Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?
I would like to ask which department I should visit? I have been taking weight loss pills for a long time, but when I'm not taking them, my face really gets swollen, looking like a pig's head when I wake up. I often feel fatigued and can sleep up to 18 hours a day for s...
Dr. Ke Taiyuan reply Internal Medicine
Hello, thank you for your inquiry. There are many causes of edema. It is recommended to seek further evaluation at a general internal medicine or nephrology clinic. The Chiayi Hospital of the Ministry of Health and Welfare cares about you![Read More] Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?
Understanding Proteinuria and Edema: Key Insights for Kidney Health
Proteinuria, edema Hello, I have recently experienced a rapid increase in weight, along with severe edema in both legs. Additionally, after holding my urine for two to three hours without drinking water, my first morning urine produced small bubbles, approximately the size of a s...
Dr. Ke Taiyuan reply Internal Medicine
Thank you for your question. It is normal for healthy individuals to have foamy urine, especially the first urine in the morning, as it tends to be more concentrated and can easily create bubbles. If the foam persists for a long time, it may indicate proteinuria. Edema can be cau...[Read More] Understanding Proteinuria and Edema: Key Insights for Kidney Health
Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Is the plasma renin activity elevated in renal function? Hello, doctor. I recently had a health check-up, and my lab results show a serum creatinine level of 1.3 mg/dL, a glomerular filtration rate (GFR) of 62.3 mL/min, a urine albumin test result of 30 mg/L, a urine specific gra...
Dr. Ke Taiyuan reply Internal Medicine
Your kidney function index, creatinine level of 1.3, is approximately at the upper limit of the normal range (which may vary slightly between different medical institutions). A glomerular filtration rate (GFR) less than 60 sustained for more than three months indicates chronic ki...[Read More] Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Understanding Gastrointestinal Issues: Causes of Abdominal Pain and Bloating
Gastrointestinal issues After menstruation, I often feel bloating and pain above the navel. Sometimes there is pain on both sides as well. I feel full after eating just a little, and I frequently burp and feel nauseous. I also experience gas, irregular bowel movements, dizziness,...
Dr. Ke Taiyuan reply Internal Medicine
Most gastrointestinal discomfort experienced by women before and after menstruation is not due to significant gastrointestinal issues. It is usually a physiological response to the cyclical influence of female hormones. Progesterone can slow down gastrointestinal motility, leadin...[Read More] Understanding Gastrointestinal Issues: Causes of Abdominal Pain and Bloating
Struggling with Weight Loss: Overcoming Challenges and Finding Solutions
Weight loss and related issues? Hello, (1) I was diagnosed with Mediterranean anemia during a health check-up, but my doctor said it is not severe and does not require treatment. My BMI is 27, which classifies me as overweight. I do not have a specific plan for weight loss and ...
Dr. Ke Taiyuan reply Internal Medicine
1. The fundamentals of weight loss are still dietary control and regular exercise. Dietary principles include low calories, high protein (meat, fish, beans, eggs, dairy), high fiber, low salt, low oil, and low sugar. Reduce calorie intake outside of main meals, and if you feel hu...[Read More] Struggling with Weight Loss: Overcoming Challenges and Finding Solutions
Home Blood Pressure Monitoring for Dialysis Patients: Key Considerations
Home Blood Pressure Monitoring for Dialysis Patients Hello, Dr. Ke. My grandfather is a dialysis patient with uremia and needs long-term dialysis. He lacks patience and does not have a regular habit of measuring and recording his blood pressure at home. Recently, we have consider...
Dr. Ke Taiyuan reply Internal Medicine
Dialysis patients may experience significant fluctuations in blood pressure due to reduced urine output and dehydration during the dialysis process. It is generally recommended to purchase a blood pressure monitor and measure blood pressure regularly each day. During dialysis, nu...[Read More] Home Blood Pressure Monitoring for Dialysis Patients: Key Considerations