Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has be...
Dr. Hong Hongchang reply Internal Medicine
The patient has hypertension, endocrine disorders, electrolyte imbalances, and postoperative enteritis, which may clinically present with elevated white blood cell counts associated with bacterial infection. Additionally, the patient's use of corticosteroids may lead to decr...[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Understanding Unexplained Vomiting, Diarrhea, and Breathing Difficulties
Vomiting and diarrhea? I am experiencing unexpected vomiting and diarrhea, along with difficulty breathing, which makes me feel very unwell. Doctor, what could this illness be? Additionally, these symptoms occur every so often.
Dr. Hong Hongchang reply Internal Medicine
1. Symptoms of gastrointestinal discomfort are related to dietary habits and types of food such as tea, coffee, spicy foods, dairy products, and fried foods. 2. Lifestyle factors such as sleep and stress also play a role. 3. Overall health conditions like colds, pregnancy, insomn...[Read More] Understanding Unexplained Vomiting, Diarrhea, and Breathing Difficulties
Understanding Hyperuricemia: Risks, Treatment, and Genetic Factors
Hyperuricemia Before the Lunar New Year, I went to the hospital for a health check-up. After the report came out, my uric acid level was as high as 8.4! However, I do not have any symptoms of gout. Doctor, is this a cause for concern? Do I need to take medication? What should I p...
Dr. Hong Hongchang reply Internal Medicine
Hyperuricemia - A blood test shows uric acid levels exceeding 8.0 mg/dL. It is advisable to avoid foods high in purines (such as organ meats, seafood, and rich broths) and to refrain from drinking beer. Additionally, increasing water intake and engaging in moderate exercise can b...[Read More] Understanding Hyperuricemia: Risks, Treatment, and Genetic Factors
Understanding Dark Green Stool in Adults: Causes and Concerns
Stool color I have a question. One time after having a bowel movement, I was surprised to find that my stool was dark green and very distinct. The food I ate that day was nothing special and similar to what I usually eat, and I didn't take any medication. However, I have nev...
Dr. Hong Hongchang reply Internal Medicine
The color of stool is related to the degree of food digestion. For instance, in cases of biliary obstruction or jaundice, the stool may appear pale or clay-colored, while normally digested stool is light green or brownish-yellow. Additionally, diet can also influence changes in s...[Read More] Understanding Dark Green Stool in Adults: Causes and Concerns
Understanding Cold Extremities and Sweaty Palms: Causes and Solutions
Palmar hyperhidrosis and cold extremities? I am 21 years old and I often exercise, but I don't understand why my limbs are frequently cold, not just in winter; even in summer, it's the same. Sometimes, even after exercising, my body temperature seems to be lower than ot...
Dr. Hong Hongchang reply Internal Medicine
Cold extremities and sweaty palms may be caused by hyperhidrosis, endocrine disorders, or poor peripheral circulation. It is advisable to follow up with a neurosurgery outpatient clinic.[Read More] Understanding Cold Extremities and Sweaty Palms: Causes and Solutions
Why Am I Seeing Bubbles in My Urine? Kidney Health Concerns Explained
Urine Hello: Why do I always see bubbles when I urinate? Could it be a problem with my kidneys?
Dr. Hong Hongchang reply Internal Medicine
Bubbles and cloudiness in urine may be due to high levels of protein or glucose in the urine. It is recommended to follow up with an internal medicine clinic. Thank you![Read More] Why Am I Seeing Bubbles in My Urine? Kidney Health Concerns Explained
Understanding Low Platelet Count: Symptoms, Specialist Consultations, and Remedies
Abnormal platelet count (PLT) The annual health check report indicates that my platelet (PLT) count is 123, which is significantly lower than the normal range (142-424), thus classified as abnormal. I have never had any diseases or abnormal reactions related to this before, so I ...
Dr. Hong Hongchang reply Internal Medicine
1. A platelet count (normal range 130,000 to 400,000) that decreases may lead to a tendency for bleeding (such as bruising and prolonged bleeding), and issues related to the liver, spleen, and blood should be considered; follow-up with a hematology clinic is recommended. 2. Scoli...[Read More] Understanding Low Platelet Count: Symptoms, Specialist Consultations, and Remedies
Can I Drink Yogurt After Having a Duodenal Ulcer?
