Understanding Insulin Resistance: Impact of Diet and Monitoring Tips
Blood sugar issues? Hello, doctor. Recently, my health check revealed an issue with insulin resistance (index 2.2) (BMI 19 / body fat 25 / visceral fat 3). I would like to ask if the diet from the previous night could cause a discrepancy in the index (I had sweets around 11 PM an...
Dr. Wu Zongying reply Family Medicine
Insulin resistance is associated with being overweight or metabolic syndrome. Your BMI is only 19, so you may want to consider a follow-up examination.[Read More] Understanding Insulin Resistance: Impact of Diet and Monitoring Tips
Understanding Persistent Low Blood Pressure After Significant Blood Loss
Constant low blood pressure? Hello Doctor: First, I would like to thank you for taking the time to address my concerns. Here are my questions: About six months ago, I engaged in self-harm on my left forearm, resulting in significant blood loss; however, I did not faint and was ab...
Dr. Wu Zongying reply Family Medicine
Hello: If you currently do not have an issue with anemia, there is no need to worry too much. As for a blood pressure of 110/60, it is not considered too low. If you do have anemia, please focus on increasing your nutritional intake. If you have anemia but are concerned about low...[Read More] Understanding Persistent Low Blood Pressure After Significant Blood Loss
Can You Safely Combine Viagra with Blood Pressure Medications?
Medication Administration and Its Effects Currently, I am taking high blood pressure medication Cozaar 1 tablet (Losartan) and Norvasc 0.5 tablet (Amlodipine) daily. Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!
Dr. Wu Zongying reply Family Medicine
Hello: Viagra does not interact with Cozaar or Norvasc. However, it should not be taken concurrently with sublingual nitroglycerin (NTG), certain medications for prostate treatment (alpha-blockers), or some antibiotics.[Read More] Can You Safely Combine Viagra with Blood Pressure Medications?
Understanding Visceral Fat: Accuracy, Classification, and Reduction Strategies
Consultation on Visceral Fat Concerns Dear Dr. Wu, I visited the clinic today, where I was asked to remove my shoes and socks and stand on a "bioelectrical impedance scale" to measure various body metrics. The measurement indicated that my visceral fat index is 15. I w...
Dr. Wu Zongying reply Family Medicine
Hello Ah-Hsiang: Since your letter did not mention your height, weight, or BMI, it is difficult to make a complete assessment. Body fat is divided into subcutaneous fat and visceral fat. Excess visceral fat is significantly associated with the occurrence of hyperlipidemia, athero...[Read More] Understanding Visceral Fat: Accuracy, Classification, and Reduction Strategies
Unexplained Discomfort in Lower Left Abdomen and Thigh: What to Do?
Issues in the lower left abdomen extending down to the groin? In the left lower abdomen, approximately in the area of the underwear, there is a vague discomfort along the side. It doesn't hurt, but there is a strange sensation. Sometimes it feels warm, and there is a slight ...
Dr. Wu Zongying reply Family Medicine
Hello: It is recommended to perform a urinalysis to check for urinary tract infection. Generally, individuals should consume at least 1500cc of fluids daily; those with busy schedules or who sweat more may need to intake over 2000cc. Women who do not consume enough fluids are at ...[Read More] Unexplained Discomfort in Lower Left Abdomen and Thigh: What to Do?
Persistent Pain in Right Big Toe: What Specialist Should You See?
Pain in the right big toe nail? Hello, Director Wu. I have been experiencing tenderness on the outer left side of my right big toe for over three weeks. It is not the area next to the nail that hurts, but rather a quarter-sized area at the front of the toenail. The pain seems to ...
Dr. Wu Zongying reply Family Medicine
Hello: Based on your description, it seems to be similar to paronychia or inflammation caused by pressure on the circulation under the toenail. A detailed examination is necessary to confirm the diagnosis. I recommend visiting a nearby surgical clinic for a doctor's evaluati...[Read More] Persistent Pain in Right Big Toe: What Specialist Should You See?
Effective Weight Loss Strategies: Addressing Stubborn Fat and Muscle Concerns
Weight loss-related issues? Hello Doctor, I have been on the heavier side since childhood, with my highest weight reaching 98 kg at a height of 170 cm, 37% body fat, and 26% skeletal muscle. Ten months ago, due to high blood pressure and high cholesterol, I decided to lose weight...
