Understanding Thyroid Issues: Weight Gain and Management Tips
I would like to inquire about thyroid issues? I was diagnosed with thyroid issues this year. Initially, I had hyperthyroidism, which was controlled with medication, but now it has turned into hypothyroidism. When I had hyperthyroidism, I lost a lot of weight, but now that it has ...
Dr. Yang Hongzhi reply Internal Medicine
Weight gain after treatment for hyperthyroidism is common and typically stabilizes at a certain point. Controlling lifestyle and diet can help reduce the extent of weight gain. The timing of medication related to hyperthyroidism has little impact on this.[Read More] Understanding Thyroid Issues: Weight Gain and Management Tips
Managing Hyperthyroidism and Mitral Valve Insufficiency: A Patient's Journey
Hyperthyroidism and mitral valve insufficiency? Hello Dr. Yang, I have a few questions I would like to ask you. I have been dealing with hyperthyroidism for nearly 10 years. At the end of 2008, due to a recurrence of hyperthyroidism, I started taking medication again. However, t...
Dr. Yang Hongzhi reply Internal Medicine
Coughing is not a common side effect of medications for hyperthyroidism. If it is indeed a side effect, in addition to surgery, radioactive iodine treatment can also be considered for hyperthyroidism.[Read More] Managing Hyperthyroidism and Mitral Valve Insufficiency: A Patient's Journey
Fast Heart Rate and Cold Extremities: What Could Be the Cause?
What disease is characterized by a rapid heartbeat and cold extremities? Hello doctor, my father had surgery for hyperthyroidism several decades ago. He does not smoke or drink, and his blood pressure is considered normal, but his cholesterol levels are slightly elevated. His BMI...
Dr. Yang Hongzhi reply Internal Medicine
After thyroid hyperactivity surgery, there is a possibility of recurrence or developing hypothyroidism. The symptoms you described do not clearly align with manifestations of thyroid dysfunction; however, it is advisable to undergo an examination. You may consider consulting with...[Read More] Fast Heart Rate and Cold Extremities: What Could Be the Cause?
Struggling with Weight Loss: Seeking Solutions for Metabolism Issues
Questions about weight loss? Hello, Dr. Yang! Current situation: I am 170 cm tall and weigh 65 kg, which is overweight. I have a small appetite and try to take a walk after every meal! However, I still keep gaining weight. I have tried exercising before, and indeed, I lost weight...
Dr. Yang Hongzhi reply Internal Medicine
With a height of 170 cm and a weight of 65 kg, you may not be completely satisfied, but you are still within the standard range and cannot be considered overweight. There is no need to seek medical attention for weight issues, and it is not recommended to pursue any special treat...[Read More] Struggling with Weight Loss: Seeking Solutions for Metabolism Issues
Understanding Postprandial Blood Sugar Testing: Key Insights and Considerations
Regarding blood glucose testing? Hello Doctor: Two days ago in the afternoon, I had my blood sugar tested two hours after a meal, and the result was 110 mg/dL. I’ve heard that in the case of prediabetes, fasting blood sugar levels are normal, but postprandial blood sugar levels c...
Dr. Yang Hongzhi reply Internal Medicine
A formal blood glucose test is typically conducted after fasting or after consuming a specific amount of glucose solution, with the test performed two hours later. Random blood glucose tests can still be informative, but there is no definitive standard for interpretation.[Read More] Understanding Postprandial Blood Sugar Testing: Key Insights and Considerations
Managing Symptoms After Thyroid Surgery and Radioactive Iodine Treatment
Symptoms after thyroid surgery and radiation therapy? Hello, Dr. Yang. My mother, who is 56 years old, underwent a total thyroidectomy and radioactive iodine treatment due to malignant thyroid cancer. The doctor has prescribed thyroid hormone medication for her, and she has been ...
Dr. Yang Hongzhi reply Internal Medicine
Thyroid hormone supplementation for one month is expected not to cause any issues related to hypothyroidism. After some time, further monitoring of thyroid function will be necessary. Currently, there are no special dietary restrictions.[Read More] Managing Symptoms After Thyroid Surgery and Radioactive Iodine Treatment
Understanding Endocrine Issues: Impact on Growth and Development
Endocrine issues? Dear Doctor, I developed an Adam's apple in the second semester of fifth grade, and during sixth grade, I started to grow pubic and underarm hair. I began masturbating in the second semester of fourth grade, and I'm unsure if this has contributed to th...
