Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine
More detailed questions? Hello Doctor, I am the person who asked question #206159. I have more related questions today as mentioned in the previous article. My mother has been experiencing diarrhea for two months, accompanied by weight loss, dropping from around 55 kg to 48 kg. H...
Dr. Ye Qianyu Reply:
Hello! If probiotics are helpful, you can continue taking them and gradually reduce the dosage. It's important to maintain a balanced diet that includes all six essential nutrients. Additionally, inquire about the source of the eggs and whether they are cooked, considering t...[Read More] Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine
Which is Better for Blood Sugar: Sweet Potatoes or Potatoes?
How to eat breakfast for blood sugar control? I recently had my blood sugar tested again, and the first result was 163. After taking medication for a month, it was 135. I used to have two eggs for breakfast, but my nutritionist advised me to have one egg along with vegetables or ...
Dr. Liu Hongxiang Reply:
Hello, Lan Yue: Blood sugar control includes diet, exercise, weight management, and medication. Sweet potatoes and potatoes are both starchy foods; sweet potatoes contain more dietary fiber, but consuming either in excess can raise blood sugar levels. It is recommended to discuss...[Read More] Which is Better for Blood Sugar: Sweet Potatoes or Potatoes?
Effective Strategies to Reduce Belly Fat: A Guide for Young Adults
Abdominal obesity issue I have a belly bulge that I've had since I was 23 years old. How can I lose belly fat? Is my metabolism slow?
Dr. Lin Zhebin Reply:
Hello: The general methods for weight loss primarily involve dietary control combined with exercise. Additionally, it is important to consider whether there are any underlying medical conditions contributing to obesity, or if pharmacological assistance for weight loss may be appr...[Read More] Effective Strategies to Reduce Belly Fat: A Guide for Young Adults
Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis
Please ask your questions regarding blood tests? Hello, doctor. Last November (2023), I experienced some health issues. Starting around June 2023, I noticed increased appetite, thirst, and urination, but my weight did not decrease. I went to the hospital for a consultation and ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. Your questions should be discussed with your primary care physician, as there are many factors that need to be considered. 2. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL af...[Read More] Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis
Managing Type 2 Diabetes: Key Questions for Your Family Doctor
Please provide your questions regarding diabetes? I was diagnosed with type 2 diabetes and hyperlipidemia last November. At that time, my lab results were as follows: fasting blood glucose 143 mg/dL, HbA1c 9.9%, total cholesterol 229 mg/dL, triglycerides 202 mg/dL, HDL cholestero...
Dr. Liu Hongxiang Reply:
Hello Mr. Chang: According to the consensus of international diabetes associations, a glycated hemoglobin (HbA1c) level of less than 6.5% for at least 3 months without the use of antihyperglycemic medications indicates that blood sugar is temporarily normal, and medication may no...[Read More] Managing Type 2 Diabetes: Key Questions for Your Family Doctor
Can Store-Bought Disinfectants Kill H. Pylori on Surfaces?
Can commercially available disinfectants kill Helicobacter pylori on surfaces? Hello, doctor. Can you please tell me if commercially available disinfectants, such as Noroclean spray (400ml, hypochlorous acid solution, made in Japan), can kill Helicobacter pylori on surfaces like ...
Dr. Ye Qianyu Reply:
Hello! It should be possible. For disinfecting utensils: 20-90 ppm. Remember to rinse with clean water afterward. "Helicobacter pylori is transmitted orally, and improving personal hygiene and dietary practices can reduce the risk of infection. Since cross-infection among fa...[Read More] Can Store-Bought Disinfectants Kill H. Pylori on Surfaces?
Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine
Unknown etiology? My normal body temperature ranges from 36.4 to 37.3 degrees Celsius. I have a history of fatty liver disease, and my mother and her relatives have issues related to hypertension, hyperlipidemia, and gastrointestinal problems. My father's side has a history ...
Dr. Xiao Yongxun Reply:
Dear Mr. Lseedead: 1. Since you have been hospitalized and undergone many tests that all returned normal results, I believe that given your age, there shouldn't be any significant issues. 2. The pulmonologist and infectious disease specialist have reviewed your imaging and ...[Read More] Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine
Do Cold and Inflammation Affect Fasting Blood Sugar Levels?
