Understanding Daily Weight Fluctuations: Why Morning and Evening Weights Differ
Why can a person's weight vary by one kilogram between morning and evening? What is the underlying principle? Why does a person's weight fluctuate by about one kilogram throughout the day? What is the principle behind this? A child wants to know, and I'm not sure h...
Dr. Yang Hongzhi reply Internal Medicine
When standing, blood tends to pool in the lower body, resulting in lower central venous pressure. This, influenced by the autonomic nervous system and endocrine system, leads to decreased urine output. Therefore, after prolonged standing in the afternoon, a person's weight m...[Read More] Understanding Daily Weight Fluctuations: Why Morning and Evening Weights Differ
Understanding Thyroid Issues: Symptoms, Tests, and Next Steps
I have some questions I would like to ask? Hello, I would like to ask about frequently feeling discomfort and pain in my throat, often feeling very fatigued even with normal sleep, and experiencing a significant decrease in menstrual flow over the past three months. Given these i...
Dr. Yang Hongzhi reply Internal Medicine
Simple goiter does not cause the described issues. If there is hypothyroidism, fatigue may occur, but menstruation generally does not decrease; instead, it may be excessive. If there are still concerns about thyroid disease, a consultation with an endocrinologist is recommended.[Read More] Understanding Thyroid Issues: Symptoms, Tests, and Next Steps
Can I Eat Iodine-Rich Foods After Thyroid Surgery? Expert Insights
Can I eat iodine-containing foods after thyroid surgery? Hello Dr. Yang, I am currently 44 years old and living overseas. In July 2001, I underwent a thyroidectomy (it was benign, but due to its aggressive nature, the doctor was concerned it might be malignant, so both sides were...
Dr. Yang Hongzhi reply Internal Medicine
After thyroid surgery, radioactive iodine treatment is required. At that time, it is important to avoid iodine-containing foods to prevent interference with the effectiveness of the radioactive iodine treatment. Afterward, there are no restrictions on food, and you should not nee...[Read More] Can I Eat Iodine-Rich Foods After Thyroid Surgery? Expert Insights
Understanding Recurrent Laryngeal Nerve Damage After Thyroid Surgery
Recurrent laryngeal nerve Hello Dr. Yang, I had thyroid surgery six months ago, which resulted in hoarseness. After consulting with my doctor, I was told that it would improve after six months, but it has not improved yet. Could you please tell me if damage to the recurrent lar...
Dr. Yang Hongzhi reply Internal Medicine
Damage to the recurrent laryngeal nerve during surgery can be temporary or permanent. If the recurrent laryngeal nerve is permanently damaged, there are currently no methods available to restore its function.[Read More] Understanding Recurrent Laryngeal Nerve Damage After Thyroid Surgery
Managing Diabetes and Edema: Dietary Tips for Improved Urination
Diabetes and edema? Hello Dr. Yang, My mother has been suffering from diabetes and has been receiving treatment at the Veterans General Hospital's Metabolism Department for four years. We have noticed that her urine output is quite low, and although she doesn't eat muc...
Dr. Yang Hongzhi reply Internal Medicine
Based on your description, your mother may have diabetic nephropathy, characterized by low urine output and edema. Consider the use of diuretics and avoiding excessive salt intake to help reduce the edema. You should discuss this with your mother's attending physician to det...[Read More] Managing Diabetes and Edema: Dietary Tips for Improved Urination
Understanding Edema: Symptoms, Causes, and When to Seek Help
Regarding edema? I have recently noticed swelling in my fingers and toes upon waking up for about a month. Additionally, my eyelids are also swollen. These symptoms tend to improve after noon, but recently I have been experiencing pain that extends from my neck to my head, along ...
Dr. Yang Hongzhi reply Internal Medicine
You can first consult a rheumatologist.[Read More] Understanding Edema: Symptoms, Causes, and When to Seek Help
Managing Salivary Gland Issues After Thyroid Cancer Treatment
Radiation sialadenitis induced by treatment for thyroid cancer? Hello Doctor, I would like to ask about thyroid issues. I previously underwent surgery for thyroid cancer and received Iodine-131 treatment. Two years later, I am currently experiencing insufficient saliva production...
