Understanding Chest Tightness and Breathing Issues: When to Seek Help
Chest tightness and shortness of breath? Hello doctor, I have been staying up late frequently, usually sleeping around 5 to 7 hours, with a bedtime around 4 AM. I had a similar issue last October and sought medical attention. At that time, my electrocardiogram, blood tests, and X...
Dr. Liu Hongxiang reply Family Medicine
Hello J: You are experiencing chest tightness and some shortness of breath. Your previous physical examination was normal, but it has been over six months, so it is advisable to seek medical attention again. You can choose to see either a family medicine physician or a pulmonolog...[Read More] Understanding Chest Tightness and Breathing Issues: When to Seek Help
Understanding Frequent Breathing Difficulties: Asthma or Heart Issues?
Shortness of breath Hello, doctor. I have a question today. I have asthma, and during an attack, I experience frequent coughing, poor sleep, and even difficulty breathing. Using bronchodilators provides significant relief. I find that changes in weather can easily trigger my asth...
Dr. Liu Hongxiang reply Family Medicine
Hello, Qing: It seems that you are using short-acting bronchodilators more frequently. If you are experiencing frequent episodes, it is recommended to use both short-acting and long-acting bronchodilators together, as this can help stabilize your breathing. During episodes of dys...[Read More] Understanding Frequent Breathing Difficulties: Asthma or Heart Issues?
High Platelet Count and Elevated Vitamin B12: Understanding the Implications
Elevated levels of platelets and vitamin B12 in immunoassays? This is the recent complete blood count (CBC) with differential results: - WBC: 6.99 - RBC: 4.64 - RDW-SD: 46.7 - HCT: 41.4 - HGB: 13.7 - PLATELET: 496 - MCHC: 33.1 - MCV: 89.2 - MPV: 8.9 - P-LCR: 14.8 - PDW: 8.6 - MC...
Dr. Liu Hongxiang reply Family Medicine
Hello, The test results show that there are almost no significant issues, but further monitoring is needed in about 3-6 months. However, the Vitamin B12 level is 1215, which is much higher than the reference range. Generally, excess water-soluble Vitamin B12 is metabolized and ...[Read More] High Platelet Count and Elevated Vitamin B12: Understanding the Implications
Understanding Diabetes: Key Questions on Symptoms and Treatment
Some questions regarding diabetes? Hello, doctor. I am a university student majoring in biomedical sciences, and I am currently working on a paper discussion topic. My report is about the use of Ephedra to treat hyperglycemia and oxidative stress caused by diabetes. Initially, I ...
Dr. Liu Hongxiang reply Family Medicine
Hello, university student: If you are currently experiencing any symptoms of diabetes, the best solution is to visit a hospital for testing, as you may receive results on the same day. Streptozotocin is used in medical research to establish animal models for Type 1 diabetes, whil...[Read More] Understanding Diabetes: Key Questions on Symptoms and Treatment
Understanding Total Cholesterol and Triglycerides: What Your Results Mean
Total cholesterol and triglyceride issues? Hello doctor, I recently had a blood test and my total cholesterol was 257, triglycerides were 38, visceral fat rate was 3, body fat percentage was 16, height is 163 cm, and weight is 50 kg. Is my total cholesterol level a concern?
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Qoo: Your BMI is 18.8, and your body fat percentage is 16, which are within the normal range. However, your triglycerides are low at 38, and your visceral fat level is also low at 3, while your total cholesterol is elevated at 257. Cholesterol in the blood comes from di...[Read More] Understanding Total Cholesterol and Triglycerides: What Your Results Mean
Understanding Blood Sugar Fluctuations in Type 2 Diabetes Management
Blood glucose measurement issues? Hello, doctor. I would like to ask about my situation. I was diagnosed with type 2 diabetes last November, and recently, when measuring my blood sugar, I occasionally notice that the highest level occurs at the third hour after eating. Here are m...
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Chang: A typical diet consists of a mix of carbohydrates, proteins, and fats. Blood sugar peaks can be observed 30 minutes to 2 hours after a meal. However, if the meal is high in protein, the peak may not occur until about three hours later due to slower digestion and ...[Read More] Understanding Blood Sugar Fluctuations in Type 2 Diabetes Management
Understanding Postprandial Blood Sugar Levels in Type 2 Diabetes Management
Blood sugar issues? Hello, doctor. I was diagnosed with type 2 diabetes last November. After several months of dietary adjustments, I have gradually learned to monitor my blood sugar levels. I would like to ask about my postprandial blood sugar, which sometimes decreases slowly. ...
