Managing Hyperthyroidism and Vitiligo: Key Questions and Concerns
Hyperthyroidism with vitiligo? Hello, I have been undergoing treatment for hyperthyroidism for about three months now. Currently, my medication regimen includes: two tablets of antithyroid medication in the morning and evening, and one tablet of a heart rate control medication in...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Vitiligo and hyperthyroidism are often associated with autoimmune reactions, but vitiligo is not caused by hyperthyroidism, and it is not expected that vitiligo will resolve after the treatment of hyperthyroidism. Interferon treatment for hepatitis C can sometimes lead to ...[Read More] Managing Hyperthyroidism and Vitiligo: Key Questions and Concerns
Post-Thyroid Surgery Care: Dietary Tips for Hypothyroidism Management
Hypothyroidism Hello Dr. Yang, I underwent surgery for hypothyroidism in September 2007 due to a tumor on the left side of my thyroid. The attending physician's report indicated "left thyroid follicular adenoma." I would like to inquire about any special consider...
Dr. Yang Hongzhi reply Internal Medicine
Hello: If only one side of the thyroid gland is removed, it is expected that thyroid function will not be significantly affected. There are no special dietary precautions necessary; however, foods high in iodine (such as seaweed and kelp) may still have potential effects, so it i...[Read More] Post-Thyroid Surgery Care: Dietary Tips for Hypothyroidism Management
Understanding Hand Tremors and Palpitations: When to Seek Medical Help
I would like to ask..? Dear Dr. Yang, I would like to ask about my symptoms: my hands tremble, I experience palpitations, and my heart rate is faster than normal. Initially, I thought I had hyperthyroidism, but my blood test results came back negative. However, I still have sym...
Dr. Yang Hongzhi reply Internal Medicine
Hello: If the symptoms are not very pronounced, it may not be necessary to see a physician. If it seems more like a neuropsychiatric issue and the symptoms cause significant distress, it is advisable to consult a psychiatrist first.[Read More] Understanding Hand Tremors and Palpitations: When to Seek Medical Help
Understanding Favism: Blood Tests and Military Exemption Criteria
Regarding the issue of Favism? Hello, doctor! I would like to ask if testing for G6PD deficiency can be done with a regular blood test? Additionally, I have heard that patients with G6PD deficiency may be exempt from military service. According to the current "Standards for ...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Favism is caused by a deficiency of the enzyme G6PD. Diagnosis can be made by testing the activity of G6PD through a blood sample. Most individuals with this condition are asymptomatic, and hemolytic anemia occurs only after the ingestion of certain medications or foods.[Read More] Understanding Favism: Blood Tests and Military Exemption Criteria
Understanding Thyroid Disorders: From Hypothyroidism to Hyperthyroidism Management
Thyroid issues At the age of 25, I experienced palpitations and noticed swelling in the appearance of my thyroid, so I consulted a traditional Chinese medicine practitioner and took herbal medicine for about six months. During this period, blood tests indicated hypothyroidism. La...
Dr. Yang Hongzhi reply Internal Medicine
Hello: The most common cause of hypothyroidism is autoimmune reactions, which require supplementation with thyroid hormones. However, excessive supplementation can lead to hyperthyroidism. Based on your condition, it seems that hyperthyroidism persists even after stopping thyroid...[Read More] Understanding Thyroid Disorders: From Hypothyroidism to Hyperthyroidism Management
Should You Seek Medical Attention for Hypothyroidism Symptoms?
Should I seek medical attention for hypothyroidism? Hello, doctor. I am currently seeking treatment for mental health issues. Aside from psychological problems, I do not have any major physical illnesses. The psychiatrist mentioned that hypothyroidism might affect emotional issue...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Your symptoms suggest that you should consider the possibility of hypothyroidism, and it is advisable to see a specialist in metabolic disorders.[Read More] Should You Seek Medical Attention for Hypothyroidism Symptoms?
