Understanding Uncontrolled Hand Tremors: Causes and Concerns
Hand Hello Doctor: I would like to ask about my hands occasionally shaking involuntarily. Is this a sign of a problem in my body? Which part might be affected? Thank you!
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question. 1. There are many causes of "tremors," generally classified into resting tremors and action tremors. The former includes Parkinson's disease, progressive supranuclear palsy, carbon monoxide poisoning, stroke, and mitochondrial d...[Read More] Understanding Uncontrolled Hand Tremors: Causes and Concerns
Which Medical Specialty Should You See for Swelling in the Legs?
If you have edema, you should consult a specialist in internal medicine or a nephrologist, as they can evaluate the underlying causes and provide appropriate treatment? Hello... My grandfather is 82 years old and generally in good health, but recently he has been experiencing swe...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question. 1. When experiencing swelling in both legs, it is important to consider potential issues with the liver, kidneys, or heart. Other causes should also be taken into account, such as hypothyroidism, pregnancy (in female patients), spontaneous cau...[Read More] Which Medical Specialty Should You See for Swelling in the Legs?
Understanding White Sediment in Urine: Causes and Concerns
Urine sediment I would like to ask why there is a white sediment in the urinal after urine has been sitting for a long time, which cannot be scrubbed away. Does this indicate a problem with the body?
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question, the important components of urine include organic solutes and inorganic solutes. The former includes urea, creatinine, uric acid, hippuric acid, ketone bodies, and indican, among others. The latter includes NaCl, K+, SO4-2, PO4-3, NH4+, Ca2+, ...[Read More] Understanding White Sediment in Urine: Causes and Concerns
Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Blood draw issues? Hello, on May 19th, I had a health check-up, and the blood test report showed some concerning results: total cholesterol 125, high-density lipoprotein (HDL) 39, urine pH 7, and a positive reaction for occult blood. Does this indicate a risk for cardiovascular d...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions. 1. The essence of a health check-up is to screen for specific diseases or issues through certain tests or examinations, and if necessary, to conduct further evaluations or diagnoses. 2. Your total cholesterol level is 125 mg/dL, and your high...[Read More] Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Can Lung Hemangiomas Be Surgically Removed? Treatment Options Explained
Hemangioma Hello Dr. Hsiao, I would like to ask if it is possible to perform surgery if there is a hemangioma in the lungs. The physician we consulted informed our family that surgery is not feasible. If surgery is not an option, will it continue to grow larger? What is the best ...
Dr. Xiao Yongxun reply Internal Medicine
Hello, in response to your question: 1. The term lung hemangioma likely refers to sclerosing hemangioma, which occurs in approximately 80% of cases in middle-aged women, and most are asymptomatic. If symptoms do occur, hemoptysis is the most common. A chest X-ray may reveal a h...[Read More] Can Lung Hemangiomas Be Surgically Removed? Treatment Options Explained
Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?
The patient has experienced significant weight loss over the past six months, but despite eating a lot, they do not feel full? Patients with hypertension and diabetes who are currently on medication should pay attention to the following dietary considerations: 1. **Limit Sodium ...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions. 1. There are many reasons for weight loss, with common causes including diabetes, hyperthyroidism, cancer, and other diseases. Among these, cancer predominantly involves gastrointestinal disorders. 2. The dietary management for hypertensi...[Read More] Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?
Understanding Sharp Chest Pain: Which Cardiology Specialist to See?
Sharp pain near the heart? Sometimes I feel a sharp pain near my heart, and it gets worse with each breath; it eases a bit when I don't breathe. I have previously had an X-ray and an electrocardiogram, both of which showed no issues. The doctor suggested that I see a cardiol...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question. 1. The causes of chest pain may originate from the skin, chest wall, lungs, heart and major blood vessels, gastrointestinal tract, or psychological factors. Pain from musculoskeletal disorders, pneumothorax, pleuritis, and pericarditis may wor...[Read More] Understanding Sharp Chest Pain: Which Cardiology Specialist to See?
