Understanding Eligibility Criteria for Pure Hypertriglyceridemia in Taiwan
What are the application criteria for pure hypertriglyceridemia? The hospital has been monitoring triglyceride levels for seven consecutive years, consistently around 250, with a peak of 780. I would like to inquire about the criteria for applying for the Major Illness Card under...
Dr. Xie Rongyuan reply Internal Medicine
Hello: E78.1 cannot be used to apply for a major illness card. Thank you for your message![Read More] Understanding Eligibility Criteria for Pure Hypertriglyceridemia in Taiwan
Can I Take Isoflavones with a Liver Hemangioma?
Hello, can I supplement with isoflavones if I have a hepatic hemangioma? Hello, is it safe to supplement with isoflavones if I have a hepatic hemangioma?
Dr. Xie Rongyuan reply Internal Medicine
Hello: The cause of hepatic hemangiomas remains unclear. Some studies suggest that excessive alcohol consumption or the use of medications related to female hormones (such as contraceptives) may contribute to the enlargement of hepatic hemangiomas. Isoflavones are primarily secre...[Read More] Can I Take Isoflavones with a Liver Hemangioma?
Understanding Left Lower Abdominal Pain and Bowel Sounds: Causes and Solutions
Sharp pain in the lower left abdomen, accompanied by bowel sounds? Hello, recently I have been experiencing sharp and aching pain in my lower left abdomen, feeling like needles stabbing and knives cutting, occurring intermittently along with bowel sounds and a sensation of moveme...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Left lower abdominal pain and bowel sounds are generally related to dietary choices or gastrointestinal dysfunction. Since the colonoscopy showed no abnormalities, it is advisable to pay attention to the types of food consumed, as this may help alleviate the symptoms. Than...[Read More] Understanding Left Lower Abdominal Pain and Bowel Sounds: Causes and Solutions
Understanding Persistent Throat Discomfort After Fish Bone Incident
Feeling a lump in the throat? Hello Doctor: Since I was choked by a fishbone, I started feeling a sensation of something stuck in my throat about one to two weeks later, which has persisted for three months. Recently, I have clearly felt that this sensation comes from the food I ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Gastroesophageal reflux disease (GERD) can be challenging to treat, and you may want to consult a physician regarding the risk of esophageal cancer. Proton pump inhibitor (PPI) therapy may require a longer duration; if you have severe GERD, medication may be needed for up ...[Read More] Understanding Persistent Throat Discomfort After Fish Bone Incident
Understanding Vertical Transmission of HIV: Risks and Testing Explained
HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome) I would like to ask if there is still a risk of vertical transmission of infection after more than ten years. When getting a blood test, will they check for HIV specifically, or is it a separate test? If m...
Dr. Xie Rongyuan reply Internal Medicine
Hello: As long as the HIV virus is present, there is a risk of infection. You can go to the hospital to get tested for HIV. Of course, you need to inform the physician in order to receive the test. The transmission routes for HIV include blood, semen, and vaginal fluids, especial...[Read More] Understanding Vertical Transmission of HIV: Risks and Testing Explained
Can You Bungee Jump with Mild Arrhythmia? A Medical Perspective
Can a person with mild arrhythmia go bungee jumping? Mild arrhythmia was discovered in high school when I frequently experienced sharp pains in my heart and occasionally felt my heart beating very hard, as if it were about to jump out. After undergoing an electrocardiogram, the d...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If you have arrhythmia, you should go to the hospital for a detailed examination, as the range of arrhythmias is very broad, and some can be quite dangerous. For safety reasons, it is advisable to seek medical attention at a hospital. Thank you for your message![Read More] Can You Bungee Jump with Mild Arrhythmia? A Medical Perspective
Understanding HIV Testing and Risks for Newborns and Adolescents
HIV/AIDS..? Is it possible to know if a newborn has HIV right after birth? If a person has not contracted HIV for over a decade, does that mean they are HIV-negative (considering no sexual activity)? If someone performs oral sex without a condom and does not ejaculate in the part...
