Exploring the Link Between Fatigue and Vitamin D Deficiency
The association between fatigue and vitamin D deficiency? I have been experiencing fatigue and excessive sleepiness for about 6 to 7 years. I have seen various internal medicine specialists and undergone tests for thyroid function, hormones, etc. I even visited a sleep clinic, an...
Dr. Lin Zhebin Reply:
Hello: Vitamin D deficiency may have the following effects: decreased immune function, anxiety, muscle weakness, osteoporosis, dry skin, cardiovascular diseases, etc. Based on your description of physical discomfort, some of it may indeed be related to vitamin D deficiency. Since...[Read More] Exploring the Link Between Fatigue and Vitamin D Deficiency
Understanding Prediabetes: Can Diet Changes Prevent Diabetes?
Prediabetes I went to the hospital for a blood test, and the doctor said I have prediabetes with a fasting blood glucose level of 101 mg/dL and a hemoglobin A1c of 6.2%. However, I only reviewed the report a week after the blood test, during which I had all-you-can-eat barbecue, ...
Dr. Lin Zhebin Reply:
Hello: Based on your test results, you are currently in the prediabetes stage. Generally, the progression to diabetes is gradual, so follow-up is typically done every three months. It is unlikely that a week of overeating will suddenly lead to diabetes. I recommend that you start...[Read More] Understanding Prediabetes: Can Diet Changes Prevent Diabetes?
Understanding Elevated Fasting Blood Sugar: What You Need to Know
Health examination red flags Hello doctor, I recently had a health check-up for my part-time job, and the report showed a fasting blood glucose level of 106. However, none of my relatives have a history of related illnesses, and my blood pressure, BMI, and waist circumference are...
Dr. Xiao Yongxun Reply:
Dear Student, 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for at least 8 hours, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, ...[Read More] Understanding Elevated Fasting Blood Sugar: What You Need to Know
Understanding Persistent Dry Mouth: Causes and When to Seek Help
Dry mouth and dry tongue? Hello doctor, I have been experiencing persistent dry mouth lately. I drink at least 1500cc of water a day, plus a cup of unsweetened tea, but no matter how much I drink, my mouth still feels dry. I have no issues swallowing, and I don't feel thirst...
Dr. Xiao Yongxun Reply:
Dear Mr. Wei: 1. There are many causes of dry mouth and dry tongue; common ones include diabetes, dehydration, side effects of medications, Sjögren's syndrome, smoking, aging, endocrine disorders (such as hyperthyroidism and diabetes insipidus), and psychosomatic disorders,...[Read More] Understanding Persistent Dry Mouth: Causes and When to Seek Help
Concerns About Vibrio Infection After Fishing: What You Need to Know
The possibility of Vibrio species in shrimp fishing ponds? Hello Doctor, I apologize for the lengthy question. I would like to ask about an incident that occurred yesterday when I went to a shrimp fishing venue for the first time. I accidentally got pricked by a fish hook on my h...
Dr. Liao Yaopan Reply:
Vibrio parahaemolyticus is a bacterium commonly found in marine environments, and there are two main routes of infection. The first is through the consumption of contaminated seafood, such as oysters, clams, and raw fish. The second route is through direct infection via the skin,...[Read More] Concerns About Vibrio Infection After Fishing: What You Need to Know
Understanding Low Body Temperature: Causes and Management for Chronic Conditions
Recently, I have noticed that my body temperature is abnormally low, at 34.7 degrees Celsius? Hello, doctor. I have a history of diabetes, hypertension, and kidney disease for 32 years. My hemoglobin A1c was 6.6 in December last year. I was diagnosed with myasthenia gravis in Jul...
Dr. Lin Zhebin Reply:
Hello: Your issue of having a low body temperature may be related to hypothyroidism, adrenal insufficiency, hypoglycemia, nutritional deficiencies, neuromuscular diseases, infections, and so on. Additionally, the frequent cramping you experience may be associated with electrolyte...[Read More] Understanding Low Body Temperature: Causes and Management for Chronic Conditions
Weight Loss, Diabetes, and Gastrointestinal Issues: Understanding the Connection
Weight issues, diabetes, gastrointestinal discomfort? Hello, doctor. I am currently away and would like to inquire about my father, who is 54 years old. A month ago, he noticed weight loss and frequent bloating. We suspect it might be related to diabetes, as he has a history of h...
