Understanding Cholesterol Changes: Is a 24-Point Increase Significant?
Cholesterol has increased by 24 over the past two years? Hello, I would like to ask about my total cholesterol levels. When I was 20 years old, my total cholesterol was 172, and two years later, it increased to 196. Although both values are within the normal range, does this incr...
Dr. Hou Angting Reply:
Hello: Cholesterol levels can be influenced by diet and exercise habits, and since your cholesterol is still within the normal range, you only need to monitor it regularly without excessive worry. Wishing you good health.[Read More] Understanding Cholesterol Changes: Is a 24-Point Increase Significant?
Understanding Drug Interactions: Can You Combine Medications and Supplements?
Drug interactions Hello, Doctor: I would like to ask about my recent symptoms of migraine. I have been taking Cerebrolysin 5mg and Betahistine 24mg. However, before taking these two medications, I had a habit of consuming dietary supplements such as Vitamin C, Vitamin B, and Lute...
Dr. Liao Yaopan Reply:
Hello, your migraine should be prescribed by a physician. It is advisable to discuss with your treating physician any other medications or dietary supplements you are using, as this information is important for reference when writing prescriptions. The ingredients in dietary supp...[Read More] Understanding Drug Interactions: Can You Combine Medications and Supplements?
Managing High Blood Pressure: Essential Questions for Your Family Doctor
Blood pressure issues? Hello Doctor: My uncle is in his 50s, standing 176 cm tall and weighing around 60-70 kg. Today, he visited a family medicine clinic due to neck pain (which he feels is similar to a stiff neck). The doctor measured his blood pressure, which was over 170, nea...
Dr. Lin Zhebin Reply:
Hello: 1. Hypertension can be managed by a primary care physician, unless it affects the kidneys or heart, in which case referral to a nephrologist or cardiologist may be considered. Additionally, tests related to hypertension typically include blood tests, urinalysis, electrocar...[Read More] Managing High Blood Pressure: Essential Questions for Your Family Doctor
Understanding Anemia: When to Seek Specialized Medical Advice
Health check-up issues / Anemia / Inquiry about specialties Hello, Doctor! I have been experiencing anemia since middle school. Sometimes, I feel a bit dizzy when I first get up, but I thought it was normal since I am a woman and lose a lot of blood during my monthly menstruation...
Dr. Lin Zhebin Reply:
Hello: Based on your age and the fact that you have heavier menstrual flow, along with the blood test results you provided, it is likely that you are experiencing iron deficiency anemia due to chronic blood loss from prolonged heavy menstruation. Here are two recommendations: 1. ...[Read More] Understanding Anemia: When to Seek Specialized Medical Advice
Headaches After Diarrhea: Understanding Post-Digestive Discomfort
Headache persisting for several days after diarrhea? On Monday evening (6/20), after exercising, I drank iced soy milk and had xiaolongbao to replenish protein. At the time, I did not experience "brain freeze," but in the past, drinking iced beverages often led to diarr...
Dr. Hou Angting Reply:
Hello: I recommend that you visit the Family Medicine outpatient clinic for further evaluation. Wishing you good health.[Read More] Headaches After Diarrhea: Understanding Post-Digestive Discomfort
Can I Take 800 IU of Vitamin D with Heart Issues and Low Blood Pressure?
The issue of vitamin pigs? I'm sorry, but I'm not sure if I can take it. I have moderate mitral valve insufficiency, as well as panic disorder, and my blood pressure is low, around 95/55. Can I take 800 IU of vitamin D per day? I've heard it can enhance immunity ag...
Dr. Lin Zhebin Reply:
Hello: Based on your age, the recommended dosage of vitamin D is 600 IU per day. In fact, a daily intake of up to 4000 IU is considered safe. With your current intake of 800 IU of vitamin D per day, theoretically, there should be no side effects. The primary concern with vitamin ...[Read More] Can I Take 800 IU of Vitamin D with Heart Issues and Low Blood Pressure?
Dietary Guidelines After COVID-19 Recovery: What to Avoid?
Are there any dietary restrictions after recovering from a confirmed diagnosis? Hello Doctor, my boyfriend's symptoms have significantly improved seven days after his diagnosis. Currently, he only experiences a dry cough when he talks too much. This Saturday (June 11) will m...
Dr. Lin Zhebin Reply:
Hello: After recovering from a confirmed diagnosis, there are actually no specific dietary restrictions. However, if your boyfriend occasionally experiences a dry cough, you may want to be cautious about certain fried, overly sweet, and cold foods, as they could trigger or exacer...[Read More] Dietary Guidelines After COVID-19 Recovery: What to Avoid?