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Chang: The greater the fluctuation in blood sugar levels, the more likely complications will arise, as this can lead to increased oxidative stress and inflammatory factors, causing damage to the vascular endothelium and other tissues. Although blood sugar may return to ...[Read More] Understanding Postprandial Blood Sugar Levels in Type 2 Diabetes Management
Understanding Blood Pressure Fluctuations: Causes and Concerns
Blood pressure issues? Hello, doctor. I previously went to the hospital for an examination and was found to have mild to moderate mitral and aortic valve regurgitation, along with issues related to autonomic dysfunction. The doctor advised me to measure my blood pressure daily. T...
Dr. Liu Hongxiang reply Family Medicine
Hello, Sir: The beta-blocker belongs to the category of nonselective beta-adrenergic blockers, which can lower blood pressure and heart rate. Its duration of action is relatively short, with a half-life of approximately 3-5 hours. A typical difference in blood pressure between th...[Read More] Understanding Blood Pressure Fluctuations: Causes and Concerns
Which Medical Specialty Should You Consult for Chest Pain and Numbness?
Which specialty should I see? Experiencing tightness in the neck and shoulders, along with severe stabbing pain in the left chest, left arm numbness and weakness, difficulty breathing with a feeling of pressure, nausea, cold sweats, and pallor when turning the body to the left an...
Dr. Liu Hongxiang reply Family Medicine
Hello Ms. Chun, based on the symptom analysis, there are issues related to muscles and nerves that may be causing your condition. It is recommended that you visit the orthopedic or neurology department at the hospital for an evaluation of your physical condition. Wishing you good...[Read More] Which Medical Specialty Should You Consult for Chest Pain and Numbness?
Understanding Urine Odor: When to Seek Medical Advice
Urine Odor Issues Hello, doctor. I would like to inquire about the strong odor of my urine every time I go to the bathroom, especially in the morning when I wake up. However, when I drink a lot of plain water, the odor disappears. This situation occurred before, and the clinic in...
Dr. Liu Hongxiang reply Family Medicine
Hello, Miss: It is normal for urine to have some odor, and it tends to be stronger in the morning due to its relative concentration. However, if there is a persistent unusual odor, it may indicate a problem with the urinary tract or overall health. I recommend visiting a hospital...[Read More] Understanding Urine Odor: When to Seek Medical Advice
Which is Better for Blood Sugar: Sweet Potatoes or Potatoes?
How to eat breakfast for blood sugar control? I recently had my blood sugar tested again, and the first result was 163. After taking medication for a month, it was 135. I used to have two eggs for breakfast, but my nutritionist advised me to have one egg along with vegetables or ...
Dr. Liu Hongxiang reply Family Medicine
Hello, Lan Yue: Blood sugar control includes diet, exercise, weight management, and medication. Sweet potatoes and potatoes are both starchy foods; sweet potatoes contain more dietary fiber, but consuming either in excess can raise blood sugar levels. It is recommended to discuss...[Read More] Which is Better for Blood Sugar: Sweet Potatoes or Potatoes?
Traveling Abroad with Hypertension and Diabetes: Essential Tips for Patients
Patients with hypertension, hyperglycemia, and hyperlipidemia traveling abroad? Hello, doctor. I am a long-term patient with hypertension, hyperlipidemia, and diabetes, and I regularly monitor my condition. I exercise daily and administer insulin. Can I take a short-haul flight (...
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Fu: For patients with hypertension, hyperlipidemia, and diabetes who are on long-term medication and regularly monitored, maintaining good hygiene and lifestyle habits, and who do not have complications and are prepared with their medications and medical history for tra...[Read More] Traveling Abroad with Hypertension and Diabetes: Essential Tips for Patients
Understanding the Effects and Duration of Blood Pressure Medication: A Guide
Antihypertensive medications? Hello, doctor. I would like to ask about the blood pressure medication, Amlodipine/Benazepril 80/5 mg. How long does it take for the medication to take effect after taking it? How long does its effect last? Is it considered a long-acting, intermediat...
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Lin: The combination medication Amlodipine 80/5 mg is a long-acting antihypertensive that is taken once daily. The pharmacokinetics of the two components do not interfere with each other. Amlodipine begins to take effect approximately 30 to 50 minutes after administrati...[Read More] Understanding the Effects and Duration of Blood Pressure Medication: A Guide
Understanding Left Lower Abdomen Pain: When to Seek Medical Help
Mild pain in the lower left abdomen? Hello doctor, I would like to ask about my symptoms and which specialty I should consult. I have been experiencing soreness about three fingerbreadths below my navel and approximately 10 centimeters to the left. This pain occurs when I sit and...