Dr. Hou Angting Reply:
Hello: With dietary control and medication treatment, it is possible to lose weight if you are initially overweight. However, since there are various reasons for weight loss, it is still recommended to consult and evaluate with your primary physician. Wishing you good health.[Read More] Weight Loss, Diabetes, and Gastrointestinal Issues: Understanding the Connection
Why Your Weight Drops Overnight: Understanding Morning Weight Changes
Weight typically decreases upon waking up? Hello, doctor. I have been weighing myself recently and noticed that my weight every morning is lower than my weight the night before. Is this normal? I always thought that after eating throughout the day, my weight would increase by the...
Dr. Lin Zhebin Reply:
Hello: If you have experienced a weight loss of more than 5 kilograms or more than 5% of your original body weight within the past six months to a year, it is advisable to seek medical evaluation. Possible causes include diabetes, hyperthyroidism, gastrointestinal diseases, cance...[Read More] Why Your Weight Drops Overnight: Understanding Morning Weight Changes
Does Long-Term Herbal Supplementation Affect Fasting Blood Sugar Levels?
Blood glucose levels Does long-term consumption of blood-nourishing herbal powders affect fasting blood glucose levels? For breakfast, I eat large oatmeal with soy milk and one egg; for lunch, I have stir-fried vegetables, zucchini, carrots, and chicken breast; for dinner, I usua...
Dr. Liu Hongxiang Reply:
Hello Ms. Tong: If food or medication contains caloric substances (carbohydrates, proteins, or fats) that can be absorbed by the body, it can affect blood sugar levels. The type and quantity of food consumed can lead to fluctuations in blood sugar levels. From your message, it se...[Read More] Does Long-Term Herbal Supplementation Affect Fasting Blood Sugar Levels?
Understanding Post-Surgery Back Pain: When to Seek Medical Advice
Regarding lower back pain? Hello, doctor. I have a question. I underwent surgery on both legs in January and July of this year (one leg at a time) with spinal anesthesia. After the surgeries, I often feel soreness and pain in my lower back (the area where the anesthesia was admin...
Dr. Lin Zhebin Reply:
Hello: The likelihood of nerve injury causing lower back pain due to spinal anesthesia is indeed very low. Additionally, it is possible that inflammation of the soft tissues (muscles, tendons, ligaments) near the spine during the spinal anesthesia procedure could lead to lower ba...[Read More] Understanding Post-Surgery Back Pain: When to Seek Medical Advice
Understanding Blood Sugar Tests: Do You Really Need A HbA1c Test?
Diabetes testing Hello, doctor. Recently, I've been experiencing excessive sweating in my upper body and my wounds are healing slowly. Since my mother has diabetes, I suspect I might have it too. I went to a large local hospital's endocrinology department to get a blood...
Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you maintain a healthy diet and engage in moderate exercise, and follow up with the family medicine clinic in three months. The quantity of food you consume can affect your...[Read More] Understanding Blood Sugar Tests: Do You Really Need A HbA1c Test?
Understanding Night Sweats: When to Seek Medical Help for Fatigue
Night sweats? Since this summer, my physical condition has noticeably worsened. I have to wear long sleeves and long pants to sleep even with the air conditioning set at 27°C. About two months ago, I occasionally woke up at night sweating from my shoulders, neck, chest, and back....
Dr. Cai Dongqi Reply:
Hello, I hope you are well. It is important to adjust your lifestyle (which is currently not normal) by avoiding staying up late and the habit of eating late-night snacks. The causes of night sweats may include menopause, hyperthyroidism, diabetes, and autonomic nervous system di...[Read More] Understanding Night Sweats: When to Seek Medical Help for Fatigue
Understanding Abnormal Urine Sediment: Causes and Next Steps
Abnormal urine sediment? Dear Doctor, I recently underwent urine and blood tests along with an abdominal ultrasound, and there are two abnormalities: 1. Abdominal ultrasound: The doctor mentioned "chronic changes" in the kidney area. 2. Urine sediment examination: The r...
Dr. Lin Zhebin Reply:
Hello: 1. An abdominal ultrasound showing chronic kidney changes typically indicates that kidney function has been affected. It is essential to identify the underlying causes of the impaired kidney function, which are commonly diabetes, hypertension, etc. 2. A urinalysis generall...[Read More] Understanding Abnormal Urine Sediment: Causes and Next Steps
Why Am I Eating More After Recovering from Gastrointestinal Issues?
