Understanding Chromosomal Testing for Down Syndrome and Other Conditions
Inquiry about Down syndrome? Recently, my sister-in-law gave birth to a premature baby girl. The amniotic fluid was filled with meconium, so the doctor performed an emergency cesarean section, but the baby had already inhaled the meconium. My sister-in-law's family has a his...
Dr. Ke Zhengchang reply Internal Medicine
Dear Miss Qiong Yao, 1. Chromosomal testing can identify defects in human chromosomes. Since each pair of chromosomal abnormalities can lead to different diseases, chromosomal testing examines all chromosomes in the body together. 2. You can visit www.down-syndrome.org.tw for i...[Read More] Understanding Chromosomal Testing for Down Syndrome and Other Conditions
Managing Steroid-Induced Weight Gain: Solutions and Alternatives
About steroids? My girlfriend previously suffered from a skin condition that could not be cured despite consulting various doctors. Eventually, a physician from Chang Gung Memorial Hospital prescribed a medication that helped control her symptoms. However, she gained weight as a ...
Dr. Ke Zhengchang reply Internal Medicine
Hello: General corticosteroids can increase fat deposition, leading to symptoms such as moon facies and buffalo hump. After discontinuing the medication, these symptoms typically resolve gradually within one to two months with regular exercise, and there is no need to rely on tra...[Read More] Managing Steroid-Induced Weight Gain: Solutions and Alternatives
Unusual Umbilical Discharge: Causes and When to Seek Medical Help
I'm sorry, but I cannot provide a translation for that text as it does Hello, I would like to ask a question. Recently, I've noticed a small amount of fluid with an unusual odor coming from my navel, and this symptom has persisted for the past two to three days. I belie...
Dr. Ke Zhengchang reply Internal Medicine
Hello: If there is persistent abnormal discharge from the navel, there may be a possibility of inflammation or the formation of a fistula. It is recommended to consult a surgeon (plastic surgeon or general surgeon) for diagnosis and treatment.[Read More] Unusual Umbilical Discharge: Causes and When to Seek Medical Help
Fever Management in Patients with G6PD Deficiency: Safe Medication Options
Patients with G6PD deficiency (favism) should use acetaminophen (paracetamol) for fever reduction. It is important to avoid non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin, as they may pose risks for these patients. Always consult a healthcare professi...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Ami: Common pain relievers and antipyretics such as Panadol (acetaminophen), Voltaren (diclofenac), or ibuprofen are safe for individuals with G6PD deficiency. However, antibiotics such as sulfonamides or Negacide should not be used.[Read More] Fever Management in Patients with G6PD Deficiency: Safe Medication Options
Understanding Noodle-Induced Dizziness and Numbness: A Medical Insight
Eating noodles? Hello doctor, I've loved eating noodles since I was a child, but ever since I became aware of it, I feel extremely dizzy and experience severe numbness in my hands and feet every time I eat noodles. Am I allergic to noodles? It's strange, though, because...
Dr. Ke Zhengchang reply Internal Medicine
Based on your description, it is possible that you are allergic to one of the ingredients in the noodles (unsure if there are any preservatives). I can only recommend that you avoid this food and switch to other options.[Read More] Understanding Noodle-Induced Dizziness and Numbness: A Medical Insight
Which Medical Specialty Should I Consult for My Aunt's Symptoms?
I'm not sure which department to visit? Hello Doctor: I have a question to ask you. My aunt suffers from a condition where her cheeks feel hot and reddened every winter. She needs to apply a damp cotton pad to her cheeks to cool them down. Additionally, as her cheeks feel ho...
Dr. Ke Zhengchang reply Internal Medicine
In response to Vincen: The symptoms you described are suggestive of postmenopausal syndrome, so it is recommended to consult a gynecologist for an examination. Hormone replacement therapy should be provided if necessary, and it is also important to monitor for hypertension.[Read More] Which Medical Specialty Should I Consult for My Aunt's Symptoms?
Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips
I would like to consult a doctor? Hello, doctor. I would like to ask you some questions and hope for your guidance. 1. What are the symptoms of hypertension and hypotension? How can they be prevented? 2. What are the methods for maintaining kidney health?
Dr. Ke Zhengchang reply Internal Medicine
Mild hypertension and mild hypotension generally do not present symptoms. However, if blood pressure rises to malignant hypertension (systolic pressure approaching 200 mmHg), symptoms may include headache, neck tightness, dizziness, and blurred vision. Hypotension is commonly obs...[Read More] Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips
When Will Side Effects of Tuberculosis Medication Subside?