Understanding Peripheral Vascular Examination: Risks and Insights
What is a peripheral vascular examination? Dr. Hsiao: 1. What is a peripheral vascular examination? 2. Is there any risk involved? Thank you.
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question, peripheral vascular examination generally refers to various tests for diagnosing peripheral vascular diseases, primarily related to arterial stenosis or occlusion caused by atherosclerosis in the lower extremities. These tests include: 1. Ankl...[Read More] Understanding Peripheral Vascular Examination: Risks and Insights
Understanding Temporary High Blood Sugar Levels: What You Need to Know
Hyperglycemia Today, we conducted an experiment and found that my blood sugar level was approximately 270 mg/dL. However, I had breakfast that day, and I did not experience symptoms such as excessive thirst, frequent urination, or increased appetite. Could this be temporary? Than...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question, a patient is diagnosed with diabetes if the results of two tests conducted at different times meet one of the following three criteria: (1) Fasting plasma glucose level >= 126 mg/dL after fasting for at least 8 hours. (2) Clinical symptoms ...[Read More] Understanding Temporary High Blood Sugar Levels: What You Need to Know
Is My Blood Test Normal? Understanding MCV and Anemia Concerns
Could you please provide more details about the report in question? Hello Doctor: A few days ago, my health check report came out. One item was highlighted in red, M.C.V 97.7, and the comments below indicated possible microcytic anemia, iron deficiency anemia, or thalassemia, sug...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions. 1. Anemia is a common clinical symptom, typically referring to a decrease in the number of red blood cells, hemoglobin levels, or hematocrit. MCV stands for mean corpuscular volume, which indicates the average volume of red blood cells, mea...[Read More] Is My Blood Test Normal? Understanding MCV and Anemia Concerns
Understanding Mucus: Allergic Rhinitis and Its Implications
Regarding nasal mucus? Hello Doctor: My question is, I have always been a patient with allergic rhinitis. Every morning when I wake up, I notice that I have an excessive amount of nasal discharge. Recently, I discovered that there are many ants surrounding the used tissues with n...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question, nasal secretions contain carbohydrates, which are naturally appealing to small insects. There is no need to panic. It is advisable to consult a specialist to address the issue of excessive secretions.[Read More] Understanding Mucus: Allergic Rhinitis and Its Implications
Could It Be Diabetes? Understanding Symptoms and Seeking Help
Could it be diabetes? I have seen many doctors due to my bad breath, but the problem has not been resolved, which is very distressing for me. My symptoms include severe halitosis, frequent foamy urine, occasional chest tightness, and fatigue. Additionally, I have a history of gou...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question, there are many causes of halitosis, including issues related to the oral cavity, otolaryngology, lungs, trachea, esophagus, stomach, and even metabolic problems. As for "bubbly urine," it generally warrants consideration of proteinur...[Read More] Could It Be Diabetes? Understanding Symptoms and Seeking Help
Essential Tips for Managing Discoid Lupus Erythematosus
Precautions for Systemic Lupus Erythematosus (SLE) Hello, doctor. I would like to ask if the coin-shaped erythematous lesions of lupus on the skin will improve after taking quinine. Additionally, should sunscreen be applied during winter and at night, and is it necessary to apply...
Dr. Xiao Yongxun reply Internal Medicine
Subacute Cutaneous Lupus Erythematosus (SCLE) is commonly seen in young women and can be triggered by sun exposure. Approximately half of the patients may develop Systemic Lupus Erythematosus (SLE). Diagnosis is primarily based on medical history and immunopathological skin biops...[Read More] Essential Tips for Managing Discoid Lupus Erythematosus
Essential Care Tips for Managing Hepatitis C Effectively
Hepatitis C How to take care of oneself with hepatitis C? Thank you.