Increased appetite after recovery from illness? Hello Doctor, a while ago I experienced gastrointestinal discomfort due to autonomic nervous system dysregulation, which made it difficult for me to eat. Now that I feel better, I've been snacking a lot. I have a tendency to ga...
Dr. Lin Zhebin Reply:
Hello: 1. The amount you eat is actually not very large, but the calorie content is high, and the food choices are poor, such as large fries, bubble tea, and bear-shaped cookies. It is recommended that you maintain a balanced intake of the "six major food groups," which...[Read More] Why Am I Eating More After Recovering from Gastrointestinal Issues?
Understanding Your Health Check Report: Common Concerns and Insights
Questions about health check-up reports? Hello Doctor, I am 186 cm tall and weigh 72 kg. I have a regular exercise routine that includes three aerobic sessions and two strength training sessions per week, with a relatively high intensity. I also pay attention to my diet. However,...
Dr. Lin Zhebin Reply:
Hello: 1. A fasting blood glucose level of 101 is not something to be overly concerned about. The normal reference range is based on the majority of the population, and a single fasting blood glucose measurement can be influenced by the duration of fasting and the food consumed...[Read More] Understanding Your Health Check Report: Common Concerns and Insights
Understanding Joint Pain After COVID-19 Vaccination: A Patient's Journey
After receiving the COVID-19 vaccine Since receiving the COVID-19 vaccines, my reactions have varied with each dose. Last year, after the first dose of AstraZeneca (AZ), I experienced swollen tonsils (commonly referred to in Taiwanese as "柱仔") and visited an ENT special...
Dr. Lin Zhebin Reply:
Hello: It is difficult to determine whether your knee pain is related to the COVID-19 vaccine. You mentioned visiting a rheumatology clinic, where objective examinations revealed synovitis and mild degenerative arthritis. However, the presence of synovitis and mild degenerative a...[Read More] Understanding Joint Pain After COVID-19 Vaccination: A Patient's Journey
Chronic Bad Breath: Seeking Solutions After Decades of Discomfort
Chronic halitosis that has been a concern for several decades? Hello, doctor. I have been told that I have bad breath since the Chinese middle period, and I have been seeking the cause and solution for many years. Currently, I do not have any periodontal diseases or related oral ...
Dr. Lin Zhebin Reply:
Hello: Common causes of halitosis include oral diseases (including tonsillitis), respiratory diseases (including nasopharyngitis), gastrointestinal diseases, kidney diseases, and liver diseases. Based on your description, the examinations of the aforementioned organs seem to be n...[Read More] Chronic Bad Breath: Seeking Solutions After Decades of Discomfort
Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Inquiry Regarding Blood Test Report Hello, doctor. I went to a laboratory for blood tests and would like to ask you a few questions. I have issues with gastroesophageal reflux, insomnia, and anxiety, and my blood pressure is around 105-120/78-90. Recently, I've been feeling ...
Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you follow up with a family medicine clinic in three months. IgE levels tend to be elevated in cases of allergies or parasitic infections, so it is advisable for you to see...[Read More] Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Comprehensive Blood Tests for Multiple Health Concerns in Family Medicine
Blood test? Hello, doctor. I have some symptoms such as irritability, fatigue, hair loss, blurred vision, iritis, excessive sweating in the chest, and slow wound healing. I suspect that these may be related to anemia, diabetes, thyroid issues, or ankylosing spondylitis. If I visi...
Dr. Hou Angting Reply:
Hello: It is recommended that you visit the Rheumatology or Family Medicine outpatient clinic for evaluation and follow-up by a physician. Wishing you good health.[Read More] Comprehensive Blood Tests for Multiple Health Concerns in Family Medicine
Craving Chocolate Snacks: Is It Hunger or a Health Concern?
I've been craving snack chocolate? Hello Doctor, recently I've been craving snacks, especially chocolate, consuming about two to three bags a day. I'm not sure if it's hunger or just a craving. At the end of August, I had a health check-up, and my urine glucos...
Dr. Lin Zhebin Reply:
Hello: Based on your description, your main issue seems to be having a good appetite but experiencing weight loss. In addition to considering diabetes, given your age, it is also important to consider the possibility of hyperthyroidism. For diabetes testing, in addition to fastin...[Read More] Craving Chocolate Snacks: Is It Hunger or a Health Concern?