Excessive Sweating in Palms: Which Specialist to Consult?
Sweating of the palms? You should consult a specialist in dermatology or a neurologist for excessive sweating in your palms, a condition known as palmar hyperhidrosis. Surgical options may be available, but it depends on the severity of your condition and your response to other t...
Dr. Yang Hongzhi reply Internal Medicine
You can discuss with the thoracic surgeon.[Read More] Excessive Sweating in Palms: Which Specialist to Consult?
Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs
What symptoms may occur if the thyroid gland is affected? I recently caught a cold and went to see a doctor. I have a headache, a slight sore throat, and feel very weak and lethargic. The doctor said my blood pressure is high (in the 150s) and my heart rate is elevated. They pres...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Common symptoms of hyperthyroidism include goiter, palpitations, tremors, anxiety, sweating, and weight loss. If there is a goiter, especially with nodular enlargement, medical attention should be sought regardless of the presence of other symptoms.[Read More] Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs
Should You Get Endocrine Testing for Irregular Menstrual Cycles?
Is it an endocrine disorder? Hello, my menstrual cycles were normal before high school, but after graduation, they became irregular. Sometimes I don't have my period for a year. I've seen both traditional Chinese medicine and Western medicine, but the situation hasn...
Dr. Yang Hongzhi reply Internal Medicine
It is advisable to undergo an endocrine evaluation, which can be done through either a metabolism specialist or an obstetrician-gynecologist.[Read More] Should You Get Endocrine Testing for Irregular Menstrual Cycles?
Understanding Iodine Intake: Balancing Thyroid Health and Risks
Could you please provide more context or specify your question? Isn't it true that consuming foods high in iodine, such as kelp, can help prevent thyroid problems? Then why is it advised to limit iodine intake if there are existing thyroid issues or concerns about hereditary...
Dr. Yang Hongzhi reply Internal Medicine
In iodine-deficient areas, iodine deficiency can lead to goiter. However, Taiwan is not an iodine-deficient region, and iodized salt is widely used, which has resulted in a relatively higher incidence of iodine excess. For the general population, this typically does not cause any...[Read More] Understanding Iodine Intake: Balancing Thyroid Health and Risks
Understanding Hereditary Thyroid Issues and Prevention Tips for Kids
Hello, how can I assist you today? 1. What thyroid symptoms may be hereditary? For example, conditions like goiter, etc.? 2. If they are hereditary, how can children prevent them in their daily lives, and what dietary considerations should be taken into account? Thank you.
Dr. Yang Hongzhi reply Internal Medicine
Common thyroid diseases, such as hyperthyroidism, have a genetic predisposition. Excessive iodine intake can sometimes trigger the manifestation of underlying thyroid conditions. If there is a significant history of thyroid disease and family history, it may be advisable to avoid...[Read More] Understanding Hereditary Thyroid Issues and Prevention Tips for Kids
Understanding Lymph Node Swelling in Children: Causes and Care Tips
Lymph node Hello, I would like to ask about a 4-year-old child who has a slight swelling on the eyelid of the right eye. The doctor examined him and said that the lymph node is slightly swollen, and it tends to swell whenever he has a cold. Is there a connection? Is lymphadenopat...
Dr. Yang Hongzhi reply Internal Medicine
Transient lymphadenopathy is unlikely to be of concern; however, if there is persistent enlargement or other symptoms, further evaluation should be conducted.[Read More] Understanding Lymph Node Swelling in Children: Causes and Care Tips
Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options
Hypothyroidism? Hello Dr. Yang: Initially, during a physical examination, it was found that the right side of my thyroid was enlarged, but there were no visible abnormalities, and there is no family history of thyroid disease. I have a constitution that makes it difficult for me ...
Dr. Yang Hongzhi reply Internal Medicine
Your symptoms are likely unrelated to the thyroid. If they are causing distress, medication may be considered to alleviate the symptoms. Using thyroid hormone to reduce the size of the right thyroid lobe may not have a significant effect. If thyroid function is normal and the rig...[Read More] Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options
Understanding Thyroid Nodules: Diagnosis, Treatment, and Symptoms Explained
Thyroid nodule Hello Dr. Yang: At the beginning of October, I visited a nearby hospital due to discomfort in my neck and underwent tests for my thyroid. The blood tests showed normal function, but an ultrasound revealed the presence of thyroid nodules. The doctor mentioned that t...
