Is It Safe to Be Exposed to Disinfectant Fumes from a Nearby Spray?
Could you please provide the content you would like me to translate? Yesterday, I passed through an alley where a person was carrying a cylindrical metal object. There was a tube that he directed towards a storm drain on the side of the road, and a large amount of white gas was e...
Dr. Ke Zhengchang reply Internal Medicine
Hello Joy: If there are no immediate symptoms of skin allergies or respiratory difficulties from general insecticides (pyrethrins) and you are in an open space with good air circulation, there should generally be no major issues.[Read More] Is It Safe to Be Exposed to Disinfectant Fumes from a Nearby Spray?
Understanding Heart Palpitations and Sleep Issues: A Guide
Heart... Thyroid Experiencing a strong heartbeat that makes it difficult to fall asleep, often feeling sleepy... being able to sleep for several hours a day yet still feeling tired, with the heartbeat sometimes being very noticeable and at times feeling like I can't catch my...
Dr. Ke Zhengchang reply Internal Medicine
Hello Miss Chang Wan-rong; if you suspect that hyperthyroidism is causing symptoms such as rapid heartbeat and insomnia, it is recommended to visit a hospital and consult an endocrinologist for a blood test.[Read More] Understanding Heart Palpitations and Sleep Issues: A Guide
Understanding Chronic Bad Breath: Causes and Solutions
Persistent bad breath that is unbearable..? Hello: I have been experiencing bad breath for a long time (several years). After eating, the taste of food lingers in my mouth for a long time, which makes me feel like I have bad breath. In the past, I rarely drank water, and I'm...
Dr. Ke Zhengchang reply Internal Medicine
Hello, March: Halitosis is closely related to oral hygiene and saliva secretion. Brushing your teeth and rinsing your mouth after meals, as well as drinking plenty of water, can generally improve the condition. Additionally, periodontal disease, dental caries, peptic ulcers, live...[Read More] Understanding Chronic Bad Breath: Causes and Solutions
Understanding Abnormal Urine Protein and Blood Sugar Levels in Seniors
Question Hello, my mother participated in a regular health check organized by the health center in June this year, where abnormal urine protein and a blood glucose level of 122 were found. Over the past year, she has frequently mentioned experiencing numbness in her fingertips an...
Dr. Ke Zhengchang reply Internal Medicine
Hello Pink: Normal fasting blood glucose levels range from 70 to 110 mg/dL, and postprandial levels should be between 70 and 140 mg/dL. A blood glucose level of 122 mg/dL does not meet the diagnostic criteria for diabetes. The presence of protein in the urine indicates potential ...[Read More] Understanding Abnormal Urine Protein and Blood Sugar Levels in Seniors
Understanding Heart Pain: Is It a Sign of Heart Disease?
Chest pain? I sometimes experience sharp pain in my heart, and when it occurs, I cannot take a deep breath because it is extremely painful. During these episodes, I am afraid to take a deep breath. Additionally, I sometimes feel this sharp pain when I am half-reclining, and any m...
Dr. Ke Zhengchang reply Internal Medicine
Reply to Xiao Feng: Generally, it is primarily neuropathic pain or mitral valve prolapse. If symptoms persist, please consult a cardiologist for an examination.[Read More] Understanding Heart Pain: Is It a Sign of Heart Disease?
Managing Fluid Intake in CHF Patients: Guidelines and Recommendations
CHF stands for Congest In cases of congestive heart failure (CHF), fluid restriction may be necessary. The general recommendation for fluid intake is typically around 1,500 to 2,000 milliliters (cc) per day, but this can vary based on individual patient needs and the severity of ...
Dr. Ke Zhengchang reply Internal Medicine
Hello AMY: In cases of heart failure with acute pulmonary edema, it is important to restrict fluid intake and administer diuretics for treatment. Once the patient is stable, the general medication regimen for stable patients allows for a daily fluid intake (including all food) of...[Read More] Managing Fluid Intake in CHF Patients: Guidelines and Recommendations
Muscle Cramps: Are They Related to Hyperthyroidism Recovery?
