Understanding Your Blood Sugar Levels: Do You Have Diabetic Dermopathy?
Is it a diabetic spot? Hello Doctor, my BMI is 21. I have been consistently engaging in aerobic exercise and maintaining a healthy diet, but I have been troubled by diabetes issues recently. At the end of February this year, my fasting blood glucose was 89, but by the end of Marc...
Dr. Li Jian reply Internal Medicine
Currently, blood sugar levels are normal. Regarding skin lesions, you can consult a dermatologist. Thank you for your inquiry.[Read More] Understanding Your Blood Sugar Levels: Do You Have Diabetic Dermopathy?
Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Bloating, inability to burp, and unexplained fever issues? Hello doctor, I would like to ask about my issues with frequent bloating and an inability to burp, which has made me feel nauseous for over five years. Every morning, I wake up feeling very nauseous, and I almost always e...
Dr. Li Jian reply Internal Medicine
If traveling abroad can improve the issue, it may be caused by psychological factors. It would be advisable to consider consulting a psychosomatic medicine specialist. Thank you for your inquiry.[Read More] Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Understanding the Link Between Hashimoto's Disease and Thyroid Cancer Risks
Please ask your questions about Hashimoto's disease? Hello Doctor, I researched the connection between Hashimoto's disease and cancer, and here is what I found: Hashimoto's disease is currently known to be a risk factor for thyroid cancer. Chronic inflammation of t...
Dr. Li Jian reply Internal Medicine
Patients with Hashimoto's thyroiditis have a low risk of developing thyroid cancer; therefore, it is important to have regular follow-up with thyroid ultrasound. Thank you for your inquiry.[Read More] Understanding the Link Between Hashimoto's Disease and Thyroid Cancer Risks
Understanding Antithyroid Medication: Nodules, Hashimoto's, and Dietary Considerations
Antenatal medication Thyroid ultrasound revealed four nodules, each less than 1 cm, which the doctor indicated are benign and require regular monitoring. Blood tests showed Hashimoto's thyroiditis, and I have started taking Euthyrox (levothyroxine) 50 mcg, one tablet daily. ...
Dr. Li Jian reply Internal Medicine
If there is hypothyroidism and one takes Antithyroid medication, long-term use of thyroid hormone to suppress the growth of nodules may also lead to bone loss or arrhythmias. Thank you for your inquiry.[Read More] Understanding Antithyroid Medication: Nodules, Hashimoto's, and Dietary Considerations
Understanding Low Insulin Levels in Your Health Check Report
Health Examination Report Hello doctor, I would like to ask about my health check report. My insulin level is 1.9 u/ml, and the report states that the normal range is 2.6 to 24.9. Is this low level of concern?
Dr. Li Jian reply Internal Medicine
Glycated hemoglobin and fasting blood glucose are important reference indicators. Thank you for your inquiry.[Read More] Understanding Low Insulin Levels in Your Health Check Report
Understanding Side Effects of Levothyroxine in Hypothyroidism Treatment
Thyroid medication consultation I have hypothyroidism (Hashimoto's disease) and have been under follow-up for over two years with no significant symptoms. During my last follow-up in March, my levels worsened slightly, and my doctor prescribed Eltroxin 50, instructing me to ...
Dr. Li Jian reply Internal Medicine
The dosage of Antithyroid medication needs to be monitored by blood tests for TSH and free T4 levels in order to determine the appropriate dosage. Thank you for your inquiry.[Read More] Understanding Side Effects of Levothyroxine in Hypothyroidism Treatment
Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Blood sugar issues? Hello Doctor, I am 22 years old, and my height, weight, and BMI are all normal. I do not have hypertension, hyperlipidemia, or any other unhealthy values. On March 1st of this year, my fasting blood glucose was 89, and today, March 20th, my fasting blood gluco...
Dr. Li Jian reply Internal Medicine
The current blood test results are normal, so please do not worry excessively. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Thyroid cancer My mother is 55 years old and has been monitored for nodules for several years. She was recently informed of malignant changes and was subsequently diagnosed with thyroid cancer at a larger hospital. Initially, when it was uncertain whether the cancer was malignant...
Dr. Li Jian reply Internal Medicine
Thyroid dysfunction can also lead to abnormal cholesterol levels, and diet has a significant impact as well. Thank you for your inquiry.[Read More] Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Is Smoking in Intervals Worse for Diabetics? Understanding the Risks
Smoking and then relighting (more than once)? Hello doctor, my family member has diabetes and wants to smoke but doesn't want to smoke too much. They take a few puffs, extinguish the cigarette, then smoke again after a while... Is this more harmful to the body compared to sm...
Dr. Li Jian reply Internal Medicine
Smoking and diabetes can both lead to vascular stiffness. It is recommended to quit smoking as much as possible. Thank you for your inquiry.[Read More] Is Smoking in Intervals Worse for Diabetics? Understanding the Risks
Understanding Thyroid Nodules: Treatment, Diet, and Long-Term Care
Could you please clarify your question? Dear Doctor, I underwent a thyroid ultrasound and a fine needle aspiration biopsy, which revealed nodules measuring 1.1 cm and 1.4 cm on each side of the thyroid, and the biopsy results were benign. I was prescribed two medications: 1. Prop...
Dr. Li Jian reply Internal Medicine
If thyroid function is normal, it may be considered unnecessary to take thyroid hormones or to avoid iodine. Thank you for your inquiry.[Read More] Understanding Thyroid Nodules: Treatment, Diet, and Long-Term Care
Understanding the Link Between Cholesterol Levels and Thyroid Function
Cholesterol and Thyroid? Hello, doctor. I would like to ask about my recent health check-up. After receiving the report, I found that my white blood cell count is 3200, eosinophils are 1.2, cholesterol is 256, low-density lipoprotein (LDL) is 133, high-density lipoprotein (HDL) i...
