Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Thyroid issues Hello, doctor. Since my mother, aunt, and grandmother all have issues with thyroid enlargement, I feel that my neck is swollen. Recently, I went to the hospital for an examination. The thyroid surgeon performed a physical examination and a blood test. The doctor sa...
Dr. Lin Jianliang reply Internal Medicine
1. You can undergo tests to check. 2. Additional test results may be needed to determine if any restrictions are necessary. 3. Hyperthyroidism may be associated with goiter, but it is not always the case. Thyroid enlargement may be accompanied by thyroid abnormalities, but it may...[Read More] Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Managing Temperature Fluctuations and Emotional Instability in Seniors
Experiencing fluctuations in temperature, sweating, and emotional instability? Hello Doctor: My mother-in-law is 70 years old. Ever since she caught a cold five months ago, her entire body system has been out of balance. Initially, she experienced constant chills and wore many la...
Dr. Lin Jianliang reply Internal Medicine
You can consult a pulmonologist, an immunologist, or a family medicine physician.[Read More] Managing Temperature Fluctuations and Emotional Instability in Seniors
Is Your Hunger Before Meals a Sign of Blood Sugar Issues?
Is having frequent hunger pangs related to blood sugar issues? Hello Doctor, I have been experiencing a persistent sensation of muscle hunger, which typically occurs before lunch or dinner. I do not experience symptoms associated with hypoglycemia, such as cold sweats, trembling,...
Dr. Lin Jianliang reply Internal Medicine
There are many reasons for feelings of hunger, such as having an overly efficient digestive system, which can lead to rapid gastric emptying and increased hunger. Is your diet balanced across three meals? Consuming overly refined foods that lack fiber, protein, and healthy fats c...[Read More] Is Your Hunger Before Meals a Sign of Blood Sugar Issues?
Understanding Fasting Blood Sugar Levels: Concerns for the Underweight
Blood sugar concerns? Hello, Doctor: I would like to ask: My height is 172 cm and my weight is 50 kg. Recently, I measured my fasting blood sugar after having dinner at 7 PM and checking it the next morning at 7:30 AM, which resulted in a fasting blood sugar level of 106 mg/dL. I...
Dr. Lin Jianliang reply Internal Medicine
1. The standard range for fasting blood glucose levels is 70 to 100 mg/dL. A level of 106 mg/dL is above the normal range. 2. It is possible for discomfort to affect blood glucose levels. It is recommended that you consult a healthcare professional.[Read More] Understanding Fasting Blood Sugar Levels: Concerns for the Underweight
Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors
Hypothyroidism issues? Hello, Doctor. I have been diagnosed with hypothyroidism since birth and have been regularly undergoing blood tests and taking levothyroxine tablets. However, during puberty and after becoming an adult (while taking birth control pills), my dosage has incre...
Dr. Lin Jianliang reply Internal Medicine
1. It is recommended to have a blood test to measure thyroid levels; if the results are within the normal range, hypothyroidism can likely be ruled out. 2. A normal, balanced diet, along with a healthy lifestyle and regular exercise, greatly contributes to overall health. 3. Cert...[Read More] Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors
Can Fish Oil Effectively Lower Cholesterol Levels? Debunking Myths
Can fish oil lower cholesterol? I have searched online for a long time and have not found a definitive answer regarding fish oil, which contains a higher amount of polyunsaturated fatty acids. Here are my questions: 1. Polyunsaturated fatty acids: lower low-density lipoprotein (L...
Dr. Lin Jianliang reply Internal Medicine
Some studies have shown that important components of fish oil, namely EPA and DHA, can primarily reduce triglycerides, increase high-density lipoprotein (HDL) cholesterol, and may also lead to an increase in low-density lipoprotein (LDL) cholesterol.[Read More] Can Fish Oil Effectively Lower Cholesterol Levels? Debunking Myths
Understanding Throat Discomfort: Causes and When to Seek Help
Consultation questions? Hello, doctor! I have a sensation in my throat that feels like there's a lump. I only notice it when I swallow; it feels strange and obstructive. This has been going on for several days without improvement. What could this be? How should I address it?...
