Understanding Itchy Nipples and Enlarged Areolas: What You Need to Know
Itchy nipples and enlarged areolas? Hello! I would like to ask, sometimes my nipples itch, and recently I noticed that the left areola has enlarged, followed by the right areola also enlarging. Should I be concerned about this? (I have a larger thyroid nodule measuring about 2x2 ...
Dr. Zhou Jiazhen Reply:
Dear Candy: 1. It is not related to the thyroid. 2. The nipple has many openings of milk ducts and skin glands, and some minor secretions may not be easily visible. Sometimes, these secretions can accumulate on the nipple, leading to allergic reactions or eczema-like changes. Occ...[Read More] Understanding Itchy Nipples and Enlarged Areolas: What You Need to Know
Understanding the Cost of Thyroid Surgery: Is $70,000 to $80,000 Normal?
Surgical costs I would like to ask about a growth resembling a tumor or cartilage on the fifth cervical vertebra. The doctor has recommended surgical removal after performing a CT scan. Is it normal for the cost to be between 70,000 to 80,000 NT dollars?
Dr. Zhou Jiazhen Reply:
Dear 60051: Are you referring to the neck? Is it the cervical spine? Is the fifth joint the fifth cervical joint? Please consult a neurosurgeon.[Read More] Understanding the Cost of Thyroid Surgery: Is $70,000 to $80,000 Normal?
Understanding Thyroid Nodules: Patient Concerns and Treatment Options
Thyroid nodule Hello Dr. Zhou: I am a patient with thyroid nodules. About 19 years ago, I had a colloid cyst on the left side of my thyroid, which was removed due to its large size as recommended by my doctor. Years later, approximately 2 years ago, I discovered swelling on the r...
Dr. Zhou Jiazhen Reply:
Hello Ms. Chia: If a thyroid tumor continues to grow, surgical removal is generally recommended.[Read More] Understanding Thyroid Nodules: Patient Concerns and Treatment Options
Understanding Breast Discharge and Thyroid Issues: What You Need to Know
Breast issues Hello doctor, during my previous visit to the obstetrics and gynecology department, I mentioned to the doctor that my breasts secrete a white, milk-like fluid when squeezed, but it's only a drop or two. I am not pregnant. The doctor suspected I might have a thy...
Dr. Zhou Jiazhen Reply:
Dear Xiao Jie: 1. White discharge from the nipple is mostly caused by hyperplasia of the mammary ducts, typically occurring bilaterally. You should perform self-examinations to check for any lumps and follow up with regular outpatient visits. Pay attention to your diet and livi...[Read More] Understanding Breast Discharge and Thyroid Issues: What You Need to Know
Understanding Thyroid Inflammation: Symptoms and Lymph Node Concerns
Thyroiditis Hello, doctor. During a laryngoscopy, it was found that my left vocal cord moves more slowly, but the closure is complete. A chest X-ray was normal, and an MRI of the brain and brainstem was also normal. A neck ultrasound revealed diffuse enlargement of the thyroid gl...
Dr. Zhou Jiazhen Reply:
Dear kk: Lymph nodes do not necessarily swell or become painful, and they do not affect the vocal cords. You can visit an otolaryngologist for further examination.[Read More] Understanding Thyroid Inflammation: Symptoms and Lymph Node Concerns
Understanding Subclinical Hypothyroidism: Impact on Fertility and Pregnancy
Hypothyroidism Last month, I had a health check-up, and the results of my thyroid examination showed that my Thyroid Stimulating Hormone (TSH) level is 5.150. The Free Thyroxine (Free T4) level is 1.36. The report mentioned potential primary hypothyroidism. Could you please tell ...
Dr. Zhou Jiazhen Reply:
Hello: Regular outpatient follow-up is sufficient and will have less impact on fertility. Wishing you safety and health. Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare, Dr. Chou Chia-Cheng.[Read More] Understanding Subclinical Hypothyroidism: Impact on Fertility and Pregnancy
Understanding Orange Peel-Like Bumps on the Areola: What to Do?
The areola has a texture similar to that of orange peel? Hello, I am 25 years old and have not given birth. I have a dimpled area on my right areola that resembles orange peel, approximately in the 3 to 7 o'clock position. There are also blister-like formations in the raised...