Dr. Li Jian reply Internal Medicine
To determine if the thyroid is underactive, TSH levels must be assessed. High-density lipoprotein (HDL) is considered good cholesterol and cannot be lowered. Thank you for your inquiry.[Read More] Understanding the Link Between Cholesterol Levels and Thyroid Function
Is Your Daily Medication Dosage for Hypertension and Supplements Appropriate?
Medication dosing issues? Hello, doctor. Currently, I am taking two pills of antihypertensive medication, two pills of chlorophyll, one multivitamin (Centrum), and two pills of a B-complex nerve medication daily. Is this dosage appropriate? Thank you.
Dr. Li Jian reply Internal Medicine
Hello, please take dietary supplements according to the instructions; there should be no risk of overdose. For antihypertensive medications, please follow your physician's guidance. Thank you for your inquiry.[Read More] Is Your Daily Medication Dosage for Hypertension and Supplements Appropriate?
Understanding Urticaria Linked to Thyroid Hormone Medications
Thyroid hormone medication can cause urticaria? Hello, doctor! I had my thyroid removed many years ago, so I have been taking thyroid hormone for years. My current dosage is one Eltroxin 100 mcg tablet per day. In recent years, I have frequently experienced hives, and I am unsure...
Dr. Li Jian reply Internal Medicine
There are other thyroid hormones available, but if thyroid function is normal, urticaria caused by thyroid hormones is rare. Thank you for your inquiry.[Read More] Understanding Urticaria Linked to Thyroid Hormone Medications
Probiotics for Dialysis Patients: Benefits and Considerations
Patients on dialysis taking kidney-protective probiotics? My father has been a dialysis patient for many years due to uremia. He has always enjoyed various health supplements, and he continues to do so after starting dialysis. Recently, he has seen advertisements for kidney-prote...
Dr. Li Jian reply Internal Medicine
Patients on dialysis who take probiotics may not see significant effects; it is sufficient to follow a diet plan provided by a nutritionist. Thank you for your inquiry.[Read More] Probiotics for Dialysis Patients: Benefits and Considerations
Understanding Afternoon Abdominal Pain and Diarrhea: Causes and Solutions
I have a question I would like to ask? Hello Doctor, I am asking on behalf of my mother. For the past two months, she has been experiencing abdominal pain and diarrhea around noon. Sometimes, she even feels the urge to go to the bathroom without having eaten anything. As a result...
Dr. Li Jian reply Internal Medicine
If you continue to experience gastrointestinal symptoms, it is recommended that you see a gastroenterologist. Thank you for your inquiry.[Read More] Understanding Afternoon Abdominal Pain and Diarrhea: Causes and Solutions
Can Alcohol Residue from Disinfecting Affect Food Safety?
Disinfectant alcohol Hello doctor, recently I cleaned my refrigerator because there was mold inside. After cleaning, I sprayed alcohol for disinfection (but the refrigerator door was possibly not opened). A day later, I used the refrigerator to chill a can of milk. At that time, ...
Dr. Li Jian reply Internal Medicine
The spray dosage is not high, so it should not lead to toxicity. Please monitor for any related symptoms and consider visiting the emergency department if necessary. Thank you for your inquiry.[Read More] Can Alcohol Residue from Disinfecting Affect Food Safety?
Understanding Thyroid Nodule Biopsy Results: What You Need to Know
Thyroid nodule biopsy results? Hello Doctor: I have a thyroid nodule on the left side (1.8 cm). At the beginning of February, the hospital arranged for a fine needle aspiration and blood tests. Recently, I reviewed the report, and the doctor said my thyroid function is normal, bu...
Dr. Li Jian reply Internal Medicine
Inflammatory cells may be white blood cells. If cancer cells are not observed, there is no need to worry; regular check-ups will suffice. Thank you for your inquiry.[Read More] Understanding Thyroid Nodule Biopsy Results: What You Need to Know
Can Oral Sex Lead to Syphilis Infection? Understanding the Risks
Can a person who performs oral sex on another be at risk of contracting syphilis? On January 25, 2024, I visited a brothel and had oral sex with a sex worker. She mentioned that she uses an alcohol-based mouthwash before each oral encounter. I am very concerned because I have hea...
Dr. Li Jian reply Internal Medicine
If you have related symptoms, it is recommended that you see an infectious disease specialist for an examination. Thank you for your inquiry.[Read More] Can Oral Sex Lead to Syphilis Infection? Understanding the Risks
Restoring Your Body Clock: Tips for Managing Sleep and Palpitations
Circadian rhythm, sleep, palpitations, autonomic nervous system dysregulation? Hello, doctor. For the past month, I have developed a habit of staying up late, often not going to sleep until 5 AM. I usually do not eat while staying up late, and my body has not reacted too severely...
Dr. Li Jian reply Internal Medicine
Because you are still young, it won't take long for you to adjust. It is recommended to get some sunlight during the day and increase your activity level, as this can also improve sleep quality. Thank you for your inquiry.[Read More] Restoring Your Body Clock: Tips for Managing Sleep and Palpitations
Why Is My Stool Floating with an Oily Surface? When to See a Doctor
Stool that floats on water and has a shiny, oily appearance? Starting about 2 to 3 months ago, without any changes in diet, my stools have suddenly begun to float on the water, and there is a thin layer of oil on the surface. Should I see a doctor for this condition?
Dr. Li Jian reply Internal Medicine
If it persists, please follow up with a gastroenterologist. Thank you for your inquiry.[Read More] Why Is My Stool Floating with an Oily Surface? When to See a Doctor