Dr. Liu Hongxiang reply Family Medicine Question - Page 2

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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 previously underwent cardiac catheterization and suspects a blockage, so an exercise electrocardiogram has been arranged. The doctor has now rec...


Dr. Liu Hongxiang reply Family Medicine
Hello Jolingchang, Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. When adjusting antihypertensive medications, if there are no contraindications or side effects, the adjustments are based on the usual blood pressure readings. Some individ...

[Read More] Managing High Blood Pressure: Concerns About Medication Changes


Understanding Right Side Lower Back Pain: Is It Kidney Stones?

Right-sided lower back pain? I would like to ask the doctor a question: Since last week, I have been experiencing pain on the right side of my lower back. It's not a very noticeable pain, but rather a subtle, intermittent ache that isn't too severe; I can often distract...


Dr. Liu Hongxiang reply Family Medicine
Hello Ashley, You have experienced right flank pain several times, and it has not improved over the past few months. There is a possibility of kidney stones. I recommend scheduling an appointment for a urinalysis or ultrasound examination to facilitate analysis and diagnosis. W...

[Read More] Understanding Right Side Lower Back Pain: Is It Kidney Stones?


Can Blueberry Supplements Benefit Those with Kidney Issues and Ovarian Cysts?

Blueberry dietary supplements Hello doctor, I recently purchased blueberry capsules and would like to inquire whether commercially available blueberry supplements are suitable for individuals with weakened kidney function and those with gynecological cysts. Thank you.


Dr. Liu Hongxiang reply Family Medicine
Hello, Jia-Jun: Blueberries are generally considered a health food, as they are low in sodium, phosphorus, and calories. They also contain flavonoids, which can help stabilize hormones, making them less burdensome on the kidneys and beneficial for the management of chocolate cyst...

[Read More] Can Blueberry Supplements Benefit Those with Kidney Issues and Ovarian Cysts?


Accidental Ingestion of Lollipop Stick: When to Seek Medical Attention?

Ingestion of a plastic stick from a lollipop approximately 3 centimeters in length? Does a stick automatically cause bowel movements? If there has been no abdominal pain for about 10 hours, should I go to the hospital?


Dr. Liu Hongxiang reply Family Medicine
Hello Miss JPJ: Ingesting a plastic stick from a lollipop approximately 3 centimeters in length raises concerns about the risk of gastrointestinal perforation or inflammation. It is advisable to seek medical attention for an examination to ensure safety. Wishing you good health a...

[Read More] Accidental Ingestion of Lollipop Stick: When to Seek Medical Attention?


Conflicting Diabetes Advice: Who Should You Trust for Your Health?

I'm not sure whose advice to follow? Previously, I visited a nearby major hospital's endocrinology department due to thyroid issues. The doctor conducted blood tests and a urinalysis, and while my thyroid function was normal, my hemoglobin A1c was 6.5%. However, my fast...


Dr. Liu Hongxiang reply Family Medicine
Hello Lisa, Glycated hemoglobin (HbA1c) is formed by the binding of glucose to hemoglobin in the blood. The average lifespan of red blood cells is 120 days, so glycated hemoglobin reflects the average blood glucose levels over the past three months. Daily fluctuations in blood ...

[Read More] Conflicting Diabetes Advice: Who Should You Trust for Your Health?


Cholesterol Management: Diet vs. Medication for LDL Control

Cholesterol management: medication or dietary control? Hello, Doctor. During my health check-up at the end of June, my LDL cholesterol was 236. After three months of dietary and exercise control, my LDL cholesterol dropped to 205 in mid-October. I do not have any risk factors for...


Dr. Liu Hongxiang reply Family Medicine
Hello, Nock: The normal value for LDL (low-density lipoprotein) cholesterol is below 130 mg/dL. There are many ways to help lower low-density cholesterol. Here are some suggestions: 1. Dietary adjustments: Increase the intake of fruits, vegetables, whole grains, and lean poultry ...

[Read More] Cholesterol Management: Diet vs. Medication for LDL Control


Essential Blood Tests for Long-Term Fish Oil Users: What You Need to Know

If you are taking fish oil supplements long-term, it is advisable to have regular blood tests to monitor certain parameters. Key tests may include: 1. **Lipid Profile**: To check cholesterol levels and triglycerides, as fish oil can affect lipid metabolism. 2. **Liver Function T...


Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Zheng: The benefits of fish oil include anti-inflammatory effects, prevention of blood clots, lowering cholesterol, reducing triglycerides, and decreasing the risk of cardiovascular events. However, excessive intake of fish oil can lead to an increased tendency to bleed...

