Managing Anemia and Cholesterol: Do I Need to Take My Medications?
Please help me with my medication concerns! Thank you? Hello Doctor: I am a housewife and I rarely exercise! I often feel dizzy. Last July and August, I went to a public hospital for an examination, and the doctor prescribed me an iron supplement for anemia, which is Cyanocobalam...
Dr. Chen Qingbin reply Internal Medicine
Hello Tina: Your cholesterol and uric acid levels are slightly elevated. You can manage this through dietary control and may not necessarily need medication.[Read More] Managing Anemia and Cholesterol: Do I Need to Take My Medications?
Managing Persistent Limb Pain: Insights for Diabetes Patients
Experiencing numbness and pain in the limbs? Dear Dr. Chen, Three years ago, I was hospitalized for limb pain (at Chang Gung Memorial Hospital), and during that time, I was diagnosed with diabetes. Since then, my pain has somewhat alleviated, and my blood sugar levels are well c...
Dr. Chen Qingbin reply Internal Medicine
Hello Wei: Your condition may be peripheral neuropathy caused by diabetes. The symptoms can fluctuate and may not fully improve. It is important to control your blood sugar levels, and appropriate exercise may be beneficial.[Read More] Managing Persistent Limb Pain: Insights for Diabetes Patients
Do Diabetes Medications Need to Be Taken for Life? Insights and Alternatives
Regarding blood sugar and blood sugar medications? Dear Doctor, I would like to ask if my current blood sugar levels are high (around 140 mg/dL before meals and over 300 mg/dL after meals), and the doctor has already prescribed medication to lower my blood sugar. Is it true tha...
Dr. Chen Qingbin reply Internal Medicine
Hello KAREN: I apologize for the delayed response due to my annual leave. We need to first confirm whether you have diabetes; if so, treatment will be necessary. Medication is part of the treatment, but dietary control, exercise, and lifestyle modifications are also essential com...[Read More] Do Diabetes Medications Need to Be Taken for Life? Insights and Alternatives
Understanding Pure Hypertriglyceridemia: Symptoms and Health Implications
What is pure hypertriglyceridemia? What is pure hypertriglyceridemia? My triglyceride level is 1498, and my cholesterol is normal. Can I apply for a major illness card?
Dr. Chen Qingbin reply Internal Medicine
Hello, Huanhen: If triglycerides are high and cholesterol levels are normal, it is classified as pure hypertriglyceridemia. If the triglyceride level is 1498, you cannot apply for a major illness card.[Read More] Understanding Pure Hypertriglyceridemia: Symptoms and Health Implications
Understanding Triglycerides: The Impact of Sashimi and Lifestyle Choices
Sashimi and triglycerides Dear Dr. Chen, Two weeks ago, I measured my triglyceride level at 280, with both liver enzyme levels around 45, and my vascular stiffness index at 6. I usually eat out, often stay up late, and smoke (about a pack a day), but I exercise at least three ti...
Dr. Chen Qingbin reply Internal Medicine
Hello Ruiheng: A balanced diet is very important, and it is best to quit smoking. This is Dr. Chen Qingbin from the Internal Medicine Department of Hualien Hospital. Although you exercise three times a week, staying up late is detrimental to your liver, smoking is harmful to your...[Read More] Understanding Triglycerides: The Impact of Sashimi and Lifestyle Choices
Understanding Monthly Migraines: Symptoms and Diagnosis Explained
Periodic attacks, I suspect it's a migraine. Please take a look? I would like to ask if experiencing the following symptoms once a month is considered "migraine": 1. The onset of visual disturbances such as bright spots, leading to blurred vision. 2. The bright spo...
Dr. Chen Qingbin reply Internal Medicine
It is likely a migraine; it is best to visit a hospital for diagnosis and treatment.[Read More] Understanding Monthly Migraines: Symptoms and Diagnosis Explained
Managing High Blood Pressure: When to Consult a Doctor and Monitoring Tips
Hypertension Hello, 1. My father is 58 years old and has high blood pressure and elevated blood sugar, but he does not have diabetes yet. He is currently on medication, and his blood pressure has been maintained at around 140/70. However, it has recently risen to 180/80, althou...
