Concerns About Mebendazole and Metronidazole Drug Interactions
The interaction issues between Mebendazole and Metronidazole? Hello Doctor: I have been experiencing itching around the anus, which is particularly bothersome at night. Since I had Mebendazole, a common antiparasitic medication, at home, I took it for about two weeks, at a dosage...
Dr. Xiao Yongxun Reply:
Dear Ms. Ellie: 1. Mebendazole is a synthetic benzimidazole compound that is widely effective against nematodes. This medication is the first-line treatment for whipworm (Trichuris trichiura), pinworm (Enterobius vermicularis), hookworms (Necator americanus and Ancylostoma duode...[Read More] Concerns About Mebendazole and Metronidazole Drug Interactions
Managing Kidney Health: Dietary Changes and Blood Pressure Guidelines
Kidney and dietary habit changes issues? Hello, doctor: About a year ago, my kidney function was abnormal during a health check-up, with a creatinine level of 1.5. After follow-up with a nephrologist, it was reduced to 1.2. The doctor advised me to monitor my blood pressure at ho...
Dr. Liao Yaopan Reply:
Hello, 1. The diagnostic criteria for hypertension have indeed varied across different decades and expert opinions from various associations. Currently, in clinical practice, adults are generally considered to have high blood pressure if it exceeds 140/90 mmHg, which suggests t...[Read More] Managing Kidney Health: Dietary Changes and Blood Pressure Guidelines
Understanding Low Body Temperature: Should You See a Doctor?
I would like to inquire about the state of hypothermia? Hello Doctor: I previously had an examination at the metabolic department. Aside from being overweight and having a BMI above the normal range, all other values related to pituitary secretion, adrenaline, thyroid function, a...
Dr. Liao Yaopan Reply:
Hello, regarding the above content, it is not recommended to use hypoglycemic medications if there is no diabetes. When measuring body temperature, it is important to ensure that the method used is correct. Weight control must rely on both diet and proper exercise. It is advised ...[Read More] Understanding Low Body Temperature: Should You See a Doctor?
Should You Continue Taking Centrum Multivitamins? Debunking Myths
Regarding the health supplement "Centrum." Hello, doctor. I recently purchased Centrum multivitamins for daily health maintenance, but I found some articles online mentioning that Centrum is chemically synthesized and that it's better to avoid it if possible, as ch...
Dr. Xiao Yongxun Reply:
Dear Mr. Fu: Through various methods of analytical chemistry and biochemistry, humanity has understood the chemical structures of various vitamins since the last century. Many chemical drugs were initially discovered from plants, animals, bacteria, fungi, and other organisms; how...[Read More] Should You Continue Taking Centrum Multivitamins? Debunking Myths
Understanding Rectal Bleeding: Symptoms, Causes, and When to Seek Help
Rectal bleeding Hello doctor, I would like to ask about my symptoms. I have been experiencing rectal bleeding, and two days ago I had severe abdominal pain (very painful). I have a habit of sitting for long periods since I am a student. Today, I noticed a lot of blood in my stool...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is advisable for you to visit a colorectal surgery clinic soon. If the amount of bleeding is significant, it could lead to acute anemia, so it is crucial to promptly identify the source and cause of the bleeding and to take measures to stop it...[Read More] Understanding Rectal Bleeding: Symptoms, Causes, and When to Seek Help
Understanding Uric Acid Levels: Implications for Women and Pregnancy
Issues related to uric acid? I am a 35-year-old woman. Last month, I went to a laboratory for testing, and one of the results showed my uric acid level was 7, while the normal range is 3.0-5.5. Everything else was fine. The lab personnel only advised me to drink more water. I lat...
Dr. Huang Hongshuo Reply:
Hello: The levels of uric acid in the blood are related to the following factors: 1. Genetic predisposition: The genetic factors are located on the X chromosome, making males more susceptible to the condition. This is not changeable later in life. 2. Effective circulating volume ...[Read More] Understanding Uric Acid Levels: Implications for Women and Pregnancy
Understanding Recent Stomach Discomfort: Causes and Concerns
I've been experiencing some discomfort in my stomach lately? Recently, I've been feeling full easily when eating, and if I eat more after feeling full, I feel like vomiting, especially with foods like soup dumplings. The last time I ate them, I couldn't swallow and...
Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms primarily involve the gastrointestinal tract. Since I cannot confirm your condition online, I recommend that you observe your recent dietary habits, bowel movements, and any discomfort symptoms. Please consult a gastroenterologist fo...[Read More] Understanding Recent Stomach Discomfort: Causes and Concerns
How to Gain Weight Healthily: Dietary Tips for Underweight Individuals
If you are underweight and want to gain weight, dietary issues may be a concern? Hello, Doctor: I am currently 162 cm tall and weigh about 35 kg. My health check-up results are generally normal, and I eat three meals a day without intentionally skipping anything. However, I am of...
Dr. Liao Yaopan Reply:
Hello, you are indeed underweight! In addition to a proper diet, it is essential to incorporate appropriate types of exercise to increase muscle mass in order to achieve your goals. Please note that online consultations are not equivalent to in-person medical visits and cannot pr...[Read More] How to Gain Weight Healthily: Dietary Tips for Underweight Individuals
Understanding the Impact of Short vs. Long-Term High-Intensity Interval Training
Exercise-related issues? Hello Doctor: I would like to ask a follow-up question regarding TABATA. I understand that short-term high-intensity interval training (less than 12 weeks) can improve maximum oxygen uptake, diastolic blood pressure, and fasting blood glucose levels in ov...
Dr. Xiao Yongxun Reply:
1. The "Evidence-Based Guidelines for the Prevention and Management of Adult Obesity," published by Taiwan's Ministry of Health and Welfare in November 2018, is a consensus reached through discussions among experts and scholars who reviewed global studies and repor...[Read More] Understanding the Impact of Short vs. Long-Term High-Intensity Interval Training
Does Short Exercise Like Tabata Effectively Control Blood Sugar Levels?
Blood sugar issues? Hello Doctor: I have a follow-up question regarding TABATA. My main concern is whether exercise needs to last at least 15 or 30 minutes to effectively control blood sugar levels. Since TABATA workouts only take 4 to 8 minutes to complete (and are said to repla...
Dr. Xiao Yongxun Reply:
Dear Mr. Lin Sen: 1. According to the "Evidence-Based Guidelines for the Prevention and Management of Adult Obesity" published by Taiwan's Ministry of Health and Welfare in November 2018, high-intensity interval training (HIIT) is defined as aerobic exercise perfo...[Read More] Does Short Exercise Like Tabata Effectively Control Blood Sugar Levels?
Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Blood sugar issues Hello Doctor: I am in the prediabetic stage, with blood sugar levels around 110, and I have not yet reached diabetes. Therefore, I want to establish a regular exercise routine to prevent the onset of diabetes. I have a question regarding the recent popularity o...
Dr. Liao Yaopan Reply:
Hello, different types of exercise have their own training components and varying intensities, which naturally lead to different fitness outcomes. It is advisable to incorporate various forms of exercise, including aerobic, cardiovascular, and strength training, based on appropri...[Read More] Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Understanding the Relationship Between Total Cholesterol and HDL/LDL Levels
The relationship between total cholesterol levels and high-density lipoprotein (HDL) cholesterol? Hello, I would like to ask if there is an absolute additive relationship between total cholesterol and low-density lipoprotein (LDL) cholesterol. My question arises from the followin...
Dr. Ye Qianyu Reply:
Hello! When triglycerides are less than 400, you can use the following formula to calculate low-density lipoprotein cholesterol: LDL-C = Total Cholesterol - HDL-C - TG/5. Low-density lipoprotein cholesterol: LDL-C, High-density lipoprotein: HDL-C, Triglycerides: TG. However, it i...[Read More] Understanding the Relationship Between Total Cholesterol and HDL/LDL Levels
Understanding Your Health Check Report: Key Insights on Kidney Function and Cholesterol
Regarding the health examination report? Hello, doctor. I had an adult health check at the health center in April and have some questions. Currently, the test results show some issues: GOT: 18 (normal range 0-39), GPT: 15 (normal range 0-41), creatinine: 1.0 (<1.3), and glomer...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Estimated Glomerular Filtration Rate (eGFR): The commonly used formula is MDRD-Simplified GFR (mL/min/1.73 m²) = 186 × Scr⁻¹.154 × Age⁻⁰.²⁰³ × 0.742 (if female). 2. Chronic Kidney Disease (CKD) refers to kidney damage due to long-term inflammation (such a...[Read More] Understanding Your Health Check Report: Key Insights on Kidney Function and Cholesterol
Managing Pre-Diabetes: Can Drinking Water Help Lower Blood Sugar?
