Dr. Li Jian reply Internal Medicine Question - Page 4

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Understanding the Risks of Mixed Thyroid Nodules: What You Need to Know

Mixed cyst? Hello Doctor, during this year's health check-up, I was found to have a thyroid nodule. I recently went to the hospital for an ultrasound and fine-needle aspiration, and no malignant cells were detected. However, the doctor mentioned that the likelihood of malign...


Dr. Li Jian reply Internal Medicine
If it is a mixed nodule, please follow up at least once every six months to a year. Thank you for your inquiry.

[Read More] Understanding the Risks of Mixed Thyroid Nodules: What You Need to Know


Impact of High Anti-TPO Levels on Baby's Thyroid Health

Elevated anti-TPO levels may affect the baby? Hello Doctor, I would like to ask about my situation. When I was three months pregnant, my thyroid tests showed TSH at 0.94, FT4 at 1.17, and anti-TPO at 225 (which is elevated). I have previously been tested for thyroid function with...


Dr. Li Jian reply Internal Medicine
If TPO antibodies are positive, please regularly monitor thyroid function. It is still uncertain whether this will affect the fetus. Thank you for your inquiry.

[Read More] Impact of High Anti-TPO Levels on Baby's Thyroid Health


Understanding Blood Sugar Spikes After Pain Management in Diabetics

Factors Affecting Blood Glucose Levels I would like to consult a doctor. My mother has been experiencing lower back pain and has seen an orthopedic doctor. She received an injection and is taking muscle relaxants. Since my mother has diabetes, her blood sugar levels are regularly...


Dr. Li Jian reply Internal Medicine
Pain can cause an increase in blood sugar levels, and certain injections, such as steroids, can also raise blood sugar levels. Thank you for your inquiry.

[Read More] Understanding Blood Sugar Spikes After Pain Management in Diabetics


Managing Drug Interactions in Bipolar Disorder and Thyroid Conditions

Drug interactions in bipolar disorder? TSH: 12.66. Hypothyroidism. Today, I saw a metabolic specialist who prescribed Eltroxin. I am currently using glaucoma eye drops: Tafluprost and Brimonidine, and I am taking medications for bipolar disorder: Divalproex Sodium and Lithium. Sh...


Dr. Li Jian reply Internal Medicine
Please take the thyroid hormone on an empty stomach in the morning, and do not take it with other medications. Thank you for your inquiry.

[Read More] Managing Drug Interactions in Bipolar Disorder and Thyroid Conditions


Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry

Questions about pre-meal blood glucose and glycated hemoglobin? Hello Doctor, during my health check in 2018, my fasting blood sugar was 105, and in 2022, it was 113, with other results normal. After undergoing an endoscopy on September 1st this year, I noticed my previous blood ...


Dr. Li Jian reply Internal Medicine
Elevated fasting blood glucose is also a risk factor for diabetes. It is recommended that you lose weight and continue to follow up at the metabolic clinic. Thank you for your inquiry.

[Read More] Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry


Understanding Hashimoto's Thyroiditis: Weight Loss and Treatment Insights

Hashimoto's thyroiditis In April of this year, when I had my cholesterol checked, my doctor also tested my thyroid function. The results showed T4 at 1.15, TSH at 1.554, and anti-TPO at 5.57, indicating the presence of antibodies consistent with Hashimoto's thyroiditis....


Dr. Li Jian reply Internal Medicine
You may consider discontinuing the medication, and at least monitor thyroid function annually. Thank you for your inquiry.

[Read More] Understanding Hashimoto's Thyroiditis: Weight Loss and Treatment Insights


Experiencing Dizziness After Hitting Head Without Visible Injury: Should You See a Doctor?

Head trauma without an open wound but accompanied by dizziness? Today, I fell backward from my bed and hit my head against a wooden door and the wall. I am experiencing dizziness but have no cuts or swelling. Should I see a doctor?


Dr. Li Jian reply Internal Medicine
It is recommended to consult a neurologist or a neurosurgeon. Thank you for your inquiry.

