Dr. Li Jian reply Internal Medicine Question - Page 5

Stray dog issue Hello doctor, today I went up the mountain with my family and while riding a motorcycle, two or three wild dogs suddenly rushed towards us, barking loudly. It was quite frightening, but fortunately, they did not chase us afterward. During the encounter, I don'...

A fasting blood glucose level of 90 mg/dL is generally considered to be within the normal range. However, it is important to interpret this value in the context of individual health conditions and risk factors for diabetes? Hello doctor, is a fasting blood sugar level of 90 consi...

Hyperthyroidism to hypothyroidism? Hello Doctor, in April I was diagnosed with hyperthyroidism with T4: 5.1 and TSH: <0.005. After medication, my levels dropped to low in late May. The doctor advised me to stop the medication for three to five days and then continue with a red...

Chest pain and nausea after staying up late? If you experienced chest pain and nausea after staying up for 1 to 2 days, but the symptoms resolved after a day, it is still advisable to consult a doctor. While the symptoms may have improved, chest pain can be a sign of a serious co...

Suspected hypothyroidism detected in late pregnancy? Hello Doctor, I have not undergone any thyroid examinations prior to pregnancy, so I am unaware of my pre-pregnancy condition, and there is no family history of such diseases. During a company health check-up at over eight mont...

Blood draw infection issues? Hello, Doctor. I recently visited a medical facility's health check center for a physical examination. During the blood draw, the nurse used an alcohol swab for disinfection and then placed the swab on the table. After completing the blood draw, ...

Blood sugar issues? Hello doctor, I recently had a health check-up, and the report indicated "generally normal, regular check-ups recommended." However, I noticed that my blood sugar levels are nearing the normal range limit; my fasting blood glucose (AC) is 95 mg/dL. I...

Recently, I have been experiencing a lot of health issues? Hello Doctor, since the beginning of this summer, I have been feeling excessively hot and sweating profusely even with slight exercise. I have also been experiencing recurrent infections in my intimate area (itching and d...

Elevated thyroid index? My recent health check report shows that my thyroglobulin antibody (TA) level is 95.63 IU/mL, which is elevated, and my intact parathyroid hormone (iPTH) level is 69.6 pg/mL, which is also elevated. Other tests, including rheumatoid factor (RF) and anti-th...

Thyroid-related hair loss issues? Hello Doctor, I was previously diagnosed with hyperthyroidism with the following lab results: 112/04 T4: 5.14 and 112/04 TSH: <0.005. After medication, my levels changed to hypothyroidism with 112/05 T4: 0.59 and 112/05 TSH: 0.058. On July 29,...

Thyroid issues Two years ago, during pregnancy, I had a special blood test for thyroid function. The results showed that my TSH (Thyroid Stimulating Hormone) was <0.005 and my Free T4 was normal at 1.570. Could you tell me if this is caused by the pregnancy? My mother had a hi...

Hyperthyroidism has transitioned to hypothyroidism: Free T4 0.884 / TSH 27.07? Hello, I was diagnosed with hyperthyroidism at the end of last year during a health check-up (T4 2.91/TSH 0.005). I have been taking medication in several phases: Carbimazole 10 mg/tab, one tablet each...

Is there a chance of contracting HIV? Hello doctor, I recently went to the hospital for a check-up in the hepatobiliary and gastroenterology department due to weight loss and pain in the upper right abdomen. After a blood test, my Neutrophil count was 75.4 and Lymphocyte count wa...

Is it possible to have a thyroid problem? Hello, doctor. I am a recent college graduate, and I have been troubled by various issues since middle school, such as anxiety, insomnia, tremors, rapid heartbeat, frequent muscle cramps, and occasional swelling of my eyes. Additionally, ...

Suddenly developing many small bruises that are not very painful? Hello Doctor: Yesterday, I noticed several small bruises on my right leg, all near the knee and the shin bone. Today, I suddenly saw that my left leg has also started to show unexplained bruises, about five or six ...

Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...

Urine glucose 3+ issue? My 23-year-old son underwent a military service examination at the National Taiwan University Hospital in Hsinchu. His height is 178 cm, weight is 64.2 kg, and BMI is 20.1. During the examination, he had a urine glucose level of 500 (3+). He returned to th...

I go to sleep at 3 AM every day? Hello Doctor, I am a university student and I have been going to bed around 3 AM for the past two years. On one hand, it is due to academic pressure, and on the other hand, I have developed a habit of using my phone before sleep. I usually wake up...

Postprandial hyperglycemia Hello Dr. Li: During my previous visit to the hospital, I found that my blood sugar levels were somewhat abnormal, with a fasting blood sugar of 102 and a hemoglobin A1c of 5.1. However, I recently noticed some unusual changes in my postprandial blood s...

Propylthiouracil has expired? Hello Dr. Li, I just organized some medications for my family and found that the Propylthiouracil tablets for hyperthyroidism seem to be expired. The label indicates an expiration date of 2304, which should be April 30, 2023. We have taken about 20 t...