Dr. Liu Hongxiang reply Family Medicine
Hello, Duck Blood: The pain in the lower left abdomen seems to worsen with movement. There are no reported issues with appetite or bowel movements. If there are no external factors such as sports injuries causing this, it is advisable to consult a gastroenterologist. Wishing you ...[Read More] Understanding Left Lower Abdomen Pain: When to Seek Medical Help
Understanding Chest Discomfort: When to Seek Medical Help
Chest tightness? Hello doctor, sometimes I experience abdominal bloating and have a constant urge to burp, accompanied by chest tightness and noticeable heart palpitations that feel like sudden fright. When I stand up, I feel dizzy and want to sit down immediately. My breathing f...
Dr. Liu Hongxiang reply Family Medicine
Hello, Sir: The letter states that the cardiology examination showed no abnormalities, so the noticeable increase in heartbeats accompanied by a sensation similar to being startled is likely a subjective feeling. The dizziness experienced when standing up may be due to orthosta...[Read More] Understanding Chest Discomfort: When to Seek Medical Help
Managing Type 2 Diabetes: Key Questions for Your Family Doctor
Please provide your questions regarding diabetes? I was diagnosed with type 2 diabetes and hyperlipidemia last November. At that time, my lab results were as follows: fasting blood glucose 143 mg/dL, HbA1c 9.9%, total cholesterol 229 mg/dL, triglycerides 202 mg/dL, HDL cholestero...
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Chang: According to the consensus of international diabetes associations, a glycated hemoglobin (HbA1c) level of less than 6.5% for at least 3 months without the use of antihyperglycemic medications indicates that blood sugar is temporarily normal, and medication may no...[Read More] Managing Type 2 Diabetes: Key Questions for Your Family Doctor
Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective
Headache Hello, Doctor! I would like to ask if washing my hair in the morning during winter can cause migraines. Thank you, Victoria.
Dr. Liu Hongxiang reply Family Medicine
Hello Victoria: Generally, washing your hair in winter does not cause headaches. However, if you are under significant stress, fatigued, or sensitive to pain, it can trigger headaches. In such cases, you may try massage, heat therapy, and adequate rest to see if it helps improve ...[Read More] Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective
Do Cold and Inflammation Affect Fasting Blood Sugar Levels?
Blood sugar issues in health examinations? During the health examination, I experienced a cold and inflammation of the glans. The report showed a fasting blood glucose level of 106. I would like to know if a cold and glans inflammation can affect fasting blood glucose levels.
Dr. Liu Hongxiang reply Family Medicine
Hello ACDC060: Possible reasons for elevated blood sugar levels before meals include diet, insufficient fasting time, diseases, infections, stress, and medication use. It is recommended to monitor blood sugar levels again once the body has recovered to determine if there is a pro...[Read More] Do Cold and Inflammation Affect Fasting Blood Sugar Levels?
Managing Cholesterol: When to Medicate and Considerations for Pregnancy
Cholesterol issues Hello, doctor. I am 34 years old. In my 2018 health check-up report, my cholesterol was 232 and low-density lipoprotein (LDL) was 159. My father has hypertension, diabetes, and hyperlipidemia. In 2023, I briefly took Lipitor for one month, during which my chole...
Dr. Liu Hongxiang reply Family Medicine
Hello, Sasa: The total cholesterol level for the general population should be kept below 200 mg/dL, with low-density lipoprotein (LDL) cholesterol below 130 mg/dL. High-density lipoprotein (HDL) cholesterol should be maintained above 40 mg/dL for men and above 50 mg/dL for women....[Read More] Managing Cholesterol: When to Medicate and Considerations for Pregnancy
Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello, Doctor. My father has recently been experiencing consistently high blood pressure and chest tightness. He has a history of undergoing cardiac catheterization and suspects blockage, so an exercise electrocardiogram has been arranged. The doctor has a...
Dr. Liu Hongxiang reply Family Medicine
Hello Jolingchang: Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. The adjustment of antihypertensive medications, if there are no contraindications or side effects, is based on the usual blood pressure readings. Some individuals may achieve...[Read More] Managing High Blood Pressure: Concerns About Medication Changes