Understanding Habitual Stomach Pain: When to Get Regular Endoscopies?
Chronic gastric pain? Since childhood, I have frequently visited clinics. I cannot jump rope more than 30 times, and I cannot walk quickly. The pain is located in the lower left chest area, and when it hurts, I quickly press on it to reduce the pain. I have undergone gastroscopy ...
Dr. Zeng Fenyu reply Internal Medicine
In addition to some patients experiencing discomfort, gastroscopy does not have side effects. Pain in the lower left chest after physical activity may not necessarily be gastric pain, and it is advisable to consult an internist for evaluation.[Read More] Understanding Habitual Stomach Pain: When to Get Regular Endoscopies?
Symptoms of Hormonal Imbalance: Understanding Endocrine Disorders
Endocrinology What are the symptoms of endocrine disorders?
Dr. Zeng Fenyu reply Internal Medicine
I cannot provide a detailed answer because the "endocrine" system includes various organs such as the pituitary gland, thyroid gland, adrenal glands, pancreas, ovaries, and parathyroid glands, making the scope too broad.[Read More] Symptoms of Hormonal Imbalance: Understanding Endocrine Disorders
Understanding and Managing Recurring Mouth Ulcers: Causes and Treatments
Mouth ulcer I often experience mouth ulcers, sometimes on my tongue and other times in different areas of my oral cavity. I have seen a doctor and used medications such as "MUNDISAL GEL," but it does not provide a permanent solution. Each treatment lasts about 7 days or...
Dr. Zeng Fenyu reply Internal Medicine
Please see an otolaryngologist.[Read More] Understanding and Managing Recurring Mouth Ulcers: Causes and Treatments
Understanding Elevated Platelet Count: When to Seek Medical Advice
Increased platelet count? Hello, Doctor: I recently had a health check-up and found that my platelet count is 366, which is above the normal range. Could you please advise what might be the issue? I have not experienced any discomfort so far. If I need to seek medical attention, ...
Dr. Zeng Fenyu reply Internal Medicine
Hello Panker: The primary function of platelets is to facilitate blood clotting. Normal platelet counts can vary between hospitals, but generally, a range of 150,000 to 400,000 per microliter is considered normal. Your platelet count of 366,000 is within the normal range. Hematol...[Read More] Understanding Elevated Platelet Count: When to Seek Medical Advice
Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart
Dietary Management of Hyperuricemia In the past two months, my uric acid levels have been elevated (reaching a maximum of 17), and they are currently at 8.5. However, I suffer from degenerative arthritis, which causes me significant pain. I am currently undergoing treatment and w...
Dr. Zeng Fenyu reply Internal Medicine
Due to space limitations, we are unable to provide a detailed summary. We recommend that you obtain a low-purine diet educational pamphlet from the hospital or consult a nutritionist for further guidance.[Read More] Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart
Understanding Why You Can't Gain Weight: Insights and Solutions
What are the solutions for not gaining weight? Hello Dr. Tseng: I have always struggled to gain weight (176 cm, around 60 kg). My situation is as follows: 1. My father is also thin (possibly hereditary). 2. I have poor digestion and absorption (I eat the same amount as others but...
Dr. Zeng Fenyu reply Internal Medicine
If your overall health is good, being thin should not be a major concern. However, it is advisable to consult a gastroenterologist to examine your digestive system and seek advice from a nutritionist for dietary improvements.[Read More] Understanding Why You Can't Gain Weight: Insights and Solutions
Understanding Obesity-Related Diseases: Key Conditions and Their Impacts
Diseases related to obesity? Hello Dr. Tseng: I would like to inquire about diseases related to obesity: 1) Hypertension 2) Hypercholesterolemia 3) Hyperglycemia 4) Hyperinsulinemia 5) Type 2 Diabetes. Please provide their Chinese names and a brief profile for each. Additionally,...
