Gout, Family Medicine FAQ - Page 2

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Managing Bipolar Disorder: Health Risks and Dietary Advice

Problems caused by bipolar disorder Hello, doctor. I have been diagnosed with bipolar disorder for six or seven years. Due to the bipolar disorder, I experience autonomic nervous system dysregulation, which can eventually lead to chronic conditions such as hypertension, diabetes,...


Dr. Liao Yaopan Reply:
Hello, first of all, do you follow your doctor's instructions regarding medication management for bipolar disorder? Regular management is very important. As for the development of many chronic diseases, it is caused by multiple factors, and thorough investigation and treatme...

[Read More] Managing Bipolar Disorder: Health Risks and Dietary Advice


Understanding My Father's Foot Pain: Causes and Solutions

Regarding my father's foot pain? My father is 61 years old and has a habit of exercising in the morning, either by walking or doing calisthenics. However, he often experiences swelling and pain in his ankles or the tops of his feet. After resting for a few days, his conditio...


Dr. Chen Bozhang Reply:
Hello: In response to your question, gout is very likely based on the description provided. However, it is not accurate to make assumptions. Please take your father for a consultation as soon as possible. I recommend seeing an orthopedic specialist, who can conduct blood tests, X...

[Read More] Understanding My Father's Foot Pain: Causes and Solutions


Steroid-Induced Obesity: Exploring Weight Loss Surgery Options

Obesity caused by steroid use and seeking gastric bypass surgery for weight loss? I mistakenly consumed a compounded pain medication from the pharmacy, thinking it was a regular analgesic, for four years. I took it for various types of pain, including toothaches, menstrual cramps...


Dr. Lai Hexian Reply:
Hello, please visit the Metabolism Clinic for further evaluation after your appointment.

[Read More] Steroid-Induced Obesity: Exploring Weight Loss Surgery Options


Understanding Lead Poisoning: Causes and Concerns for Home Environments

Lead poisoning Hello, Dr. Tsai! Recently, my mother was diagnosed with lead poisoning at Chang Gung Memorial Hospital. However, my mother is just a housewife; she neither works in a factory nor uses any unknown cosmetics. How could she have lead poisoning? Is it possible that the...


Dr. Cai Ruiyuan Reply:
In general, the manufacturing or smelting of alloys, such as solder, printing type, brass products, and bronze products, involves the application of lead compounds, particularly in the preparation of lead-containing paints, pigments, or colorants, the manufacturing or recycling o...

[Read More] Understanding Lead Poisoning: Causes and Concerns for Home Environments


Essential Tips for Using Protein Supplements to Build Muscle

High-protein supplements Dear Doctor, what should one be aware of when consuming high-protein supplements available on the market for muscle gain?


Dr. Lai Junlong Reply:
Hello: In response to your question. These types of supplements are mostly used by athletes, and high-protein foods can easily increase the burden on the kidneys. Individuals with chronic conditions such as hypertension and diabetes should select these supplements under the guida...

[Read More] Essential Tips for Using Protein Supplements to Build Muscle


Understanding Unexplained Foot and Limb Cramps: Causes and When to Seek Help

Dull pain Hello Doctor, in the past three months, I have started experiencing cramping pain in the soles of my feet. The first occurrence was about three months ago, when the area at the base of my toes began to hurt, but it went away on its own after about three days. The second...


Dr. Cai Jueren Reply:
Hello, the symptoms you described are quite detailed. Since your pain is not severe and lasts only a few seconds, gout and arthritis can likely be ruled out. Additionally, you did not mention any trauma, so a fracture is also unlikely. However, you did not provide your height and...

[Read More] Understanding Unexplained Foot and Limb Cramps: Causes and When to Seek Help


Understanding Recurring Inflammation in Fingers and Toes: Causes and Solutions

The hands/feet or toes often experience redness and swelling? Hello, Doctor. I often experience unexplained inflammation and swelling, approximately once every 1 to 2 months, mostly occurring in the big toes of my hands and feet. Each time I visit a general clinic, I am prescribe...


Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: In general, the occurrence of gout is not directly proportional to uric acid levels. To determine whether your "similar gout" is indeed induced by uric acid,...

[Read More] Understanding Recurring Inflammation in Fingers and Toes: Causes and Solutions


Can Fish Oil Be Consumed by Those with Gout and High Uric Acid?