[Read More] Experiencing Dizziness After Hitting Head Without Visible Injury: Should You See a Doctor?


Understanding Blood Sugar Levels: Insights for Diabetic Concerns

Diabetes-related issues Hello doctor, I have a family history of diabetes, and recently I've been feeling some unusual symptoms. Sometimes I urinate a lot, and after fasting for eight hours, my blood glucose level was 118 mg/dL. My HbA1c was 4.4%, and the doctor said the hem...


Dr. Li Jian reply Internal Medicine
You may also consider visiting a metabolic clinic for an oral glucose tolerance test. Thank you for your inquiry.

[Read More] Understanding Blood Sugar Levels: Insights for Diabetic Concerns


Can Hyperthyroidism Cause Erectile Dysfunction? Understanding the Link

Hyperthyroid-related sexual dysfunction Hello, doctor. I have hyperthyroidism, I smoke, and I have a habit of masturbation. Suddenly, I am unable to achieve an erection, while I was normal before. Can hyperthyroidism cause erectile dysfunction? If my hyperthyroidism is well-contr...


Dr. Li Jian reply Internal Medicine
If you experience erectile dysfunction, please consult a urologist for an examination. Thyroid function should be properly regulated to prevent any impact on other organ systems. Thank you for your inquiry.

[Read More] Can Hyperthyroidism Cause Erectile Dysfunction? Understanding the Link


Can Hyperthyroidism Cause Erectile Dysfunction? Understanding the Connection

Hyperthyroid-related sexual dysfunction Hello, doctor. I have hyperthyroidism, smoke, and have a habit of masturbation, but suddenly I am unable to achieve an erection, which was normal before. Can hyperthyroidism cause erectile dysfunction? If my hyperthyroidism is well-controll...


Dr. Li Jian reply Internal Medicine
If you experience erectile dysfunction, please consult a urologist for an examination. Thyroid function should be properly regulated to prevent any impact on other organ systems. Thank you for your inquiry.

[Read More] Can Hyperthyroidism Cause Erectile Dysfunction? Understanding the Connection


Can Hyperthyroidism Cause Erectile Dysfunction? Understanding the Link

Hyperthyroid-related sexual dysfunction Hello, doctor. I have hyperthyroidism, I smoke, and I have a habit of masturbation. Suddenly, I am unable to achieve an erection, whereas I was normal before. Can hyperthyroidism cause erectile dysfunction? If my hyperthyroidism is well-con...


Dr. Li Jian reply Internal Medicine
If you experience erectile dysfunction, please consult a urologist for an examination. Thyroid function should be properly regulated to prevent any impact on other organ systems. Thank you for your inquiry.

[Read More] Can Hyperthyroidism Cause Erectile Dysfunction? Understanding the Link


Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?

The medical examination report indicates urine ketones at 3+? Hello doctor, in April of this year, I experienced redness, swelling, and pain in my left foot, and a doctor at a clinic diagnosed it as gout (without blood tests). I have a history of gout and usually manage my diet, ...


Dr. Li Jian reply Internal Medicine
The production of urine ketones is usually related to prolonged fasting. Please consult a metabolic specialist. Thank you for your inquiry.

[Read More] Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?


Could My Anxiety and Symptoms Indicate Hyperthyroidism?

Is this hyperthyroidism? Doctor, I would like to ask for your advice. I am someone who easily feels stressed and somewhat anxious. Recently, I've been experiencing sudden episodes of anxiety where my body feels hot and I sometimes sweat. This has been happening for about two...


Dr. Li Jian reply Internal Medicine
Please visit a major hospital to check if your thyroid function is normal. Thank you for your inquiry.

[Read More] Could My Anxiety and Symptoms Indicate Hyperthyroidism?


Understanding Throat and Gastrointestinal Discomfort: When to Seek Help

Throat and gastrointestinal discomfort? Hello Doctor, I would like to ask about my recent symptoms. Sometimes I wake up with a bitter taste in my mouth and a feeling of nausea. I also have a slight cough and find myself swallowing excessively for no apparent reason. I recently vi...


