Managing Diabetes in Elderly Patients After Pneumonia: Seeking Guidance
I would like to inquire about diabetes issues in elderly patients after illness? Hello, my grandmother is 85 years old and has a history of diabetes, hypertension, and heart disease. She was hospitalized for pneumonia at Kaohsiung Veterans General Hospital on March 19. On April 3...
Dr. Chen Qingbin reply Internal Medicine
Hello, your grandmother is advanced in age and has experienced multiple organ failure. It is best to go to a treatment hospital for an evaluation of her condition before proceeding with further management and treatment.[Read More] Managing Diabetes in Elderly Patients After Pneumonia: Seeking Guidance
Reviving Shock Patients: Effective Strategies for Elderly Care
How to awaken a patient in shock? Due to excessive blood loss leading to shock, how can we revive a patient in shock (the patient is over 70 years old)?
Dr. Chen Qingbin reply Internal Medicine
Hello, Niu Niu: In such a situation, please call 911 immediately for emergency medical assistance.[Read More] Reviving Shock Patients: Effective Strategies for Elderly Care
Post-Splenectomy Health Issues: Symptoms, Treatments, and Dietary Tips
Issues After Spleen Removal A family member had a car accident in their teenage years, resulting in a ruptured spleen that was surgically removed. Now at 31 years old, they have been experiencing increasingly poor complexion, fatigue, sensitivity to cold, and general weakness. Wh...
Dr. Chen Qingbin reply Internal Medicine
Hello Ms. Chen: The spleen has functions related to hematopoiesis and immunity. It is best to seek examination and treatment at a large hospital.[Read More] Post-Splenectomy Health Issues: Symptoms, Treatments, and Dietary Tips
Exercise Prescription for Improving Fitness: A Comprehensive Guide
Exercise prescription Non-smoker; irregular exercise habits. Height: 165 cm, Weight: 52 kg, BMI: 19.10 (underweight). Flexibility: 22 (poor), Muscle strength: 15 (poor), Cardiovascular endurance: 49.72 (poor) ------(the above are the results of the online assessment)------ Recomm...
Dr. Chen Qingbin reply Physical Fitness
Hello Jean: You can start with light exercise (such as walking, cycling, or swimming). It is best to get checked at a hospital for conditions like hypertension, diabetes, heart disease, lung disease, or liver disease. After evaluation, a physician can recommend an exercise prescr...[Read More] Exercise Prescription for Improving Fitness: A Comprehensive Guide
Managing Wound Healing Challenges in Diabetic Patients After Surgery
Foot injuries in diabetic patients? Hello Doctor, my mother is 55 years old and has diabetes and hypertension. After an accident in early September, she underwent surgery for injuries to her right knee and calf, which resulted in three wounds. She was discharged after six days, b...
Dr. Chen Qingbin reply Internal Medicine
Hello Xiaowen: Your mother's condition is quite complex. She has issues with diabetes, a wound infection, and nutritional problems, among others. It would be best to discuss with the attending physician before deciding whether a transfer to another hospital is necessary.[Read More] Managing Wound Healing Challenges in Diabetic Patients After Surgery
Understanding Low Triglycerides: Health Impacts and Solutions
Low triglycerides? During our recent health check-up, it was pointed out that our triglyceride levels are low. Could you please explain what effects low triglyceride levels may have on the body? Additionally, how can we address this issue to bring the levels back to normal? Thank...
Dr. Chen Qingbin reply Internal Medicine
Gloria: Low triglyceride levels may be caused by dietary restrictions or malnutrition. Are you currently on a diet for weight loss? It is advisable to consult a physician for treatment if there are any concerns.[Read More] Understanding Low Triglycerides: Health Impacts and Solutions
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Rapid heartbeat? Hello, doctor. My usual blood pressure is 90 over 60, but recently it has dropped a bit to 80 over 55. When I exercise, I feel dizzy, and my face and hands turn pale. I often experience headaches at the top of my head. Recently, one night, my right leg started tw...