If you cannot eat seafood, can you take fish oil? Individuals with gout and high uric acid levels should avoid seafood. However, the consumption of fish oil may be acceptable, as it does not typically raise uric acid levels. It is advisable to consult with a healthcare profession...


Dr. Huang Jianling Reply:
Uric acid is a nitrogenous substance found in purines, which are genetic materials such as DNA. It can be synthesized by the body or derived from the metabolism of body tissues or food, such as in cases of injury, intense exercise, or binge eating. Generally, organ meats, gravies...

[Read More] Can Fish Oil Be Consumed by Those with Gout and High Uric Acid?


Is Your Daily Water Intake Normal? Understanding Hydration Needs

Regarding daily water intake? Symptoms: I have read some reports stating that one should drink at least 1500 to 2000 cc of water per day. However, I drink less than 1500 cc daily. Whenever I drink more than 1000 cc, I have to go to the bathroom every 40 to 50 minutes, and the uri...


Dr. Huang Jianling Reply:
Hello MIMI: Water constitutes about 70% to 80% of body weight and provides various essential components to cells while also helping to metabolize waste products from the cells. In general, aside from obtaining moisture from food, an individual should drink 6 to 8 cups of water an...

[Read More] Is Your Daily Water Intake Normal? Understanding Hydration Needs


Weight Loss Tips for Gout Sufferers with High Uric Acid Levels

Individuals with high uric acid levels and gout should consider the following strategies for weight loss: 1. **Balanced Diet**: Focus on a diet rich in fruits, vegetables, whole grains, and low-fat dairy products. Limit intake of purine-rich foods such as red meat, organ meats, ...


Dr. Huang Jianling Reply:
Obesity and excessive intake of high-purine foods can lead to elevated uric acid levels. High levels of physical activity can also increase uric acid. It is recommended to drink 2,000 to 3,000 cc of plain water daily and to limit the consumption of high-purine foods. If gout atta...

[Read More] Weight Loss Tips for Gout Sufferers with High Uric Acid Levels


Understanding Mysterious Heel Pain: Causes and When to Seek Help

Unexplained heel pain? Hello, Doctor. Thank you for taking the time to respond to my question despite your busy schedule. About two weeks ago, I started experiencing unexplained pain in my heels every morning when I get up. The pain persists while walking and only lessens after w...


Dr. Lin Mingxing Reply:
Dear Xiao Ying, This is Dr. Lin Ming-Hsing, the Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan. Essentially, inflammation of the fascia or periosteum in soft tissues is a primary consideration. Additionally, bone spurs or os...

[Read More] Understanding Mysterious Heel Pain: Causes and When to Seek Help


Understanding Persistent Health Issues: A Journey Through Medical Consultations

What exactly is the problem? Hello, my mother is 48 years old, overweight, and her health may not be very good. She often feels unwell, especially since mid-last year when her symptoms have worsened. Initially, she experienced discomfort in her throat and visited a clinic nearby....


Dr. Huang Jianling Reply:
For those feeling overwhelmed: It is recommended to regularly visit a medical center for a comprehensive health check-up. This allows for a thorough understanding of potential diseases, rather than just addressing individual issues in various specialties. If you prefer not to pay...

[Read More] Understanding Persistent Health Issues: A Journey Through Medical Consultations


Why Does My Partner Sweat Profusely While Sleeping?

Why do we sweat profusely while sleeping? Dear Dr. Hong: I personally feel neither particularly stuffy nor hot, just comfortable. However, my husband, who sleeps next to me, wakes up drenched in sweat (on his chest and back), and the sheets and comforter are also significantly we...


Dr. Hong Shouhong Reply:
Hello~ 1. "Cold sweating" is a colloquial term in traditional folklore, and there is no detailed medical definition for it. 2. Sweating can be classified as generalized or localized: (1) Generalized sweating is associated with the following conditions: autonomic nervous...

[Read More] Why Does My Partner Sweat Profusely While Sleeping?


Understanding Leg Pain: Causes and Care for Aging Parents

Foot pain Hello, I would like to ask about my father: Recently, he has been experiencing significant pain in the thigh and calf muscles above the knee joint, making it very uncomfortable for him to go up and down stairs. After a consultation, the doctor suggested that it might be...


