Waking Up with Arm Weakness: Causes and Stroke Concerns
Numbness and weakness in the arm upon waking up? Hello! Every day when I wake up, my entire hand and arm feel numb and weak, primarily in my right hand, and sometimes in both hands. After a few minutes, it returns to normal. For the past few months, while sitting on the bed befor...
Dr. Li Zhiyao reply Internal Medicine
Hello: Your symptoms are likely caused by nerve compression. It is recommended that you consult a neurologist. Wishing you health and safety![Read More] Waking Up with Arm Weakness: Causes and Stroke Concerns
Understanding Complete Right Bundle Branch Block: Symptoms and Risks
Complete right bundle branch block? Two days ago, I went for a military physical examination, and the doctor said I have complete right bundle branch block. What is this condition, and does it require treatment? What symptoms might I experience? Is there a risk to my life?
Dr. Li Zhiyao reply Internal Medicine
Hello: Please consult a cardiologist for an explanation from a heart specialist.[Read More] Understanding Complete Right Bundle Branch Block: Symptoms and Risks
Rising Platelet Counts: Should You Worry About Thrombocytosis?
The platelet count has been increasing over the past three years during health check-ups? Hello, I have collected data from my health check-ups after starting work and noticed that my platelet count has been increasing. Three years ago, during my first health check-up, my platele...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you consult a hematologist.[Read More] Rising Platelet Counts: Should You Worry About Thrombocytosis?
Why Do I Feel Sleepy After Eating? Understanding Post-Meal Drowsiness
Feeling very sleepy after eating? Hello Doctor, I have a question that has been bothering me, and I'm not sure if I should ask you. I usually eat home-cooked meals three times a day, primarily consisting of rice and noodles. About an hour after eating, I feel very sleepy, to...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. If there is a suspicion of blood sugar issues, fasting blood glucose, postprandial blood glucose, and glycated hemoglobin (HbA1c) tests can be performed. 2. It is recommended to consult a sleep medicine specialist.[Read More] Why Do I Feel Sleepy After Eating? Understanding Post-Meal Drowsiness
Does Cold Weather Affect Fasting Blood Sugar Levels?
Fasting blood glucose Doctor, may I ask, if the weather is cold, like during the recent cold wave, and I go outside and my body is shivering (jaw chattering), will my blood sugar levels be elevated at that time? Thank you.
Dr. Li Zhiyao reply Internal Medicine
Hello: Appetite in winter is usually better than in summer, and physical activity tends to decrease, resulting in higher average blood glucose levels in winter compared to summer. As for single blood glucose readings, they are influenced by various factors, so the situation you m...[Read More] Does Cold Weather Affect Fasting Blood Sugar Levels?
Struggling with Post-Meal Blood Sugar Control: What Can You Do?
Postprandial blood sugar levels are difficult to control? Hello Doctor, I would like to ask what I should do if my postprandial blood sugar levels are consistently uncontrolled. I am currently managing my diet, changing the order of my meals, and exercising every day. However, un...
Dr. Li Zhiyao reply Internal Medicine
Hello: If dietary control and exercise cannot manage blood sugar levels, medication will need to be used for control.[Read More] Struggling with Post-Meal Blood Sugar Control: What Can You Do?
Understanding Blood Circulation Issues in Hands and Feet
Regarding blood circulation issues in the hands and feet? I would like to ask about my condition. My right hand and right foot have a significantly higher temperature compared to my left hand and left foot. Additionally, the joints in my right hand and right foot are swollen and ...
Dr. Li Zhiyao reply Internal Medicine
Hello: I cannot answer your question without a personal examination. If you are unsure how to seek medical care, I recommend starting with a visit to a family medicine physician.[Read More] Understanding Blood Circulation Issues in Hands and Feet
Severe Left Armpit Pain and Epigastric Discomfort: Causes and Insights
Severe pain in the left armpit, along with discomfort in the epigastric region? Initially, there was general discomfort throughout the body, followed by abdominal pain. The next day, there was pain in the left axilla, and the following day, there was epigastric pain. There was no...
Dr. Li Zhiyao reply Internal Medicine
Hello: Your symptoms require an in-person medical evaluation by a physician for proper assessment and treatment; we are unable to provide medical care here.[Read More] Severe Left Armpit Pain and Epigastric Discomfort: Causes and Insights
Managing Hypothyroidism: When to Seek Medical Attention and Dietary Guidelines
Hypothyroidism I have hypothyroidism and secretly stopped taking my medication for a year. A few days ago, I visited an endocrinologist, and my thyroid levels were within the normal range. The doctor said that since I am not taking medication, I should at least return for a follo...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. Symptoms of hypothyroidism include fatigue, bradycardia, weight gain, cold and swollen extremities, rough and dry skin, brittle nails, numbness in fingers, absence of sweating, hoarseness, snoring, hair loss, anemia, heavy menstrual bleeding, and loss of libido, among o...[Read More] Managing Hypothyroidism: When to Seek Medical Attention and Dietary Guidelines
Can I Drink Water or Tea After Meals with Diabetes During Pregnancy?
Is it permissible to drink water or consume other foods within two hours after a meal? Hello Doctor: I have type 2 diabetes and I am currently 5 weeks pregnant. My doctor instructed me to check my blood sugar four times tomorrow. Is it okay if I drink water or "caffeine-free...
Dr. Li Zhiyao reply Internal Medicine
Hello: Drinking plain water does not affect blood sugar levels.[Read More] Can I Drink Water or Tea After Meals with Diabetes During Pregnancy?