Understanding Weight Gain and Hormonal Changes: When to See a Doctor
Gynecology and Endocrinology In recent months, I have experienced a significant weight gain despite increasing my exercise and controlling my diet, but my weight has not decreased. Previously, I rarely had acne on my face, but in the last 2 to 3 months, I have been breaking out e...
Dr. Yang Hongzhi reply Internal Medicine
Hello: There is a possibility of an endocrine disorder, but further evaluation based on the actual situation is needed. You may consider visiting the endocrinology outpatient clinic.[Read More] Understanding Weight Gain and Hormonal Changes: When to See a Doctor
Does Thyroid Antibody Affect Male Hormones and Sexual Function?
Is there a relationship between thyroid antibodies and hormone secretion? Hello Doctor: I have been suffering from thyroid autoimmune disease for about two years, and I would like to ask you a few questions: 1. I have seen information online stating that thyroid autoimmune dise...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Hyperthyroidism can potentially cause gynecomastia in men; however, it does not have a significant impact on male sexual function (it may reduce libido to some extent). The primary issue is that hyperthyroidism can lead to an increase in female hormones in men, which shoul...[Read More] Does Thyroid Antibody Affect Male Hormones and Sexual Function?
Understanding Your Medical Test Results: A Guide to Key Indicators
Laboratory Report Dr. Yang, could you please help me interpret my report? CK: 135 U/L TSH: 0.294 uIU/L HS-CRP: 0.58 mg/L CORTISOL: 9.00 µg/dL WBC: 5.1 x 1000/cmm HEMOGLOBIN: 11.6 g/dL PLATELET: 292 x 1000/cmm ESR: 12 mm/hr RF: <20.0 IU/mL Thank you, thank ...
Dr. Yang Hongzhi reply Internal Medicine
Hello: A slightly low TSH usually indicates a tendency toward hyperthyroidism, but it does not necessarily mean true hyperthyroidism and may not produce symptoms. However, it requires monitoring.[Read More] Understanding Your Medical Test Results: A Guide to Key Indicators
Struggling with Persistent Eye and Facial Swelling: Seeking Answers
I'm going crazy..? I discovered this condition around the time I was in the second year of junior high school, approximately when I was fourteen. I went to X Hospital for a consultation, but no matter what, it didn't improve. Later, I switched to Y Hospital, and the sit...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Thyroid eye disease is related to hyperthyroidism; however, the course of the two conditions often does not align. After effectively managing hyperthyroidism (whether through medication, surgery, or radioactive iodine), the ocular manifestations of thyroid disease do not n...[Read More] Struggling with Persistent Eye and Facial Swelling: Seeking Answers
Can Diabetes-Related Frequent Urination Cause Constipation?
Can diabetes-related polyuria cause constipation? Dr. Yang: Hello! My husband has been taking medication for hypertension for a long time. He usually urinates a lot, but recently he has lost weight rapidly and feels extremely thirsty. After testing his blood sugar two hours after...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Diabetes medications may cause gastrointestinal discomfort; sometimes reducing the dosage can help, and other times the body may gradually adapt. If discomfort persists, it may be necessary to adjust the medication. Constipation caused by diabetes medications is relatively...[Read More] Can Diabetes-Related Frequent Urination Cause Constipation?
Is Snoring Every Night Normal? When to Seek Medical Help
Snoring Is it normal to snore every day, and very loudly? If it's not normal, which specialist should I see, or are there ways to improve this? Thank you!
Dr. Yang Hongzhi reply Internal Medicine
Hello: Snoring is a common phenomenon and is not considered abnormal. It is only deemed abnormal when accompanied by episodes of breathing cessation, in which case it may be advisable to consult a pulmonologist.[Read More] Is Snoring Every Night Normal? When to Seek Medical Help
Understanding Hyperthyroidism: Symptoms, Treatment, and Concerns
Hyperthyroidism Hello Dr. Yang: I discovered symptoms of hyperthyroidism nearly six months ago. I have reduced my medication from two pills a day to one and a half pills a day, and my thyroid hormone levels have returned to normal a month ago. However, I have two questions for yo...