Dr. Xie Rongyuan reply Internal Medicine
Hello: In response to your inquiry, please find the information below: HIV can only be confirmed through blood testing, with the most accurate testing time being three months after engaging in high-risk behaviors. The transmission routes of the HIV virus include blood, semen, and...[Read More] Understanding HIV Testing and Risks for Newborns and Adolescents
Understanding Right Lower Abdominal Pain: Causes and Insights for Young Adults
Right lower abdominal pain? Hello, doctor. I am 19 years old, and I started experiencing sharp pain in my lower right abdomen when lying flat in bed about a month ago. The pain is most severe when I am lying flat, and it diminishes almost completely when I lie on my side. I do no...
Dr. Xie Rongyuan reply Internal Medicine
Hello: There are many causes of right lower abdominal pain, including issues with the ureter, right fallopian tube, right ovary, cecum, and appendix. Problems in these areas can lead to pain. It is recommended to visit a hospital for a detailed examination to obtain an accurate d...[Read More] Understanding Right Lower Abdominal Pain: Causes and Insights for Young Adults
Understanding Anal Fissures: Causes of Swelling and Discoloration
Anal fissure - but the anal swelling appears bluish-purple? Hello doctor, I would like to ask if a long-standing anal fissure can cause swelling around the anus. I have seen a doctor who diagnosed it as an anal fissure, and I have been undergoing treatment for almost two weeks. D...
Dr. Xie Rongyuan reply Internal Medicine
Hello: There is some pain upon pressure, and there are signs of bruising, indicating that it may not be fully healed yet. It is recommended that if symptoms persist, you should return for a follow-up appointment or continue with your current treatment plan. Thank you for your mes...[Read More] Understanding Anal Fissures: Causes of Swelling and Discoloration
Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Shock Prevention How can physicians prevent the occurrence of various types of shock?
Dr. Xie Rongyuan reply Internal Medicine
Hello: Regarding your question, here are the details: Shock can be classified into several types: (1) Cardiogenic shock: The heart is unable to provide sufficient cardiac output, such as in cases of myocardial infarction, arrhythmias, and heart failure. (2) Hypovolemic shock: Flu...[Read More] Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels
Hypothyroidism issues? Six months ago, I had a premarital health check-up and my TSH level was 1.57 uIU/mL, which is normal. Recently, while preparing for pregnancy and taking traditional Chinese medicine, I had another test (on the second day of my menstrual cycle) and my TSH le...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Regarding your question, here is the explanation: If TSH levels are abnormal (elevated), you should consult an endocrinologist to check Free T4. Both hyperthyroidism and hypothyroidism can affect the secretion of FSH, LH, and HCG, potentially leading to infertility. For he...[Read More] Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels
Understanding Duodenal Issues: Symptoms, Diagnosis, and Alternatives
Duodenal-related issues? Hello, doctor. About a month ago, I experienced abdominal pain and diarrhea for several days. After that, the diarrhea stopped, but I began to have daily abdominal sounds, such as borborygmi. I didn't pay much attention to it. Over a month later, I s...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Regarding your question, I would like to explain as follows. If it is a duodenal ulcer, taking medication for just three days will not lead to healing. It is recommended to schedule an upper gastrointestinal endoscopy for a proper diagnosis and treatment. (Currently, there...[Read More] Understanding Duodenal Issues: Symptoms, Diagnosis, and Alternatives
Sudden Weight Gain: Should You Be Concerned About Your Health?
Obesity issues Hello doctor, I have suddenly gained about seven kilograms in the last four months. Am I sick? My diet has been pretty much the same as before, and I occasionally exercise, but I keep gaining weight. What should I do?
Dr. Xie Rongyuan reply Internal Medicine
Hello: Regarding your question, here is the response: Obesity is a disease caused by the interaction of genetic and environmental factors. It is recommended to seek medical attention at a weight management clinic. Thank you for your message![Read More] Sudden Weight Gain: Should You Be Concerned About Your Health?
Understanding Heart Palpitations: Causes and Concerns
Chest pain? Hello, doctor! Recently, I've been experiencing frequent heart palpitations, but they are not painful. Sometimes, if the palpitations last too long, I start to cough. Could this be palpitations, or is it due to excessive stress?