Dr. Xiao Yongxun reply Internal Medicine
1. The hepatitis C virus is an RNA virus, and its primary mode of transmission is through contact with the blood and bodily fluids of an infected person, such as sharing needles, blood transfusions, or sharing razors. Due to chronic inflammation over time, it can lead to cirrhosi...[Read More] Essential Care Tips for Managing Hepatitis C Effectively
Understanding Muscle Strain and Nerve Sensations After Weight Training
Paralysis Hello Doctor: A while ago, I was doing weight training and accidentally injured my lower back. After treatment, it was diagnosed as a muscle strain, and I have improved significantly with medication, although I still occasionally feel something unusual. Recently, when I...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions. 1. Inappropriate weight training may lead to muscle and ligament strains; it can even result in intervertebral disc disorders or joint diseases. Therefore, it is essential to have a health assessment, a comprehensive training plan, and warm-u...[Read More] Understanding Muscle Strain and Nerve Sensations After Weight Training
Managing Blood Sugar Levels: Do You Need Medication at Age 50?
Blood sugar issues? I am about 50 years old, and my fasting blood glucose is around 115 mg/dL. Should I consider taking medication? Thank you.
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions. 1. A fasting plasma glucose level of 115 mg/dL, which falls between 110-126 mg/dL, is classified as impaired fasting glucose (IFG). Whether this indicates diabetes still requires further confirmation. 2. If a diagnosis of diabetes is confirme...[Read More] Managing Blood Sugar Levels: Do You Need Medication at Age 50?
Understanding Lower Abdominal Pain: Which Specialist to See?
Lower abdominal pain Hello Doctor: Recently, I have been experiencing lower abdominal pain, but I am unsure what kind of condition it might be and which specialty I should consult—urology or gastroenterology? The pain is only in the lower abdomen, and there are no other symptoms....
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question. 1. There are many causes of abdominal pain, which can originate from intra-abdominal lesions, referred pain from outside the abdomen, metabolic pathologies, or neurological disorders, each with various diagnoses. For example, abdominal pain ma...[Read More] Understanding Lower Abdominal Pain: Which Specialist to See?
Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort
Gastrointestinal issues Hello Doctor, I have been experiencing gastrointestinal discomfort since childhood, including frequent vomiting and abdominal pain. Sometimes, I suddenly have to vomit in the middle of a meal, and afterwards, I feel very hungry. I also tend to have abdomin...
Dr. Xiao Yongxun reply Internal Medicine
1. There are many and complex causes of abdominal pain. It can originate from the abdomen itself, such as infections, inflammation, ulcers, vascular lesions, trauma, or organ pathology; it may also be due to issues in the thoracic cavity, spine, or pelvic cavity. Additionally, fu...[Read More] Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort
Understanding Blisters: Are Sweet Cold Drinks Causing Your Skin Issues?
Develop blisters? Hello doctor, if I drink too many cold beverages that are too sweet, I develop small blisters on my fingers. The more I drink, the more blisters I tend to get. I have seen a dermatologist, who advised me to avoid excessive cold drinks and to eat more fruits and ...
Dr. Xiao Yongxun reply Internal Medicine
There are many diseases to consider when blisters appear on the palms or fingers, including allergic or irritant contact dermatitis, atopic dermatitis, fungal or bacterial infections, keratoderma, psoriasis, vesicular eczema, pemphigus, and reactions in the fingers caused by infe...[Read More] Understanding Blisters: Are Sweet Cold Drinks Causing Your Skin Issues?
Managing High Cholesterol with a Low Body Weight: Dietary Tips
Underweight but with high cholesterol? Hello, Director Hsiao: I recently found out from my health check-up that my cholesterol level is high (237). However, I am 162 cm tall and weigh 46 kg, which is underweight. I usually enjoy snacks and eggs. Could you please advise me on what...
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question. 1. Your weight is 46 kg, height is 162 cm, and your Body Mass Index (BMI) is 17.5 kg/m². According to the Department of Health's recommended ideal BMI range of 18.5-23.9, you are indeed underweight. However, being underweight does not nec...[Read More] Managing High Cholesterol with a Low Body Weight: Dietary Tips