Understanding Oil Layer on Urine: Causes and Health Implications
The urine has a layer of oil? Hello doctor, I would like to ask about a sensation I have when urinating, where there seems to be a layer of floating oil, but I don't feel any discomfort. In previous examinations, they said everything was fine, but it has been several years, ...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you undergo a routine urinalysis (avoiding the menstrual period) to determine if there are any abnormalities.[Read More] Understanding Oil Layer on Urine: Causes and Health Implications
Understanding Your Glycated Hemoglobin Levels: A Guide for Patients
Glycated hemoglobin (HbA1c) Hello Doctor, could you please tell me if my report includes a measurement of glycated hemoglobin? R.B.C 4.36 10^6/ul W.B.C 7.94 10^3/ul Hemoglobin (Hb) 13.2 g/dl Hematocrit (Hct) 38.0 % Platelet count 379 10^3/ul MCV 82.7 fl MCH 30.3 pg MCHC 34.7 g/dl...
Dr. Li Zhiyao reply Internal Medicine
Hello: Glycated hemoglobin was not detected.[Read More] Understanding Your Glycated Hemoglobin Levels: A Guide for Patients
Understanding Hypothyroidism: Symptoms, Risks, and When to Seek Help
Hypothyroidism I am a patient with hypothyroidism and have not taken thyroid hormone for a year. I have not had regular follow-ups for a year, and recently I have experienced symptoms of chest pain and shortness of breath, along with slightly elevated blood pressure and a slightl...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended to return for a follow-up appointment and inform the physician about your recent medical situation, including information about medications and tests.[Read More] Understanding Hypothyroidism: Symptoms, Risks, and When to Seek Help
Is There Still Hope for Growth at Age 22? A Medical Perspective
Is there still a chance to grow taller at the age of 22? I have searched for a lot of information online but still cannot determine what is true or false, so I would like to ask a doctor. I am a male, and during middle school, I was about 157 cm tall, and in high school, I only r...
Dr. Li Zhiyao reply Internal Medicine
Hello: I recommend that you consult with an endocrinologist and an orthopedic specialist. The physicians in these two fields can provide you with more definitive answers.[Read More] Is There Still Hope for Growth at Age 22? A Medical Perspective
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Abnormal blood sugar levels? Doctor, I had a boiled egg for breakfast at 11 AM. Two hours later, my blood sugar level was 92. After lunch (which was a small hot pot and a bowl of white rice), my blood sugar level was 165 two hours later. For dinner, after eating half a bowl of fr...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you have your check-up at the hospital when your diet is normal (including timing and portion size) for better assessment. The blood glucose data you provided clearly correlates with your food intake. It would be more accurate to maintain a consisten...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Am I Pre-Diabetic? Understanding Blood Sugar Levels and Next Steps
Is this prediabetes? This morning, my fasting blood sugar was 82. Two hours after lunch, it was 179. A few minutes later, it changed to 161 and then 169. Two hours after dinner, it was 172, and two and a half hours after dinner, it was 144. My grandfather and father have diabetes...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended to exercise more as you mentioned, improve dietary habits, especially paying attention to calorie intake and portion control. Following this, tracking your progress will allow for a more accurate diagnosis.[Read More] Am I Pre-Diabetic? Understanding Blood Sugar Levels and Next Steps
Understanding Upper Back Pain After a Cold: Causes and Solutions
I have a severe pain in the upper left back due to a cold? I caught a cold yesterday, and when I woke up from my nap at noon, I noticed that my upper back hurts a lot. What could be the cause? When I turn my head to the right and look up, it doesn't hurt, but when I turn my ...
