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Understanding Hard Lumps on the Left Side of the Neck: Causes and Solutions

There are sometimes lumps on the left side of the neck? Hello: I'm not sure where to ask this, so I'm reaching out to you. Sometimes when I eat, I suddenly feel that the left side of my neck, near the jawline, starts to harden. If I stop eating at that moment, the lump ...


Dr. Zeng Fenyu reply Internal Medicine
It could be related to the neck muscles, but please visit the outpatient clinic for a thorough diagnosis by a physician to confirm that the lump is benign.

[Read More] Understanding Hard Lumps on the Left Side of the Neck: Causes and Solutions


Understanding Thyroid Blood Tests: T3, T4, and TSH Levels Explained

Thyroid examination Hello, I would like to ask what the T3, T4, and TSH levels indicate in a thyroid blood test, and what are the normal ranges for these values?


Dr. Zeng Fenyu reply Internal Medicine
T3: Triiodothyronine (T3) T4: Thyroxine (T4) TSH: Thyroid-Stimulating Hormone (TSH) Normal values may vary between different hospitals.

[Read More] Understanding Thyroid Blood Tests: T3, T4, and TSH Levels Explained


Understanding Low Triglycerides: Health Implications and Management Tips

Low triglycerides? I found related questions in the FAQ, but I still cannot understand my situation. I would greatly appreciate Dr. Tseng's clarification! I am 162 cm tall and weigh 50 kg, a non-smoker, and I usually eat little meat and almost no seafood, preferring sweet fo...


Dr. Zeng Fenyu reply Internal Medicine
If the total cholesterol is greater than 200 mg/dL without other risk factors, dietary and lifestyle modifications can be initiated, and a follow-up should be done after three months. If the levels remain high, medication treatment may be considered. It is recommended that you co...

[Read More] Understanding Low Triglycerides: Health Implications and Management Tips


Should You Remove a Renal Lipoma? Risks and Complications Explained

Renal lipoma There is a lipoma on the right kidney. Is it necessary to remove it? What are the potential sequelae or complications if it is not removed? Thank you.


Dr. Zeng Fenyu reply Internal Medicine
In general, renal angiomyolipomas are benign tumors that do not require surgical removal. They only need to be monitored with ultrasound examinations every six months to a year to check for any changes.

[Read More] Should You Remove a Renal Lipoma? Risks and Complications Explained


Understanding Thyroid Issues: Symptoms, Diagnosis, and Dietary Impact

Thyroid issues Dear Dr. Tseng, Over the past month, I have been experiencing a tight, pressure-like sensation in my neck. I consulted an endocrinologist who ordered blood tests and an ultrasound. The results indicated a slight enlargement of the thyroid gland, and my blood test ...


Dr. Zeng Fenyu reply Internal Medicine
Please go to the endocrinology department for another blood test to check thyroid function.

[Read More] Understanding Thyroid Issues: Symptoms, Diagnosis, and Dietary Impact


Choosing Between General Internal Medicine and Metabolism Specialists

Our hospital does not have an endocrinology department? Our hospital only has general internal medicine and endocrinology. Which department would be better for me to see?


Dr. Zeng Fenyu reply Internal Medicine
Please see the metabolism department.

[Read More] Choosing Between General Internal Medicine and Metabolism Specialists


Understanding Adam's Apple Development and Growth Concerns in Adolescents

Adam's apple Hello doctor, I am 17 years old and my height is only 165 cm. My Adam's apple is still not prominent, and I can say that I have no noticeable external changes. I haven't grown taller since the second year of junior high school (less than one centimeter...


Dr. Zeng Fenyu reply Internal Medicine
Thank you very much for your letter. However, based on the information provided, it is not possible to determine whether it is normal. I recommend that you schedule an appointment with an endocrinologist for a detailed discussion.

[Read More] Understanding Adam's Apple Development and Growth Concerns in Adolescents


Signs of Growth Delay: When to Seek Endocrine Evaluation for Your Child

If a child grows less than four centimeters per year from birth to puberty, it is likely a sign of slow growth? "From birth to puberty, if a child grows less than four centimeters per year, it may indicate signs of slow growth. Therefore, if parents notice this phenomenon in...