Dr. Wu Zongying reply Family Medicine
Hello: I'm glad to hear that you have successfully lost weight. Regarding your questions and weight loss methods, here are my responses: The most effective weight loss methods generally involve controlling your diet while incorporating aerobic exercise. Previously, you were ...[Read More] Effective Weight Loss Strategies: Addressing Stubborn Fat and Muscle Concerns
Understanding Post-Traumatic Headaches: When to See a Neurologist
Occipital pain I was accidentally hit on the head by a classmate during physical education class. That night, I went to a clinic for a cold treatment, which resolved, but my headache persisted. At the moment of impact, I only felt mild pain, so I didn't seek any treatment an...
Dr. Wu Zongying reply Family Medicine
Hello: It is recommended that you schedule an appointment with the neurology department for further examination. If the neurology evaluation shows no issues, you may then consider an appointment with the psychiatry department.[Read More] Understanding Post-Traumatic Headaches: When to See a Neurologist
Understanding Body Heat: Common Causes and When to Seek Help
Fever? Hello, doctor. Recently, I have been feeling a constant warmth in my body, especially in my ears, which feel hot. My temperature has been measured between 36.5 to 37.2°C (tympanic temperature), and it has occasionally reached 37.7°C. Sometimes, I experience slight dizzines...
Dr. Wu Zongying reply Family Medicine
Hello: Your body temperature is slightly elevated, and with symptoms of headache, dizziness, and a feeling of heaviness in the head, it is likely that you have a mild infection (such as a cold). It is recommended to drink plenty of water and get ample rest. If your immune system ...[Read More] Understanding Body Heat: Common Causes and When to Seek Help
Can Family History of Diabetes Be Tested? Understanding Risks and Prevention
Diabetes medical history Hello, Doctor: I would like to ask if a history of diabetes can be identified. Two weeks ago, my aunt told me that there is a family history of diabetes. She mentioned that my father's grandmother or great-grandmother (I can't quite remember who...
Dr. Wu Zongying reply Family Medicine
Hello: The diabetes history of your aunt, grandmother, or maternal grandmother is considered part of your family medical history. Having a family history of diabetes does increase the likelihood of developing the condition. However, lifestyle management is actually more important...[Read More] Can Family History of Diabetes Be Tested? Understanding Risks and Prevention
Should I Monitor My Symptoms or Visit a Hospital for Gastro Issues?
I would like to consult a doctor? Two days ago, I suddenly experienced intense intestinal contractions and noticeably elevated body temperature, accompanied by some pain and diarrhea. The situation improved during the day, so I didn't seek medical attention. However, by even...
Dr. Wu Zongying reply Family Medicine
Hello: When there is significant abdominal peristalsis, several possible conditions may be present, including excessive fecal accumulation or gastrointestinal inflammation. Please try to have a bowel movement first, and increase your intake of fruits and vegetables while reducing...[Read More] Should I Monitor My Symptoms or Visit a Hospital for Gastro Issues?
Understanding Low Lymphocyte Levels: Causes and Health Implications
Low lymphocyte count? Doctor, I have had three blood tests in the past two years, and my lymphocyte counts were 19.9, 19.6, and 19.2 (with a normal range of 20-45). What does a low count indicate? What diseases could potentially cause this? What should I pay attention to regardin...
Dr. Wu Zongying reply Family Medicine
Hello: A low lymphocyte count does not necessarily require treatment. However, it is important to pay attention to whether the neutrophil percentage is elevated in the current test report, as this information was not provided. Additionally, the various classifications of white bl...[Read More] Understanding Low Lymphocyte Levels: Causes and Health Implications
Effective Weight Loss Strategies for Managing Abdominal Obesity
How to lose weight? My waist circumference is 97 cm, my weight is 99.2 kg, and my body mass index (BMI) is 28.98. I currently want to lose weight, and my main methods include walking for 40 minutes, doing push-ups, and cycling. Before the age of 23, my weight was mostly in the 70...
Dr. Wu Zongying reply Family Medicine
Hello: Weight loss primarily relies on dietary control; exercise is beneficial for the body but may not lead to significant weight loss unless combined with dietary management. In terms of diet, it is advisable to avoid fried foods (such as fried chicken cutlets, fried chicken le...[Read More] Effective Weight Loss Strategies for Managing Abdominal Obesity
Choking on Medication: When to Seek Emergency Care?