Dr. Chen Qingbin reply Internal Medicine
Hello, Xiao Li: Your blood pressure is low, and you are experiencing symptoms such as dizziness, pale complexion, and leg cramps. It is advisable to go to the hospital for a thorough examination and treatment.[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Understanding Lipitor's Effects on Blood Sugar and Hypertension Management
excuse me? 1. Does taking Lipitor cause an increase in blood sugar levels and glycated hemoglobin? 2. I am a patient with hypertension and my levels have been normal; should I proactively discuss the possibility of changing medications with my doctor? 3. Is this related to menopa...
Dr. Chen Qingbin reply Internal Medicine
Hello SPP: Lipitor is a lipid-lowering medication. The main side effects include muscle pain and liver function abnormalities. If you have any issues while taking the medication, you can consult your physician to discuss whether to switch medications or discontinue use.[Read More] Understanding Lipitor's Effects on Blood Sugar and Hypertension Management
Is There a Causal Relationship Between Mitral Regurgitation and Insulin Secretion?
Is there a causal relationship between mitral valve insufficiency and insulin secretion? Is there a causal relationship between mitral valve insufficiency and insulin secretion? Can mitral valve insufficiency and tricuspid regurgitation lead to issues with insulin secretion? I wo...
Dr. Chen Qingbin reply Internal Medicine
Hello, the mitral valve insufficiency does not have a causal relationship with insulin secretion and will not lead to issues with insulin secretion.[Read More] Is There a Causal Relationship Between Mitral Regurgitation and Insulin Secretion?
Understanding Prednisolone for Gout: Dosage, Long-term Use, and Treatment Efficacy
Medications for Gout Dear Dr. Chen: My father (85 years old) has gout and has been prescribed prednisolone (2 tablets in the morning and 2 tablets in the evening, each 5mg) by an orthopedic doctor for over a month. I recently found out that this is a corticosteroid. Is this dosag...
Dr. Chen Qingbin reply Internal Medicine
Prednisolone (a corticosteroid) can be used to treat acute gout. Typically, a physician will prescribe an appropriate dosage of prednisolone based on the patient's condition and symptoms. If there are any questions regarding the medication, please discuss them with the atten...[Read More] Understanding Prednisolone for Gout: Dosage, Long-term Use, and Treatment Efficacy
Persistent Sensation of Choking Without Eating: Causes and Concerns
Feeling a constant sensation of choking despite not having eaten anything? About six months ago, I occasionally experienced a sensation of something stuck in my throat even when I hadn't eaten anything. Now, this feeling has extended to my chest. Every time I feel this sensa...
Dr. Chen Qingbin reply Internal Medicine
It is recommended to proceed for further examination and treatment in the hepatobiliary and gastroenterology department.[Read More] Persistent Sensation of Choking Without Eating: Causes and Concerns
Understanding the Link Between Cholesterol Levels and Obesity
Is there a correlation between cholesterol and obesity? Hello doctor, I am an overweight college student. Recently, the health check-up results from my school showed that my overall health status seems fine, except for being overweight and having a high BMI. However, I am curious...
Dr. Chen Qingbin reply Internal Medicine
Obesity does not necessarily mean high cholesterol; there is some correlation, but it is not absolute.[Read More] Understanding the Link Between Cholesterol Levels and Obesity
Understanding Cholesterol Levels and Gallbladder Surgery Impact
High cholesterol issues My total cholesterol was 270 mg/dL before treatment, and after medication, it dropped to 212 mg/dL (high-density lipoprotein = 66, low-density lipoprotein = 128). Is this normal? Additionally, I have recently had gallbladder issues, and my doctor has recom...
Dr. Chen Qingbin reply Internal Medicine
Hello Tuta: Your cholesterol levels have improved significantly after medication, and it will be even better with dietary control. Keep it up! The impact of gallbladder removal on cholesterol is minimal, but it is important to maintain a light diet. Wishing you health and safety.[Read More] Understanding Cholesterol Levels and Gallbladder Surgery Impact
Severe Chest Pain and Breathing Issues During Fever: What to Know
Severe chest pain and difficulty breathing during a fever? Hello, I experienced severe chest pain and difficulty breathing when I had a fever, with an ear temperature of 39.4°C. This was on the third day of my fever; the first two days, I only drank hot beverages and did not seek...