Dr. Zeng Fenyu reply Internal Medicine
1) Hypertension 2) Hypercholesterolemia 3) Hyperglycemia 4) Hyperinsulinemia 5) Type 2 Diabetes Mellitus It is recommended that you obtain relevant educational pamphlets or health manuals from a hospital or health department clinic.[Read More] Understanding Obesity-Related Diseases: Key Conditions and Their Impacts
Understanding Low White Blood Cell Count: Health Implications and Solutions
What is a white blood cell count? Recently, my white blood cell count (WBC) was 3.9k/cumm during a health check-up, which is reported to be below the normal range (4-9.80). What impact could this have on my health? What symptoms might arise? How can I improve this? Thank you.
Dr. Zeng Fenyu reply Internal Medicine
There are many causes of leukopenia, such as viral infections and colds, which can temporarily lower white blood cell counts. If your white blood cell count is decreased, it is advisable to consult a hematologist to examine a blood smear and have the hematologist explain the resu...[Read More] Understanding Low White Blood Cell Count: Health Implications and Solutions
Managing Eye Disorders Caused by Hyperthyroidism: Treatment Options
Thyroid eye disease caused by hyperthyroidism? Due to hyperthyroidism causing tightness in the eye muscles (as diagnosed by a physician at National Taiwan University), there is an impact on vision resulting in double vision, and the eyeball cannot move upward (currently controlle...
Dr. Zeng Fenyu reply Internal Medicine
Hello Amy, If the ocular changes caused by hyperthyroidism cannot be controlled with eye drops, the current treatment options to consider are: 1. Radiation therapy 2. Surgery 3. Steroid injections 4. Injections of Somatostatin, among others. The effectiveness varies from person...[Read More] Managing Eye Disorders Caused by Hyperthyroidism: Treatment Options
Understanding Blood in Urine: Causes, Concerns, and Care
Hematuria in urine test? I recently went to the hospital for a urine test and found some traces of blood in my urine. Does this indicate a problem with my kidneys, and what treatment options or precautions should I consider?
Dr. Zeng Fenyu reply Internal Medicine
There are many reasons for blood in the urine, including contamination from menstrual blood, urinary tract infections, urinary stones, and kidney inflammation, among others. It is advisable to consult a nephrologist for further evaluation. Dr. Chen Yin-Cheng, Nephrologist.[Read More] Understanding Blood in Urine: Causes, Concerns, and Care
Unexplained Hyponatremia: Seeking Answers for Persistent Symptoms
Hyponatremia I underwent a series of tests at Linkou Chang Gung Memorial Hospital, but none could identify the underlying issue. I also consulted with a nephrologist, and both my kidneys and renal tubules were found to be normal. My thyroid and pituitary gland are also functionin...
Dr. Zeng Fenyu reply Internal Medicine
Hello, A-Fu: Your symptoms are not commonly associated with hyponatremia, so it is necessary to further confirm whether they are related to low sodium levels. The simplest way to determine this is to check the serum electrolytes immediately when the symptoms occur. If the sodium ...[Read More] Unexplained Hyponatremia: Seeking Answers for Persistent Symptoms
Key Considerations for Managing Hyperthyroidism Effectively
Hyperthyroidism What precautions should be taken for hyperthyroidism?
Dr. Zeng Fenyu reply Internal Medicine
Hello Tomcsy, patients with hyperthyroidism should follow their physician's instructions regarding medication adherence and regular check-ups. Additionally, they should avoid iodine-rich foods such as kelp, seaweed, and certain types of vegetables. It is also advisable to li...[Read More] Key Considerations for Managing Hyperthyroidism Effectively
Understanding the Health Impacts of Low Cholesterol Levels
Low cholesterol I recently had a simple health check-up (blood test and urinalysis), and the doctor mentioned that my cholesterol levels are too low. I would like to ask the doctor: What are the potential health impacts of low cholesterol, and are there any ways to improve this c...
Dr. Zeng Fenyu reply Internal Medicine
Hello, Xiao Hui! Patients with low cholesterol generally do not require special treatment; however, if there is a tendency for selective eating (commonly seen in vegetarians), dietary habits should be improved. It is recommended that you visit the Metabolism Clinic for further ex...[Read More] Understanding the Health Impacts of Low Cholesterol Levels
Understanding Right Lower Back Pain: Possible Kidney Issues Explained
There is a slight pain? I have some pain in the lower right side of my back, which is likely near the kidney area. What could be the reason?
