Obesity, Family Medicine FAQ - Page 2

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Understanding Symptoms: When to Seek Medical Help for Breathing Issues

Shortness of breath, rapid heartbeat, insomnia, constipation? I am currently a high school student with no obesity issues and no history of congenital heart disease or asthma. A few years ago, a traditional Chinese medicine practitioner suggested that I might have an arrhythmia, ...


Dr. Huang Hongshuo Reply:
Please measure your blood pressure and heart rate once or twice a day, noting the time and any activities prior to measurement, as well as whether you are experiencing any discomfort at that time. Your current diet is significantly unbalanced; please consult a nutritionist about ...

[Read More] Understanding Symptoms: When to Seek Medical Help for Breathing Issues


Disappearance of Inner Thigh Lump: Should You Be Concerned?

The lump on the inner thigh has disappeared? Previously, I was unsure if it was due to wearing tight underwear (as there were noticeable indentations on the inner thighs), combined with my obesity, which led to friction and resulted in a red, swollen area about 1.5 centimeters in...


Dr. Wu Zongying Reply:
Hello: Most lumps that disappear are usually not a cause for concern. As for the original cause of the lump (soft), I cannot determine it since I have not seen it in person. However, in addition to the lymph nodes you mentioned in your letter, it could also be a skin rash or fung...

[Read More] Disappearance of Inner Thigh Lump: Should You Be Concerned?


Understanding Eosinophil Levels in Type 2 Diabetes: What You Need to Know

Eosinophils Type 2 diabetes diagnosed for 8 years. Blood test report shows Eosinophil count at 9.5% (normal range: 1-6%). Previous results include: 8.0% on May 28, 2020; 7.2% on December 26, 2019; 9.2% on May 25, 2019; and 7.6% on October 24, 2017. Other lab results: - AC: 115...


Dr. Xiao Yongxun Reply:
Dear Mr. AC: 1. The main causes of eosinophilia (eosinophilic leukocytosis) include allergic diseases, parasitic infections, and certain cancers (such as Hodgkin's lymphoma). Your eosinophil count is indeed slightly elevated, but not significantly so; it may be a normal var...

[Read More] Understanding Eosinophil Levels in Type 2 Diabetes: What You Need to Know


Understanding Blood Sugar Levels in Children with Influenza Fever

Blood sugar levels in children with influenza and fever? Dear Doctor, Last October, my son (6 years and 3 months old) had a fever due to influenza for five days and had some small red spots on his hands. We went to the clinic for a follow-up, and the doctor referred us to a maj...


Dr. Xiao Yongxun Reply:
Dear Mr. Kelvin: 1. There are many diseases associated with fever and rash in children. In our country, it is particularly important to consider varicella (chickenpox), measles, rubella, roseola, enterovirus infections, scarlet fever, infectious erythema, Kawasaki disease, dengu...

[Read More] Understanding Blood Sugar Levels in Children with Influenza Fever


Understanding Breathlessness and Elevated Liver Enzymes: A Patient's Journey

Hello, doctor? Hello Doctor, I apologize for the lengthy message, but I would appreciate your attention. I have been suffering from cellulitis in my leg since March 5th of this year, which has rendered me completely immobile. By early April, my weight increased from 80 kg to 100 ...


Dr. Ye Qianyu Reply:
Hello! Regarding your difficulty in breathing and abnormal liver function, these may be related to weight gain. It is recommended that you reduce caloric intake and engage in moderate exercise (focusing on upper body movements and rolling exercises). For your breathing issues, yo...

[Read More] Understanding Breathlessness and Elevated Liver Enzymes: A Patient's Journey


Essential Tests for Diabetes Diagnosis and Dietary Guidance

Dear Dr. Hsiao: What tests should be done to diagnose diabetes? When visiting a medical laboratory for tests, what should be checked? Should I test for fasting blood glucose levels, hemoglobin, or other items? Additionally, if someone has diabetes, can they consume sugar-free bev...


Dr. Xiao Yongxun Reply:
Dear Mr. Luka: 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...

[Read More] Essential Tests for Diabetes Diagnosis and Dietary Guidance


Understanding High Total Cholesterol Despite Normal Lipid Levels

Elevated total cholesterol? The company's health check results show a total cholesterol level of 243, triglycerides at 81, HDL at 96.6, and LDL at 107.3. The latter three values are normal, and the individual regularly consumes vegetables. However, why is the total cholester...


Dr. Cai Dongqi Reply:
Hello, there are many reasons for high cholesterol levels, including genetics, aging, and lifestyle factors. Regarding lifestyle, poor dietary habits, obesity, lack of exercise, and stress management are all potential contributors. It is recommended that you maintain good dietary...

[Read More] Understanding High Total Cholesterol Despite Normal Lipid Levels


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 glucose levels around 110, and I have not yet developed diabetes. Therefore, I want to establish a regular exercise routine to prevent the onset of diabetes. I have a question regarding the recently popula...