When do the side effects of tuberculosis medications subside? I was diagnosed with pulmonary tuberculosis in mid-November 1990 after sputum culture results came back positive, while chest X-ray and sputum tests at that time showed no abnormalities. I have been on medication for 2...
Dr. Ke Zhengchang reply Internal Medicine
Reply to the soldier: You are currently taking four medications for tuberculosis. The most significant side effects include hepatitis, jaundice, and hyperuricemia. If you experience any rash or symptoms of fatigue, it is advisable to stop the medication immediately and go to the ...[Read More] When Will Side Effects of Tuberculosis Medication Subside?
Managing Inflammation and Immune Support in Diabetic Patients
Please ask your question? Dear Dr. Ke, Medical History: 1. My mother is 63 years old and has a history of diabetes, hysterectomy, hyperthyroidism, and mild brainstem embolism (all under medication control). 2. She was treated for a cold over a month ago, and subsequently develop...
Dr. Ke Zhengchang reply Internal Medicine
Your mother's angular cheilitis may be due to angular stomatitis or other conditions. It is recommended to consult a dermatologist or dentist to avoid misdiagnosis.[Read More] Managing Inflammation and Immune Support in Diabetic Patients
Understanding Type 1 Diabetes: Symptoms, Biochemical Markers, and Management
Complicated diabetes 1. Why do individuals with insulin-dependent diabetes mellitus experience increased thirst, excessive urination, and increased appetite, yet also experience weight loss and fatigue? 2. A glucose level of 300 mg/dL, HbA1c of 8.8%, sodium of 133 mg/L, potassi...
Dr. Ke Zhengchang reply Internal Medicine
Diabetes can cause the classic symptoms of polyphagia (increased eating), polydipsia (increased drinking), and polyuria (increased urination). When blood sugar levels rise, glucosuria (presence of glucose in urine) occurs, which has a diuretic effect, leading to polyuria. This in...[Read More] Understanding Type 1 Diabetes: Symptoms, Biochemical Markers, and Management
Persistent Dry Mouth and Thirst: Seeking Answers from a Doctor
I can't take it anymore? Hello, doctor. I have a question that has been bothering me for a while. Since April of this year, I often feel thirsty and my mouth feels very dry, and I also have bad breath. Even after drinking a lot of water, my mouth still feels dry. I have seen...
Dr. Ke Zhengchang reply Internal Medicine
Hello Jack: Thirst and bad breath are still caused by insufficient saliva secretion. Issues related to metabolism, such as diabetes, thyroid disorders, autoimmune diseases, poor oral hygiene, periodontal disease, and inadequate fluid intake can all lead to these symptoms. It is r...[Read More] Persistent Dry Mouth and Thirst: Seeking Answers from a Doctor
Understanding Mitral Valve Prolapse: Causes, Symptoms, and Lifestyle Tips
Mitral valve prolapse Hello, Dr. Ko. Recently, I experienced sharp pain in my chest and went to the hospital for a cardiac ultrasound, which revealed some mitral valve prolapse. The outpatient doctor said it was not serious and advised me to avoid vigorous exercise, so I am curre...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Jia-Qing: In cases of mild mitral valve prolapse, symptomatic treatment is usually sufficient (pain relievers combined with beta-blockers). This condition typically occurs in individuals with a slender build. No adjustments to general exercise are necessary as long as ther...[Read More] Understanding Mitral Valve Prolapse: Causes, Symptoms, and Lifestyle Tips
Understanding Right Chest Pain: Causes and When to Seek Help
Right chest pain Hello Dr. Ke: For the past few days, I have been experiencing pain in my right chest, about two to three centimeters below the ribcage, when swallowing food and taking deep breaths. However, pressing on that area does not cause any pain. Could you please explain ...
Dr. Ke Zhengchang reply Internal Medicine
Hello Merry: Based on your symptoms, there could be issues related to the biliary tract (such as gallstones or cholecystitis), pleuritis, or gastrointestinal ulcers. An X-ray and ultrasound examination can confirm the cause for treatment. Please go to the hospital for an examinat...[Read More] Understanding Right Chest Pain: Causes and When to Seek Help
Understanding Blood Sugar Levels: Is 99 mg/dL a Cause for Concern?
Blood glucose During my health check-up, my fasting blood glucose level was 99 mg/dL, whereas it used to be around 87 mg/dL. The normal range is 65-110 mg/dL. Does this mean I am at a higher risk of developing diabetes? Is there a way to lower my blood sugar levels? Is this relat...