Am I Suffering from Gastroenteritis or GERD? Understanding My Symptoms
Am I suffering from gastroenteritis or gastroesophageal reflux disease (GERD)? Hello, doctor. Recently, I've been experiencing stomach pain after meals for the past week, along with a feeling of bloating and even nausea that sometimes leads to vomiting. Occasionally, I also ...
Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, it seems more like gastroesophageal reflux disease (GERD), as abdominal pain and diarrhea from gastroenteritis typically resolve on their own within a few days to a week, unless there is persistent vomiting, watery diarrhea, or blood/bl...[Read More] Am I Suffering from Gastroenteritis or GERD? Understanding My Symptoms
Understanding Elevated White Blood Cell Count and Its Connection to Blood Sugar Levels
Elevated white blood cell count? Hello Doctor, I had a blood test two days ago and found that my white blood cell count is 14,930 (but I have no discomfort). What kind of inflammatory conditions could this value indicate? Additionally, my fasting blood glucose is 104. Is there a ...
Dr. Chen Bozhang Reply:
Hello Cherry, In your letter, you mentioned that your blood test showed an elevated white blood cell count. An increase in white blood cell count can commonly be attributed to acute or chronic inflammation. When any organ or system in the body is significantly inflamed, it can t...[Read More] Understanding Elevated White Blood Cell Count and Its Connection to Blood Sugar Levels
Severe Back Pain and Abdominal Discomfort: Causes and Solutions
Severe stabbing pain in the lower back and abdominal distension? Hello Doctor, since October of last year, I've been experiencing occasional soreness in my lower right back, which has recently escalated to severe stabbing pain. My legs also feel numb, and the discomfort pers...
Dr. Lin Zhebin Reply:
Hello: I will address your concerns regarding lower back pain and abdominal bloating separately: 1. Lower Back Pain: Your lower back pain is likely due to a herniated disc, which may be compressing a nerve and causing severe sharp pain and numbness in both legs. Prolonged sitti...[Read More] Severe Back Pain and Abdominal Discomfort: Causes and Solutions
Understanding Left Chest Pain: When to See a Doctor
Left chest pain or heart-related issues? Hello, doctor. I first felt unwell in early March, experiencing intermittent sharp pain in my left chest, which felt somewhat like cramping, accompanied by a sensation of breathlessness and near fainting. This lasted about 5 seconds, but I...
Dr. Liao Yaopan Reply:
Hello, regarding your chest pain issue, it is advisable to first seek an evaluation from a cardiologist. Additionally, please make sure to improve your lifestyle by maintaining a regular schedule, going to bed early, waking up early, eating a balanced diet, and exercising. Online...[Read More] Understanding Left Chest Pain: When to See a Doctor
Understanding Anemia: Should You Take Iron Supplements or Seek Further Testing?
Anemia-related Hello Doctor, I recently underwent a pre-pregnancy health check, and my complete blood count showed several abnormal results highlighted in red. The relevant values are as follows: WBC 5.9, RBC 4.22, Hemoglobin 9.0, Hematocrit 31.2, MCV 73.9, MCH 21.3, MCHC 28.8, P...
Dr. Xiao Yongxun Reply:
Dear Ms. Orange Cat: 1. Since you have questions regarding prenatal examinations, it is advisable to discuss them directly with your obstetrician-gynecologist. 2. Thalassemia, also known as Mediterranean anemia, is caused by a defect in the synthesis of globin chains in hemoglo...[Read More] Understanding Anemia: Should You Take Iron Supplements or Seek Further Testing?
Understanding Diarrhea and Cramps: Is Your Medication to Blame?
Recently experiencing diarrhea? Hello, I have been prescribed Sivena for menstrual regulation due to low estrogen levels by my gynecologist. Recently, during my workouts, I've experienced cramping in my abdomen followed by diarrhea. Yesterday, my menstrual cycle started, and...
Dr. Lin Zhebin Reply:
Hello: The more common side effects of the medication Siwena for menstrual regulation include breast swelling, nausea, headaches, edema, and irregular vaginal bleeding. Abdominal pain and diarrhea are less common. Based on your description, your abdominal pain and diarrhea may be...[Read More] Understanding Diarrhea and Cramps: Is Your Medication to Blame?
