Overcoming Smoking Cessation Challenges: Tips for Managing Withdrawal Symptoms
Smoking cessation issues Doctor: Hello! I quit smoking on my own for about 10 days. During that time, when I felt the urge to smoke, I would take a few puffs and then extinguish it, doing this about once a day. After the third or fourth day of quitting, I noticed that I was exper...
Dr. Lin Shunfa reply Smoking Cessation
1. You can directly consult with the healthcare professionals at the smoking cessation clinic to determine if it is related to medication or possibly withdrawal symptoms. 2. You may also consult with a psychosomatic medicine specialist.[Read More] Overcoming Smoking Cessation Challenges: Tips for Managing Withdrawal Symptoms
Understanding Dizziness and Fainting: Causes and When to Seek Help
Unexplained dizziness and fainting? Hello Doctor, about ten days ago, I felt unwell due to the crowd at the station while traveling. I experienced dizziness and thought squatting down would make me feel better, but my vision suddenly blurred and went dark, and I even lost conscio...
Dr. Lin Shunfa reply Internal Medicine
TO.JOY: 1. Pay attention to postural hypotension issues. 2. Check for anemia and other conditions. 3. Consult an otolaryngologist or neurologist for diagnosis and treatment.[Read More] Understanding Dizziness and Fainting: Causes and When to Seek Help
Post-Cold Symptoms: Managing Stomach Pain and Dizziness
After recovering from a cold, I developed stomach pain and dizziness? Hello, doctor. Last week I had a severe cold combined with bronchitis. The cold symptoms have improved, but over the past few days, I've started experiencing stomach pain and dizziness. It's been 10 d...
Dr. Lin Shunfa reply Internal Medicine
TO: Yikun, please consult a gastroenterologist to determine if there are any gastrointestinal diseases or related issues with medications.[Read More] Post-Cold Symptoms: Managing Stomach Pain and Dizziness
Understanding Mediterranean Anemia: Key Lab Values and Implications
Mediterranean anemia WBC 6.25, RBC 5.26, HGB 13.2, HCG 40.6, MCV 77.2, MCH 25.1, MCHC 32.5, PLT 341.0, RDW_CV 19.7, Iron & TIBC: Iron 24, UIBC 369, FE/TIBC 6.5, Ferritin 35. Please check for any abnormalities.
Dr. Lin Shunfa reply Internal Medicine
To Rose: Based on the test data, there may sometimes be errors in the computer input. HGB 13.2: no anemia. MCV 77.2: microcytic, MCH 25.1: low. Iron 24: low iron, low TIBC, low ferritin. RDW-CV 19.7: elevated. If anemia is present, the likelihood of iron deficiency anemia is the ...[Read More] Understanding Mediterranean Anemia: Key Lab Values and Implications
Understanding Morning Blood Sugar Spikes: Causes and Solutions
Every morning around 11 AM, my blood sugar spikes abnormally high? Hello, Doctor. Currently, my fasting blood sugar in the morning is between 110 and 120. Two years ago, my hemoglobin A1c was 5.6. Over the past two years, I've noticed that every morning after 10 AM, before l...
Dr. Lin Shunfa reply Internal Medicine
TO: yikun It seems that you are concerned about prediabetes. 1. It is often said that in the early stages of diabetes or in patients with prediabetes, there can be an overproduction of insulin in the body before blood glucose levels rise to a point where diabetes can be diagnosed...[Read More] Understanding Morning Blood Sugar Spikes: Causes and Solutions
Understanding Creatinine Levels: Impact of Exercise and Hydration
Creatinine 1.3 My creatinine level from my health check is 1.3. I have been exercising for about 20 years, running over 4.5 kilometers a day, weightlifting with dumbbells (the heaviest I can lift with one hand is 40 pounds, and I can lift with both hands), doing 200 push-ups, and...
Dr. Lin Shunfa reply Internal Medicine
Dear Mr. Li, Your creatinine level of 1.3 is within the normal range. It is commendable that you have developed a long-term exercise habit. However, exercise and water intake should be within your own tolerance levels. As long as you maintain a regular lifestyle and a balanced ...[Read More] Understanding Creatinine Levels: Impact of Exercise and Hydration
Managing Pulmonary Edema and Skin Swelling in Elderly Patients
Pulmonary edema in the elderly? I would like to ask you, if an elderly person has a history of stroke and diabetes, and is currently experiencing symptoms such as skin edema and pulmonary edema, should we force them to cough up phlegm if they express that they have chest and abdo...
Dr. Lin Shunfa reply Internal Medicine
Hello, TO Han: Elderly patients suffering from pulmonary edema, edema, and multiple chronic diseases should seek further evaluation and treatment from a cardiologist or pulmonologist at a hospital. If necessary, hospitalization for treatment would be appropriate.[Read More] Managing Pulmonary Edema and Skin Swelling in Elderly Patients
Understanding Hormonal Impact on Development: A Guide for Young Adults
Hormonal issues Does hormone secretion affect development? I'm 20 years old this year, and my voice hasn't changed; when I talk on the phone, people think I'm a girl, and I feel more feminine than actual girls, which bothers me. I considered seeing a doctor before,...