Dr. Ke Zhengchang reply Internal Medicine
Reply to Aaron: A fasting blood sugar level of 99 is still within the safe normal range. At the age of 23, your chances of developing diabetes are low. The risk of diabetes is related to family history, obesity, and lifestyle habits. Engaging in regular exercise, reducing fat int...[Read More] Understanding Blood Sugar Levels: Is 99 mg/dL a Cause for Concern?
Managing Hypernatremia in Central Diabetes Insipidus: A Guide
Hypernatremia Dear Doctor, I would like to ask you about a patient with central diabetes insipidus (CDI) who has elevated sodium levels. The patient weighs 70 kg and has a sodium level of 153 mEq/L. Given that the normal range is 135-145 mEq/L, how much water should be supplemen...
Dr. Ke Zhengchang reply Internal Medicine
A rough estimate of the fluid deficit (L) = 70 * percentage * 13 / 140. The percentage may vary based on gender and age. Additionally, body weight also has an impact, so for rough estimation, generally, males are considered to be at 60% and females at 50%. For children, a higher ...[Read More] Managing Hypernatremia in Central Diabetes Insipidus: A Guide
Understanding Hormonal Issues: Low Body Hair and Testosterone Levels at 23
請提供 Hello Doctor: I am a 23-year-old male, but so far, I have not developed any armpit hair (only a few black hairs) and my facial hair is very sparse (almost unnoticeable). Therefore, I underwent a blood test and received the results: LH = 3.63 mIU/ml and Testosterone = 3.81 ng/...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Your report is considered normal according to our hospital's standards. Aside from having less body hair and facial hair, we need to assess whether your sexual function is normal. Are you able to achieve an erection? Are the sizes of your testicles and penis within ...[Read More] Understanding Hormonal Issues: Low Body Hair and Testosterone Levels at 23
Understanding Chest Discomfort: Causes and When to Seek Help
Chest tightness and pain? Recently, I have been experiencing a feeling of tightness and pain in my chest, particularly around the area near the diaphragm. However, I tend to feel somewhat better after eating. Yet, about 3 to 4 hours after a meal, the symptoms return. What could b...
Dr. Ke Zhengchang reply Internal Medicine
Response: Your symptoms are suggestive of esophagitis caused by gastroesophageal reflux disease (GERD). It is recommended to undergo an upper endoscopy, X-ray, and upper gastrointestinal series for evaluation. Please visit a gastroenterology clinic for examination and treatment.[Read More] Understanding Chest Discomfort: Causes and When to Seek Help
Understanding Swollen Lymph Nodes: Causes and Related Symptoms
Cervical lymph nodes There is swelling above the clavicle in the area of the lymph nodes in my neck, which is slightly painful when pressed. What could be the cause of this? Additionally, I have been experiencing frequent hair loss, acne, and easy fatigue. Are these symptoms rela...
Dr. Ke Zhengchang reply Internal Medicine
Hello Jojo: 1. Common causes of lymphadenopathy in the head include tuberculosis and lymphoma, and a biopsy is necessary for confirmation (please consult an otolaryngologist). 2. Hepatitis B carriers may experience fatigue; it is recommended to undergo liver function tests for mo...[Read More] Understanding Swollen Lymph Nodes: Causes and Related Symptoms
Understanding Copper Metabolism Disorders and Related Conditions
What is copper ion metabolism disorder? What is copper ion metabolism disorder? Is there a possibility of cure for this condition? What is a vegetative state? What is Wernicke's...? What is cerebellar ataxia? Is rhabdomyosarcoma a benign or malignant tumor? What kind of sequ...
Dr. Ke Zhengchang reply Internal Medicine
Hello BOBO: Copper ion metabolism disorder (Wilson's disease) leads to excessive accumulation in the liver, brain, and skin, resulting in cirrhosis and dementia. There are medications available to remove the excess copper, and the earlier the treatment, the better; treatment...[Read More] Understanding Copper Metabolism Disorders and Related Conditions
Experiencing Rapid Heartbeat After Taking Antiarrhythmic Medication?
After taking medication to control arrhythmia, I feel that my heart is beating quite fast! Thank you, Dr. Ko, for your previous response. I am feeling quite anxious due to unprecedented changes in my body, and since the doctor hasn't replied, I am being even more cautious! A...
Dr. Ke Zhengchang reply Internal Medicine
In response to leoujane: Arrhythmias may not improve even after medication treatment, so if you experience any discomfort, it is advisable to visit a cardiology clinic for continued monitoring of your electrocardiogram and adjustment of medication dosages. Additionally, it is imp...[Read More] Experiencing Rapid Heartbeat After Taking Antiarrhythmic Medication?