Understanding the Rise in Glycated Hemoglobin: Concerns and Management
Elevated glycosylated hemoglobin? Hello Doctor, my HbA1c was 5.11 on December 19 and 5.6 on January 27. Is this an increase too fast? There is a family history of diabetes, so I have been exercising daily and controlling my diet since December, but my HbA1c has still increased. A...
Dr. Li Zhiyao reply Internal Medicine
Hello: Your elevated hemoglobin A1c indicates that your average blood sugar levels have increased recently, which may be related to increased appetite during the winter and decreased physical activity. It is recommended that you manage your diet and weight, maintain moderate exer...[Read More] Understanding the Rise in Glycated Hemoglobin: Concerns and Management
Causes of Brain Hypoxia: Diseases and Effects on Brain Atrophy
Brain issues Hello, doctor. I would like to ask about the diseases that can cause cerebral hypoxia. Can this lead to brain atrophy?
Dr. Li Zhiyao reply Internal Medicine
Hello: There are numerous causes of cerebral hypoxia that cannot be listed exhaustively. Any condition that affects blood oxygen levels and respiration can lead to hypoxia, such as respiratory failure and brain lesions. Prolonged hypoxia may damage brain cells and lead to atrophy...[Read More] Causes of Brain Hypoxia: Diseases and Effects on Brain Atrophy
Understanding Chest Pain: When to Seek Medical Help
Chest tightness and chest pain? Hello! I have recently encountered a problem where I experience chest pain whenever I cough, sneeze, or bend over. Sometimes the chest pain is accompanied by a sudden increase in heart rate. Which specialist should I see?
Dr. Li Zhiyao reply Internal Medicine
Hello: I recommend that you see a pulmonologist.[Read More] Understanding Chest Pain: When to Seek Medical Help
Understanding Painless Abdominal Swelling: Causes and Solutions
Abdominal distension (without discomfort) Why is there a swollen area in my abdomen (just above the bladder) that doesn't cause any discomfort, can be pressed down deeply, and sometimes appears to be getting larger? Which medical specialty should I consult for this issue?
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you first consult a gastroenterologist. After evaluation by the gastroenterologist, a decision can be made regarding any further management that may be necessary.[Read More] Understanding Painless Abdominal Swelling: Causes and Solutions
Understanding Blood Pressure Variations and Metformin Use During Pregnancy
Regarding blood pressure and metformin? Doctor, I have a question. Recently, when I checked my blood pressure at the doctor's office, it was sometimes 114/79 and other times 133/88. Is this considered high? Also, can metformin be taken during pregnancy? Thank you, doctor!
Dr. Li Zhiyao reply Internal Medicine
Hello; 1. Blood pressure should not be assessed based on a single measurement; multiple readings are necessary for accurate evaluation. 2. The best method for controlling blood sugar during pregnancy is insulin.[Read More] Understanding Blood Pressure Variations and Metformin Use During Pregnancy
Optimal Timing for Fasting Blood Sugar Measurement: Key Insights
The timing for measuring fasting blood glucose? Hello, doctor. Without having diabetes, I would like to measure my fasting blood sugar. What is the most accurate time to measure fasting blood sugar? If I have dinner at 7 PM the night before and then sleep until 10 AM the next mor...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended to conduct the test in the morning after fasting for 8-10 hours.[Read More] Optimal Timing for Fasting Blood Sugar Measurement: Key Insights
Understanding Blood Glucose Meter Errors and Their Impact on Diabetes Management
Errors in blood glucose meters Hello, doctor. I understand that blood glucose meters can have inaccuracies, but how can I know if I'm managing my blood sugar well based on these measurements? I checked Google, and it says that the error margin for blood glucose meters is aro...
Dr. Li Zhiyao reply Internal Medicine
Hello: In addition to blood glucose meters, some hospitals have Continuous Glucose Monitoring Systems (CGMS). You can inquire at larger hospitals' endocrinology departments.[Read More] Understanding Blood Glucose Meter Errors and Their Impact on Diabetes Management
Does Cold Weather Affect Fasting and Postprandial Blood Sugar Levels?
Blood Sugar and Temperature Hello, doctor. Does the fasting blood sugar and postprandial blood sugar of a normal person increase slightly due to colder weather? (Assuming all other factors remain unchanged, purely due to temperature changes.) Thank you, doctor.
Dr. Li Zhiyao reply Internal Medicine
Hello: Yes, it is commonly observed in clinical practice that patients have higher blood glucose levels in winter compared to summer, and the fluctuations in blood pressure are even more pronounced.[Read More] Does Cold Weather Affect Fasting and Postprandial Blood Sugar Levels?
Understanding Green Stool: When to Seek Medical Attention
Green stool I have a history of hemorrhoids. For the past two days, I have been having green stools, which are not loose but rather solid and formed. I have searched online for related information, and some sources suggest that it could be due to consuming a lot of green vegetabl...
Dr. Li Zhiyao reply Internal Medicine
Hello: If you have consumed foods that are rich in blood or iron, it is possible to experience the type of stool you described. If you are certain that you have not eaten such foods, I recommend visiting a gastroenterologist.[Read More] Understanding Green Stool: When to Seek Medical Attention
Understanding Low Creatinine Levels: Implications for Kidney Health
Creatine liver issues Hello Doctor: A month ago, I went to a clinic for a kidney function test, and the report indicated that my creatinine level is 0.43, while the normal range is 0.5 to 1.1 (this is the reference range). Could you please tell me if this indicates a problem with...
Dr. Li Zhiyao reply Internal Medicine
Hello: The so-called "normal range" is merely a reference, and values outside of the "normal range" do not necessarily indicate abnormality. For instance, in the case of creatinine, its levels are related to the amount of muscle mass in the body. For example, ...[Read More] Understanding Low Creatinine Levels: Implications for Kidney Health