Dr. Zhou Jiazhen Reply:
Hello, it may be eczema-like changes. I'm not sure if it is itchy, but I recommend visiting a dermatologist for treatment. If there is no improvement, I suggest a breast surgical examination. Wishing you peace and good health. Sincerely, Dr. Chou Chia-Cheng, Chief of Surgery...[Read More] Understanding Orange Peel-Like Bumps on the Areola: What to Do?
Can You Breastfeed While Taking Propylthiouracil for Hyperthyroidism?
Hyperthyroidism and Breastfeeding Hello doctor, can I breastfeed while taking Propylthiouracil (PTU) for hyperthyroidism? Is it safe for my baby to consume breast milk while I am on this medication?
Dr. Zhou Jiazhen Reply:
Hello: Yes, it is important to consume enough iodine to ensure that breast milk provides sufficient iodine for the infant, but it is also advisable to regularly monitor the thyroid function of the infant. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of ...[Read More] Can You Breastfeed While Taking Propylthiouracil for Hyperthyroidism?
Pain Under Right Nipple: Understanding Breast and Thyroid Issues
Chest palpation may cause pain? I experience pain when pressing below my right nipple, but my left breast does not hurt. I am currently in the first year of junior high school. What could be the cause of this?
Dr. Zhou Jiazhen Reply:
Dear Xiaoxuan, Hello. Most of the symptoms are caused by ductal hyperplasia of the breast, as the breast tissue on both sides responds differently to hormones, resulting in varying symptoms. It is recommended to perform a self-examination every month to check for any painless lu...[Read More] Pain Under Right Nipple: Understanding Breast and Thyroid Issues
Is Neck Pain When Swallowing Related to Thyroid Issues?
Is the pain in my neck when swallowing related to the thyroid gland? Hello, I would like to ask about the issue of neck pain when swallowing saliva. Recently, I have been experiencing increased phlegm and often have to swallow hard. When I swallow, I feel some pain on the left si...
Dr. Zhou Jiazhen Reply:
Mr. Chen: Hello, 1. It should not be related to the thyroid, as thyroid diseases rarely cause pain. 2. I recommend consulting an otolaryngologist to examine potential throat issues, which may help identify any inflammation, infection, or other visible problems in the throat area....[Read More] Is Neck Pain When Swallowing Related to Thyroid Issues?
Can Hypothyroidism Medication Delay Your Menstrual Cycle?
Hypothyroidism Hello, I have just started treatment for hypothyroidism and have been taking medication for over two weeks. My menstrual period has been delayed by more than a week this month. Could the medication be causing the delay in my menstrual cycle?
Dr. Zhou Jiazhen Reply:
Dear Miyako, Hello. Medications that lower thyroid function can cause abnormalities in the pituitary gland, which may sometimes affect your menstrual cycle. It is advisable to monitor the situation over time and then discuss the medication with your attending physician. Wishin...[Read More] Can Hypothyroidism Medication Delay Your Menstrual Cycle?
Understanding Breast and Thyroid Lumps: Causes, Concerns, and Care
Breast "lumps" and "nodules" felt in the thyroid gland? Hello, I discovered a small hard lump under my right breast in mid-September, which was slightly painful to the touch. At the same time, I also found a hard mass on the right side of my neck, and the simu...
Dr. Zhou Jiazhen Reply:
Dear Xiao Cai, 1. There should be no problem. 2. Regarding the breast lump: (1) You can perform self-examinations to monitor any changes in the lump; if it increases in size or if you experience symptoms, you should seek medical attention immediately. (2) The breasts can be affe...[Read More] Understanding Breast and Thyroid Lumps: Causes, Concerns, and Care
Managing Hyperthyroidism Symptoms During Menopause: A Patient's Dilemma
Menopause with hyperthyroidism? I officially reached menopause last month and have been experiencing palpitations, dry and rough skin, and hair loss. Blood tests indicate that my hormone levels are low, but I have mild hyperthyroidism. The doctor prescribed medication for hyperth...
Dr. Zhou Jiazhen Reply:
Dear Koko, Hello. The thyroid and ovaries are both endocrine organs and may have mutual influences. During menopause, hormonal changes are significant and can have a wide-ranging impact. Given the prevalence of similar conditions, I recommend maintaining a regular lifestyle and ...[Read More] Managing Hyperthyroidism Symptoms During Menopause: A Patient's Dilemma
Managing Hyperthyroidism: Medication Concerns and Longevity Myths
Medication for hyperthyroidism? Hello doctor, I have hyperthyroidism. I've been on medication for two years and stopped for a year, but I've relapsed and am continuing the medication. However, I heard from a nurse friend that taking medication for hyperthyroidism can sh...