Why Drinking Yogurt May Increase Gas and Odor: A Medical Insight
Issues with flatulence after consuming yogurt? Hello Doctor: I sometimes notice that my flatulence has an unpleasant odor, and I thought it might be due to an overgrowth of harmful bacteria in my gut. Recently, I started drinking unsweetened yogurt daily to increase beneficial ba...
Dr. Lin Zhebin Reply:
Hello: Foul-smelling flatulence is often related to the foods consumed, such as a higher intake of red meats (like pork, beef, and lamb), strong-smelling foods (like garlic and onions), gas-producing foods (like legumes and sweet potatoes), and processed foods high in sugar. It i...[Read More] Why Drinking Yogurt May Increase Gas and Odor: A Medical Insight
Is Your Boyfriend's Weight Loss Normal? Understanding Healthy Changes
Weight issues Hello, doctor. My boyfriend (19 years old, 173 cm tall, weighing about 72 kg two months ago and now approximately 66 kg) has lost about 6 kg in the past two months without intentionally dieting. His sleep schedule has improved to going to bed around 11 PM and waking...
Dr. Chen Bozhang Reply:
Hello, Xuan: In your letter, you mentioned that your boyfriend has lost 6 kilograms in two months. Weight changes must be assessed by considering both total caloric intake (energy input) and activity level (energy expenditure). During these two months, his sleep duration decreas...[Read More] Is Your Boyfriend's Weight Loss Normal? Understanding Healthy Changes
Understanding Blood Pressure Readings: Home vs. Hospital Measurements
Blood pressure inquiry consultation? Dear Dr. Lin, Today, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had a "tunnel-type" blood pressure monitor. I measured my blood pressure while wearing a coat, and the r...
Dr. Lin Zhebin Reply:
Hello: 1. The situation you experienced in the hospital while measuring blood pressure with a cuff-style sphygmomanometer may have been affected by wearing a coat, which can interfere with the inflation and deflation of the cuff as well as the detection of blood pressure. There...[Read More] Understanding Blood Pressure Readings: Home vs. Hospital Measurements
Understanding Blood Pressure Changes: Are You at Risk for Hypertension?
Blood pressure readings Hello Dr. Yeh, I have been measuring my blood pressure for the past six years, and it has been around 102/68 (I only measure it twice a year). Recently, in the past month, my readings have been approximately 129/68 and 123/78. Is this considered prehyperte...
Dr. Ye Qianyu Reply:
Hello! Based on your blood pressure readings, you are classified as having prehypertension. It is recommended that you manage your diet and exercise, and monitor your weight, blood sugar, and lipid levels for any abnormalities. If there are any issues, it is advisable to follow u...[Read More] Understanding Blood Pressure Changes: Are You at Risk for Hypertension?
Is My Blood Pressure Rising? Understanding Prehypertension Risks
Blood pressure issues Hello doctor, I would like to ask about my blood pressure. For the past six years, I have measured it approximately twice a year, and it has been around 102/68. Recently, in the last month, my readings have been around 129/68 and 123/78. Is this considered p...
Dr. Lin Zhebin Reply:
Hello: By definition, a systolic blood pressure of 120-139 or a diastolic blood pressure of 80-89 is classified as prehypertension. Therefore, the blood pressure values you provided meet the criteria for a diagnosis of prehypertension. Additionally, it is important to consider yo...[Read More] Is My Blood Pressure Rising? Understanding Prehypertension Risks
Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Postprandial diarrhea I have been experiencing diarrhea for over a week. Last week, I visited a doctor who prescribed me anti-diarrheal medication, and there has been some improvement, with diarrhea occurring twice a day now. However, I still feel the urge to have a bowel movemen...
Dr. Lin Zhebin Reply:
Hello: Regarding your diarrhea issue, it is indeed important to consider the possibility of a concurrent infection, which is commonly viral or bacterial. If there is blood or mucus in the stool, it is more likely to be a bacterial infection, and I recommend seeking medical attent...[Read More] Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Postprandial diarrhea I have been experiencing diarrhea for over a week. Last week, I visited a doctor who prescribed me anti-diarrheal medication, and there has been some improvement, as I now have diarrhea twice a day. However, I still feel the urge to have a bowel movement imm...
Dr. Lin Zhebin Reply:
Hello: Regarding your diarrhea issue, we will first consider more common causes such as infections (bacterial and viral) and dietary factors. Additionally, given your situation, we may also consider whether inflammation of nearby pelvic organs (such as the vagina, uterus, fallopi...[Read More] Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights