Understanding Shoulder and Back Pain After Alcohol and Spicy Food Consumption
Inquiring about shoulder and upper back pain issues? Hello, Doctor: Recently, whenever I consume a large amount of alcohol, I experience significant soreness in my shoulders and back, which takes about 6-8 hours to alleviate. Yesterday, after eating spicy hot pot, I began to feel...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it may be referred pain or exacerbation of an existing condition. I recommend that you first consult a gastroenterologist or a hepatobiliary specialist.[Read More] Understanding Shoulder and Back Pain After Alcohol and Spicy Food Consumption
How to Choose the Right Specialist for High LDL-C Levels
Abnormal LDL-C - How to make an appointment at the outpatient clinic? Hello: During last year's health check-up (September 2022), I noticed several abnormalities, among which my LDL-C has been above the normal range for several consecutive years. I later attended a consultat...
Dr. Xiao Yongxun Reply:
1. If a patient is experiencing chest tightness, chest pain, or acute coronary syndrome, it is recommended to directly schedule an appointment with a cardiologist. 2. If there are no heart-related diseases and only abnormal cholesterol levels are present, then a cardiologist, end...[Read More] How to Choose the Right Specialist for High LDL-C Levels
Winter Foot Pain: Causes and When to See a Doctor
Pain on the dorsum of the foot due to exposure to cold wind in winter? Hello doctor, since junior high school, whenever my feet remain in a fixed position (motionless), the dorsum of my foot experiences pain when exposed to cold air in winter. For example, after riding a motorcyc...
Dr. Lin Zhebin Reply:
Hello: The pain in the dorsum of your foot caused by exposure to cold air is likely due to the constriction of blood vessels in the area, which affects the blood circulation to the local nerves, leading to numbness and pain. It is advisable to pay attention to and enhance the war...[Read More] Winter Foot Pain: Causes and When to See a Doctor
Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief
My father is experiencing pain in both his ankle and shoulder joints, diagnosed with osteoarthritis. He also has weakness in his legs and is considering receiving hyaluronic acid injections? Hello Doctor: I found a similar article on your website <a href="https://adoctor....
Dr. Chen Bozhang Reply:
Dear Wesley online user, In your message, you mentioned that your 93-year-old father is experiencing degenerative arthritis in multiple joints. Regarding treatment options beyond medication, I recommend taking your father to an orthopedic or rehabilitation clinic (preferably one...[Read More] Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief
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?
Alternatives to Colchicine for Gout in Patients with Favism
Favism & Gout Hello, due to having favism, I have experienced a gout attack in the past few days. I have a history of gout and have seen a rheumatologist who prescribed colchicine and pain relievers. However, I recently discovered that individuals with favism should not take ...
Dr. Hou Angting Reply:
Hello Zeze: I suggest you discuss gout medication with a rheumatologist. Wishing you good health.[Read More] Alternatives to Colchicine for Gout in Patients with Favism
Understanding Knee Extension Issues: Could Gout Be the Cause?
Inability to fully extend the knee? Hello doctor, I started experiencing sudden soreness in my thigh last night, which later progressed to difficulty fully extending my leg while walking, accompanied by significant soreness and pain. Could this be related to gout? I have high uri...
Dr. Hou Angting Reply:
Hello, user: I recommend that you visit a family medicine specialist for an examination to clarify the cause of your condition. Wishing you a swift recovery to good health.[Read More] Understanding Knee Extension Issues: Could Gout Be the Cause?
Persistent Ankle Swelling and Pain: Seeking the Right Specialist
The right ankle has been swollen and painful for over six months? Hello doctor, my mother-in-law has swelling and pain in her ankle. She previously consulted a rehabilitation specialist who diagnosed her with soft tissue tendonitis. After two months of rehabilitation, there was n...
Dr. Cai Dongqi Reply:
Hello: Swelling and pain are mostly due to tendonitis. If there is redness and warmth without an open wound, gout should be suspected. If there is an open wound, cellulitis may be the cause. It is advisable to first visit an orthopedic outpatient clinic.[Read More] Persistent Ankle Swelling and Pain: Seeking the Right Specialist
Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns
Numbness in the hands, feet, and head, as well as dizziness during sleep? Hello Dr. Hsiao, Over the past year, I have experienced intermittent numbness in my hands, feet, and head while sleeping. This does not occur continuously but happens during the sleep process. It seems to ...
Dr. Xiao Yongxun Reply:
Dear Miss, 1. There are many causes for numbness in the hands, feet, and head; more common and serious issues include atherosclerosis, atrial fibrillation, gout, hypertension, diabetes, cervical and lumbar spine diseases, vitamin deficiencies, and autonomic nervous system disord...[Read More] Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns
Understanding Intermittent Foot Pain: Causes and Solutions
Pain and swelling in the soles of the feet? Hello Doctor: Occasionally, I experience sudden swelling and pain in the ball of my foot and toes. The affected area appears slightly red and swollen, and I feel pain when walking or pressing on it, but I don't have any particular ...
