High Chromium Levels in Urine: What You Need to Know After Kidney Surgery
Excessive chromium levels in urine? Last year, due to an adrenal tumor, I had my left kidney removed and underwent chemotherapy four times. I am currently taking the immunotherapy drug Endoxan (Cyclophosphamide). Because of my job, I am exposed to potassium dichromate; in the dai...
Dr. Li Jian reply Internal Medicine
It is advisable to consult a toxicologist, as you may need to go to a medical center that has a toxicology department.[Read More] High Chromium Levels in Urine: What You Need to Know After Kidney Surgery
Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes
Glucose Tolerance Abnormality and Dietary Adjustments Hello, doctor. I am the person who asked about the elevated fasting blood glucose level (#189944). Recently, my OGTT results came back with fasting: 911, 1-hour: 1822, 2-hour: 1263, and 3-hour: 61, indicating impaired glucose ...
Dr. Li Jian reply Internal Medicine
1. Clinical diagnostic criteria for diabetes: Hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dL, 2-hour plasma glucose ≥ 200 mg/dL during an oral glucose tolerance test, or symptoms of hyperglycemia (including polyuria, polydipsia, and weight loss) with a random p...[Read More] Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose levels are elevated? On October 14, 2021, I went to the emergency room due to discomfort from vaccine side effects, around 8 PM after dinner, feeling very anxious (due to chest pain). The emergency department recorded a blood glucose level of 171. A few days...
Dr. Li Jian reply Internal Medicine
Fasting blood glucose greater than 100 mg/dL or hemoglobin A1c greater than 5.6% indicates prediabetes. Low-dose mirtazapine is not commonly associated with hyperglycemia. Maintaining proper dietary control and lifestyle adjustments is key. Thank you for your inquiry.[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Is It Safe for My Diabetic Grandpa to Sleep In? Health Implications Explained
Is it okay for my grandfather with diabetes to sleep until he wakes up naturally, even if that means sleeping until noon or later? Hello Dr. Lee, my grandfather is 80 years old and has been a long-term diabetes patient (with a 40-year history). Two years ago, he had a stroke that...
Dr. Li Jian reply Internal Medicine
Regarding sleep issues in the elderly and cerebral circulation problems, it is advisable to consult a neurologist. However, if there is a tendency to wake up late, one should be aware of the possibility of hypoglycemia during sleep. If waking up around noon, it may be necessary t...[Read More] Is It Safe for My Diabetic Grandpa to Sleep In? Health Implications Explained
Thyroid Issues: Dietary Considerations for TPO Antibody Positivity
Thyroid issues, dietary considerations? The free T4, TSH, and T3 levels are within normal ranges, while Anti-Thyroglobulin (Tg) is negative and Anti-Thyroid Peroxidase (TPO) is positive. This indicates the presence of autoimmune thyroiditis, but thyroid function appears to be nor...
Dr. Li Jian reply Internal Medicine
Thyroid function is normal, so there is no need to restrict iodine intake; however, it is recommended to monitor thyroid function annually. Thank you for your inquiry.[Read More] Thyroid Issues: Dietary Considerations for TPO Antibody Positivity
Impact of Thyroid Nodules on Pregnancy: What You Need to Know
Thyroid nodule Hello doctor, I would like to inquire whether having a thyroid nodule would affect pregnancy, considering that both FT4 and TSH levels are normal. Thank you for your response.
Dr. Li Jian reply Internal Medicine
If functioning normally, it will not affect pregnancy. Thank you for your inquiry.[Read More] Impact of Thyroid Nodules on Pregnancy: What You Need to Know
Thyroid Nodule Surgery: Is Ablation an Option for Benign Cases?
Thyroid nodule surgery? I recently had a thyroid ultrasound and found that two nodules on the right side have each grown by 1 cm over the past three years (from 1.3 cm to 2.3 cm). I underwent a fine needle aspiration biopsy, which showed the nodules to be benign. However, my doct...
Dr. Li Jian reply Internal Medicine
Your condition is suitable for ablation (radiofrequency ablation), but it is recommended to undergo a fine needle aspiration biopsy again to confirm benignity, in order to avoid missing a potential malignant tumor. Additionally, the ablation procedure is out-of-pocket, and our ho...[Read More] Thyroid Nodule Surgery: Is Ablation an Option for Benign Cases?
Does Frequent Masturbation Affect Facial Appearance?
Does masturbation affect facial structure? Hello, doctor. Would frequent masturbation starting from elementary school (about once a day from middle school) have an impact on facial appearance (causing disfigurement)? Thank you, doctor.
Dr. Li Jian reply Internal Medicine
No, there is no research indicating a relationship between masturbation and facial appearance.[Read More] Does Frequent Masturbation Affect Facial Appearance?
Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar
Diabetes Recipe Hello Doctor, my grandmother is 148 cm tall and weighs 31 kg. She follows a lacto-vegetarian diet and has diabetes, hypertension, and hyperlipidemia, with blood sugar levels around 120-140 mg/dL. She takes oral medications for blood sugar and blood pressure in the...