Dr. Yang Hongzhi reply Internal Medicine
Approximately 40% of patients who receive high-dose radioactive iodine will experience a reduction in saliva production, and about 5% will have severe dry mouth symptoms. This is due to damage to the salivary glands caused by radiation. If this occurs, there is currently no defin...[Read More] Managing Salivary Gland Issues After Thyroid Cancer Treatment
Understanding Mitral Valve Prolapse: Weight Loss and Thyroid Concerns
I would like to ask the doctor a question? Dear Dr. Yang, I currently have mitral valve prolapse, but around April and May of this year, I suddenly lost weight and dropped to about 35 kilograms, whereas I was around 37 kilograms before. I am 163 centimeters tall, so there is qui...
Dr. Yang Hongzhi reply Internal Medicine
Symptoms of hyperthyroidism include palpitations, tremors, sweating, anxiety, and weight loss. In fact, the symptoms of hyperthyroidism are quite similar to those caused by anxiety. However, the severity of symptoms caused by hyperthyroidism is usually greater than that caused by...[Read More] Understanding Mitral Valve Prolapse: Weight Loss and Thyroid Concerns
Managing Hyperthyroidism: Medication Side Effects and Surgical Options
Hyperthyroidism Hello! When I was 18 years old, I was diagnosed with hyperthyroidism and goiter. After taking medication for six months, it was controlled! However, at 21, I found out that it had relapsed. A different doctor prescribed me Tapazole and Propranolol, to be taken twi...
Dr. Yang Hongzhi reply Internal Medicine
The likelihood of a relationship between acne and antithyroid medications seems low. Surgical treatment for hyperthyroidism is one option; however, surgery is generally not directly recommended unless there is significant thyroid enlargement or the presence of a tumor. If you are...[Read More] Managing Hyperthyroidism: Medication Side Effects and Surgical Options
Does One Month of Hyperthyroid Medication Affect Menstrual Cycle?
Will taking hyperthyroidism medication for one month affect my menstrual cycle? Due to anemia, I went to a major hospital for examination, and I had a history of hyperthyroidism three years ago. My family physician prescribed German-made anti-thyroid medication, which I took inte...
Dr. Yang Hongzhi reply Internal Medicine
Based on your description, this appears to be subclinical hyperthyroidism, and even in the absence of symptoms, it is still recommended to take antithyroid medication. It is undetermined whether the irregular menstrual cycle is influenced by the medication, as it has been discont...[Read More] Does One Month of Hyperthyroid Medication Affect Menstrual Cycle?
Understanding Left Shoulder Pain and Its Connection to Lymph Node Inflammation
There is soreness at the junction of the left shoulder and arm? I have been experiencing soreness in my left shoulder and arm recently, and when I touch the area near my armpit, I feel significant pain. Additionally, the gums on the left side of my mouth are inflamed and swollen....
Dr. Yang Hongzhi reply Internal Medicine
Significant pain in the axilla is more likely caused by lymphadenopathy, often accompanied by palpable enlarged lymph nodes. If there is lymphadenopathy and pain in the axilla, it is commonly due to infections in the upper arm or chest, while oral infections are less likely to ca...[Read More] Understanding Left Shoulder Pain and Its Connection to Lymph Node Inflammation
Understanding Thyroid Hyperactivity: Surgery vs. Radioactive Iodine Treatment
What are the differences between choosing surgery and radioactive iodine treatment for hyperthyroidism? I was diagnosed with hyperthyroidism four years ago, and after taking medication for four years, my condition has remained stable. However, it has recently relapsed. A physicia...
Dr. Yang Hongzhi reply Internal Medicine
Surgical intervention for recurrent hyperthyroidism is one option; however, the necessity for surgery is generally low unless there is significant thyroid enlargement or the presence of a tumor. Radioactive iodine therapy involves the oral administration of radioactive iodine, wh...[Read More] Understanding Thyroid Hyperactivity: Surgery vs. Radioactive Iodine Treatment
Understanding Mitral Valve Prolapse: When to Seek Medical Attention
Mitral valve prolapse Hello Doctor, I am a person with mild mitral valve prolapse. However, in the past few days, I have been experiencing frequent chest tightness, shortness of breath, and pain on the left side of my chest. My previous doctor advised me to return for a check-u...
Dr. Yang Hongzhi reply Internal Medicine
If there is mild mitral valve prolapse accompanied by symptoms of chest tightness or chest pain, it may not necessarily be caused by the heart; anxiety, fatigue, or emotional stress can also contribute to these symptoms. Typically, mild valve prolapse does not affect heart functi...[Read More] Understanding Mitral Valve Prolapse: When to Seek Medical Attention
Are Sprouted Potatoes Safe to Eat? Understanding the Risks and Myths
excuse me? Hello, doctor. I recently bought a lot of imported potatoes, but some of them sprouted before I could eat them. I've heard that sprouted potatoes should not be eaten because they can become toxic. Is that true? I feel it's a waste to throw them away, but I&#x...