Diabetes issues Doctor, my blood sugar level is currently 117 (my father has diabetes). The doctor said that I don't need medication for control yet, but there are many things I shouldn't eat too much of. I would like to ask, if I consume more sugary foods on a given da...
Dr. Hou Angting Reply:
Hello, this user. The level of sugar is related to the total caloric intake and will not decrease blood sugar levels simply by drinking more water. Therefore, managing diet and engaging in moderate exercise are very important during the prediabetic stage. I hope this answers your...[Read More] Managing Pre-Diabetes: Can Drinking Water Help Lower Blood Sugar?
Understanding Niacin's Impact on Blood Sugar Levels in Seniors
Issues related to niacin? Hello Doctor, my mother is 62 years old. A year ago, she was recommended to take niacin supplements. Recently, she underwent a health check-up, and her coronary artery calcium score was 3. Her cholesterol levels are normal, but her fasting blood glucose ...
Dr. Xiao Yongxun Reply:
Dear Ms. Xiao Zhen, 1. Clinically, Niacin can be used as a medication; Niacin is also known as vitamin B3. Its primary function is to reduce VLDL levels, as LDL is synthesized from VLDL. Therefore, Niacin also lowers LDL levels in patients, meaning it can reduce bad cholesterol....[Read More] Understanding Niacin's Impact on Blood Sugar Levels in Seniors
Understanding Fluctuations in Blood Sugar and Cholesterol Levels
High blood sugar and high cholesterol? Hello doctor, in 2017 during my company's health check, my fasting blood glucose was 103 and total cholesterol was 214. Therefore, on January 28 of this year, I went to Taipei Medical University Hospital for a blood test for glucose and...
Dr. Xiao Yongxun Reply:
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 more than 8 hours, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA1c ≥6.5% (must not ...[Read More] Understanding Fluctuations in Blood Sugar and Cholesterol Levels
Breathlessness: Understanding Causes and Seeking Medical Help
Shortness of breath? Hello, I would like to consult a doctor on behalf of a friend who has some concerns and is currently unable to see a physician. He often experiences shortness of breath during episodes of heightened emotions, which seems to be more pronounced in situations wh...
Dr. Xiao Yongxun Reply:
Dear Miss Anonymous: 1. Your symptoms are likely indicative of hyperventilation syndrome, which primarily stems from pre-existing anxiety disorders or psychosomatic conditions. However, many other diseases can present with similar symptoms, so a differential diagnosis is necess...[Read More] Breathlessness: Understanding Causes and Seeking Medical Help
Understanding Joint Pain and Numbness: Common Causes and Concerns
Physical issues Hello doctor, I have recently been experiencing pain in my limbs and joints, but it only lasts for a short time. My palms sometimes feel numb, and my body occasionally feels slightly itchy and warm. Could you please help me understand what this situation might be?...
Dr. Xiao Yongxun Reply:
Dear Ms. Betty: 1. The symptoms you described, such as "joint pain in the limbs that only lasts briefly; tingling in the palms; and occasional mild itching and warmth in the body," are considered atypical changes. This means that while some diseases may present in thi...[Read More] Understanding Joint Pain and Numbness: Common Causes and Concerns
Understanding Left-Sided Back Spasms and Chronic Bloating Issues
There is a sensation of twitching in the left upper back, resembling insects crawling, along with persistent bloating in the left lower abdomen for over two years? Hello, Doctor. I have a sensation in the lower left area between my shoulder and waist, like something is crawling. ...
Dr. Xiao Yongxun Reply:
Dear Ms. Gillian: 1. Since such a thorough examination has been conducted and no cause has been found, I personally believe that you should first pay attention to your diet, exercise, and lifestyle adjustments. This means maintaining a balanced diet, engaging in regular physical ...[Read More] Understanding Left-Sided Back Spasms and Chronic Bloating Issues
Understanding the Connection Between Weight Loss and Blood Pressure
Weight Loss and Blood Pressure Dear Dr. Hsiao, I would like to inquire about the relationship between weight loss and blood pressure. Recently, I measured my blood pressure, which was approximately 115 (systolic)/83-87 (diastolic) after several measurements. My weight is around ...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Xiang: 1. Normal blood pressure is defined as systolic pressure < 102 mmHg and diastolic pressure < 80 mmHg. Hypertension is generally defined as systolic pressure ≥ 140 mmHg or diastolic pressure ≥ 90 mmHg. An increase of 20 mmHg in systolic pressure or 10 mmH...[Read More] Understanding the Connection Between Weight Loss and Blood Pressure