Dr. Xiao Yongxun Reply:
Dear Mr. Lin Sen: 1. TABATA is primarily a form of high-intensity interval training (HIIT); it involves performing maximum intensity exercise for 20 seconds, followed by a 10-second rest, repeated for a total of 8 rounds, resulting in an overall duration of about 4 minutes. It c...

[Read More] Can Tabata Workouts Effectively Lower Blood Sugar Levels?


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


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


Waking Up with Swollen and Painful Fingers: Causes and Solutions

Waking up with swollen and painful hands and fingers? Hello, I would like to ask: Recently, when I wake up every day, all five fingers on both hands are swollen and painful. However, after shaking my hands and massaging my fingers, they return to normal. This issue does not occur...


Dr. Cai Dongqi Reply:
Hello, it is recommended that you visit the family medicine department or obesity clinic at various hospitals for further follow-up.

[Read More] Waking Up with Swollen and Painful Fingers: Causes and Solutions


Understanding Unexplained Symptoms: Could Obesity and Hormonal Changes Be the Cause?

Many unexplained symptoms? Hello Doctor: Recently, I have been experiencing several puzzling symptoms. 1. In recent years, I often feel a heavy head or have headaches. Sometimes I think that taking a nap will help, but instead, it makes the pain worse. A few years ago, I had an...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms of pain may not necessarily be related to obesity. It is recommended that you consult a rheumatologist for diagnosis and treatment. Additionally, please confirm whether you have progressed to obesity after using menstrual regulation ...

[Read More] Understanding Unexplained Symptoms: Could Obesity and Hormonal Changes Be the Cause?


Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms

Is it really a urinary tract infection? Hello, my mother has undergone a bladder suspension surgery, but in recent years, the surgical sutures have come loose, leading to urinary incontinence that requires her to wear adult diapers to maintain her daily life (she also changes the...


Dr. Chen Taicheng Reply:
● If the issue is related to postoperative sutures, the focus should be on addressing the sutures or any ongoing urinary incontinence problems. Women may experience pelvic organ prolapse (such as the uterus, vagina, urethra, and intestines) due to childbirth, aging, estrogen defi...

[Read More] Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms


Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights

Elevated white blood cell count, triglycerides, total cholesterol, and fasting blood glucose levels? Hello Doctor: I recently had blood tests done on March 6, which included urine, blood, liver, and kidney function tests. The results showed elevated white blood cells (17,140), tr...


Dr. Chen Taicheng Reply:
● There are many causes for elevated white blood cell counts, including inflammation, infection, or other diseases. It is advisable to monitor for symptoms such as fever, sore throat, diarrhea, or other recent significant physical discomfort. If none are present, it is still reco...

[Read More] Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights


Should You See a Family Doctor for Abnormal Belly Size?

If you have a distended abdomen, you should consult a family medicine physician? I am 22 years old, with a standard weight and body shape, but I have an unusually large abdomen that looks like I am pregnant. I'm not sure if this is simply obesity or if there is an underlying...


Dr. Liao Yaopan Reply:
Hello, you can first consult your family physician or a gastroenterologist for assistance in evaluating your condition at Changhua Hospital. They care about you.

[Read More] Should You See a Family Doctor for Abnormal Belly Size?


Effective Weight Loss Tips for Students: Managing BMI and Diet

Weight loss and slimming? 1. I am currently a student with a BMI of over 20, but compared to others of the same height, my thighs and buttocks are noticeably larger, while my waist is relatively slim. I often get teased about this. Can you explain why this happens? Are there ways...


Dr. Gao Qingyun Reply:
Hello! Before making any interventional changes to your body, it is advisable to consult with a family medicine specialist to assess whether there are any underlying systemic diseases or deviations from normal values in the population before implementing dietary and exercise cont...

[Read More] Effective Weight Loss Tips for Students: Managing BMI and Diet


How to Address Health Concerns from Your Recent Check-Up

Health Report Hello, doctor. I previously had a health check-up due to work and have some questions to ask you. I am 20 years old, 155 cm tall, and weigh 62 kg. The report indicates abdominal obesity, overweight, a white blood cell count of 11,500, the presence of glucose in urin...


Dr. Wu Fangcan Reply:
According to the data you provided, a BMI of 25.6 (recommended range 22-24) indicates overweight. The presence of glucose in the urine suggests that blood sugar levels may also be elevated (possibly due to insulin resistance related to being overweight). Elevated liver enzymes ma...

[Read More] How to Address Health Concerns from Your Recent Check-Up


Understanding Male Menopause: Symptoms, Care, and Treatment Options

Male menopause What are the symptoms of male menopause, how can it be managed or treated, and which medical specialty should be consulted?


Dr. Chen Bozhang Reply:
Hello, netizen: Male menopause is a broad health issue that encompasses physiological, psychological, and social aspects. Common symptoms include several categories: 1) Psychological: mood instability, anxiety, depression, difficulty concentrating, insomnia, etc. 2) Sexual dysfun...

[Read More] Understanding Male Menopause: Symptoms, Care, and Treatment Options


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