Blood sugar issues in health examinations? During the health examination, I experienced a cold and inflammation of the glans. The report showed a fasting blood glucose level of 106. I would like to know if a cold and glans inflammation can affect fasting blood glucose levels.
Dr. Liu Hongxiang Reply:
Hello ACDC060: Possible reasons for elevated blood sugar levels before meals include diet, insufficient fasting time, diseases, infections, stress, and medication use. It is recommended to monitor blood sugar levels again once the body has recovered to determine if there is a pro...[Read More] Do Cold and Inflammation Affect Fasting Blood Sugar Levels?
Managing Cholesterol: When to Medicate and Considerations for Pregnancy
Cholesterol issues Hello, doctor. I am 34 years old. In my 2018 health check-up report, my cholesterol was 232 and low-density lipoprotein (LDL) was 159. My father has hypertension, diabetes, and hyperlipidemia. In 2023, I briefly took Lipitor for one month, during which my chole...
Dr. Liu Hongxiang Reply:
Hello, Sasa: The total cholesterol level for the general population should be kept below 200 mg/dL, with low-density lipoprotein (LDL) cholesterol below 130 mg/dL. High-density lipoprotein (HDL) cholesterol should be maintained above 40 mg/dL for men and above 50 mg/dL for women....[Read More] Managing Cholesterol: When to Medicate and Considerations for Pregnancy
Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello, Doctor. My father has recently been experiencing consistently high blood pressure and chest tightness. He has a history of undergoing cardiac catheterization and suspects blockage, so an exercise electrocardiogram has been arranged. The doctor has a...
Dr. Liu Hongxiang Reply:
Hello Jolingchang: Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. The adjustment of antihypertensive medications, if there are no contraindications or side effects, is based on the usual blood pressure readings. Some individuals may achieve...[Read More] Managing High Blood Pressure: Concerns About Medication Changes
Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello Doctor, my father has recently been experiencing consistently high blood pressure and chest tightness. He previously underwent cardiac catheterization and suspects a blockage, so an exercise electrocardiogram has been arranged. The doctor has now rec...
Dr. Liu Hongxiang Reply:
Hello Jolingchang, Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. When adjusting antihypertensive medications, if there are no contraindications or side effects, the adjustments are based on the usual blood pressure readings. Some individ...[Read More] Managing High Blood Pressure: Concerns About Medication Changes
Unexplained Fatigue: How Euzip Can Help You Feel Energized Again
Unexplained fatigue can only be alleviated by taking Euzip? Hello Doctor: I am a 31-year-old female. Four years ago, I experienced severe nasal septum deviation and significant work-related stress, which led to a period of severe sleep deprivation and facial nerve paralysis. Sinc...
Dr. Chen Bozhang Reply:
It is recommended that you visit an internal medicine or family medicine outpatient clinic for evaluation. Thank you.[Read More] Unexplained Fatigue: How Euzip Can Help You Feel Energized Again
Why Do I Feel Sleepy After Lunch? Understanding Post-Meal Fatigue
Feeling extremely sleepy after eating? Hello, doctor. I've noticed that about an hour after having Chinese food, I tend to feel very sleepy, whether I'm at work (sitting at a desk) or at home on a day off (sitting in front of the computer). I suddenly become very tired ...
Dr. Ye Qianyu Reply:
Hello! Feeling sleepy after a meal is not directly related to any disease. A common situation may occur when eating too much at once, which causes blood to be diverted to the gastrointestinal tract and activates the parasympathetic nervous system, leading to drowsiness. It is adv...[Read More] Why Do I Feel Sleepy After Lunch? Understanding Post-Meal Fatigue
Understanding Blood Pressure: Is My Reading Considered Hypertension?
Blood pressure issues? Hello Doctor, I recently started monitoring my blood pressure. Previously, when I measured it at the hospital, I was unsure if it was due to anxiety, as it would often reach 140/79 or even above 150. After a few days of regular exercise, I measured it at ho...