Dr. Lin Jianliang reply Internal Medicine
If you are experiencing discomfort in the oral cavity or near the throat, you can first consult an otolaryngologist (ENT specialist). For issues related to the thyroid, you can also start with an ENT specialist. If the discomfort is in areas such as the esophagus or near the stom...[Read More] Understanding Throat Discomfort: Causes and When to Seek Help
Understanding Positive Urine Glucose: Causes and Concerns for Diabetes
Positive urine glucose? Doctor, may I ask why my urine glucose test strips sometimes show weak positive results two hours after breakfast? Today, I even got a 2+ result, which makes me a bit anxious that I might have diabetes. However, I noticed that my fasting urine and urine te...
Dr. Lin Jianliang reply Internal Medicine
Hello, in some cases of diabetes, fasting blood sugar may not be high, but postprandial blood sugar can be elevated. It is recommended to first measure postprandial blood sugar levels and glycated hemoglobin (HbA1c). Additionally, there are other factors to consider, such as kidn...[Read More] Understanding Positive Urine Glucose: Causes and Concerns for Diabetes
Understanding Blood Sugar Fluctuations and Diabetes Management
Inquiry about blood sugar issues? Hello Dr. Lin, I would like to ask you a few questions: 1. In non-diabetic patients, is it possible for acute gastroenteritis causing inflammation and persistent vomiting to lead to a temporary increase in blood glucose levels? 2. For patient...
Dr. Lin Jianliang reply Internal Medicine
1. The body may experience abnormal blood sugar levels when feeling unwell or under significant stress. 2. The current trend seems to suggest that the use of metformin for diabetes prevention is not recommended. 3. In the early stages of diabetes, when the condition is not severe...[Read More] Understanding Blood Sugar Fluctuations and Diabetes Management
Understanding Tulip 20mg: Safety, Efficacy, and Alternatives for Cholesterol Management
Regarding Tofacitinib Extended-Release Tablets A 72-year-old female, 158 cm tall and weighing 53 kg, currently has low-density lipoprotein (LDL) cholesterol at 134.5 mg/dL, high-density lipoprotein (HDL) cholesterol at 55.1 mg/dL, and triglycerides at 59.2 mg/dL. She has no other...
Dr. Lin Jianliang reply Internal Medicine
It is correct that medications should be used carefully, and they are generally considered safe. Whether to discontinue medication and address subsequent issues will depend on the patient's condition moving forward, which should be discussed with your physician. The primary ...[Read More] Understanding Tulip 20mg: Safety, Efficacy, and Alternatives for Cholesterol Management
Can You Reverse High Hemoglobin A1c Levels? A Guide for Patients
Elevated glycosylated hemoglobin (HbA1c) levels? Hello doctor, I used to be quite active in school, but during the summer break, I hardly exercised at all, and my lifestyle has changed significantly. I don't drink much water and often consume sugary drinks. Recently, during ...
Dr. Lin Jianliang reply Internal Medicine
Glycated hemoglobin: 9.9%. It is recommended to see a physician. With medical management, along with dietary changes and exercise, there should be a chance for improvement. Thank you for your message.[Read More] Can You Reverse High Hemoglobin A1c Levels? A Guide for Patients
Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions
Endocrine disorder Hello, for the past six months, it seems that I have been experiencing hormonal imbalance. I have been under a lot of stress and suddenly gained 20 kilograms, going from 44 kilograms to 64 kilograms. Previously, I would feel full after eating a little, but now ...
Dr. Lin Jianliang reply Internal Medicine
Based on your description, if you have already consulted with obstetrics and gynecology, dermatology, and psychosomatic medicine, and after undergoing examinations, it is also recommended to consider seeing an endocrinology and metabolism specialist for further evaluation. Thank ...[Read More] Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions
Managing Blood Sugar Levels: A Guide for Overweight Individuals
Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...
Dr. Lin Jianliang reply Internal Medicine
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.[Read More] Managing Blood Sugar Levels: A Guide for Overweight Individuals
Managing Thyroid Issues During a Cold: What You Need to Know
Thyroid-related issues due to cold exposure? Doctor, I would like to ask about my condition. I have been suffering from hyperthyroidism for over two years. A few days ago, I caught a slight cold and have been experiencing intermittent high fever. When I visited the doctor, my hea...