Dr. Xie Rongyuan reply Internal Medicine
Hello: It is recommended that you undergo an electrocardiogram (ECG) and a chest X-ray examination at the hospital to determine the underlying cause. Thank you for your message![Read More] Understanding Heart Palpitations: Causes and Concerns
Understanding Occasional Blood in Stool: Causes and Concerns
Sometimes there is blood when wiping after a bowel movement? I have been experiencing blood in my stool occasionally when I wipe after a bowel movement. The blood appears to be bright red and usually resolves within 2 to 3 days, but then it recurs after some time. This has been h...
Dr. Xie Rongyuan reply Internal Medicine
Hello: The majority of the condition mentioned is caused by hemorrhoids. For safety reasons, it is recommended to visit a hospital's colorectal surgery department for further examination to confirm the cause. Thank you for your message![Read More] Understanding Occasional Blood in Stool: Causes and Concerns
Understanding Elevated Evening Blood Sugar Levels: Causes and Solutions
Blood sugar issues? Hello Doctor: My fasting blood sugar and blood sugar levels two hours after breakfast and lunch are normal. However, my blood sugar two hours after dinner is elevated, around 160. Could you please explain why this is happening and how I should adjust my diet? ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Please go to the hospital for further examination of HbA1c (glycated hemoglobin). Postprandial blood glucose levels can be easily influenced by the type and amount of food consumed. Thank you for your message![Read More] Understanding Elevated Evening Blood Sugar Levels: Causes and Solutions
Post-Exercise Weakness: Heart Pain, Breathing Issues, and Cold Sweats
Post-exercise generalized weakness, difficulty breathing, chest pain, and profuse sweating? This morning, I overslept and rushed to the station. When I arrived, I felt very dizzy and thought I would wash my face at the nearby McDonald's. However, as soon as I walked in, my h...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If you have the above symptoms, please go to the hospital for a detailed examination. Anemia can increase the workload on the heart, which is certainly related to cardiac issues. Thank you for your message![Read More] Post-Exercise Weakness: Heart Pain, Breathing Issues, and Cold Sweats
Understanding Blood Sugar Levels in Gestational Diabetes Management
Blood sugar issues? Hello Dr. Hsieh, I am currently 36 years old and have been diagnosed with gestational diabetes. My first question is: should I check my blood sugar one hour or two hours after eating for more indicative results? Second, my blood sugar level was 155 mg/dL two h...
Dr. Xie Rongyuan reply Internal Medicine
Hello: The diagnosis of gestational diabetes should be accompanied by education in obstetric clinics, emphasizing early dietary control. Blood glucose levels can be measured 2 hours after meals. In more severe cases, it is advisable to monitor blood glucose levels four times a da...[Read More] Understanding Blood Sugar Levels in Gestational Diabetes Management
When to Stop Medication for Hyperthyroidism: A Patient's Concern
The issue of when to discontinue medication for hyperthyroidism? Hello, doctor. This April, I experienced a noticeable increase in heart rate along with other uncomfortable symptoms. At the beginning of May, I visited a family medicine clinic where blood tests diagnosed me with h...
Dr. Xie Rongyuan reply Internal Medicine
Hello: It is recommended to visit the endocrinology department for further examination. If it is subacute thyroiditis, there will be no need for medication once recovery is achieved. Thank you for your message![Read More] When to Stop Medication for Hyperthyroidism: A Patient's Concern
Understanding Chest Tightness: Causes and Concerns After Exercise
Chest tightness? Doctor, I have a question. I’ve been experiencing a feeling of tightness in my chest, which makes me want to take deep breaths, but I don't feel any pain. This symptom started after I began exercising and also after I started drinking plum vinegar. Could thi...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If you continue to feel chest tightness, it is advisable to visit a hospital for further examination to determine the underlying cause, such as gastroesophageal reflux disease (GERD), angina, or other potential chest issues. Thank you for your message![Read More] Understanding Chest Tightness: Causes and Concerns After Exercise