Dr. Li Jian reply Internal Medicine
If you frequently experience dry mouth and dry tongue, consider consulting an immunologist to check for any autoimmune conditions such as Sjögren's syndrome. Thank you for your inquiry.

[Read More] Understanding Throat and Gastrointestinal Discomfort: When to Seek Help


Understanding Weight Fluctuations: When to Worry About Gastrointestinal Issues

I'm sorry, but I cannot provide a translation without the specific content you want Hello Doctor, I previously mentioned that I am currently working on weight loss, primarily through dietary control and incorporating walking exercises. I weigh myself about every 2-3 days, or...


Dr. Li Jian reply Internal Medicine
There is only a slight difference in weight, so there is no need to be overly concerned. Thank you for your inquiry.

[Read More] Understanding Weight Fluctuations: When to Worry About Gastrointestinal Issues


Can Fish Oil Supplements Help with Hyperthyroidism and Dry Eye?

Diet for Hyperthyroidism Hello, doctor. I was recently diagnosed with hyperthyroidism, and I have also been found to have oil-deficient dry eye syndrome. I would like to ask if it is safe for me to take fish oil supplements. Thank you.


Dr. Li Jian reply Internal Medicine
It is necessary to check the composition of fish oil for the presence of iodine in order to determine its suitability for consumption.

[Read More] Can Fish Oil Supplements Help with Hyperthyroidism and Dry Eye?


Understanding Diabetes Diagnosis: Is There Room for Reassessment?

Is there still room for maneuver regarding the diagnosis of diabetes? The company's health check showed a fasting blood glucose level of 131 mg/dL (with a hemoglobin A1c of 6.7% from late September). Last week, I had a separate lipid panel test with a triglyceride level of 1...


Dr. Li Jian reply Internal Medicine
Since the blood glucose levels were tested separately on two occasions, they meet the criteria for diabetes. It is advisable to control it as soon as possible.

[Read More] Understanding Diabetes Diagnosis: Is There Room for Reassessment?


Can Medications Shrink Thyroid Nodules? Understanding Treatment Options

Thyroid nodule Hello doctor, I would like to ask if there are medications that can reduce thyroid nodules. Today, my mother visited a doctor who prescribed "Anthyxin" stating that it can help shrink the nodules. However, I noticed that the indication on the prescription...


Dr. Li Jian reply Internal Medicine
Please visit the Department of Metabolism at a major hospital to discuss the benefits and risks of thyroid hormone replacement with a physician. It may help slow the growth of nodules, but it could also lead to osteoporosis or arrhythmias. Thank you for your inquiry.

[Read More] Can Medications Shrink Thyroid Nodules? Understanding Treatment Options


Understanding Eye Puffiness: Is It Related to Thyroid Issues?

Eye swelling Hello, doctor. I was recently diagnosed with a thyroid issue, accompanied by swelling around my eyes, and I sometimes feel that my vision is a bit blurry. Is this related to my thyroid condition? If so, will the swelling and blurry vision symptoms disappear once my t...


Dr. Li Jian reply Internal Medicine
Hypothyroidism can potentially cause edema, which may improve with treatment. Thank you for your inquiry.

[Read More] Understanding Eye Puffiness: Is It Related to Thyroid Issues?


Understanding Weight Fluctuations: When to Worry About Your Health

Weight issues Hello Doctor, I have recently been controlling my diet and brisk walking for weight loss. I weigh myself approximately every 2-3 days. Last Thursday (9/14), I weighed 91.3 kg, and I didn't weigh myself on Friday, Saturday, or Sunday. Yesterday (9/18), I weighed...


Dr. Li Jian reply Internal Medicine
If there is a need for weight loss, it doesn't have to be rapid; losing weight gradually is more sustainable. Thank you for your inquiry.

[Read More] Understanding Weight Fluctuations: When to Worry About Your Health


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