Dr. Yang Hongzhi reply Internal Medicine
Hello: 1. If the dosage is not reduced, it may lead to hypothyroidism. 2. The likelihood of significant hyperthyroidism has been low for a long time.[Read More] Understanding Hyperthyroidism: Symptoms, Treatment, and Concerns
Can Hyperthyroidism Be Prevented? Key Insights for Patients
Is hyperthyroidism preventable? Hello Dr. Yang: Thank you for your previous response. (I had a blood test for thyroid function: T3 and T4 are normal, but TSH is low at 0.01.) I am clinically diagnosed with hyperthyroidism, and it is possible that it may recur in the future. I wou...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Consuming foods high in iodine (such as seaweed and kelp) can be a potential trigger factor and should be avoided. Other factors are related to the disease itself, and currently, there are no specific methods to address this.[Read More] Can Hyperthyroidism Be Prevented? Key Insights for Patients
Excessive Sweating in Elderly: Causes and Dietary Solutions
I don't know why I'm experiencing excessive sweating? Hello Doctor: My grandmother is 80 years old this year, and recently she has been sweating a lot for no apparent reason, and it lasts for a long time. However, she does not feel uncomfortable. Could this be due to he...
Dr. Yang Hongzhi reply Internal Medicine
Hello: The likelihood of excessive sweating in an 80-year-old woman due to hormonal deficiency is low. If there are no other discomforts, there is no need for special treatment. If other symptoms arise, further medical evaluation may be necessary.[Read More] Excessive Sweating in Elderly: Causes and Dietary Solutions
Understanding Low TSH Levels: Implications and Treatment Options
Low TSH levels? Hello Dr. Yang, About five years ago, I was diagnosed with hyperthyroidism and after three months of medication, I developed hypothyroidism. I promptly reduced my medication dosage and continued taking the medication for another three months, after which my docto...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Normal T3 and T4 levels with a decrease in TSH indicate clinical hyperthyroidism. There is a possibility that hyperthyroidism may recur after some time, so monitoring is necessary. Currently, medication treatment may not be required.[Read More] Understanding Low TSH Levels: Implications and Treatment Options
What Does a Hard Lump and Dark Skin on the Neck Indicate?
The presence of a hard lump in the neck accompanied by darkening of the skin may indicate a variety of conditions, including but not limited to lymphadenopathy, cysts, or even more serious conditions such as malignancies or infections. It is important to consult a healthcare prof...
Dr. Yang Hongzhi reply Internal Medicine
Hello: The most common cause of a hard lump in the neck is lymphadenopathy, and it is advisable to consult an otolaryngologist (ENT specialist) first.[Read More] What Does a Hard Lump and Dark Skin on the Neck Indicate?
Understanding Behçet's Disease: Symptoms, Causes, and Treatment Options
What is Behçet's disease? My mother is currently 48 years old, but she often feels unwell due to some stress. Eight years ago, she developed a stress-related ulcer and gastrointestinal bleeding. Two to three years ago, she was diagnosed with degenerative arthritis and has be...
Dr. Yang Hongzhi reply Internal Medicine
Hello: There are several types of hyperthyroidism, with the most common being an autoimmune reaction disease. Graves' disease is also an autoimmune disorder, and there may be some correlation between the two.[Read More] Understanding Behçet's Disease: Symptoms, Causes, and Treatment Options
Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Can I Drink Diet Coke While Trying to Lose Weight? Expert Insights
I would like to consult a physician regarding weight loss issues? Hello, doctor. I recently visited an internist who advised me to lose weight. I would like to ask if it's okay to drink Coca-Cola Light, which is a low-calorie beverage. Does it really have no calories? I'...
Dr. Yang Hongzhi reply Internal Medicine
Hello: If you want to lose weight, it's best to avoid any caloric beverages, as the calories in drinks are usually labeled.[Read More] Can I Drink Diet Coke While Trying to Lose Weight? Expert Insights