If you have a history of gastric ulcers, is it safe to drink yogurt? Hello Dr. Hong: A few months ago (in May), I was diagnosed with a duodenal ulcer, but my condition has improved. Currently, I am experiencing bloating, and a recent colonoscopy revealed signs of inflammation. I ...
Dr. Hong Hongchang reply Internal Medicine
Peptic ulcers are closely related to Helicobacter pylori. Generally, it is necessary to take specific medications for three to four months. Additionally, it is important to avoid irritant foods (such as tea, coffee, tobacco, and alcohol) and pain relievers. Maintaining regular me...[Read More] Can I Drink Yogurt After Having a Duodenal Ulcer?
Preventing and Managing Kidney Atrophy: Essential Strategies for Health
Kidney If there is kidney atrophy, how can we prevent its progression and what are the treatment options? Thank you.
Dr. Hong Hongchang reply Internal Medicine
If kidney atrophy occurs, it indicates the onset of chronic nephritis or may lead to chronic kidney failure in the future. Dietary considerations should include a low-sodium diet and appropriate intake of protein and fluids. Additionally, unnecessary medications should be avoided...[Read More] Preventing and Managing Kidney Atrophy: Essential Strategies for Health
Understanding High Uric Acid and Amylase Levels: Causes and Dietary Tips
Health check-up report issues? Hello Dr. Hong: I underwent a health check at Joseph Hospital, where my Uric Acid level was 7.7 mg/dL and Amylase level was 138 U. Three months later, I returned for a follow-up, and the results showed a Uric Acid level of 8.3 mg/dL and an Amylase l...
Dr. Hong Hongchang reply Internal Medicine
Based on the description of the condition, there are two main reasons: (1) High uric acid levels can be caused not only by the consumption of purine-rich foods (such as organ meats, legumes, seafood, etc.) but also by factors such as alcohol consumption, medications, or genetic p...[Read More] Understanding High Uric Acid and Amylase Levels: Causes and Dietary Tips
Understanding Persistent Bitter Taste: Causes and Solutions
Bitter taste in the mouth? I have been experiencing a persistent bitter taste in my mouth for the past year. I have undergone health check-ups and visited the hospital for examinations, but no conclusions have been reached. Recently, I have also tried traditional Chinese medicine...
Dr. Hong Hongchang reply Internal Medicine
A bitter taste in the mouth is commonly associated with oral diseases such as periodontal disease, gastrointestinal disorders, and metabolic diseases. It is advisable to visit a nearby hospital's internal medicine outpatient clinic for further evaluation.[Read More] Understanding Persistent Bitter Taste: Causes and Solutions
Understanding Unexplained Foot Edema: Causes and Treatment Options
Foot edema I have undergone a full-body health check at Chang Gung Memorial Hospital and have consulted with specialists in cardiology, nephrology, and metabolism, but no underlying cause has been identified. Some doctors have mentioned that it is idiopathic edema, which cannot b...
Dr. Hong Hongchang reply Internal Medicine
1. Edema of unknown origin; consume low-sodium foods. 2. Elevate your legs while sleeping. 3. If symptoms persist, please follow up at the internal medicine outpatient clinic. For obesity, increase metabolic function: exercise more and reduce intake of high-calorie foods. If ...[Read More] Understanding Unexplained Foot Edema: Causes and Treatment Options
Understanding Abdominal Pain: Possible Causes and Concerns
Abdominal pain Hello, Dr. Hong! Two years ago, I underwent two surgeries on my uterus. Since early October, I have been experiencing some symptoms. When I lightly press on the left and right sides of my lower abdomen, it hurts, and I also feel discomfort around my navel. Addition...
Dr. Hong Hongchang reply Internal Medicine
Postoperative intestinal adhesions are very common in clinical practice, with symptoms ranging from mild to severe. It is recommended to engage in moderate exercise and to consume a diet high in fiber. If there are any issues, please follow up at a gastroenterology clinic.[Read More] Understanding Abdominal Pain: Possible Causes and Concerns
Urgent Inquiry: Treatment Options for Pancreatitis in Taiwan
Emergency Inquiry!! (Pancreatitis) Emergency inquiry!! Recently, a relative has been diagnosed with pancreatitis (pancreatic inflammation) and is currently undergoing treatment, including blood transfusion. Since no one around has ever had this disease, I am anxious and would lik...