[Read More] Essential Blood Tests for Long-Term Fish Oil Users: What You Need to Know


Is My Low Diastolic Blood Pressure Normal? A Young Adult's Concern

My diastolic blood pressure seems to be very low; I wonder if this is normal? Hello Dr. Liu, I am 20 years old and currently a junior in college. Since childhood, my diastolic blood pressure and hemoglobin levels have been on the lower side. The values are as follows: in seventh ...


Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Yang: The normal blood pressure range for adults is a systolic pressure of 110-140 mmHg and a diastolic pressure of around 70-90 mmHg. Regarding hemoglobin levels, the normal range for males in our hospital is 13-17.5 g/dL, so the hemoglobin levels mentioned above shoul...

[Read More] Is My Low Diastolic Blood Pressure Normal? A Young Adult's Concern


Understanding Blood Test Results: What Elevated Calcium Levels Mean

Regarding blood test reports? Hello doctor, I recently had a routine health check-up that included a blood test, and the calcium level in my electrolyte analysis was reported as 10.4, which is highlighted in red. When I asked the doctor, they mentioned it was not a major concern ...


Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Hsu: The normal range for serum calcium ions in our hospital is 8.9-10.3 mg/dL, but there may be slight variations depending on the laboratory equipment used. A level of 10.4 mg/dL is only 0.1 mg/dL above the normal range; however, as long as serum calcium is below 12-1...

[Read More] Understanding Blood Test Results: What Elevated Calcium Levels Mean


Understanding Your Teen's Health: Urine Changes and Skin Yellowing Concerns

Which direction should be examined? My son is 17 years old and is currently working part-time as an electrical and plumbing apprentice. Recently, he asked me to take him for a check-up due to the following concerns: 1. His urine has a stronger odor (ammonia-like), but it is still...


Dr. Liu Hongxiang reply Family Medicine
Dear Mr. Rui, Hello. The four data points in your letter did not include the normal reference ranges, but they are within the normal range compared to general laboratory standards. Given the concerns about dehydration and the suspicion of jaundice, you may want to visit a family...

[Read More] Understanding Your Teen's Health: Urine Changes and Skin Yellowing Concerns


Is Fish Oil Safe for My Son's Platelet Levels? Expert Insights

Is this platelet condition suitable for taking fish oil? Hello Dr. Liu, my son (who is 21 years old) has had platelet counts (PLT) ranging from 210 to 240 (10^3/μl) from elementary school through college health check-ups. Recently, I would like him to take three fish oil capsules...


Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Zheng: The normal range for human platelets is 150,000 to 450,000/μl. According to the recommendations from the U.S. Food and Drug Administration (FDA), the safe and reliable daily intake of fish oil for the general population is between 2000 to 3000 milligrams of EPA a...

[Read More] Is Fish Oil Safe for My Son's Platelet Levels? Expert Insights


Managing Hypertension After Lymphoma: When to Consider Stopping Medication

Hypertension caused by cancer? Hello, doctor! I would like to ask about my mother-in-law, who has high blood pressure caused by lymphoma (she was previously healthy, exercised regularly, and had a light diet). It has been two years since she completed chemotherapy, and she is cur...


Dr. Liu Hongxiang reply Family Medicine
Hello Ms. Yang Mei-Wen, The general target for blood pressure control is a systolic pressure below 120 and a diastolic pressure below 80. The minimum blood pressure standard varies from person to person; a systolic pressure around 100 without other symptoms can be monitored fur...

[Read More] Managing Hypertension After Lymphoma: When to Consider Stopping Medication


Which Medical Specialty Should I Consult for My Abdominal Pain?

Which specialty should I see? Hello Doctor: Five weeks ago, I started experiencing intermittent bloating and pain in my lower left abdomen, which was relieved by painkillers. Three weeks ago, the pain became daily, requiring me to take pain medication twice a day; otherwise, the ...


Dr. Liu Hongxiang reply Family Medicine
Hello, Xiaoyu: The abdominal pain and accompanying soreness in the lower back and legs have not improved, and the cause is more likely related to issues with the abdominal organs. It is recommended to follow up with a gastroenterologist. Please discuss the medication dosage with ...

[Read More] Which Medical Specialty Should I Consult for My Abdominal Pain?


Understanding Tetanus Risks After Wound Healing: What You Need to Know

Tetanus Issues Excuse me, doctor. I would like to ask if the wound has healed, does that mean I no longer need to worry about tetanus? Currently, I occasionally feel sharp pains in my abdomen and legs that have lasted for about two days. Is this related to tetanus? Thank you!


