Impact of Antithyroid Medication on Fetal Development: What to Know
The effects of antithyroid medications on the fetus? I was diagnosed with hyperthyroidism in 1996 and continued medication until 1999. With my physician's approval, I stopped the medication for a year, but I relapsed this September and resumed taking antithyroid medication (...
Dr. Zeng Fenyu reply Internal Medicine
If thyroid function remains hyperactive during pregnancy, medication should be used to control it. The dosage of the medication should be adjusted according to the patient's condition, with the principle of maintaining thyroid function at the upper limit of normal. - Dr. Tse...[Read More] Impact of Antithyroid Medication on Fetal Development: What to Know
Managing Hyperthyroidism: Key Considerations for Pregnancy and Infant Health
Hyperthyroidism As a patient with hyperthyroidism who has been receiving treatment at National Taiwan University Hospital for nearly five years, what precautions should I take when preparing for pregnancy? What effects does hyperthyroidism have on the baby?
Dr. Zeng Fenyu reply Internal Medicine
Hello Bobo! 1. If maternal hyperthyroidism is left untreated, the fetus is at risk for low birth weight and there is also a possibility of miscarriage. 2. Thyroid function should be monitored during pregnancy, and if there is still hyperthyroidism, treatment should follow the ...[Read More] Managing Hyperthyroidism: Key Considerations for Pregnancy and Infant Health
Understanding Elevated ALP Levels: Causes, Risks, and Next Steps
Elevated ALP levels? Hello Dr. Zeng: 1. Is an ALP (alkaline phosphatase) level of 116 IU/L considered normal? 2. What underlying conditions could this indicate? 3. What should be monitored to return to normal levels, or should one seek medical attention directly? 4. Is there a ri...
Dr. Zeng Fenyu reply Internal Medicine
The normal value for ACP is approximately 95 IU/L, so a level of 116 IU/L is slightly elevated. ACP may increase in cases of liver or biliary diseases, or bone disorders. It is recommended that you visit an internal medicine clinic for further evaluation. If there are no specific...[Read More] Understanding Elevated ALP Levels: Causes, Risks, and Next Steps
Understanding Abdominal Distension: Ovarian Cyst or Pregnancy Complications?
Abnormal enlargement of the lower abdomen? Six months ago, I discovered a six-centimeter cyst on my ovary. I have consulted various hospitals, some suggested surgery while others recommended monitoring. However, two weeks ago, I found out that I am pregnant. An ultrasound showed ...
Dr. Zeng Fenyu reply Internal Medicine
It is advisable to consult a gynecologist and also seek the opinion of a gastroenterologist to determine if there are any gastrointestinal diseases.[Read More] Understanding Abdominal Distension: Ovarian Cyst or Pregnancy Complications?
Managing Low Blood Pressure: Tips for Thyroid Disease Patients
Hypotension I have thyroid disease and am currently on medication for management. I experience leg cramps while sleeping, my blood pressure is in the 50s, and I often feel dizzy. I'm unsure if low blood pressure requires treatment and how to prevent it. What should I pay att...
Dr. Zeng Fenyu reply Internal Medicine
If blood pressure is low, dietary salt intake can be increased. If the blood pressure is significantly low and accompanied by symptoms, certain vasopressor medications may be considered. However, it is essential to first investigate any underlying causes of hypotension. It is rec...[Read More] Managing Low Blood Pressure: Tips for Thyroid Disease Patients
Understanding Dizziness and Vomiting: Possible Thyroid Connection
Vomiting Hello, I am 52 years old. In recent years, I have been feeling more fatigued. I often experience dizziness, which feels like a spinning sensation. I also have nausea, but after a good night's sleep, I feel fine the next day. I have had this issue 2 to 3 times a year...
Dr. Zeng Fenyu reply Internal Medicine
Hello Ms. Chen: If you have undergone thyroid surgery, it is advisable to regularly monitor thyroid function to check for any abnormalities. Other potential causes of headaches include central nervous system disorders, inner ear conditions, or anemia. Please consult with an inter...[Read More] Understanding Dizziness and Vomiting: Possible Thyroid Connection
Should I See a Doctor for Lack of Body Hair at 32?
Body hair I am 32 years old, but I have no facial hair and very little body hair. Should I seek medical advice?
Dr. Zeng Fenyu reply Internal Medicine
Please visit the endocrinology clinic for an examination.[Read More] Should I See a Doctor for Lack of Body Hair at 32?
Understanding AMIA, ANA, and Their Significance in Immune System Health
Immune system AMIA stands for Antimitochondrial Antibodies, which are often associated with autoimmune diseases, particularly primary biliary cholangitis. A titer of 53 indicates the concentration of these antibodies in the blood, with higher values suggesting a stronger autoim...
Dr. Zeng Fenyu reply Internal Medicine
1. AMIN is the abbreviation for the examination of thyroid function-related microsomal antibodies, formally known as Anti-Microsomal Antibody. 2. ANA (Anti-Nuclear Antibody) is a test item related to autoimmune diseases, and the testing methods vary. In our hospital's test...[Read More] Understanding AMIA, ANA, and Their Significance in Immune System Health
Understanding Anemia After Partial Gastrectomy: Causes and Solutions
Anemia Twelve years ago, I underwent surgery for a gastric perforation (it seems to be referred to as a subtotal gastrectomy), where 2/3 of my stomach (the lower part) was removed. The doctor mentioned that this would affect folate absorption. I frequently experience anemia, and ...