Dr. Lin Zhebin Reply:
Hello: The definition of normal blood pressure is a systolic pressure of less than or equal to 120 and a diastolic pressure of less than or equal to 80. The definition of hypertension is a systolic pressure of greater than or equal to 140 or a diastolic pressure of greater than o...[Read More] Understanding Blood Pressure: Is My Reading Considered Hypertension?
Understanding Blood Pressure and Pulse Pressure Differences: A Guide
Issues related to blood pressure and pulse pressure? Hello Doctor, I have recently started to manage my blood pressure. My systolic pressure fluctuates between 121 and 136, rarely exceeding 140, but my diastolic pressure is often below 70. I frequently measure readings like 130/6...
Dr. Lin Zhebin Reply:
Hello: If your blood pressure is mostly 130/60, it indicates that your systolic and diastolic pressures have not yet reached the hypertension standard (140/90). The systolic pressure is at most in the prehypertension range (120-140), so you shouldn't be too concerned about t...[Read More] Understanding Blood Pressure and Pulse Pressure Differences: A Guide
Understanding Blood Pressure: Is Your Reading a Cause for Concern?
Blood pressure issues? Hello Doctor, I recently started monitoring my blood pressure. Previously, when I measured it at the hospital, I was unsure if it was due to anxiety, as it would reach 140/79 or even above 150. After a few days of regular exercise, I measured it at home and...
Dr. Lin Zhebin Reply:
Hello: The definition of normal blood pressure is a systolic pressure of less than or equal to 120 and a diastolic pressure of less than or equal to 80. The definition of hypertension is a systolic pressure of greater than or equal to 140 or a diastolic pressure of greater than o...[Read More] Understanding Blood Pressure: Is Your Reading a Cause for Concern?
Understanding Fluctuations in HbA1c Levels: A Month of Concerns
There is significant fluctuation in glycated hemoglobin levels within a month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, aside from my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I a...
Dr. Ye Qianyu Reply:
Hello! First, you should understand that glycated hemoglobin (HbA1c) is an indicator of average blood glucose levels over the past three months, so testing on different dates reflects average blood glucose status during different periods. Any factors that affect calorie intake an...[Read More] Understanding Fluctuations in HbA1c Levels: A Month of Concerns
COVID-19 Vaccination and Safe Dining: Your Health Questions Answered
Regarding COVID-19 vaccines and food delivery? Hello, Doctor: I would like to ask the following questions: a. I received my first dose of the COVID-19 vaccine (AstraZeneca) on September 10, 2021, my second dose (BioNTech) on November 24, 2021, and my booster dose (BioNTech) on Ma...
Dr. Xiao Yongxun Reply:
Dear Anonymous Sir: 1) Which COVID-19 vaccine should I get (are there side effects)? Answer: According to the regulations of the Centers for Disease Control (CDC), starting from October 11, 2023, the XBB.1.5 COVID-19 vaccine is available for everyone aged 6 months and older. Af...[Read More] COVID-19 Vaccination and Safe Dining: Your Health Questions Answered
Understanding Diabetes Diagnosis: Is One Test Enough?
Diabetes Diagnosis Issues Hello, doctor. I would like to ask a question. Recently, I was diagnosed with high blood sugar during a health check-up. On November 9th, I went to the hospital for a blood test and found that my fasting blood glucose level was 142 mg/dL, and my hemoglob...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 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. HbA...[Read More] Understanding Diabetes Diagnosis: Is One Test Enough?
Understanding Elevated Homocysteine Levels and Cardiovascular Health
Cardiovascular examination and homocysteine levels? Dear Doctor, in my blood test report, there is an item: cardiovascular examination with homocysteine level at 17.53 (reference range 5.9–16 umol/L). This value exceeds the reference range. What should I be aware of, or which dep...
Dr. Ye Qianyu Reply:
Hello! If there are kidney diseases, medication-related issues, alcohol abuse, or a deficiency of sufficient vitamin B6, vitamin B12, and folate in the diet, the level of homocysteine in the blood may increase. If only one of these is elevated, it is recommended to supplement wit...[Read More] Understanding Elevated Homocysteine Levels and Cardiovascular Health