Dr. Xiao Yongxun Reply:
Dear Ms. Mia: 1. There are many potential differential diagnoses for your issue, with the more common ones being fasciitis, ligamentitis, corns, arthritis, infections, and hallux valgus, among others. Of course, there are also other less common conditions such as gout and autoi...[Read More] Understanding Intermittent Foot Pain: Causes and Solutions
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 Sudden Warm Sensations in the Ankle: When to Seek Medical Advice
The ankle experiences intermittent warmth? For the past 5-6 days, I have been experiencing a sudden sensation of warmth on the outer side of my left ankle, which lasts for 1-5 seconds and occurs about ten times a day. The temperature of the ankle feels normal to the touch, and th...
Dr. Xiao Yongxun Reply:
Dear Ms. VV: The intermittent warmth sensation in your left ankle may warrant consideration of common differential diagnoses, primarily including cellulitis, osteoarthritis, gouty arthritis, localized tendon or ligament inflammation, rheumatoid arthritis, autoimmune diseases, and...[Read More] Understanding Sudden Warm Sensations in the Ankle: When to Seek Medical Advice
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 Joint Pain and Swelling in Fingers and Toes
Swelling and pain in the hands and feet? Hello, I started working at a cake factory on January 21, 2019. The factory temperature is low, and the cake products are even colder. Starting two weeks ago, I began to experience pain in my finger joints. Last week, my finger joints beca...
Dr. Liu Hongxiang Reply:
Hello, thank you for your inquiry: Based on the information provided, there is redness, swelling, pain, and limited mobility in the joints, which is most severe in the morning. This suggests the presence of arthritis or inflammation of the joint-related tissues. To determine the ...[Read More] Understanding Joint Pain and Swelling in Fingers and Toes
Can You Take Uric Acid and Liver Health Medications Together?
Can medications for lowering uric acid be taken simultaneously with liver-protective medications? Recently, I have been experiencing frequent foot pain, so I visited a general clinic for medical attention. Following the doctor's recommendations, I underwent blood tests and d...
Dr. Xiao Yongxun Reply:
Dear Mr. Wang: **Allopurinol Tablets® (Allopurinol; 100 mg):** 1. Allopurinol is a purine derivative that reduces uric acid synthesis by competitively inhibiting the last two steps of uric acid biosynthesis, which are catalyzed by xanthine oxidase. Uric acid is less soluble th...[Read More] Can You Take Uric Acid and Liver Health Medications Together?
Understanding Pain on the Top of the Foot: Causes and Insights
Dorsal foot pain Hello, about two weeks ago, I accidentally discovered that the area on the dorsum of my right foot, above the fourth and fifth toes, is painful to the touch. There was no injury, redness, swelling, or bruising, and I do not experience any discomfort while walking...
Dr. Wu Fangcan Reply:
If you have already reached menopause, you should suspect gout as a potential cause. If you wear high heels, consider musculoskeletal discomfort. If you frequently engage in hiking, you should consider fatigue fractures. Please consult an orthopedic or rehabilitation specialist f...[Read More] Understanding Pain on the Top of the Foot: Causes and Insights
Understanding Left Heel Pain: Causes and When to Seek Medical Help
Pain in the left heel? Pain in the left heel has been present for some time, although it does not affect walking. I am unsure what could be causing it. Which specialty should I consult? Is this gout?
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, you may consult with a rheumatologist or orthopedic specialist for evaluation. It is advisable to identify the underlying cause of long-term pain. Changhua Hospital cares about you.[Read More] Understanding Left Heel Pain: Causes and When to Seek Medical Help
Understanding Your Health Check Report: Interpreting Abnormal Results
Health Check Report The health check results show: heart rate 56 beats per minute, uric acid (UA) 10.3 mg/dL, cholesterol (CHOL) 220 mg/dL, lactate dehydrogenase (LDH) 210 U/L, red blood cell count (RBC) 4.01 million cells/µL, hematocrit (HCT) 40.4%, mean corpuscular hemoglobin (...
Dr. Chen Bozhang Reply:
Hello, in response to your question: Essentially, the military service health examination differs from the subsequent health check items you underwent. The military examination did not test for UA, CHO, or LDH as you mentioned in your letter; only RBC, hematocrit, and MCH are the...[Read More] Understanding Your Health Check Report: Interpreting Abnormal Results
Understanding Your Health Check Report: What Do Abnormal Results Mean?
Medical Examination Report Today, I went to the hospital to pick up my school health examination report and found three items marked in red! 1. The white blood cell count (WBC) is 4.9, while the normal range indicated is 5.0 to 10.0. All other blood test results are within normal...
Dr. Wu Fangcan Reply:
1. The standard range for WBC measurement is 5.0 to 10.0. There is no significant health difference between 4.9 and 5.0; however, they do not fall into the normal or abnormal categories. It is recommended to exercise more and follow up later. 2. Urine pH can vary with diet. A p...[Read More] Understanding Your Health Check Report: What Do Abnormal Results Mean?
Understanding High Uric Acid Levels: Causes and Management Tips
Uric acid Dr. Tsai: I have a habit of donating blood, and the blood donation center also checks some health parameters for us. One of these is the uric acid level, which is 7.1. It shows that the normal range for males is 3.5 to 7.2! It is clearly approaching the high end of the ...
Dr. Cai Ruiyuan Reply:
Hello: In addition to genetics and a high-purine diet, elevated uric acid levels are significantly influenced by medications, alcohol consumption, and being overweight. Therefore, in addition to dietary control and increased water intake, it is also important to limit alcohol con...[Read More] Understanding High Uric Acid Levels: Causes and Management Tips