Muscle cramp I have hyperthyroidism and have been on medication for nearly three months. Recently, blood tests showed that my levels have returned to normal. However, I experience muscle cramps in my hands and legs when I perform some stretching exercises. Could this be related t...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Xiao-Wen: Muscle weakness is more common in hyperthyroidism, while hypothyroidism is associated with muscle stiffness and cramping, along with decreased muscle sensitivity. Your symptoms can be further evaluated by monitoring thyroid function and electrolyte levels.[Read More] Muscle Cramps: Are They Related to Hyperthyroidism Recovery?
Understanding Abnormal Heart Palpitations: Causes and When to Seek Help
Abnormal pulsation in the epigastric region? I noticed abnormal pulsations in my epigastric area upon waking up on June 30th. There were strong pulsations for about 5 seconds followed by lighter pulsations for another 5 seconds. After that, I frequently experienced brief mild pul...
Dr. Ke Zhengchang reply Internal Medicine
Reply to Mr. Charlie: It is common for the general population to experience occasional arrhythmias, and there is no need to reduce regular physical activity. It is recommended to visit a cardiology clinic for an electrocardiogram follow-up examination.[Read More] Understanding Abnormal Heart Palpitations: Causes and When to Seek Help
Understanding Drug Tests: Can Allergy Medications Affect Results?
Hello, doctor? Hello Doctor, I was recently stopped by the police while dancing at a club, as they suspected I had taken ecstasy. I was taken in for a urine test, but I haven't used ecstasy in a long time. I regularly take medication for nasal allergies, and I'm conce...
Dr. Ke Zhengchang reply Internal Medicine
Ecstasy is a type of sedative, while nasal allergy medications are antihistamines and vasoconstrictors. They contain different active ingredients and do not have any interactions.[Read More] Understanding Drug Tests: Can Allergy Medications Affect Results?
Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits
Is a slow heartbeat harmful to the body? A friend (weighing approximately 100 kg and standing at 180 cm) underwent a physical examination, and their heart rate was 58 beats per minute. I would like to ask: (1) Under what circumstances can the heart rate slow down? (2) How can it ...
Dr. Ke Zhengchang reply Internal Medicine
Hello Fion Chen: A heart rate below 60 beats per minute is referred to as bradycardia. There are many causes, but if the rhythm is regular and blood pressure is normal, no treatment is necessary (such as in athletes). However, if the rhythm is irregular and the heart rate is too ...[Read More] Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits
Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults
Left ventricular hypertrophy (LVH) Hello Doctor, I am 24 years old and have been experiencing some heart issues. I have visited several hospitals for examinations, and some doctors have mentioned left ventricular hypertrophy, while others have referred to mitral valve prolapse or...
Dr. Ke Zhengchang reply Internal Medicine
Hello Ah-Hui: The electrocardiogram does not have a term for left ventricular high voltage; what you are describing may be left ventricular hypertrophy. If there is no hypertension, it is advisable to follow up with a cardiology clinic for monitoring of the electrocardiogram.[Read More] Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults
Understanding Pulmonary Artery Mass: Symptoms, Diagnosis, and Treatment
There is a growth on the outside of the pulmonary artery? Previously, the results from my hospital examination revealed that during a frontal chest X-ray, a mass approximately 3 to 4 centimeters in size was clearly visible outside the pulmonary artery, making it appear enlarged. ...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Xiao Ru: There is a tumor shadow on the X-ray, and a CT scan is necessary to determine its size, location, and nature. If a tumor is suspected, surgical treatment is required. The current surgical risks are very low, and you can be discharged in about a week.[Read More] Understanding Pulmonary Artery Mass: Symptoms, Diagnosis, and Treatment
Is Blood Cleansing Safe? Insights on the Procedure and Its Risks
Could you please provide information regarding blood washing? Hello Dr. Ke: Recently, a friend from China underwent a blood cleansing treatment, where he spent four hours using a machine to draw out blood, cleanse it, and then return it to his body. He described that they extract...
Dr. Ke Zhengchang reply Internal Medicine
Currently, plasmapheresis is only used for autoimmune diseases (which can generally be performed at medical centers), but the purposes of blood washing at other private clinics, such as fat removal, antioxidant effects, and asthma treatment, are not recognized as reasonable metho...[Read More] Is Blood Cleansing Safe? Insights on the Procedure and Its Risks
Healthy Ways to Slim Down Thighs and Calves Effectively
How to healthily slim down the thighs and calves? How to healthily slim down the thighs and calves.
