Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Adrenal insufficiency I have adrenal insufficiency and recently visited the endocrinology department, where I mentioned issues with dizziness and bloating. The doctor suggested that it might be postural hypotension, but after measuring my blood pressure consistently for five days...
Dr. Lin Jianliang reply Internal Medicine
Adrenal insufficiency, in addition to medication, can be managed by incorporating regular exercise, maintaining a normal daily routine, and following a balanced diet, among other healthy lifestyle choices.[Read More] Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Thyroid fine-needle aspiration biopsy? Hello Dr. Lin, My mother (70 years old) has been diagnosed with hyperthyroidism and has been advised to undergo a fine needle aspiration biopsy of the thyroid (and neck mass). The consent form mentions that anticoagulant use is a contraindi...
Dr. Lin Jianliang reply Internal Medicine
Generally, a thyroid ultrasound is performed first, followed by a fine needle aspiration biopsy of the thyroid. It is recommended to inform the physician performing the biopsy beforehand.[Read More] Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Managing Adrenal Insufficiency: Medication Alternatives and Symptoms Relief
Adrenal insufficiency I have known that I have this condition for nearly two years. My levels increased from 0 to 9, but then dropped to 1.5 within five months. Is medication absolutely necessary for this condition? I experience significant dizziness when standing, and my mood sw...
Dr. Lin Jianliang reply Internal Medicine
The main treatment for adrenal insufficiency is medication. If you experience discomfort after taking the medication, you should discuss it with your physician to determine if the medication is the cause. Sometimes, the discomfort may not be due to the medication but rather other...[Read More] Managing Adrenal Insufficiency: Medication Alternatives and Symptoms Relief
Understanding Potential Diabetes and PCOS: Symptoms and Management
Suspected diabetes / polycystic ovary syndrome (PCOS) issues? Hello, Doctor. I apologize for the lengthy explanation, and I appreciate your patience. About mid-last year, I consulted an endocrinologist because I felt that my weight loss efforts were ineffective, and I suspected i...
Dr. Lin Jianliang reply Internal Medicine
You can discuss your condition and how to monitor it with your physician. Most doctors are willing to engage in a collaborative discussion with you, but please clearly communicate your concerns. You may eat between meals, but it is important to avoid foods that could affect your ...[Read More] Understanding Potential Diabetes and PCOS: Symptoms and Management
Excessive Sweating: When to See a Doctor and Which Specialist to Consult
Profuse sweating? Hello, Dr. Lin. For the past month, I've been experiencing excessive sweating whenever I do even slight activities, such as sweeping, mopping, or walking a little. The sweat pours down from my head in large droplets, and my body feels sticky all over. Shoul...
Dr. Lin Jianliang reply Internal Medicine
It is recommended to first consult a family medicine physician.[Read More] Excessive Sweating: When to See a Doctor and Which Specialist to Consult
Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Is it prediabetes? Hello Dr. Lin, sometimes about two hours after lunch, I feel hungry and experience symptoms similar to hypoglycemia (but this does not happen after dinner). Six months ago, I had a fasting blood glucose test that showed 101 mg/dL, and my blood glucose two hours...
Dr. Lin Jianliang reply Internal Medicine
A fasting blood glucose level ranging from 100 to 125 mg/dL is classified as impaired fasting glucose (IFG), also known as "early diabetes," latent diabetes, or prediabetes. At this stage, dietary control and increased physical activity can help manage blood glucose lev...[Read More] Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Post-Thyroid Surgery: Loss of Tongue Mucosa and Its Implications
After thyroid surgery, the protective membrane of the tongue is absent? Hello, I previously underwent a thyroidectomy due to thyroid cancer and have been continuously taking thyroid hormone medication. However, the protective coating on my tongue has disappeared, and I am unable ...
Dr. Lin Jianliang reply Internal Medicine
The tongue can be divided into two parts: the tongue coating and the tongue body, and there is no protective membrane. Based on your description, it is recommended that you consult your attending physician to examine your tongue for a proper diagnosis.[Read More] Post-Thyroid Surgery: Loss of Tongue Mucosa and Its Implications
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang reply Internal Medicine
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Diabetes medications For diabetic patients who are using insulin and wish to consume bitter melon peptides, it is important to consult with a healthcare professional before making any changes to their medication regimen. Bitter melon may have blood sugar-lowering effects, so it i...
Dr. Lin Jianliang reply Internal Medicine
Hello: It is recommended to consult your attending physician during your follow-up appointment.[Read More] How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Understanding the Link Between Hypothyroidism and Abnormal Menstrual Bleeding
Hypothyroidism with abnormal menstrual bleeding? Hello Doctor: I have Hashimoto's hypothyroidism and started taking Levothyroxine in March 2018 at the age of 46. I am unsure if it is due to the medication or my age, but starting in November of that year, I began experiencing...