Dr. Chen Qingbin reply Internal Medicine
Hello CHI: Your father's blood pressure is unstable. It is best to visit his original physician and provide them with the blood pressure log for reference. There is no limit to how many times blood pressure should be measured; ideally, it should be taken 2 to 4 times a day.[Read More] Managing High Blood Pressure: When to Consult a Doctor and Monitoring Tips
Understanding Fainting in Elderly Patients: Causes and Prevention
Fainting Hello: My father is nearly 80 years old and has hypertension and asthma. A few days ago, he fainted while eating, and he also fainted once a year ago, waking up only to realize he had fallen to the ground. Could you please advise on the possible causes and how to prevent...
Dr. Chen Qingbin reply Internal Medicine
Hello Mr. Tsai: Your father, at the age of 80, suddenly fainted, and various medical conditions could be the cause. It is best to take him to the hospital for a thorough examination.[Read More] Understanding Fainting in Elderly Patients: Causes and Prevention
Understanding Metabolic Syndrome: Key Facts and Insights
Metabolic syndrome I would like to learn about information on metabolic syndrome.
Dr. Chen Qingbin reply Internal Medicine
Understanding metabolic syndrome is not something that can be easily explained in just a few sentences. It is best to search online for more detailed information.[Read More] Understanding Metabolic Syndrome: Key Facts and Insights
Understanding Cholesterol Metabolism Issues in Vegetarians
Inability to metabolize cholesterol? Hello, Doctor. My father is 56 years old, 165 cm tall, and weighs 52 kg. His blood pressure is also low at 96/70. Due to his busy work schedule, he exercises for about 20 minutes, 2 to 3 days a week. Last week, he had a blood test and found th...
Dr. Chen Qingbin reply Internal Medicine
High cholesterol levels can easily lead to atherosclerosis. Improvement methods should start with diet and exercise. If control is still not achieved, medication treatment may be necessary.[Read More] Understanding Cholesterol Metabolism Issues in Vegetarians
Understanding ECG Results: Next Steps for Heart Health Concerns
Electrocardiogram & Heart Hello doctor, I recently experienced sudden palpitations, dizziness, and shortness of breath, so I went to the provincial hospital for an electrocardiogram, which showed no abnormalities. However, I am still experiencing chest tightness and difficult...
Dr. Chen Qingbin reply Internal Medicine
Hello KIKI: Your condition may be caused by anxiety disorder. However, it is best to visit a hospital for a physician's assessment and appropriate examination and treatment.[Read More] Understanding ECG Results: Next Steps for Heart Health Concerns
Dietary Guidelines for Managing Diabetes and Liver Cirrhosis
Inquiring about the diet for diabetes and cirrhosis? Hello Dr. Chen, I would like to ask about my mother's recent diagnosis of diabetes and cirrhosis. What dietary considerations should we be aware of? I have no knowledge about what foods are suitable or unsuitable for her...
Dr. Chen Qingbin reply Internal Medicine
Hello Lulu: Diabetes and cirrhosis are chronic diseases that require long-term outpatient follow-up and treatment. In terms of diet, it is important to maintain a low-sodium, low-fat, low-sugar, and high-fiber diet. Regular exercise is also necessary. Purchasing a blood glucose m...[Read More] Dietary Guidelines for Managing Diabetes and Liver Cirrhosis
Understanding Low Albumin Levels: Causes, Management, and Dietary Tips
Hypoalbuminemia Hello Doctor: My mother recently experienced swelling in her legs. A blood test revealed low albumin levels, with a value of 2.8, while the normal range is 3.8 to 5.4. My mother also has diabetes and is taking medication for high blood pressure. What could be the ...
Dr. Chen Qingbin reply Internal Medicine
Hello, the causes of low albumin levels can be numerous, including malnutrition, liver cirrhosis, and kidney disease. It is best to visit a hospital for a thorough examination and treatment.[Read More] Understanding Low Albumin Levels: Causes, Management, and Dietary Tips
Understanding Body Composition: Its Importance and Impact on Fitness
Body composition Is body composition important? What are the significant impacts? What are the differences or effects of being overweight or underweight? I would like to learn more about the importance of body composition.