Dr. Chen Qingbin reply Internal Medicine
There are many causes of fever accompanied by chest pain, and a detailed examination is necessary for diagnosis. It is best to visit a hospital for evaluation and testing.[Read More] Severe Chest Pain and Breathing Issues During Fever: What to Know
Can Soy Isoflavones Benefit Menopausal Women and Improve Immunity?
Soy isoflavones Hello doctor, my mother is going through menopause and has been taking products containing soy isoflavones, which have improved her condition significantly. My father, who is 53 years old, also has trouble sleeping and has experienced a decline in physical strengt...
Dr. Chen Qingbin reply Internal Medicine
If you are experiencing discomfort and poor sleep, it is not advisable to take soy isoflavones. It is best to visit a hospital for an examination so that appropriate treatment can be administered without delaying your condition.[Read More] Can Soy Isoflavones Benefit Menopausal Women and Improve Immunity?
Understanding Pituitary Disorders and Their Impact on Abdominal Pain
Issues related to pituitary hormones? Doctor, I've heard that a rare issue related to adrenaline, specifically a pituitary lesion, can also cause patients to experience upper abdominal pain. Is this true? Thank you!
Dr. Chen Qingbin reply Internal Medicine
Hello, the diseases of the pituitary gland can cause various symptoms, and a detailed examination at a medical center is necessary.[Read More] Understanding Pituitary Disorders and Their Impact on Abdominal Pain
Can Hypertensive Patients Safely Consume Red Yeast Rice Supplements?
Can patients with hypertension consume red yeast rice health supplements? Hello, Doctor. I have been experiencing hypertension (around 140-150 when not on medication) and tachycardia for almost 2 years. Over the past year, my cholesterol levels have been rising, and two months ag...
Dr. Chen Qingbin reply Internal Medicine
Hello, San: High blood lipids do not necessarily require the use of health supplements; improvements should be made through lifestyle and dietary habits. Red yeast rice supplements should not be taken in conjunction with anticoagulants or lipid-lowering medications.[Read More] Can Hypertensive Patients Safely Consume Red Yeast Rice Supplements?
Understanding Dark Spots Around the Forehead and Neck: Symptoms and Specialist Guidance
Melanin around the forehead? The appearance of black spots (dark patches) on the forehead and around the neck, along with small bumps that are itchy, may indicate a skin condition such as hyperpigmentation, dermatitis, or possibly a fungal infection. It is advisable to consult a ...
Dr. Chen Qingbin reply Internal Medicine
Hello, Xiao Chen: Skin lesions require an in-person examination for diagnosis and treatment. Please visit a dermatology clinic for evaluation.[Read More] Understanding Dark Spots Around the Forehead and Neck: Symptoms and Specialist Guidance
Managing Diabetes: Tips for Blood Thickness and Tea Consumption
Diabetes mellitus Hello Doctor: My mother-in-law has diabetes and is currently on medication. What should we pay attention to regarding thick blood? Is it okay for her to drink tea?
Dr. Chen Qingbin reply Internal Medicine
Hello Sindy: The blood is too thick, and we need to identify the cause in order to improve it.[Read More] Managing Diabetes: Tips for Blood Thickness and Tea Consumption
Excess Male Hormones in Women: Symptoms and Treatment Options
Excessive male hormones? Hello, Doctor: It seems that my girlfriend may have an issue with excess male hormones. She has a lot of body hair, numerous acne on her face and body, and well-developed muscles. Could you please tell me if she has excess male hormones and if it can be t...
Dr. Chen Qingbin reply Internal Medicine
Hello Jerry: Excessive body hair and well-developed muscles may be related to your constitution, but they could also indicate an endocrine issue. It is best to consult an endocrinologist at a major hospital for examination.[Read More] Excess Male Hormones in Women: Symptoms and Treatment Options