Dr. Lin Jianliang reply Internal Medicine
The causes of endometrial hyperplasia are rarely due to hypothyroidism.[Read More] Understanding the Link Between Hypothyroidism and Abnormal Menstrual Bleeding
Does Delaying Blood Draw for Cortisol Testing Affect Results?
Blood draw time Hello doctor, I have a cortisol blood test scheduled. The lab order states to draw blood at 4 PM and 8 AM, but due to long wait times at the hospital, my actual blood draw was close to 5 PM and almost 9 AM. Will this delay of nearly an hour affect the accuracy of ...
Dr. Lin Jianliang reply Internal Medicine
There may be some impact, but it will not be significant. The test values can still be referenced.[Read More] Does Delaying Blood Draw for Cortisol Testing Affect Results?
How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
What should the target level for glycated hemoglobin be? I was diagnosed with type 2 diabetes in 2012 and currently visit a clinic where I take Glibudon F.C. Tablets 500 mg (Metformin Hydrochloride) once a day. My HbA1c levels are controlled between 6.3 and 6.5. However, I found ...
Dr. Lin Jianliang reply Internal Medicine
Hello: Online information is for reference only; it is advisable to seek a doctor's examination.[Read More] How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
Severe Dizziness and Vomiting: Understanding Possible Causes and When to Seek Help
Severe dizziness with three to four episodes of vomiting? Hello Dr. Lin: Last week, one morning when I woke up and opened my eyes, I suddenly felt dizzy, and my eyes involuntarily rolled towards the upper left corner. I had to use my willpower to bring them back to normal. I mana...
Dr. Lin Jianliang reply Internal Medicine
It is recommended to first consult with a neurologist or an otolaryngologist.[Read More] Severe Dizziness and Vomiting: Understanding Possible Causes and When to Seek Help
Understanding High Adrenaline Levels: Causes and Health Implications
Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...
Dr. Lin Jianliang reply Internal Medicine
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...[Read More] Understanding High Adrenaline Levels: Causes and Health Implications
Managing Blood Sugar Levels: Insights for Seniors with Diabetes
High blood sugar issue? My mother is 75 years old, weighs 70 kg, and her fasting blood sugar in the morning is 83 mg/dL, while it rises to 180 mg/dL after meals. She has been experiencing increasingly blurred vision, and after dinner around 6 PM, she reported some numbness and di...
Dr. Lin Jianliang reply Internal Medicine
Based on your description, there are many reasons for poor blood sugar control, including diet, medication, exercise, and the functioning of the liver and kidneys, as well as other underlying conditions. It is advisable to consult your mother's attending physician to seek so...[Read More] Managing Blood Sugar Levels: Insights for Seniors with Diabetes
Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Consultation for Lipid Disorders Hello Dr. Lin, I am the person who consulted about cholesterol issues on 2020/03/25 <a href="https://adoctor.tw/article/154449">#154449</a>. Thank you for your previous response. I would like to follow up on my earlier questi...
Dr. Lin Jianliang reply Internal Medicine
After medication, if blood lipid levels can be maintained within the standard range, it is generally less likely to experience hyperlipidemia.[Read More] Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Understanding Lipemia: Cholesterol Levels and Lab Test Accuracy
Cholesterol consultation? Hello Dr. Lin, due to my high cholesterol levels, I have been regularly taking cholesterol-lowering medications for the past few years. After starting the medication, all my lipid profile tests returned to normal ranges (my highest total cholesterol was ...
Dr. Lin Jianliang reply Internal Medicine
The principles of general biochemical tests differ from those used to assess blood lipids. Therefore, when there is a phenomenon of lipemia, it can interfere with the mechanisms required for biochemical testing, leading to inaccurate results. Lipid-lowering medications are not th...[Read More] Understanding Lipemia: Cholesterol Levels and Lab Test Accuracy
Is My Hormonal Imbalance Causing Skin Issues and Irregular Periods?
Could you please tell me if I am experiencing endocrine dysfunction? Hello Doctor: Since last summer, due to my internship, I have been sitting in the office handling tasks, which led to a uterine fungal infection and abnormal bleeding that took two months to seek treatment. My s...
Dr. Lin Jianliang reply Internal Medicine
Based on your description, both endocrinology and obstetrics/gynecology should be consulted.[Read More] Is My Hormonal Imbalance Causing Skin Issues and Irregular Periods?
Concerns About Using Empagliflozin for Type 2 Diabetes Management
Regarding the use of the diabetes medication - Empagliflozin film-coated tablets? Hello Dr. Lin, I have type 2 diabetes and have been taking the extended-release metformin prescribed by my endocrinologist for many years. Earlier this year, my doctor recommended switching to empa...
Dr. Lin Jianliang reply Internal Medicine
Empagliflozin in Jardiance Duo causes glucose to be excreted in the urine, which is why there is sugar in the urine. When taking this medication, it is important to be aware of potential side effects such as hypoglycemia, ketoacidosis, urinary tract infections, genital fungal inf...[Read More] Concerns About Using Empagliflozin for Type 2 Diabetes Management
Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang reply Internal Medicine
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters