Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...[Read More] Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose is higher than postprandial blood glucose? Hello, Doctor. I have been experiencing elevated fasting blood glucose levels during my annual company health check-ups, typically ranging from 97 to 102 mg/dL. My postprandial blood glucose levels are around 92 to ...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Your fasting blood glucose level is elevated, which can generally be classified as Impaired Fasting Glucose (IFG). It is recommended to choose a diet with a low Glycemic Index (GI) to help improve your elevated fasting blood glucose levels. Additionally, you may want to co...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Herbal Remedies and Kidney Health: Safety for Polycystic Kidney Disease
Inquiry about the effects of medicinal herbs? I apologize, but I cannot provide medical advice. However, I can translate your inquiry into English. "Excuse me, I would like to ask whether the Chinese medicinal herbs such as Kudzu root, Chinese yam, Papaya, Poria, Angelica s...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Although you have provided a list of Chinese herbal medicines, it is still unclear about the specific usage and dosage of each herb, as well as your current health status, so I cannot respond regarding the effects of these herbs on your body. I suggest that you bring the l...[Read More] Herbal Remedies and Kidney Health: Safety for Polycystic Kidney Disease
Understanding Proteinuria: Causes, Concerns, and Testing Accuracy
Regarding proteinuria? Hello Doctor: I have recently noticed that my urine has bubbles that slowly dissipate within 5-10 minutes, leaving a small amount that does not disperse. This condition is most pronounced in the first morning urine (the bubbles dissipate slowly, and there i...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Regarding the causes of foamy urine, in addition to proteinuria, the presence of glucose in the urine and inflammatory conditions can also lead to the production of foamy urine. If proteinuria is negative and other parameters in the routine urinalysis are within normal ran...[Read More] Understanding Proteinuria: Causes, Concerns, and Testing Accuracy
Painful Urination and White Discharge: Understanding Your Symptoms
Experiencing pain during urination and the secretion of a white fluid from the glans may indicate a possible infection or inflammation, such as urethritis or balanitis. It is advisable to consult a healthcare professional for a proper diagnosis and treatment? If you experience su...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on your description, if the symptoms include painful urination along with discharge, it is more likely to be a urinary tract infection. It is recommended to see a urologist for examination and treatment as soon as possible.[Read More] Painful Urination and White Discharge: Understanding Your Symptoms
Managing Blood Pressure Medications: Safe Combinations and Timing
Blood pressure, drug interactions? Dear Doctor, I would like to ask some questions regarding medication usage. I have already started taking antihypertensive medication (Suhuo 5/40 mg) and I am also taking "Xunli Ning" concurrently. However, I am unsure about the order...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Generally speaking, it is recommended to take chronic disease medications at least 30-60 minutes apart from dietary supplements for optimal results. The order of intake does not significantly affect the outcome, but due to the common issue of patients forgetting to take th...[Read More] Managing Blood Pressure Medications: Safe Combinations and Timing
Understanding Testicular Pain: Diagnosis and Treatment Options
Abdominal issues? On December 8, I visited a clinic in Tainan due to left testicular pain. The doctor prescribed medication, but after three days of taking it, there was no improvement. On December 12, during a follow-up visit, I asked the doctor if it could be a varicocele. The ...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on your description, your abdominal symptoms seem to be more indicative of gastrointestinal motility disorders. It is recommended that you visit a gastroenterology specialist for further evaluation. Additionally, regarding your inquiry about whether surgery for varic...[Read More] Understanding Testicular Pain: Diagnosis and Treatment Options
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Please consult a doctor regarding blood sugar issues. Thank you! This year, at 42 years old, I have a standard build (166 cm / 55 kg) and a history of gallbladder removal surgery as well as kidney stones. My father and grandmother have a history of diabetes. In early January, a b...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on your initial glycated hemoglobin (HbA1c) level of 6.5 and your relevant family history, you can be diagnosed with diabetes according to diabetes management guidelines. However, diabetes patients are not completely unable to metabolize glucose; the body retains var...[Read More] Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Understanding Anemia: What to Do When Common Tests Come Back Normal
Anemia issues Hello Doctor: In my health check reports, I always see red markings next to my red blood cell count, hemoglobin, and hematocrit levels. However, I have been tested at the clinic for both thalassemia and iron deficiency anemia, and neither was found. What should I do...
Dr. Lin Wuxuan reply Internal Medicine
Hello: There are many causes of general anemia, and for young women, iron deficiency anemia is indeed the most common. Mediterranean anemia is also not uncommon, which is why most health screening centers or clinics include it as part of routine examinations. If these two causes ...[Read More] Understanding Anemia: What to Do When Common Tests Come Back Normal
Does Surgery for Right Radius Fracture Affect White Blood Cell Count?
Will surgery for a comminuted fracture of the right hand affect white blood cell count? Hello doctor, I was in a car accident last year and suffered a comminuted fracture in my right arm. The doctor performed surgery on the same day, but since I didn't know my blood type, th...
Dr. Lin Wuxuan reply Internal Medicine
Hello: There are many reasons for an increase in white blood cell count, with the most common being infection and inflammation. Other common causes include allergies or hematologic malignancies. In rare cases, temporary increases can occur due to intense exercise or bathing. Base...[Read More] Does Surgery for Right Radius Fracture Affect White Blood Cell Count?
Managing High Blood Pressure: Tips for Relief and Better Health
Hypertension issues Hello, Doctor: I would like to ask a question that has been bothering me. Whenever my blood pressure spikes to 130-140, I experience headaches at night. As soon as I close my eyes, it feels like I'm on a roller coaster. For the past two years, my head CT,...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on your symptoms, I would recommend that you regularly measure your blood pressure at home in the morning and evening. Additionally, it is advisable to record your response to the antihypertensive medication and inform your physician during your follow-up visit, as t...[Read More] Managing High Blood Pressure: Tips for Relief and Better Health
Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
In the recent health check report, a urine urobilinogen level of "1+" indicates a mild presence of urobilinogen in the urine. Urobilinogen is a byproduct of bilirubin reduction, and its levels can provide insights into liver function and hemolysis. A "1+" resu...
Dr. Lin Wuxuan reply Internal Medicine
Hello: The normal value for urobilinogen is less than 1.0 E.U/dL, and your test result is 1.0, which is actually not considered high. This is because urine tests are typically conducted using the first morning urine, which can be concentrated and may lead to a higher value. Furth...[Read More] Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
Understanding ANA Titer Results: When to Seek Further Immune Testing
ANA titer issue? Hello, the ANA titer in the blood test report is 1:80, and my body temperature has been slightly elevated (around 37.3°C) for the past few weeks. My palms feel very warm, and my face often appears flushed. Should I undergo additional immunological tests?
Dr. Lin Wuxuan reply Internal Medicine
Hello: Regarding your blood test report, the ANA (antinuclear antibody) level is elevated. Regardless of whether there are accompanying clinical symptoms, it is indeed recommended that you seek early follow-up and further diagnostic evaluation with a rheumatology specialist.[Read More] Understanding ANA Titer Results: When to Seek Further Immune Testing
Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Understanding Kidney Health: Addressing Concerns About Urine Changes
Kidney problems Hello Doctor: In mid-April, I started experiencing acne on my face, so I visited a dermatologist and took medication and applied topical treatments for about two months. Later, I noticed that my urine had bubbles, so I went to a nephrologist for a urine test and b...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on the partial report you provided, I believe your kidneys are generally in good condition. However, if you could provide complete blood and urine test reports, it would be more helpful in assessing your health status. Generally speaking, foamy urine often raises con...[Read More] Understanding Kidney Health: Addressing Concerns About Urine Changes
Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns
Kidney problems Doctor, I have a blood sugar level of 113, urine protein, creatinine level of 1.35, and a glomerular filtration rate of 56.7. Is this considered serious, and is there a possibility of recovery? Additionally, I have high blood pressure of 198/86. What should I be a...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Based on the information you provided, your kidney function is classified as stage 3 chronic kidney disease, and your blood pressure is significantly elevated. Additionally, it is unclear whether you have other chronic health issues. It is recommended that you visit a neph...[Read More] Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns
Understanding Kidney Issues: Possible Causes and Diagnostic Steps
Kidney problems Hello Doctor: During a health check-up last September, I was found to have hematuria (1+). A urine test at the end of July also showed hematuria, but kidney function was normal. Last week, I underwent another routine urine test and a urine red blood cell morpholog...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Your condition is classified as microscopic hematuria. Generally, the causes of this mild urinary occult blood need to first rule out interference from menstruation. If the urine test is conducted during the menstrual period, it often leads to false-positive results. The p...[Read More] Understanding Kidney Issues: Possible Causes and Diagnostic Steps
Understanding Blood Pressure Variations: Morning vs. Evening Readings
Significant differences in blood pressure between morning and evening? Due to diarrhea, I lost 6 kilograms (currently 163 cm, 61 kg). I suddenly stopped taking Concor (while on the medication, my blood pressure was 132/85). After discontinuing, my morning blood pressure readings ...
Dr. Lin Wuxuan reply Internal Medicine
Hello: If you experience a weight loss of 6 kilograms in a short period due to diarrhea, along with lower blood pressure than usual, and your blood pressure remains stable even after stopping antihypertensive medication, there may be concerns about inadequate fluid volume. It is ...[Read More] Understanding Blood Pressure Variations: Morning vs. Evening Readings
Can Diabetic Patients Safely Run and Participate in Races?
Can diabetic patients run and participate in road races? Hello Dr. Lin, I am very grateful for your response to my previous question (#136924 regarding diabetes medication). I would like to ask if it is suitable for diabetes patients to run and participate in road races as part o...
Dr. Lin Wuxuan reply Internal Medicine
Hello: Exercise can enhance the body's sensitivity to insulin, not only preventing blood sugar levels from rising but also promoting the entry of glucose into cells, thereby lowering blood sugar concentrations and strengthening the body's regulation of blood glucose. Th...[Read More] Can Diabetic Patients Safely Run and Participate in Races?