Dr. Zeng Fenyu reply Internal Medicine
Dear Lee: Lower back pain may be related to kidney issues or other musculoskeletal pain. I recommend that you see a doctor for an examination to gain clarity. Nephrologist Lin San-chi.[Read More] Understanding Right Lower Back Pain: Possible Kidney Issues Explained
Persistent Bloating and Constipation: Seeking Medical Advice
Severe bloating and poor bowel movement? Hello, doctor. Since yesterday morning, I have been experiencing severe bloating and persistent gas, along with difficulty in bowel movements. I feel the urge to defecate but cannot do so. Please advise.
Dr. Zeng Fenyu reply Internal Medicine
Dear gk: The issue you described may be due to indigestion or abnormal gastrointestinal motility. It is recommended that you consult a gastroenterologist for a detailed examination. Sincerely, Dr. Chang-Feng Kuo, Chief of Gastroenterology and Hepatology.[Read More] Persistent Bloating and Constipation: Seeking Medical Advice
Understanding Calf Swelling: Causes and Medical Specialties Involved
Calf swelling Dear Doctor, every morning when I wake up, the size of my calves is normal, but about 15-20 minutes after getting up, both calves swell to twice their size until the evening when I finish my shower and they return to normal size. Sometimes my calves remain normal th...
Dr. Zeng Fenyu reply Internal Medicine
Hello Cindy! Please first visit the internal medicine outpatient clinic for an examination. The symptoms described may indicate poor blood circulation in the lower extremities. It is important to consider whether there are any other kidney, heart, or other organ issues, as well a...[Read More] Understanding Calf Swelling: Causes and Medical Specialties Involved
How Environmental Temperature Affects Health Risks and Complications
What diseases or complications are related to the surrounding environmental temperature? Are there any diseases or complications related to the surrounding environmental temperature? For example, for people who are snorkeling in the deep sea, what effects might the low temperatur...
Dr. Zeng Fenyu reply Internal Medicine
Hello, Chu! Temperature is closely related to the human body. The normal body temperature is maintained around 37 degrees Celsius. If the temperature is too low, it can slow down or even stop metabolic processes, while a high temperature can increase metabolic rates. Both situati...[Read More] How Environmental Temperature Affects Health Risks and Complications
Understanding Hematuria: Causes and Symptoms Explained
Symptoms of hematuria? Hematuria, or blood in the urine, can be caused by a variety of conditions. Some common causes include: 1. Urinary tract infections (UTIs) 2. Kidney stones 3. Bladder or kidney infections 4. Trauma to the urinary tract 5. Enlarged prostate (in men) 6. Cert...
Dr. Zeng Fenyu reply Internal Medicine
Dear Tony: There are many causes of hematuria, which can originate from the kidneys, ureters, or bladder. I recommend that you consult a nephrologist for further evaluation. Sincerely, Dr. Chen Yin-Cheng, Nephrology.[Read More] Understanding Hematuria: Causes and Symptoms Explained
Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management
Diabetes Diet Could you provide a one-week meal plan for diabetes, along with food substitutions? I consulted a nutritionist, but I still find it unclear and hope to get some clarification. Thank you!
Dr. Zeng Fenyu reply Internal Medicine
Hello Kitty! When planning a diet for diabetes, it is essential to consider the patient's age, height, weight, activity level, and physiological conditions (such as kidney function, blood lipid levels, blood pressure, etc.). It is not possible to design an appropriate meal p...[Read More] Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management
Understanding Unexplained Bloating: Possible Causes and Solutions
Abdominal bloating I have always been healthy, but recently, for the past 2 to 3 months, I have been experiencing unexplained abdominal bloating, even when I don't eat much. Sometimes, after having breakfast, I feel bloated until dinner and don't want to eat. I have vis...
Dr. Zeng Fenyu reply Internal Medicine
Hello Anice! Endocrine diseases that present solely with abdominal distension are quite rare. The symptoms described should first consider the possibility of gastrointestinal disorders. It is advisable to consult a gastroenterologist for further evaluation.[Read More] Understanding Unexplained Bloating: Possible Causes and Solutions