Dr. Zhou Jiazhen Reply:
Hello, there is no issue of short lifespan. If symptoms persist, medication treatment is still necessary. If there are recurrent relapses, other options such as radioactive iodine therapy or surgical treatment may be considered. Wishing you peace and health. Sincerely, Dr. Chou C...[Read More] Managing Hyperthyroidism: Medication Concerns and Longevity Myths
Thyroid Surgery: Understanding Pathology During Thyroidectomy
Thyroid surgery? Hello, doctor. I have a question. I previously had a thyroid enlargement and underwent fine needle aspiration ultrasound at two large hospitals. The results indicated that no malignant cells were found. However, due to tracheal compression, surgery was recommende...
Dr. Zhou Jiazhen Reply:
Hello, 1. Is the thyroid enlargement bilateral? 2. If malignancy is suspected, a pathological biopsy will be performed immediately to determine whether both sides of the thyroid should be removed. Wishing you peace and health, Director of Surgery, Taoyuan Hospital, Departm...[Read More] Thyroid Surgery: Understanding Pathology During Thyroidectomy
Understanding Gynecomastia: Seeking Help and Treatment Options in Taiwan
Gynecomastia in males, the previous article may have been incorrect? I apologize for the confusion regarding the previous response about thyroid issues. However, I have questions regarding gynecomastia. Doctor, I have several concerns about this condition, which has caused me sig...
Dr. Zhou Jiazhen Reply:
Hello, 1. Breast surgery or general surgery, plastic surgery is also an option. 2. I am not very familiar with Tainan. 3. Depending on the symptoms, if they affect physiological or psychological conditions, surgical removal may be indicated, and it is covered by health insura...[Read More] Understanding Gynecomastia: Seeking Help and Treatment Options in Taiwan
Understanding Hyperthyroidism: Recurrence Risks and Fertility Concerns
Hyperthyroidism issues? Hello, Doctor. I have been diagnosed with hyperthyroidism and have been on medication for two years. After treatment, my levels returned to normal, and I stopped taking medication a year ago. During this time, I have been regularly going to the outpatient ...
Dr. Zhou Jiazhen Reply:
Hello, 1. About half of the patients may experience a recurrence. 2. If treated with radioactive iodine, it may actually lead to permanent hypothyroidism. 1. It does not affect fertility; in fact, women with hypothyroidism may have more difficulty conceiving. 2. In principl...[Read More] Understanding Hyperthyroidism: Recurrence Risks and Fertility Concerns
Can Hyperthyroidism Cause Dizziness? Understanding the Connection
Hyperthyroidism Does hyperthyroidism cause dizziness?
Dr. Zhou Jiazhen Reply:
Dear ESWA: Hello, there are relatively few cases, mostly symptoms such as palpitations, anxiety, emotional instability, insomnia, nervousness, and fatigue that lead to similar dizziness issues. Wishing you peace and health. Director of Surgery, Taoyuan General Hospital, Health De...[Read More] Can Hyperthyroidism Cause Dizziness? Understanding the Connection
Managing Hyperthyroidism: Antibiotics and Thyroid Medication Interaction
Hyperthyroidism Hello Dr. Zhou, I would like to ask you a question. I have been on medication for three months now, and I have recently been experiencing some symptoms of thyroiditis. I would like to know if taking antibiotics conflicts with the medication for hyperthyroidism. ...
Dr. Zhou Jiazhen Reply:
Dear Tingting: Hello, there should be no conflict. Please consult your otolaryngologist regarding the use of antithyroid medications and have the doctor evaluate it. Wishing you peace and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Depar...[Read More] Managing Hyperthyroidism: Antibiotics and Thyroid Medication Interaction
Understanding Breast Thyroid Issues: Biopsy Insights and Genetic Testing
Testing issues Dear Doctor, For stage 0 breast cancer patients, can a biopsy after surgical excision determine the type of cancer? Which type would it be? Additionally, how should we approach testing for hereditary factors? An email response would be appreciated. Thank you!
Dr. Zhou Jiazhen Reply:
Dear Jacqueline, 1. A biopsy that cannot be visually classified must be confirmed through pathological examination, which may indicate possible diagnoses such as ductal carcinoma in situ or lobular carcinoma in situ; however, the basic treatment remains the same. 2. For genetic...[Read More] Understanding Breast Thyroid Issues: Biopsy Insights and Genetic Testing