Dr. Li Zhiyao reply Internal Medicine
Hello: Since you mentioned that deep breathing also causes pain, to rule out any issues with the lungs and pleura, I recommend that you consult a pulmonologist for an examination.[Read More] Understanding Upper Back Pain After a Cold: Causes and Solutions
Managing Blood Sugar Levels: Essential Checks and Monitoring for Pre-Diabetes
Regarding blood glucose levels? Hello Doctor, I am 24 years old and 173 cm tall. My weight has dropped from 60 kg to 55 kg in three months, and there is a family history of diabetes (my father and grandmother are both diagnosed patients). Last week, I had my blood sugar tested, w...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. Follow-up every 1.3 to 6 months; if there are any abnormal symptoms, seek medical attention immediately. If time permits, check HbA1c before and after meals, ideally twice. 2. It is not necessary to check every time; the physician will determine the need based on the pa...[Read More] Managing Blood Sugar Levels: Essential Checks and Monitoring for Pre-Diabetes
Understanding Facial Microvascular Rupture: Causes and When to Seek Help
Facial microvascular rupture A few weeks ago, I suddenly noticed a small area of broken capillaries on my face, which later disappeared on its own. However, yesterday I discovered that there are broken capillaries in a different area of my face, and this time they are larger. I h...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you first visit a dermatologist, as the physician needs to personally examine the lesions for an accurate diagnosis.[Read More] Understanding Facial Microvascular Rupture: Causes and When to Seek Help
Understanding Post-Blood Donation Symptoms: Dizziness and Nausea Explained
Blood donation issues Hello Doctor: A few days ago, I went to donate blood with a friend. My friend donated 500cc of blood, and after resting for a while without any major issues, we went out for dinner. After dinner, my friend suddenly felt dizzy, weak, and lethargic, and then h...
Dr. Li Zhiyao reply Internal Medicine
Hello: Your friend's condition may be due to a decrease in blood volume within the blood vessels after donating blood, leading to low blood pressure and insufficient cerebral blood flow, or it could coincidentally occur alongside an inner ear imbalance. It is recommended tha...[Read More] Understanding Post-Blood Donation Symptoms: Dizziness and Nausea Explained
Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?
Diabetes Consultation Doctor, there are many causes of diabetes. I heard that pancreatitis can also lead to diabetes. If blood glucose and hemoglobin A1c levels are both very high, can we directly conclude that it is type 2 diabetes? Does this mean it cannot be caused by pancreat...
Dr. Li Zhiyao reply Internal Medicine
Hello: Diabetes caused by pancreatitis is mostly due to chronic pancreatitis resulting from alcohol abuse, which then leads to diabetes. If you do not have this condition, the likelihood of having type 2 diabetes is the highest. If you have any questions, please consult a special...[Read More] Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?
Should I Seek Further Tests for My Abdominal Pain?
Do I need to undergo any additional tests? Doctor, I have a lump-like area under my right rib, close to my stomach, that feels swollen when I touch it. It hurts when I press on it, and sometimes it hurts even without pressure. I have already had X-rays, an endoscopy, and an ultra...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you consult a general surgeon for a physical examination, after which the physician will determine if further tests are necessary.[Read More] Should I Seek Further Tests for My Abdominal Pain?
Understanding Yellowing of Hands and Fingers: When to See a Doctor
Regarding yellowing of the palms, with a single finger turning particularly yellow and experiencing numbness when exposed to cold? Hello Doctor, I am concerned about my mother's health condition, but I am unsure which medical specialty is appropriate for her symptoms. I apol...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. If there are no liver or gallbladder issues and you frequently consume foods rich in carotenoids, such as papaya and carrots, then carotenoids may be the reason for the yellowing of your hands. 2. Cold weather can cause finger numbness, which may be related to blood cir...[Read More] Understanding Yellowing of Hands and Fingers: When to See a Doctor
Understanding Blood Sugar Changes After Tuberculosis Treatment
Please ask your questions regarding blood sugar? Hello Doctor, my mother has been taking anti-tuberculosis medication (Rifampicin + EMB + PZA + INH) for a month, and her fasting blood glucose has increased from the 90s to 105. She has a history of gestational diabetes and has bee...