Dr. Zeng Fenyu reply Internal Medicine
Hello Ivy: The most common type of anemia following gastric resection surgery is iron deficiency anemia, while anemia due to vitamin B12 deficiency or poor folate absorption is relatively rare. Have you been taking iron supplements daily for the past two years? What is the dosage...[Read More] Understanding Anemia After Partial Gastrectomy: Causes and Solutions
Understanding Rapid Heartbeat: Causes and Concerns After Naps
Rapid and racing heartbeat? Why does my heart sometimes beat fast and strong, taking about 10 minutes to calm down, especially after waking up from a nap? Could this be a sign of a problem? It happens about 2-3 times a month. I am 170 cm tall, weigh 78 kg, and am 45 years old. I ...
Dr. Zeng Fenyu reply Internal Medicine
A detailed examination by a cardiologist is necessary to determine the cause of the condition.[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Naps
Red Dots on Face: Causes and When to Seek Medical Advice
Red spots appearing on the face? I am 50 years old, and in the past few weeks, I have been experiencing dozens of red spots on my face that resemble mosquito bites but are not itchy. Could this be related to menopause or other factors? Which medical specialty should I consult for...
Dr. Zeng Fenyu reply Internal Medicine
Please consult a dermatologist and discuss your condition with the physician.[Read More] Red Dots on Face: Causes and When to Seek Medical Advice
Understanding Mucus in Stool: Causes and When to Seek Help
Gastrointestinal tract I have noticed a few times that my stool contains a mucus-like, whitish substance similar to nasal mucus.
Dr. Zeng Fenyu reply Internal Medicine
Issues related to bowel absorption should include testing for hemoglobin levels to check for anemia and performing a fecal occult blood test to determine if it is positive. If there is also associated weight loss, a series of colon examinations should be conducted. In cases of th...[Read More] Understanding Mucus in Stool: Causes and When to Seek Help
Understanding Upper Abdominal Pain: Causes and When to Seek Help
Upper abdominal pain In the past six months, I have frequently experienced sleep disturbances until the early morning, particularly with pain that encircles my upper abdomen to my upper back, making it difficult to turn over. Sometimes the pain is so intense that it feels like my...
Dr. Zeng Fenyu reply Internal Medicine
Please see Internal Medicine.[Read More] Understanding Upper Abdominal Pain: Causes and When to Seek Help
Understanding Thyroid Issues: Symptoms, Appearance, and Health Effects
Thyroid gland If there is a thyroid issue, the neck may appear somewhat unusual, and from certain angles, it may look swollen. Will this have any impact on the body? Thank you!
Dr. Zeng Fenyu reply Internal Medicine
Not necessarily; please visit the endocrinology clinic for a detailed examination.[Read More] Understanding Thyroid Issues: Symptoms, Appearance, and Health Effects
Understanding Dilated Cardiomyopathy: What You Need to Know
Dilated cardiomyopathy I am a 23-year-old student, and I recently had a health check-up. The examination report indicated that I have **dilated cardiomyopathy**, **heart murmurs** in my chest, and **goiter** in my neck. What do these terms mean? Are there any specific concerns I ...
Dr. Zeng Fenyu reply Internal Medicine
Please consult an internist. Based on your examination results, an explanation will be provided. Just looking at these terms, the severity of the diseases they represent can vary widely, and it is not possible to provide a definitive answer on paper.[Read More] Understanding Dilated Cardiomyopathy: What You Need to Know
Understanding Frequent Stomach Pain: Causes and Solutions
Stomach pain Recently, I've been experiencing sharp pains in my stomach that last for about a few seconds, and it has been occurring more frequently. What could be the issue?
Dr. Zeng Fenyu reply Internal Medicine
Please go to the gastroenterology department for a detailed examination.[Read More] Understanding Frequent Stomach Pain: Causes and Solutions
Dealing with Hair Loss: When to See a Doctor and How to Improve It
I have been experiencing hair loss recently? Hello, I have been experiencing hair loss recently, sometimes losing one to two hundred strands a day. I'm not sure what to do or which specialist to see. How can I improve this condition? Could you please answer my questions? Tha...
Dr. Zeng Fenyu reply Internal Medicine
Please consult a dermatologist.[Read More] Dealing with Hair Loss: When to See a Doctor and How to Improve It
Understanding Multinodular Goiter: Symptoms, Treatment, and Prevention
Multinodular goiter Hello, doctor. I have a few questions to ask. What is multinodular goiter? Does it cause pain? Is surgery necessary? What is the prognosis? Is there a chance of recurrence? How can it be prevented? Can hyperthyroidism cause shortness of breath? I am currently ...
Dr. Zeng Fenyu reply Internal Medicine
Multiple nodules in the thyroid are referred to as multinodular goiter. These nodules may not necessarily be painful, and surgery is not always required. Even after surgery, there is a possibility of recurrence. The decision for surgery will depend on clinical symptoms and examin...[Read More] Understanding Multinodular Goiter: Symptoms, Treatment, and Prevention
Could Your Tremors Indicate Thyroid Issues? Understanding the Symptoms
Is it a thyroid issue? Hello~ Previously, my teacher mentioned that she noticed her legs shaking during her lecture, and later, after going to the hospital, she was diagnosed with a thyroid issue. I sometimes also experience slight trembling in my hands, and when I'm very ne...
Dr. Zeng Fenyu reply Internal Medicine
Please visit a hospital to see an endocrinologist for a thorough examination.[Read More] Could Your Tremors Indicate Thyroid Issues? Understanding the Symptoms
Understanding and Treating Persistent Acne: Causes and Solutions
Acne In the past two years, I have started to develop acne that is large, swollen, red, and does not produce pus when squeezed. The areas where the acne has appeared remain persistently red and swollen, and new lesions continue to form.
Dr. Zeng Fenyu reply Internal Medicine
Please consult a dermatologist.[Read More] Understanding and Treating Persistent Acne: Causes and Solutions