Dr. Yang Hongzhi reply Internal Medicine
Precocious puberty can affect height, but it seems you have not reached that level yet. A height of 163 cm in the first year of junior high school is still considered acceptable.[Read More] Understanding Endocrine Issues: Impact on Growth and Development
Understanding Growth Disorders: Is It Pituitary Dwarfism?
Regarding height? Hello Dr. Yang, I would like to ask about a male who is under 150 cm tall and has not developed any secondary sexual characteristics or experienced voice changes, resembling a child. Does this condition qualify as pituitary dwarfism? Can he apply for a disabilit...
Dr. Yang Hongzhi reply Internal Medicine
You can schedule an appointment at the metabolism clinic to check for any endocrine disorders, as there could be several possible causes.[Read More] Understanding Growth Disorders: Is It Pituitary Dwarfism?
Can Men Under 150 cm Height Apply for Disability Card?
Regarding height? Dear Dr. Yang, I would like to inquire about a male individual who is under 150 cm tall and received a Class D rating during military service physical examination. He has not developed any secondary sexual characteristics and has not experienced voice changes,...
Dr. Yang Hongzhi reply Internal Medicine
You can schedule an appointment at the metabolism clinic to check for endocrine disorders, as there could be several possible causes.[Read More] Can Men Under 150 cm Height Apply for Disability Card?
Understanding Adrenal Issues: Do They Require Surgery?
Questions regarding the adrenal glands? Hello Doctor: My sister has been diagnosed with symptoms of hypertension after examinations at different hospitals. However, results from endocrine tests and angiography revealed an unknown mass approximately 0.7 cm in size located in the a...
Dr. Yang Hongzhi reply Internal Medicine
If endocrine function tests indicate that the adrenal tumor is secreting hormones that cause hypertension, surgical treatment is generally required, and the risks associated with the surgery are considered acceptable.[Read More] Understanding Adrenal Issues: Do They Require Surgery?
Understanding Hyperthyroidism: Key Questions and Concerns
Is it hyperthyroidism? Hello Dr. Yang, I have been concerned about potential thyroid issues, so I underwent testing. A month ago, I had my first test, and recently I followed up to check my thyroid levels. At the end of October (10.26), my results were as follows: Serum TSH Level...
Dr. Yang Hongzhi reply Internal Medicine
If TSH is low and free T4 is normal, it can be classified as subclinical hyperthyroidism, indicating a tendency towards hyperthyroidism. There is no immediate need for urgent testing or treatment, and clinical manifestations are unlikely. This condition is not a contraindication ...[Read More] Understanding Hyperthyroidism: Key Questions and Concerns
Managing Hyperthyroidism: Medication Choices and Surgical Considerations
Methimazole and New Mazole are both medications used to treat hyperthyroidism. Methimazole is a thionamide that inhibits the synthesis of thyroid hormones, while New Mazole is a newer formulation that may have similar effects. It is important Dear Dr. Yang, I hope this message f...
Dr. Yang Hongzhi reply Internal Medicine
The cited option is a choice; however, the use of iodine preparations before surgery is not widely adopted in Taiwan, and generally, the original antithyroid medications continue to be used.[Read More] Managing Hyperthyroidism: Medication Choices and Surgical Considerations
Understanding Blood Sugar Levels: Key Questions and Insights
Check blood glucose levels? Hello Doctor: I usually have a light diet, but last night I had a gathering with friends and ate significantly more than usual, about 2-3 hours later than normal. This morning, my first blood sugar test showed a level of 125, and I’ve heard that 126 in...
Dr. Yang Hongzhi reply Internal Medicine
Normal fasting blood glucose levels are below 100 mg/dL. Your current condition indicates poor fasting blood glucose control, which does not yet qualify as a diagnosis of diabetes; however, it significantly increases the risk of developing diabetes in the future. Any weight loss ...[Read More] Understanding Blood Sugar Levels: Key Questions and Insights
Do You Need Surgery for Hyperthyroidism Symptoms Like Anxiety and Goiter?
Hyperthyroidism Do anxiety, tremors, increased tension, and a thickened neck with long nodules always require surgery?