Dr. Zeng Fenyu reply Internal Medicine
Hello, we are very pleased to receive your inquiry. Regarding your question, individual growth and development can vary significantly from person to person. We recommend that you consult with an endocrinologist for a detailed evaluation.

[Read More] Signs of Growth Delay: When to Seek Endocrine Evaluation for Your Child


How Much Water Should You Drink Daily for Optimal Health?

The minimum amount of water a person should drink in a day? How much water should a person drink in a day at a minimum?


Dr. Zeng Fenyu reply Internal Medicine
Each person needs at least 3000 cc of water per day to stay adequately hydrated.

[Read More] How Much Water Should You Drink Daily for Optimal Health?


Understanding Hypoglycemia: Causes, Risks, and Management for Teens

Hypoglycemia Hello, doctor! A few days ago, I suddenly felt weak all over, dizzy, and couldn't even stand. I felt very hungry in my stomach, but I didn't have the strength to walk to the convenience store, as if I was about to pass out. A classmate gave me some drinks, ...


Dr. Zeng Fenyu reply Internal Medicine
If hypoglycemia is not addressed, it can lead to symptoms such as palpitations, trembling, and sweating, and if left uncontrolled, it may result in coma. It is important to manage hypoglycemia promptly to avoid danger. If you frequently experience hypoglycemia, you should consult...

[Read More] Understanding Hypoglycemia: Causes, Risks, and Management for Teens


Can Emotional Stress Impact Growth and Development?

If someone has long-term emotional concerns, can it affect their growth and development? I feel like it's not my exercise level or lack of nutrition; it seems like my mental state is affecting my endocrine system. Is this possible, and how can I address it?


Dr. Zeng Fenyu reply Internal Medicine
It is recommended that you visit the metabolism and endocrinology clinic for an examination. If necessary, you may also consult the psychiatry clinic to alleviate psychological stress.

[Read More] Can Emotional Stress Impact Growth and Development?


Does Long-Term Milk Consumption Affect Diabetes Risk?

Will long-term consumption of milk lead to diabetes? I have been drinking milk for several years now, and it seems that there is natural insulin in milk. Could this affect my blood glucose levels?


Dr. Zeng Fenyu reply Internal Medicine
Drinking milk does not cause diabetes, but it is important for individuals with diabetes to maintain a balanced diet. The calories and nutrient composition of milk should be taken into account, and it should be consumed in moderation.

[Read More] Does Long-Term Milk Consumption Affect Diabetes Risk?


Understanding Palpitations: Causes, Symptoms, and Solutions

Palpitations Hello Doctor: I would like to ask about my frequent palpitations. I often feel my heart beating very strongly. For instance, when I lie down and watch TV with the remote control placed on my chest, the remote moves with my heartbeat. I frequently experience chest tig...


Dr. Zeng Fenyu reply Internal Medicine
Hyperthyroidism can cause palpitations, but other conditions such as irregular heartbeat, heart problems, and stimulation of the sympathetic nervous system can also lead to palpitations. To reduce the occurrence of palpitations, in addition to monitoring thyroid function, it is i...

[Read More] Understanding Palpitations: Causes, Symptoms, and Solutions


Does Sleeping During the Day Affect Growth Hormone Levels?

Growth hormone It is said that the secretion of growth hormone is most active between 11 PM and 2 AM. What is the difference for someone like me who sleeps during the day? Does sleeping during the day instead of at night affect the secretion of growth hormone? Will having a rever...


Dr. Zeng Fenyu reply Internal Medicine
Everyone has different sleep habits, which can lead to varying physiological cycles. As long as the physiological cycle is stable, the secretion of growth hormone and growth development will not be significantly affected.

[Read More] Does Sleeping During the Day Affect Growth Hormone Levels?


