination and Kidney Issues: Causes and Treatments
excuse me? Hello Doctor: Last year, I felt unwell and took medication for nearly a year. Later, I experienced frequent urination, soreness in my lower back and abdomen, and my stomach has also become enlarged. A traditional Chinese medicine practitioner diagnosed me with left kid...
Dr. Chen Jingwen reply Internal Medicine
In response to your letter, both the traditional Chinese medicine practitioner and you may believe that after taking medication for a year, you have harmed your kidneys, resulting in kidney disease. It is recommended to first visit an internal medicine outpatient clinic. A detail...[Read More] Understanding Frequent Urination and Kidney Issues: Causes and Treatments
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? Hello, doctor. After I eat, it seems that the food doesn't stay in my stomach but goes directly into the digestive tract, causing my body to have poor absorption.
Dr. Chen Jingwen reply Internal Medicine
The letter did not specify symptoms such as bloating, weight changes, frequent diarrhea, or previous surgeries. If malabsorption refers to weight loss or frequent diarrhea, it may be related to impaired small intestine absorption. It is also important to consider individual intol...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Dealing with Bad Breath: Seeking the Right Medical Specialty for Help
I have a problem with halitosis? Hello Doctor: Four years ago, I started learning to play the trumpet, and I began to experience bad breath around that time (I'm not sure if it's related to playing the trumpet). I initially thought that stopping would resolve the issue,...
Dr. Chen Jingwen reply Internal Medicine
Esophageal and gastrointestinal issues can also cause bad breath. If your oral health has been evaluated by a dentist and found to be normal, then your discomfort (such as bad breath) may be related to gastroesophageal reflux disease (GERD) and esophagitis. It is advisable to con...[Read More] Dealing with Bad Breath: Seeking the Right Medical Specialty for Help
Effective Treatment and Prevention Strategies for Hepatitis C
Hepatitis C If it is known that one has hepatitis C, how should it be treated and what measures can be taken to prevent it from progressing to chronic hepatitis?
Dr. Chen Jingwen reply Internal Medicine
Infection with hepatitis C can lead to chronic hepatitis in about half of the cases. These individuals have a risk of developing cirrhosis or liver cancer after several years. Therefore, once diagnosed with chronic hepatitis C, it is essential to monitor liver function (GOT, GPT)...[Read More] Effective Treatment and Prevention Strategies for Hepatitis C
Understanding Abnormal Liver Function: Hepatitis B Treatment Options and Concerns
Abnormal liver function Hello Dr. Chen, I have some questions regarding my hepatitis issue. Recently, I had a liver function test (GOT and GPT) at a local hospital, and the doctor found that my liver function is poor, with my levels being quite high, around 270. I am a carrier of...
Dr. Chen Jingwen reply Internal Medicine
1. There are specific criteria for antiviral treatment of chronic hepatitis B; please consult the Department of Hepatology at our hospital, Dr. Huang Mao-Sen, Dr. Chang Yu-Ting, or Dr. Liang Chia-Te. 2. Chronic hepatitis B does not pose an immediate life-threatening risk; it is i...[Read More] Understanding Abnormal Liver Function: Hepatitis B Treatment Options and Concerns
Is Green Stool a Cause for Concern? Understanding Gastrointestinal Health
Green stool Is it a problem to have green stool?
Dr. Chen Jingwen reply Internal Medicine
Green stool may be related to diet, particularly with a high intake of fruits and vegetables. Additionally, if the stool is yellow-green, it may be advisable to check for jaundice, which can be confirmed through a blood test. If the stool is dark brown-green, it may be necessary ...[Read More] Is Green Stool a Cause for Concern? Understanding Gastrointestinal Health
Understanding Liver Health: Preventing Cancer, Cirrhosis, and Jaundice
Liver Hello, Doctor: I apologize for the interruption. I would like to ask you about liver issues. 1. Liver cancer is one of the top ten causes of death. I read a section in "Preventing Liver Cancer" that states: "Preventing Chronic Hepatitis": vaccination a...
Dr. Chen Jingwen reply Internal Medicine
1. Hepatitis B and C are transmitted through blood, so sharing needles or using the same razor that causes cuts and bleeding can transmit these viruses if blood enters another person's wound. Additionally, drug users sharing needles and tattooing can also lead to transmissio...[Read More] Understanding Liver Health: Preventing Cancer, Cirrhosis, and Jaundice
Understanding Hepatitis B: Risks, Prevention, and Family Considerations
Hepatitis B Hello Doctor: I would like to ask some questions regarding hepatitis B. About a year ago, I had a check-up at the hospital to see if I had antibodies for hepatitis B. Since I was vaccinated as a child (I am now 20 years old), the results showed that I had both surface...
Dr. Chen Jingwen reply Internal Medicine
If you have both Hepatitis B surface antigen and antibodies, there may be a testing error or an acute infection, and you should retest to confirm the diagnosis. 1. If the Hepatitis B surface antigen is positive and your boyfriend has the same condition, then there is no risk of m...[Read More] Understanding Hepatitis B: Risks, Prevention, and Family Considerations