Dr. Lin Jianliang reply Internal Medicine
It is recommended that you see a physician for diagnosis and treatment as soon as possible, without delay, to prevent the condition from worsening and endangering your health. Thank you for your message.[Read More] Managing Thyroid Issues During a Cold: What You Need to Know
Dizziness in Type 1 Diabetes: Understanding Symptoms and Seeking Help
Dizziness in Type 1 Diabetes? Hello Doctor: I have type 1 diabetes with a hemoglobin A1c of 6.2. Recently, I've been experiencing dizziness. The first incident occurred two hours after dinner when I suddenly felt dizzy and unable to control my head movements. Lying down was ...
Dr. Lin Jianliang reply Internal Medicine
We recommend that you first consult with a neurologist and an otolaryngologist. Thank you for your message.[Read More] Dizziness in Type 1 Diabetes: Understanding Symptoms and Seeking Help
Does Drinking Diet Soda Increase Your Risk of Diabetes?
Dietary Habits for Diabetes Management Is drinking diet cola really associated with an increased risk of diabetes? I found an article online that states that due to the presence of artificial sweeteners, when you consume diet beverages, your body is essentially deceived. The swee...
Dr. Lin Jianliang reply Internal Medicine
Hello: Thank you for your message. According to some studies, both sugar and artificial sweeteners carry a risk of disease (such as diabetes). Therefore, moderation is key to avoid putting a strain on the body.[Read More] Does Drinking Diet Soda Increase Your Risk of Diabetes?
Understanding Thyroid Function Changes During Pregnancy: Key Concerns
Is there a trend for hypothyroidism to progress to hyperthyroidism? Hello Doctor: I am currently 34 weeks pregnant. At the end of May this year, I had my thyroid function tested at the hospital, and the blood test results were as follows: Free T4: 0.79 (normal range: 0.89-1.76), ...
Dr. Lin Jianliang reply Internal Medicine
There are many factors to consider regarding thyroid diseases, and the complexities increase during pregnancy. It is recommended that you schedule a follow-up appointment to discuss this with your attending physician without delay. This is the most timely and effective way to add...[Read More] Understanding Thyroid Function Changes During Pregnancy: Key Concerns
How Often Should You Get Tested for Diabetes Risk?
Questions related to diabetes testing? Hello, doctor: I would like to ask how often the general public should get tested for the risk of diabetes. If I am a diabetes patient, how often should I go to the hospital for check-ups? Is it the same as a routine health check-up, once a ...
Dr. Lin Jianliang reply Internal Medicine
Generally, assessments should be based on individual circumstances such as age, weight, family history, medication history, symptoms, and the presence of other diseases. This is also true for diabetes patients, who should be evaluated according to their specific conditions. It is...[Read More] How Often Should You Get Tested for Diabetes Risk?
Does Masturbation Affect Urine Tests for Prediabetes?
Diabetes issues Hello Dr. Lin, my fasting urine test showed a hemoglobin A1c level of 6.1%, and the report indicates possible prediabetes. I would like to know if masturbating within 2 hours before the urine test could affect the accuracy of the results?
Dr. Lin Jianliang reply Internal Medicine
For prediabetes, it is recommended to manage diet and exercise, and to have regular follow-ups. Before a urine test, it is advised to avoid masturbation. If there are any related concerns, it is recommended to consult a professional physician in person.[Read More] Does Masturbation Affect Urine Tests for Prediabetes?
Understanding Elevated Total Bilirubin Levels: Causes and Next Steps
Elevated total bilirubin? Hello, my employee's health check has shown elevated total bilirubin levels for three consecutive years, ranging from 1.51 to 2.08 mg/dL, with direct bilirubin levels between 0.38 and 0.59 mg/dL. All other blood and urine tests are normal. What coul...
Dr. Lin Jianliang reply Internal Medicine
Based on the situation you described, you may first consult a gastroenterologist specializing in hepatobiliary medicine. Thank you for your message.[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Next Steps