Dr. Yang Hongzhi reply Internal Medicine
In most cases, the size of the thyroid should not change significantly within a month. Discomfort in the neck is a common symptom, and many individuals do not show any abnormalities upon examination. If there are concerns, it is usually sufficient to follow up with routine checks...[Read More] Understanding Thyroid Nodules: Diagnosis, Treatment, and Symptoms Explained
Overeating and Guilt: Managing Stress-Induced Binge Eating
Love to eat but afraid of gaining weight? It is common to crave high-calorie, sweet foods when resting at home or feeling stressed, leading to consuming larger portions than usual in a short period. Afterward, feelings of guilt and concerns about weight gain may arise, prompting ...
Dr. Yang Hongzhi reply Internal Medicine
If there are signs of binge eating disorder, you can visit a psychiatric outpatient clinic.[Read More] Overeating and Guilt: Managing Stress-Induced Binge Eating
Understanding Hypoglycemia: Symptoms, Diagnosis, and Next Steps
Hypoglycemia I experienced excessive thirst, fatigue, blurred vision, and nausea, thinking it might be diabetes. When I went to the hospital for a check-up at 10 AM (after eating bread at 8 AM), my blood sugar level was only 77, and my blood pressure was 124/75. I have not lost a...
Dr. Yang Hongzhi reply Internal Medicine
If the blood sugar level is 77 without taking antidiabetic medications, diabetes can be ruled out. If symptoms persist, further evaluation for other diseases should be considered.[Read More] Understanding Hypoglycemia: Symptoms, Diagnosis, and Next Steps
Understanding Thyroid Inflammation: Causes, Symptoms, and Treatment Options
Thyroiditis Doctor: Hello! I would like to ask you a few questions. I am a patient with non-toxic multinodular goiter and take one tablet of Eltroxin daily. Recently, during a hospital check-up, the doctor informed me that I have thyroiditis, which is caused by my immune system a...
Dr. Yang Hongzhi reply Internal Medicine
This is generally an autoimmune reaction, and the exact cause is still unclear. If thyroiditis leads to hypothyroidism, thyroid hormone replacement (eltroxin) is typically required. If thyroid function is normal, treatment is not necessarily needed, and it should not have any adv...[Read More] Understanding Thyroid Inflammation: Causes, Symptoms, and Treatment Options
Impact of Iodine-Rich Foods on Throat Nodules: Expert Insights
Could you please provide more context or specify your question? The doctor mentioned that you should consume less iodine-rich foods due to the presence of nodules in your throat. Will eating regular salt, soy sauce, and fresh milk have an impact? If you reduce your intake of thes...
Dr. Yang Hongzhi reply Internal Medicine
If you have thyroid enlargement, it is best to limit your intake of iodine-containing foods. The foods you mentioned contain some iodine, but whether it is necessary to avoid them depends on your clinical condition. It is advisable to discuss this further with your physician.[Read More] Impact of Iodine-Rich Foods on Throat Nodules: Expert Insights
What Are Iodine-Rich Foods? A Guide for Your Health
May I ask, doctor? What are some iodine-rich foods, doctor? Thank you.
Dr. Yang Hongzhi reply Internal Medicine
The foods with the highest iodine content are seaweeds such as nori and kelp. Iodized salt is commonly used, and seawater fish, shrimp, and crabs also contain significant amounts of iodine. Other foods that contain some iodine include pickled or smoked foods, dairy products, gela...[Read More] What Are Iodine-Rich Foods? A Guide for Your Health
Managing Hyperthyroidism During Pregnancy: Risks and Treatment Options
Hyperthyroidism in Pregnancy Hello, Doctor: I am currently 34 weeks pregnant, and my doctor has diagnosed me with hyperthyroidism with T3: 191, T4: 15.8, and TSH: 1.51. The doctor prescribed Propranolol tablets for me to take, two times a day, one tablet each time. What effects w...
Dr. Yang Hongzhi reply Internal Medicine
Procil is considered one of the antithyroid medications with a lower placental transfer. However, a small portion can still cross the placenta, potentially leading to some suppression of fetal thyroid function. Therefore, it is recommended to keep the dosage as low as possible, w...[Read More] Managing Hyperthyroidism During Pregnancy: Risks and Treatment Options
Understanding Throat Nodules: Treatment Options and Causes Explained
Could you please provide more details or specify your question? Hello doctor, my father is 49 years old and has developed small nodules in his throat, experiencing palpitations and chest tightness. He has lost 6 kilograms. 1. I would like to ask if the small nodules in his thro...
Dr. Yang Hongzhi reply Internal Medicine
The likelihood of needing surgery for small nodules in the throat is generally low. Medication usually has limited effectiveness. Whether treatment is necessary should be discussed further with a physician. If it is a thyroid nodule, a biopsy is typically required to determine th...[Read More] Understanding Throat Nodules: Treatment Options and Causes Explained
Can Drinking a Liter of Soda Lead to Diabetes? Expert Insights
Soda Hello, doctor: I would like to ask you a question and hope you can clarify it for me. A few months ago, I participated in a soda-drinking contest with friends and consumed 1 liter of cola in one go. I'm wondering if this action could lead to the development of diabetes....
Dr. Yang Hongzhi reply Internal Medicine
Long-term consumption of sweets is more likely to lead to obesity, which may be related to diabetes; however, a single episode of binge eating is not sufficient to cause diabetes.[Read More] Can Drinking a Liter of Soda Lead to Diabetes? Expert Insights
Understanding Thyroid Enlargement: Causes and Iodine Absorption
Thyroid issues Hello, Doctor: I am a middle school teacher, and I recently came across a question on an exam regarding the thyroid gland. The correct answer stated that the reason for thyroid enlargement is to absorb more iodine. I couldn't find any related books, so I would...
Dr. Yang Hongzhi reply Internal Medicine
When there is iodine deficiency, the thyroid gland enlarges as a compensation for insufficient thyroid function. In Taiwan, due to the iodization of table salt, iodine deficiency should not be a concern. Here, the general causes of thyroid enlargement may be due to internal or ex...[Read More] Understanding Thyroid Enlargement: Causes and Iodine Absorption
Understanding Thyroid Cysts: Causes, Health Impacts, and Management Tips
Thyroid cysts? Hello Dr. Yang, I would like to ask you about a thyroid issue. Recently, I visited a dermatologist due to long-term hair loss, and after a blood test, it was found that my thyroid T4 level is low (0.87). I also have significant iron deficiency anemia, so I was ref...
Dr. Yang Hongzhi reply Internal Medicine
Thyroid nodules are common incidental findings on ultrasound. Most of them do not affect health and do not require treatment; however, it cannot be ruled out that they may grow, and a small percentage may have malignant potential. Therefore, monitoring is necessary. Currently, th...[Read More] Understanding Thyroid Cysts: Causes, Health Impacts, and Management Tips
Understanding Thyroid Tumors: Do You Need Total Thyroidectomy?
Thyroid-related issues? I have a tumor in the left side of my thyroid, which was confirmed to be malignant after a biopsy. The doctor said it would be best to remove both sides of the thyroid. However, I would like to ask if it is necessary to remove the entire thyroid. If the en...
Dr. Yang Hongzhi reply Internal Medicine
Bilateral thyroidectomy is the standard treatment method, and it is generally followed by radioactive iodine therapy. If the tumor is very small, a unilateral thyroidectomy may be performed; however, this approach may increase the likelihood of recurrence in the future.[Read More] Understanding Thyroid Tumors: Do You Need Total Thyroidectomy?
Managing Adrenal Insufficiency: Alternatives to Steroid Treatment
Adrenal insufficiency Hello Doctor: My mother suffers from adrenal insufficiency, which means her body cannot produce sufficient adrenaline. When her levels are low, it often leads to fainting, requiring her to receive steroid injections at the hospital. I would like to ask if th...
Dr. Yang Hongzhi reply Internal Medicine
Adrenal insufficiency generally requires long-term oral corticosteroid supplementation. Since this is merely a replacement dose (equivalent to the normal cortisol production in healthy individuals), it does not produce the side effects associated with the use of high-dose cortico...[Read More] Managing Adrenal Insufficiency: Alternatives to Steroid Treatment