Dr. Ke Zhengchang reply Internal Medicine
Hello: Engaging in more exercise and controlling body weight, along with reducing fat intake, will naturally lead to a well-defined leg contour. If you have any questions, you may visit the Metabolism Clinic for consultation.[Read More] Healthy Ways to Slim Down Thighs and Calves Effectively
Understanding 24-Hour Blood Pressure Monitors: Design, Usage, and Rarity
Blood pressure monitor What does a 24-hour blood pressure monitor look like? How is it carried by the patient? Is it rare?
Dr. Ke Zhengchang reply Internal Medicine
Hello, Hsiao-Ching: The 24-hour blood pressure monitor is similar to a portable device that can be worn on the body. The blood pressure cuff is placed on the upper arm and measures blood pressure at set intervals for recording purposes, making it convenient to understand fluctuat...[Read More] Understanding 24-Hour Blood Pressure Monitors: Design, Usage, and Rarity
Understanding Heart Murmurs: Causes, Treatments, and Lifestyle Tips
Heart murmur Recently, a physical examination revealed a heart murmur (systolic) associated with the aorta, and the examining physician indicated it is related to a valvular issue. The murmur appears to be quite loud and can also be heard in the carotid arteries. Additionally, a ...
Dr. Ke Zhengchang reply Internal Medicine
In response to Howard: If there are significant heart murmurs clinically, an echocardiogram is usually required to determine the underlying issue causing the murmur. If it is confirmed that the aortic valve is the source of the problem, it is also necessary to assess the severity...[Read More] Understanding Heart Murmurs: Causes, Treatments, and Lifestyle Tips
Managing Diabetes and Nerve Pain: Seeking Solutions for Severe Symptoms
Diabetes mellitus I would like to ask the doctor. My mother is 51 years old and has been suffering from diabetes for about 5 years. She often experiences numbness in her limbs, especially in her feet, to the point where she doesn't feel it even when her shoes fall off. This ...
Dr. Ke Zhengchang reply Internal Medicine
In response to SHIN: The primary treatment for diabetic neuropathy is the control of blood glucose levels, as other medications have limited efficacy. It is recommended to follow up with a metabolic clinic for treatment, and a detailed examination by a neurologist is also necessa...[Read More] Managing Diabetes and Nerve Pain: Seeking Solutions for Severe Symptoms
Overcoming Chronic Bad Breath: Seeking Help for a Long-Standing Issue
Annoying halitosis? Hello Doctor: I am 25 years old this year, but I have been suffering from halitosis for nearly ten years. I have always been too embarrassed and lacked the courage to see a doctor. However, as I am about to graduate and enter the workforce, I feel compelled to...
Dr. Ke Zhengchang reply Internal Medicine
There are many reasons for halitosis in young people, including poor oral hygiene, consumption of foods such as garlic and onions, and various diseases such as liver disease, gastritis, and kidney disease. Additionally, insufficient water intake and low saliva production can cont...[Read More] Overcoming Chronic Bad Breath: Seeking Help for a Long-Standing Issue
Understanding Evening Fever: Possible Causes and Concerns
Fever The family member has been bedridden for two months due to a urinary tract infection and was recently hospitalized. They have been experiencing fever every evening, reaching a maximum of about 38.2 degrees Celsius, while being normal during the day. There is also a slight c...
Dr. Ke Zhengchang reply Internal Medicine
In response to PTU: Both of the above reasons are possible. A chest X-ray and urine tests, including culture, must be performed to confirm the diagnosis. It is recommended to seek medical examination and treatment at the hospital as soon as possible.[Read More] Understanding Evening Fever: Possible Causes and Concerns
Understanding Gout: Causes, Prevention, and Treatment Options
Gout is a form of inflammatory arthritis characterized by the accumulation of uric acid crystals in the joints Gout is caused by the accumulation of uric acid crystals in the joints, leading to inflammation and pain. It can be triggered by factors such as high purine intake (foun...
Dr. Ke Zhengchang reply Internal Medicine
Reply SOS: The accumulation of excessive uric acid crystals in the joints causes inflammation and swelling, known as gout. Consuming too many high-purine foods, such as organ meats, seafood, hot pot broth, meats, and alcoholic beverages, leads to the metabolism of these substance...[Read More] Understanding Gout: Causes, Prevention, and Treatment Options