Can Napping Cause Headaches? Understanding Sleep and Eye Pain Connections

Can napping easily cause headaches? I have been experiencing frequent headaches for over a month, with the following situations: 1. I sleep from 3:00 AM to 12:00 PM and wake up with a headache (a few times). 2. I often wake up with a headache after taking a nap in the afternoon. ...


Dr. Zeng Fenyu reply Internal Medicine
Hello Ms. Jessica: The causes of headaches can include neurological disorders, stress, eye diseases, and ENT conditions. Given your headache symptoms, it may be related to either the brain or the eyes. I recommend that you visit a hospital for a consultation, where a detailed med...

[Read More] Can Napping Cause Headaches? Understanding Sleep and Eye Pain Connections


Thyroid Treatment Options: Exploring Radioactive Iodine Therapy

Thyroid treatment I was diagnosed with thyroid issues in my senior year of high school and received treatment at Veterans General Hospital. After stopping medication during my junior and senior years of college, I resumed taking medication during graduate school (Mercazole/Tapazo...


Dr. Zeng Fenyu reply Internal Medicine
Hello Miss Madeline: If there are frequent recurrences, you may consider radioactive iodine therapy or surgical treatment. However, after the administration of radioactive iodine, there is still a possibility of developing hypothyroidism. Please discuss this with your attending p...

[Read More] Thyroid Treatment Options: Exploring Radioactive Iodine Therapy


Understanding the Differences Between Thyroid Tumors, Cysts, and Nodules

Thyroid gland Hello Dr. Tseng: I have undergone ultrasound and fine needle aspiration examinations. Could you please explain the differences between thyroid tumors, cysts, and nodules? The fluid extracted was not brown, and my thyroid function is normal. Aside from the questions ...


Dr. Zeng Fenyu reply Internal Medicine
Hello, Ms. Coco: Thyroid cysts are generally benign. The initial treatment typically involves ultrasound and fine needle aspiration. In addition to treatment, the aspirated fluid can be sent for cytological examination. Afterward, thyroid hormone therapy may be administered, and ...

[Read More] Understanding the Differences Between Thyroid Tumors, Cysts, and Nodules


Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips

Thyroid tumor Dear Dr. Tseng, (1) What are the differences between hyperthyroidism, thyroid tumors, and thyroid nodules? Why do thyroid tumors occur? (Currently, I work during the day and attend classes at night, often going to bed around 1 or 2 AM, and I frequently feel a lot o...


Dr. Zeng Fenyu reply Internal Medicine
Hello, Miss Yajin: For benign thyroid tumors, doctors may prescribe thyroid hormones to provide feedback inhibition to help reduce the size of the tumor. Generally, tumors smaller than 1 cm have a higher chance of disappearing. If the patient does not take the medication or if th...

[Read More] Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips


Understanding Proteinuria: Symptoms, Prevention, and Treatment Options

Regarding urinary protein? Three years ago, during a comprehensive health check-up, I was found to have protein in my urine. This year, when I tested my urine again, there was still protein present. I know my urine is very concentrated. I would like to ask what symptoms are assoc...


Dr. Zeng Fenyu reply Internal Medicine
Hello Alpha: 1. Patients with proteinuria may not always exhibit symptoms; however, severe proteinuria may present with symptoms such as edema and hypertension. 2. It is recommended that you take the time to visit the nephrology outpatient clinic for follow-up examinations. (Resp...

[Read More] Understanding Proteinuria: Symptoms, Prevention, and Treatment Options


Weight Loss and Hormonal Imbalance: When to Seek Medical Advice

Weight loss can lead to hormonal imbalances? Dear Dr. Tseng, At the end of last year, I started to lose weight gradually because I was dissatisfied with my body. I adopted a method of eating less and exercising more, and over several months, I lost about five kilograms. Although...


Dr. Zeng Fenyu reply Internal Medicine
Hello, Xiao Bing: Even when dieting, it's important to meet your basic caloric needs and ensure a balanced intake of various nutrients. If you continue to experience low menstrual flow or if the situation does not improve, please make sure to consult an endocrinologist.

[Read More] Weight Loss and Hormonal Imbalance: When to Seek Medical Advice


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