Dr. Yang Hongzhi reply Internal Medicine
Surgery is one of the treatment options for hyperthyroidism, typically considered a second-line treatment. The first-line treatment primarily involves medication, and radioactive iodine therapy may also be considered.[Read More] Do You Need Surgery for Hyperthyroidism Symptoms Like Anxiety and Goiter?
Managing Worsening Symptoms After Hyperthyroidism Treatment
Symptoms worsened after treatment for hyperthyroidism? Hello: I initially sought medical attention due to left eye protrusion and a pulse/blood pressure of 100/150. After more than a year of medication, my T4 levels decreased from the thirties to around five (Propranolol 10mg, ER...
Dr. Yang Hongzhi reply Internal Medicine
Although the etiology of exophthalmos is related to hyperthyroidism, controlling hyperthyroidism does not necessarily lead to equivalent control of exophthalmos. If the exophthalmos becomes more pronounced, it may be advisable to consult an ophthalmologist.[Read More] Managing Worsening Symptoms After Hyperthyroidism Treatment
Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns
excuse me? What is the true cause of Behçet's disease and how significantly does it affect the body? Is there a correlation between having gastric ulcers and hypothyroidism occurring simultaneously? I am currently receiving weekly steroid injections; are there any side effec...
Dr. Yang Hongzhi reply Internal Medicine
Behçet's disease is generally considered to be caused by an autoimmune response leading to vasculitis. Gastric ulcers may occasionally occur in this condition, and hypothyroidism can also be classified as an autoimmune disease, which may occur concurrently, although it is no...[Read More] Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns
Dealing with Winter Itch: Effective Solutions for Dry Skin Relief
Winter itch Hello, I have very dry skin, which leads to dryness issues every time summer transitions to autumn. I sweat during the summer, but in autumn, winter, and spring, I can't sweat at all. As soon as it gets a little warm, my whole body itches, and it's unbearabl...
Dr. Yang Hongzhi reply Internal Medicine
For issues related to itching, it is advisable to consult a dermatologist. If the dermatologist suspects that your condition may be related to other systemic diseases, you may be referred to other specialists; however, the occurrence of such comorbidities is rare.[Read More] Dealing with Winter Itch: Effective Solutions for Dry Skin Relief
Impact of Thyroid Dysfunction on Male Sexual Health: Is It Reversible?
Thyroid issues Hello, I would like to inquire about thyroid dysfunction. Does hyperthyroidism or hypothyroidism affect male sexual function? Additionally, is this effect reversible? If thyroid function returns to normal, will sexual function also return to normal?
Dr. Yang Hongzhi reply Internal Medicine
Hyperthyroidism or hypothyroidism can affect male sexual function to some extent, but it generally does not become a primary issue. After treatment for thyroid problems, function should typically return to normal.[Read More] Impact of Thyroid Dysfunction on Male Sexual Health: Is It Reversible?
Understanding Thyroid Storm: Symptoms, Risks, and When to Seek Help
Suspected thyroid storm issues? Hello, I would like to ask you a medical question. A female friend of mine is currently studying abroad, and she recently fainted on the street. Bystanders reported that she initially showed signs of shock, and then she suddenly regained consciousn...
Dr. Yang Hongzhi reply Internal Medicine
It's difficult to diagnose based solely on symptom descriptions. The likelihood of a thyroid storm is not very high. If you need to return to your home country for medical care, it may be beneficial to consult with a physician abroad to better assess the suspected condition.[Read More] Understanding Thyroid Storm: Symptoms, Risks, and When to Seek Help
Understanding Weakness After Meals: Is It Low Blood Sugar or Something Else?
Weakness in the limbs? Hello Doctor: I experience a feeling of overall weakness a few hours after eating. It happens occasionally, but I don't feel hungry in my stomach. Currently, my solution is to eat something to create a slight feeling of fullness, and about half an hour...
Dr. Yang Hongzhi reply Internal Medicine
If there is discomfort in the body that improves after eating, it cannot be ruled out that it is caused by hypoglycemia; however, true hypoglycemic episodes are not very common. If symptoms are pronounced, blood tests to check blood glucose levels should be conducted during sympt...[Read More] Understanding Weakness After Meals: Is It Low Blood Sugar or Something Else?