Dr. Hong Shouhong Reply:
Hello, thank you for your letter regarding your father's foot and leg pain. There are several points to consider, such as how long the pain has been occurring, whether it started suddenly or gradually worsened, any history of sports injuries or improper posture, the duration...

[Read More] Understanding Leg Pain: Causes and Care for Aging Parents


Can Cold Weather Cause Foot Pain? Exploring Symptoms and Solutions

Can cold weather cause foot pain? Hello Doctor: I have a friend who is currently studying in the UK (26 years old, male). He traveled to France a couple of days ago, but suddenly today he is experiencing abnormal pain along the edge of his foot (near the heel). With every step he...


Dr. Liu Jinyong Reply:
Pain along the edge of the heel is often caused by plantar fasciitis. This pain is particularly worse in cold weather or in the morning when the foot is at rest or has cooled down. Additionally, it is important to check for any swelling in the ankle, which may indicate inflammati...

[Read More] Can Cold Weather Cause Foot Pain? Exploring Symptoms and Solutions


Managing Gout and Cardiovascular Health: A Guide for Patients

Gout and Cardiovascular Disease Hello, my husband is 50 years old and is very career-oriented. Due to his job, he often travels extensively around the world. In November of last year, he had a 3.8 cm stent placed in his coronary artery and has been taking the prescribed medicatio...


Dr. Xie Nanguang Reply:
According to your letter: 1. Your husband already has a history of gout. 2. You mentioned that you have stopped the heart disease medication, aspirin, which indicates that your husband also has heart disease! Aspirin is commonly used for ischemic heart disease (since your husband...

[Read More] Managing Gout and Cardiovascular Health: A Guide for Patients


Which Medical Specialty Should I See for My Numb Toe?

I don't know which specialty to see? Recently, I've noticed something unusual with my left big toe. Compared to my other toes, it feels somewhat numb when I touch it (meaning I can barely feel my hand touching it). Over the past few days, I've also experienced a sh...


Dr. Liu Jinyong Reply:
According to the description provided by this user, common conditions among female patients include hallux valgus, paronychia, and there may also be possibilities of gout, tendinitis, etc. It is necessary to assess based on clinical symptoms and presentations, and it is recommend...

[Read More] Which Medical Specialty Should I See for My Numb Toe?


Understanding Sudden Thigh Pain: When to Seek Medical Advice

Thigh pain I am an office worker who sits at a desk, and over the past few months, I have been experiencing occasional unexplained pain in my left thigh while sitting without exertion. The pain is located approximately in the mid-thigh area, not at the joint. When it occurs, it c...


Dr. Sun Weixu Reply:
Hello Mr. Amin: Leg pain is one of the most common symptoms. The legs bear the body's weight daily, and standing for too long or walking excessively can lead to leg pain, weakness, and even numbness. Additionally, intense exercise, inappropriate footwear, and sprains can als...

[Read More] Understanding Sudden Thigh Pain: When to Seek Medical Advice


Understanding Common Health Concerns: From Weakness to Digestive Issues

Feeling unwell all over..? I feel weakness in my calves (I have already completed treatment for knee joint inflammation); I have previously experienced high uric acid levels, could this lead to gout in the future? After eating, I often regurgitate liquids and food, or I experienc...


Dr. Fang Sijie Reply:
Dear Little Duck, 1. If uric acid accumulates in the joints, it can lead to gout. 2. I wonder if you are experiencing upper abdominal pain? Based on your description, it may not necessarily be a gastric ulcer; it could simply be gastritis or functional gastrointestinal disorder ...

[Read More] Understanding Common Health Concerns: From Weakness to Digestive Issues


What to Expect During a Comprehensive Health Checkup?

Comprehensive physical examination? Hello. What does a full body check-up include?


Dr. Lin Mingxing Reply:
Health Checkup Name: Outpatient Comprehensive Health Examination Examination Items: 1. General Examination - Height, Weight, Blood Pressure, Pulse, Vision, Color Blindness, Hearing 2. Urinalysis - Color, Glucose (Glu), Bilirubin (Bil), Ketones (Ket), Specific Gravity (Sp...

[Read More] What to Expect During a Comprehensive Health Checkup?


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