Dr. Li Jian reply Internal Medicine
The dietary principles for diabetes focus on a balanced diet, emphasizing the intake of foods rich in dietary fiber, such as whole grains, vegetables, and fruits. It is important to avoid refined carbohydrate foods, such as sugar, desserts, fruit juices, honey, and sugary beverag...[Read More] Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar
Can I Use Iodine Sitz Baths with Hashimoto's Thyroiditis?
Can Hashimoto's thyroiditis undergo iodine-rich sitz baths? Hello Doctor: I have been suffering from an infection in my private area for a long time and have seen two doctors without improvement. The gynecologist prescribed a suppository and also recommended a povidone-iodin...
Dr. Li Jian reply Internal Medicine
You can perform a povidone-iodine sitz bath as recommended by your gynecologist.[Read More] Can I Use Iodine Sitz Baths with Hashimoto's Thyroiditis?
Can Hyperthyroid Patients Safely Consume Astaxanthin and Carrageenan?
Patients with hyperthyroidism consuming astaxanthin? I would like to ask if patients with hyperthyroidism can consume dietary supplements containing astaxanthin and carrageenan. I found that these two are extracts from red algae, but I am uncertain about the risk of their iodine ...
Dr. Li Jian reply Internal Medicine
For patients with hyperthyroidism, it is essential to reduce the intake of iodine-rich foods as part of dietary restrictions, which become more stringent with the severity of the disease. The sources of astaxanthin and carrageenan you inquired about are both derived from algae, a...[Read More] Can Hyperthyroid Patients Safely Consume Astaxanthin and Carrageenan?
Impact of Frequent Masturbation on Middle School Boys' Brain Health
The effects of masturbation on the brain in adolescent boys? Hello, doctor. Can you please tell me if frequent masturbation in middle school students can damage the brain or affect memory? Thank you, doctor.
Dr. Li Jian reply Internal Medicine
Hello, 1. Will it affect brain development? No. Generally, masturbation can be seen as a way for individuals to relieve sexual urges or stress. Conversely, if one suppresses masturbation, it may lead to self-doubt or negatively impact others in the pursuit of sexual outlets, wh...[Read More] Impact of Frequent Masturbation on Middle School Boys' Brain Health
Understanding Thyroid Function: Interpreting Your Blood Test Results
Hyperthyroidism issues? Hello, doctor. Last week, my blood test results came back as follows: Ant-TPO: greater than 600, Ant-Tg: 351.6, Thyroglobulin: 0.34, TSH: 4.18, T4: 0.69. I would like to inquire what these values indicate regarding whether the medication is effectively con...
Dr. Li Jian reply Internal Medicine
The normal ranges for thyroid function tests may vary slightly among different testing laboratories, so it is necessary to return to the original healthcare facility to confirm the interpretation.[Read More] Understanding Thyroid Function: Interpreting Your Blood Test Results
Understanding Prediabetes: Should You Retest Blood Sugar Levels?
Prediabetes Hello doctor, my most recent health check showed a fasting blood glucose level of 104 mg/dL, glycated hemoglobin (HbA1c) of 5.7%, red blood cell count of 4.56 million cells/µL, hemoglobin of 14 g/dL, MCV of 88.6 fL, and hematocrit of 40.4%. Prior to the health check, ...
Dr. Li Jian reply Internal Medicine
The current report indicates prediabetes. Please start with dietary control and follow up in three months.[Read More] Understanding Prediabetes: Should You Retest Blood Sugar Levels?
Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Prediabetes Previously, I had a slightly elevated hemoglobin A1c level. After controlling my diet, my subsequent test result was 5.5, and the doctor said it was fine. I would like to ask if a slightly elevated hemoglobin A1c can cause irreversible damage to pancreatic function? C...
Dr. Li Jian reply Internal Medicine
Mildly elevated blood sugar levels are unlikely to cause significant damage to pancreatic function.[Read More] Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Impact of Frequent Masturbation in Elementary and Middle School Students
The impact of high masturbation frequency in elementary school children? Hello, doctor. I am currently a middle school student and have been frequently masturbating since I was 10 years old, at a rate of once a day, continuing to the present. Is this frequency considered excessiv...
Dr. Li Jian reply Internal Medicine
Hello, here are my responses to your points: 1. Is it excessive? No. According to the "Nine-Nine Ejaculation Table," it is considered normal for individuals in their twenties to ejaculate up to eight times a week, not to mention younger individuals. Additionally, main...[Read More] Impact of Frequent Masturbation in Elementary and Middle School Students
Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Recently, blood sugar levels have been consistently rising? Hello Doctor! My mother is 75 years old and has a long-standing history of diabetes. At the beginning of this month, she had a follow-up appointment, and the doctor prescribed half a tablet of Metformin and one tablet of...
Dr. Li Jian reply Internal Medicine
The current dosage may be insufficient, and it is necessary to consult the original physician to adjust the dosage. Additionally, fried noodles are considered refined carbohydrates and should not be consumed frequently.[Read More] Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level: 8.9 mg/dL. 2....
Dr. Li Jian reply Internal Medicine
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level is 8.9 mg/dL. ...
Dr. Li Jian reply Internal Medicine
High uric acid levels and fatty liver can benefit from consultation with a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication management.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage elevated uric acid levels and slightly elevated liver function indices? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level...
Dr. Li Jian reply Internal Medicine
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking medication treatment from a metabolic specialist.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options