Dr. Yang Hongzhi reply Internal Medicine
In the medical system data, it is not possible to register whether sprouted potatoes are harmful; I personally speculate that it should not be a significant concern.[Read More] Are Sprouted Potatoes Safe to Eat? Understanding the Risks and Myths
Understanding rhTSH Use for Thyroid Cancer Patients Post-Surgery
Hello, I would like to ask a few things about the use of radioactive iodine after thyroid cancer surgery? Dr. Yang informed me that I am a thyroid cancer patient with a 1.2 cm tumor on the right lobe of my thyroid. I have undergone a total thyroidectomy and am currently preparing...
Dr. Yang Hongzhi reply Internal Medicine
rhTSH has been studied extensively abroad, showing that its effectiveness in radioiodine scanning diagnosis is comparable to discontinuing thyroid hormone therapy, making it an acceptable option. However, its efficacy in radioiodine treatment appears to be slightly inferior to th...[Read More] Understanding rhTSH Use for Thyroid Cancer Patients Post-Surgery
Thyroid Dysfunction During Pregnancy: Risks and Treatment Options
Thyroid function impact I just found out that I have thyroid dysfunction at 30 weeks of pregnancy, and I have many red spots on my palms. I would like to ask the doctor: 1. What impact will this have on the baby, and what preventive measures should I take? 2. Can I receive treatm...
Dr. Yang Hongzhi reply Internal Medicine
Uncontrolled hyperthyroidism can affect both the mother and the fetus, so treatment is necessary. Currently, the primary treatment for hyperthyroidism during pregnancy is medication. Antithyroid drugs can impact the fetal thyroid, but they do not significantly increase the risk o...[Read More] Thyroid Dysfunction During Pregnancy: Risks and Treatment Options
Chronic Fatigue and Digestive Issues: Seeking Medical Guidance
Still feeling fatigued..? I would like to ask: I have the following conditions: 1. I feel very tired every day, even though I sleep for 8 hours, I still feel exhausted. 2. I have chronic bad breath and dry mouth (very little saliva production). 3. My bowel movements are irregular...
Dr. Yang Hongzhi reply Internal Medicine
Hello, due to the presence of various non-specific symptoms, the likelihood of having a specific medical condition that explains all the symptoms is not very high. You have also undergone some tests that did not reveal any issues. It may be necessary to consult a physician again ...[Read More] Chronic Fatigue and Digestive Issues: Seeking Medical Guidance
Which Specialist to See for a Cold: Internal Medicine or ENT?
excuse me? When it comes to treating a cold, you can see either an internal medicine specialist or an ear, nose, and throat (ENT) specialist. Since you have primarily seen pediatricians or internal medicine doctors in the past, it's understandable to be unsure. An ENT specia...
Dr. Yang Hongzhi reply Internal Medicine
The common cold is a prevalent illness that can be treated by internal medicine, otolaryngology, or family medicine.[Read More] Which Specialist to See for a Cold: Internal Medicine or ENT?
Understanding Low Blood Pressure: Symptoms and Possible Health Issues
Hypotension I have been experiencing low blood pressure lately, with occasional rapid heartbeats and cold sweats. Whenever I have cold sweats, I tend to eat a lot, and I've noticed some weight loss. However, I don't have a loss of appetite, but I feel very tired and hav...
Dr. Yang Hongzhi reply Internal Medicine
Rapid heartbeat, excessive sweating, and nervousness, along with increased appetite and weight loss, may indicate hyperthyroidism. Thyroid function tests can be conducted to make a diagnosis.[Read More] Understanding Low Blood Pressure: Symptoms and Possible Health Issues
Can Thyroid Disorders Be Inherited? Impact on Child Development
Is thyroid disease hereditary? A friend's child is already in the sixth grade but is developing very slowly. The child is very short and thin, yet has a large appetite but shows poor absorption and often catches colds. Both of the friend's parents have hyperthyroidism, ...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Thyroid diseases have a genetic predisposition, and a simple blood test can determine whether a child has thyroid function issues.[Read More] Can Thyroid Disorders Be Inherited? Impact on Child Development