Dr. Li Zhiyao reply Internal Medicine
Hello: Antituberculosis medications do not cause diabetes; elevated blood sugar levels may be due to increased food intake. During tuberculosis treatment, regular blood tests will be conducted. Please monitor your blood sugar levels regularly and discuss them with your attending ...[Read More] Understanding Blood Sugar Changes After Tuberculosis Treatment
Understanding Hypothyroidism: Why Continuous Medication is Essential
Hypothyroidism I was diagnosed with hypothyroidism at the age of sixteen and took thyroid hormone replacement for two years. Later, I secretly stopped taking the medication. A few months ago, I had a blood test due to chest pain, and the doctor suspected hypothyroidism, but the r...
Dr. Li Zhiyao reply Internal Medicine
Hello: You should first understand the cause of your hypothyroidism. In young women, it is often caused by autoimmune issues, which require long-term medication. If it is due to a short-term inflammation or certain medications, long-term medication may not be necessary. Please co...[Read More] Understanding Hypothyroidism: Why Continuous Medication is Essential
Understanding Low Insulin and High Adrenaline: Insights on Addison's Disease
Low insulin, high adrenal hormones? Hello, Dr. Li recently visited a naturopathic doctor and had some blood tests done. The doctor mentioned that it could possibly be Addison's disease. My symptoms include a constant feeling of dizziness and brain fog 24 hours a day. I have ...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you visit the Department of Endocrinology and Metabolism at a hospital, where an endocrinologist can provide you with more reliable diagnosis and treatment.[Read More] Understanding Low Insulin and High Adrenaline: Insights on Addison's Disease
Understanding Low Blood Pressure: Symptoms, Causes, and Solutions
Blood pressure issues? I consulted with my family doctor previously, and during a blood pressure check, I was told that I have low blood pressure. Recently, due to academic stress, I have been experiencing dizziness, chest tightness, and difficulty breathing. I also have severe h...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. It is recommended that you see a cardiologist for a personal evaluation to determine if there are any cardiovascular issues. If no cardiovascular problems are found, regular exercise can improve cardiopulmonary function, which may help with your concerns. 2. SYS refers ...[Read More] Understanding Low Blood Pressure: Symptoms, Causes, and Solutions
Can Abnormal Blood Sugar Levels Be Reversed with Diet and Exercise?
Development of Abnormal Blood Sugar Levels Hello doctor, I would like to ask: If someone already has elevated fasting blood glucose or impaired glucose tolerance, can they achieve normal blood glucose levels (fasting less than 100) through dietary control, regular exercise, and w...
Dr. Li Zhiyao reply Internal Medicine
Hello Mr. Lai: The three possibilities you mentioned all exist, and it depends on the severity of your condition and your level of self-control.[Read More] Can Abnormal Blood Sugar Levels Be Reversed with Diet and Exercise?
Understanding Right Upper Abdomen Pain: Causes and Concerns
There is localized pain in the right upper abdomen that sometimes hurts when pressed with a finger? Hello, I have pain in my upper right abdomen, specifically in the area near my heart on the right side, about four fingerbreadths below my right chest. It hurts when I press with o...
Dr. Li Zhiyao reply Internal Medicine
Hello Ms. Hsiao: Based on your description, it is difficult to provide any speculation or diagnosis. I recommend that you consult a hepatobiliary and gastroenterology specialist, as the right upper abdomen corresponds to the liver and gallbladder area, for a proper physical exami...[Read More] Understanding Right Upper Abdomen Pain: Causes and Concerns
High Neutrophil and Low Lymphocyte Counts: What Do They Mean?
Elevated neutrophil percentage and decreased lymphocyte percentage? Hello Doctor: During my recent health check-up, the results of my complete blood count (CBC) are as follows: - White Blood Cell Count (WBC): 8.25 x 10^3/µL - Neutrophil Count (W-LCC): 6.12 x 10^3/µL - Lymphocyt...
Dr. Li Zhiyao reply Internal Medicine
Hello Mr. Chang: Mild infections or inflammation can lead to examination results like yours, but since the symptoms are mild, you may not feel discomfort. It is recommended that you visit a family medicine physician, as the doctor may be able to identify the cause.[Read More] High Neutrophil and Low Lymphocyte Counts: What Do They Mean?