Choking on medication? If you accidentally choked while taking medication and are experiencing pain in the left side of your chest 15 minutes later, it is important to monitor your symptoms closely. The pain could be a result of irritation or inflammation in the esophagus or a po...
Dr. Wu Zongying reply Family Medicine
Hello: If you choke on water or liquid, as long as you cough it out immediately, there should be no problem. However, if it enters the trachea, there may be a risk of aspiration pneumonia. If you experience persistent chest pain, or even have fever, chills, or productive cough, i...[Read More] Choking on Medication: When to Seek Emergency Care?
Understanding Imaging Reports: What to Do About Kidney Mass Findings
Imaging report issues? Hello, I would like to ask a question regarding an imaging report. I recently reviewed some of my examination reports on the National Health Insurance app, and one of them is a CT scan performed last June during an acute appendicitis. The report mentions &q...
Dr. Wu Zongying reply Family Medicine
Hello: It is recommended that you undergo an ultrasound examination, which can be done by either a nephrologist or a urologist.[Read More] Understanding Imaging Reports: What to Do About Kidney Mass Findings
Understanding Diminished Sensation in Your Finger: Causes and Next Steps
Diminished tactile sensation in the fingers? I would like to consult a doctor: Recently, I have been experiencing a sensation on the side of my right index finger near the middle finger that feels as if something is blocking it, similar to the feeling of touching my finger throug...
Dr. Wu Zongying reply Family Medicine
It is recommended to let your right hand rest for a few days. If the symptoms persist, please consult a rehabilitation specialist. Thank you.[Read More] Understanding Diminished Sensation in Your Finger: Causes and Next Steps
Understanding Chest Discomfort: Causes and When to Seek Help
Chest tightness and chest pain, accompanied by a sense of discomfort? I have seen two doctors due to feelings of chest tightness and chest pain. The first visit was to an ENT specialist, who suggested that it might be bronchitis, noting that bronchitis is common in winter. I also...
Dr. Wu Zongying reply Family Medicine
A diagnosis cannot be made based solely on your symptoms; it is recommended that you visit a major hospital's rehabilitation department for examination and treatment. Your daily posture, exercise, and weight may all be related to these symptoms.[Read More] Understanding Chest Discomfort: Causes and When to Seek Help
Understanding Your Chest X-Ray Report: Key Insights and Concerns
Interpretation of Chest X-ray Report I would like to inquire about the interpretation of my chest X-ray report, which includes both frontal and lateral views. I have researched a bit and it seems there may be an issue with scoliosis. However, the term "obliteration" app...
Dr. Wu Zongying reply Family Medicine
Your scoliosis is mild (mild scoliosis of the thoracolumbar spine) and is likely not related to your cough. However, your chest X-ray report shows "obliteration of the left costophrenic angle, obliteration of the posterior costophrenic angle, and exaggerated lung markings in...[Read More] Understanding Your Chest X-Ray Report: Key Insights and Concerns
Can I Contract Rabies from a Package Sent from China?
Inquiring whether packages sent from across the strait could be infected with rabies? Hello Doctor: Today I received a package sent from Guangzhou and Shanghai. While opening the package, I accidentally applied too much force, and when the bubble wrap popped back, I felt a liquid...
Dr. Wu Zongying reply Family Medicine
Rabies is a viral infection, and the virus cannot survive in a package for many days. Therefore, you do not need to worry about contracting rabies.[Read More] Can I Contract Rabies from a Package Sent from China?
Understanding Fluctuating Blood Pressure: When to See a Doctor
Occasional hypertension? Hello doctor, I have recently developed a habit of measuring my blood pressure due to feelings of chest tightness. Sometimes my first reading is around 130/82, but if I measure again after three to five minutes, it tends to be within the normal range of 1...
Dr. Wu Zongying reply Family Medicine
Hello: Without your height, weight, BMI, and blood test results, it is difficult to make a comprehensive assessment. However, based on the blood pressure values you provided, there is currently no need for medical attention. Nonetheless, a light diet, regular exercise, and weight...[Read More] Understanding Fluctuating Blood Pressure: When to See a Doctor