Dr. Hong Hongchang reply Internal Medicine
The two most common causes of pancreatitis are gallstones and alcohol abuse. Other factors, such as hyperlipidemia or bacterial infections, can also lead to severe complications and even death. Therefore, treatment should be conducted by experienced physicians and equipped facili...[Read More] Urgent Inquiry: Treatment Options for Pancreatitis in Taiwan
Managing Abdominal Pain: Dietary Tips for High School Students
Abdominal pain? Hello, I am a high school student from Keelung City. I have digestive issues, and sometimes when I have stomach pain, my mom tells me to eat something. I am a bit skeptical about whether this is a good idea, and I wonder if there are better methods or dietary sugg...
Dr. Hong Hongchang reply Internal Medicine
Gastrointestinal discomfort caused by stress or emotions commonly includes 1. Irritable Bowel Syndrome (IBS) and 2. Acute Gastritis. Therefore, it is important to have regular meals with controlled portions, avoid irritating foods, manage stress, and maintain a normal daily routi...[Read More] Managing Abdominal Pain: Dietary Tips for High School Students
Understanding Elevated Liver Enzymes: Causes and Management Options
Liver Hello: My liver function (G.P.T) is 49, while the normal value is 30. I have no infection with hepatitis B or C. Why is my liver function index elevated? Do I need medication to control it?
Dr. Hong Hongchang reply Internal Medicine
In Taiwan, the most common causes of hepatitis are hepatitis B and C. However, other factors such as alcohol abuse, medications, and excessive work can also lead to abnormal liver function. In your case, there is no need for medication; instead, you should focus on getting plenty...[Read More] Understanding Elevated Liver Enzymes: Causes and Management Options
Understanding Abdominal Sounds: Should You See a Doctor?
I really want to know? I have had digestive issues for a long time and often experience stomach pain. I have a problem with excessive borborygmi, which makes loud noises in my abdomen. I feel embarrassed about it, but my friend says she hasn't heard it, although she mentione...
Dr. Hong Hongchang reply Internal Medicine
Based on your symptom description, it is consistent with Irritable Bowel Syndrome (IBS). Therefore, you should: 1. Avoid stress and maintain a regular routine; 2. Avoid irritant foods such as tea and coffee; 3. If symptoms persist, please follow up with a gastroenterologist.[Read More] Understanding Abdominal Sounds: Should You See a Doctor?
Understanding Left Lower Abdominal Pain and Back Discomfort: Causes and Solutions
Left lower abdominal pain accompanied by pain near the spine in the lower back? Hello: I have been experiencing pain for about 20 days now. Initially, I had pain in my left lower abdomen that radiated to my lower back near the spine. After visiting the hospital, I was prescribed ...
Dr. Hong Hongchang reply Internal Medicine
Hello: In addition to gastrointestinal issues, left lower abdominal pain should also consider urinary tract stones. If the symptoms persist, an ultrasound examination is recommended.[Read More] Understanding Left Lower Abdominal Pain and Back Discomfort: Causes and Solutions
Why Do Liver or Pancreas Issues Cause Floating Stools?
Liver and pancreatic diseases? Why do individuals with liver or pancreatic damage have stools that are lighter and float on water?
Dr. Hong Hongchang reply Internal Medicine
1. Patients with liver injury experience decreased bile excretion, leading to reduced emulsification of fats and resulting in fat malabsorption. 2. Pancreatic injury can lead to decreased secretion of pancreatic enzymes, resulting in digestive abnormalities. If there are any issu...[Read More] Why Do Liver or Pancreas Issues Cause Floating Stools?
Understanding Blood Pressure Measurement and Calf Tendonitis Symptoms
Tendonitis of the calf? Hello, when measuring blood pressure with a traditional mercury sphygmomanometer, do you hear the maximum pulse sound? Or is the first pulse sound considered the systolic pressure? Then, is the subsequent pulse sound the diastolic pressure? Please clarify ...
Dr. Hong Hongchang reply Internal Medicine
Hello: 1. In a traditional mercury sphygmomanometer, the first sound indicates systolic pressure, while the disappearance or reduction of sound indicates diastolic pressure. If the pulse is very faint, it may be due to improper placement of the stethoscope or an issue with the st...[Read More] Understanding Blood Pressure Measurement and Calf Tendonitis Symptoms