Dr. Lin Shunfa reply Internal Medicine
Hello, Xiao Ren: Please first consult the Department of Metabolism and Endocrinology.[Read More] Understanding Hormonal Impact on Development: A Guide for Young Adults
Chronic Abdominal Pain: Seeking Answers Beyond Gastrointestinal Issues
I'm not sure where the problem is? Hello Doctor: I have been suffering from prolonged abdominal pain for many years. Especially in the past year, I have been experiencing pain around my navel! Every morning when I wake up, it feels like a pain from coughing for a long time! ...
Dr. Lin Shunfa reply Internal Medicine
Dear Butterfly, regarding your abdominal pain and bowel movement issues, you may want to consult a gastroenterologist for further evaluation and treatment.[Read More] Chronic Abdominal Pain: Seeking Answers Beyond Gastrointestinal Issues
Smoking Cessation Tips for Diabetic Patients: Safe Options and Advice
Smoking Cessation for Diabetic Patients Hello Doctor, my father was diagnosed with type 2 diabetes after a blood test last week. He is currently taking insulin injections every morning and oral hypoglycemic medication before breakfast and dinner. He checks his blood sugar three t...
Dr. Lin Shunfa reply Smoking Cessation
I'm glad to hear that you are caring for your father's health. If he wants to quit smoking, he can consult the smoking cessation clinics at major hospitals for guidance on how to quit smoking, rather than purchasing products on his own.[Read More] Smoking Cessation Tips for Diabetic Patients: Safe Options and Advice
Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Unexplained hand tremors? Unexplained hand tremors, could they be a sign of a disease? Thank you!
Dr. Lin Shunfa reply Internal Medicine
Dear Anson, 1. Hand tremors may be a sign of underlying conditions such as hyperthyroidism, Parkinson's disease, or alcohol intoxication. However, Parkinson's disease is often associated with bradykinesia, postural instability, and a masked facial expression. Hyperthyr...[Read More] Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Understanding Hypokalemia: Causes and Kidney Health Concerns
Hypokalemia issues? Hello, Doctor. In December, my blood test showed a potassium level of 3.3. I did not have diarrhea or vomiting, nor did I use diuretics. The doctor prescribed Slow-K BID for three weeks, and when I was re-evaluated in early February, my potassium level had dro...
Dr. Lin Shunfa reply Internal Medicine
Hello Mimi: 1. It seems that you are quite aware of the possible causes of hypokalemia. The main causes can be summarized as follows: a. Gastrointestinal losses, which are the most common. b. Renal losses due to certain complications of diabetes, autoimmune diseases, hi...[Read More] Understanding Hypokalemia: Causes and Kidney Health Concerns
Understanding Thigh Pain in Diabetic Patients on Dialysis
Thigh bone pain may be caused by dialysis or diabetes? Hello Doctor: I have had diabetes for 40 years and have been on dialysis for 6 years. Currently, I am troubled by thigh bone pain, which makes walking difficult, and I am unsure of the cause. Rehabilitation and electrical the...
Dr. Lin Shunfa reply Internal Medicine
1. The text does not describe the dialysis situation, such as whether there were any discomfort symptoms during dialysis, low blood pressure, cramps, etc., so it may not be possible to determine if there is a direct correlation with dialysis. It is recommended that you consult yo...[Read More] Understanding Thigh Pain in Diabetic Patients on Dialysis
Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Headache and eye pressure? Hello Director Lin: Happy New Year and best wishes for prosperity. Please help me with some guidance, thank you. (Since I am temporarily working in Malaysia, the doctors here only mentioned that my cholesterol is high and advised me to watch my diet wit...
Dr. Lin Shunfa reply Internal Medicine
Ms. Anqi: Hello!! According to the data, you have two high conditions (hypertension and hyperlipidemia). Proper blood pressure control can reduce the risk of new vascular diseases by 20 to 30%. Clearly, your blood pressure is ideally controlled at 130/80. High cholesterol is the ...[Read More] Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Where to Find Smoking Cessation Clinics in Tainan City?
What smoking cessation clinics are available in Tainan City and County? I've heard many people talk about smoking cessation clinics, but I have no idea where to find one. Are there any out-of-pocket expenses involved?
Dr. Lin Shunfa reply Smoking Cessation
In Tainan County and Tainan City, there are over 100 hospitals or clinics that offer smoking cessation services. Here are a few for reference: In Tainan County, there are: Chi Mei Medical Center, Xinying Hospital of the Department of Health, Tainan County Jiangjun Health Center, ...[Read More] Where to Find Smoking Cessation Clinics in Tainan City?