Dr. Liu Hongxiang reply Family Medicine
Hello, sir: The wound has been healing for several days without redness, swelling, heat, or pain around it, and it is not a puncture wound, so there is no need to worry about tetanus. The occasional cramping pain in the abdomen and legs may be related to neuromuscular issues and ...

[Read More] Understanding Tetanus Risks After Wound Healing: What You Need to Know


Which Medical Specialty Should My Elderly Grandmother See?

Which department should I see? Hello, doctor. My grandmother is nearly 80 years old and has been suffering from depression since my grandfather passed away. She has been taking medication for depression over the past few years, and her symptoms have included some signs resembling...


Dr. Liu Hongxiang reply Family Medicine
Dear Miss Hao, The main issue in your letter is that you have been feeling very hungry throughout the day after meals, to the point where you cannot sleep without eating, which is quite uncomfortable. If there are no issues with diabetes or obesity, feeling hungry after meals is...

[Read More] Which Medical Specialty Should My Elderly Grandmother See?


Which Medical Specialty Should My Elderly Grandmother See?

Which department should I visit? Hello, doctor. My grandmother is nearly 80 years old and has been suffering from depression since my grandfather passed away. She has been taking antidepressant medication for the past few years, and her symptoms have progressed to resemble those ...


Dr. Liu Hongxiang reply Family Medicine
Dear Miss Hao, The main issue in your letter is that you have been feeling very hungry after meals, to the point where you feel hungry all day long, and it becomes difficult to sleep without eating, which is quite uncomfortable. If there are no issues with diabetes or obesity, f...

[Read More] Which Medical Specialty Should My Elderly Grandmother See?


Does Weight Loss Affect PLT and Hb Levels in Young Adults?

Does weight loss lead to a decrease in platelet count (PLT) and hemoglobin (Hb) levels? Hello Dr. Liu, I am 20 years old and 172 cm tall. Six months ago, I weighed about 79 kg. Over the past six months, I have worked hard to lose weight (mainly through exercise and diet, without ...


Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Hao: Weight loss can affect hemoglobin and platelet levels, but this varies from person to person. A decrease in platelets may be caused by a reduction in adipose tissue and changes in certain internal factors. A decrease in hemoglobin may result from nutritional defici...

[Read More] Does Weight Loss Affect PLT and Hb Levels in Young Adults?


Understanding Frequent Dizziness: Causes and Connections to Diet and Hydration

Frequent dizziness? What could be the reason for my frequent dizziness? Is it low blood pressure or autonomic nervous system dysfunction? Sometimes I feel dizzy after eating a full meal; could this be related to my low water intake? Can drinking very little water cause dizziness?...


Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Xiaohua: Common causes of dizziness in males include: 1. Hypotension: This refers to blood pressure that is lower than normal levels. 2. Anemia: Acute or chronic anemia can lead to fatigue and dizziness. 3. Prolonged standing: Blood may pool in the lower extremities, re...

[Read More] Understanding Frequent Dizziness: Causes and Connections to Diet and Hydration


Understanding and Managing Severe Foot Pain in the Elderly

Grandfather's foot pain issue? Hello doctor, I would like to ask about my grandfather who has been experiencing severe foot pain recently. Initially, he mentioned that his foot had been hurting for a month, and he thought he could just endure it. Eventually, he couldn't...


Dr. Liu Hongxiang reply Family Medicine
Hello, Sisi: According to the information provided, it seems that you are currently experiencing pain near the left foot's dorsum close to the ankle. An orthopedic examination with X-rays indicated that the bones appear normal, but there is some degeneration. Additionally, t...

[Read More] Understanding and Managing Severe Foot Pain in the Elderly


Managing Blood Sugar: Understanding Occasional High Levels with Normal HbA1c

HbA1c 5.5 is normal, but postprandial blood glucose levels are occasionally elevated? Hello, doctor. Since I can use a blood glucose meter in my work environment, I occasionally check my blood sugar at work. However, my blood sugar levels reach 150-160 two hours after meals, and ...


Dr. Liu Hongxiang reply Family Medicine
Hello, Xiao Xuan: The normal blood sugar level two hours after a meal is between 80-140 mg/dL. A blood sugar level of 150-160 mg/dL is slightly elevated. Work-related stress, poor sleep, or long-term use of corticosteroids can affect the body's metabolism. Additionally, co...

[Read More] Managing Blood Sugar: Understanding Occasional High Levels with Normal HbA1c


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