Dr. Chen Qingbin reply Physical Fitness
Assessing body composition can be challenging, but as long as one is healthy, there should be no major concerns.[Read More] Understanding Body Composition: Its Importance and Impact on Fitness
Struggling with Low Weight: Seeking Solutions Beyond Metabolism Issues
Weight gain Non-smoker; irregular exercise habits. Height 176 cm, weight 55 kg, BMI: 17.76 (underweight). Flexibility: 10 (poor), Muscle strength: 20 (poor) ------ (the above is the online assessment result) ------ I asked last time and followed the advice given, which was to see...
Dr. Chen Qingbin reply Physical Fitness
If the examination shows no issues, it is likely related to one's constitution. Increasing physical activity and consuming more food can enhance flexibility, strength, and body weight.[Read More] Struggling with Low Weight: Seeking Solutions Beyond Metabolism Issues
Improving Fitness: Tips for Managing Weight and Health Risks
Physical condition Non-smoker; irregular exercise habits; only able to perform physician-recommended exercises due to heart issues; previously experienced dizziness leading to loss of balance or consciousness; height 153 cm, weight 62 kg, BMI: 26.49 (considered dangerously overwe...
Dr. Chen Qingbin reply Physical Fitness
If you have a family history of heart disease, obesity, and diabetes, it is advisable to visit a hospital for a check-up. It's difficult to change your constitution, so it's best to start improving your diet and lifestyle habits.[Read More] Improving Fitness: Tips for Managing Weight and Health Risks
How to Gain Weight Healthily: Tips for Underweight Individuals
Weight gain Non-smoker; irregular exercise habits. Height: 176 cm, Weight: 55 kg, BMI: 17.76 (underweight). Flexibility: 25 (poor), Muscle strength: 18 (very poor) ------ (the above is the online assessment result) ------ How can I gain some weight? I have undergone blood tests, ...
Dr. Chen Qingbin reply Physical Fitness
Body weight is largely determined by genetics, although it is essential to rule out any underlying medical conditions first. It is advisable to consult a family medicine specialist or an endocrinologist at a hospital.[Read More] How to Gain Weight Healthily: Tips for Underweight Individuals
Managing Persistent Leg Edema in Elderly Patients with Heart Conditions
Regarding the issue of persistent edema in the feet? I am inquiring on behalf of my grandmother. She is 75 years old and has a history of heart disease, diabetes, and hypertension. For the past two months, her legs have been swollen. Although she has been prescribed diuretics, th...
Dr. Chen Qingbin reply Internal Medicine
There are many causes of leg edema, and it is essential to identify the underlying reason for targeted treatment. It is advisable to visit a cardiology department for examination and treatment. Elevated potassium levels do not necessarily indicate edema.[Read More] Managing Persistent Leg Edema in Elderly Patients with Heart Conditions
Understanding Severe Palpitations: Causes and Diagnostic Approaches
Severe palpitations? I apologize! Recently, I often feel a strong heartbeat, and there is a sharp pain in the lower left side of my heart. The back of my head also experiences sharp pain that is truly unbearable. It has been occurring more frequently. In previous health check-ups...
Dr. Chen Qingbin reply Internal Medicine
You need to go to the hospital for an electrocardiogram (ECG) and thyroid function tests.[Read More] Understanding Severe Palpitations: Causes and Diagnostic Approaches
Understanding Internal Heat: Possible Metabolic Issues in Older Adults
Internal heat generation Hello Doctor: My father is 67 years old and has been experiencing recurrent episodes of fever over the past two months. He feels uncomfortable with internal heat even when he does not have a fever. He has undergone blood tests and a thyroid examination, b...
Dr. Chen Qingbin reply Internal Medicine
If the thermometer shows no fever but there is a subjective feeling of internal heat, it is generally indicative of autonomic nervous system dysregulation. If no other underlying causes are found upon examination, no specific treatment is necessary, and regular outpatient follow-...[Read More] Understanding Internal Heat: Possible Metabolic Issues in Older Adults