Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns
Persistent numbness in the limbs and dizziness after napping during menstruation? Hello, Doctor: I have issues with polycystic ovary syndrome and iron deficiency anemia. My menstrual period started two days ago, and I experienced light bleeding yesterday. After taking a nap today...
Dr. Lin Zhebin Reply:
Hello: I personally believe that your discomfort is more likely due to anemia, as you have iron deficiency anemia. Additionally, your menstrual cycle may exacerbate the anemia. Typical symptoms of anemia include dizziness and weakness, and it is also possible to experience numbne...[Read More] Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns
Understanding High Copper Levels in Urine: What You Need to Know
Elevated copper levels in health check-up? Hello Doctor, I had a health check two weeks ago, and my urine test showed the following results: copper (+++), protein (+-), and white blood cells (+). All other parameters like creatinine and uric acid were normal. What could be the ca...
Dr. Lin Zhebin Reply:
Hello: Regarding the elevated ketone levels in your urine test, the most common reason is due to fasting prior to the health examination. Fasting can lead to a decrease in blood glucose levels, causing the body to switch from utilizing glucose to metabolizing fatty acids into ket...[Read More] Understanding High Copper Levels in Urine: What You Need to Know
Is It Safe to Get the COVID Vaccine with Complicated UTI?
Inquire whether it is appropriate to receive the vaccine? Hello Doctor, I would like to ask about complex antibiotic-resistant urinary tract infections (UTIs) accompanied by infections in other parts of the urinary system. I have been experiencing recurrent infections and inflamm...
Dr. Lin Zhebin Reply:
Hello: Based on your current condition, you are eligible to receive the COVID-19 vaccine, and there is no evidence linking the COVID-19 vaccine to urinary tract infections or panic disorders. However, the cause of your recurrent complex urinary tract infections should be investig...[Read More] Is It Safe to Get the COVID Vaccine with Complicated UTI?
Understanding Prolonged Urination and Enlarged Bladder Issues
Prolonged urination time and issues related to bladder size? Due to a long-standing habit of holding in urine since childhood, I only urinate twice a day, and my urination time is significantly longer than others. Recently, I heard that a urination time greater than one minute co...
Dr. Ye Qianyu Reply:
Hello! Long-term urinary retention may lead to bladder elasticity fatigue, resulting in subsequent issues such as bladder weakness and secondary urinary tract infections. Fortunately, the current examination results are still normal. It is recommended that you increase your urina...[Read More] Understanding Prolonged Urination and Enlarged Bladder Issues
Understanding Low Urination Frequency: When to Seek Medical Advice
Bladder and urinary frequency issues? I drink a normal amount of water, about 2000 to 2500 cc per day, but since childhood, I have noticeably urinated less frequently than those around me, only about 2 to 3 times a day. I don't easily feel the urge to urinate, but health che...
Dr. Ye Qianyu Reply:
Hello! It is advisable not to develop the habit of holding in urine, as it can lead to bladder dysfunction and issues such as urinary reflux. Based on the current situation, you can start by adjusting your water intake and the frequency of bathroom visits. If you experience any d...[Read More] Understanding Low Urination Frequency: When to Seek Medical Advice
Understanding Left Lower Abdominal Pain: Causes and Solutions
Left lower abdominal pain? Hello doctor, I was diagnosed with endometrial polyps and underwent surgery at the end of November 2021 due to abnormal menstrual bleeding (I forgot the exact location of the polyps). After that, I experienced irregular pain in the left vulvar area, whi...
Dr. Ye Qianyu Reply:
Hello! Based on your description of unexplained pain in the left inguinal region and external genitalia, the nerve root distribution may correspond to the twelfth thoracic vertebra, first lumbar vertebra, and sacral segments 2-4. It is recommended that you consult a rehabilitatio...[Read More] Understanding Left Lower Abdominal Pain: Causes and Solutions
Understanding Lower Abdominal Pain: Seeking the Right Specialist
Lower abdominal pain? Hello Doctor: For the past three years, I have been experiencing a vague stabbing and burning sensation in the area just above the genital region, as well as a tight feeling in both groins. I have undergone a gynecological examination, hysterosalpingography,...
Dr. Xiao Yongxun Reply:
Dear Ms. Emily: Issues related to the perineum and lower abdomen should indeed consider gynecological or urological problems. Common concerns include infections, tumors, endometriosis, urinary tract stones, and inflammation of the bladder or urethra, among others; of course, ther...[Read More] Understanding Lower Abdominal Pain: Seeking the Right Specialist
Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?
Is it necessary to undergo more detailed examinations to confirm autonomic nervous system dysfunction? Hello doctor, around the end of July this year, after having dinner and using my phone, I suddenly felt a brief disconnection in my mind for a second, followed by numbness in my...
Dr. Ye Qianyu Reply:
Hello! Based on your description, alcohol may lead to poor vitamin absorption, which can result in macrocytic anemia, alcoholic hepatitis, acute gastritis, and alcoholic encephalopathy, potentially causing autonomic nervous system dysfunction. It is recommended that you regularly...[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?
Does a Positive Urine Glucose Test Indicate Diabetes?
A urine glucose test result of trace positive (+) may indicate the presence of glucose in the urine, which can be associated with diabetes. However, it is not definitive for diagnosing diabetes. Further testing, such as blood glucose levels or an oral glucose tolerance test, is n...
Dr. Ye Qianyu Reply:
Hello! The diagnosis of diabetes must meet at least one of the following criteria: Hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dL, classic symptoms of hyperglycemia (increased thirst, increased urination, increased hunger, and weight loss) with a random plasma ...[Read More] Does a Positive Urine Glucose Test Indicate Diabetes?
Understanding Intermittent Lower Abdominal Pain: Which Specialist to Consult?
If you are experiencing alternating pain on both sides of the lower abdomen, you should consult a gastroenterologist or a general practitioner? Bilateral lower abdominal spontaneous pain occurs intermittently (not daily, but occasionally for about 1 to 2 months). Sometimes, there...
Dr. Ye Qianyu Reply:
Hello! Please continue with your follow-up in obstetrics and gynecology, and also seek medical attention from a gastroenterologist.[Read More] Understanding Intermittent Lower Abdominal Pain: Which Specialist to Consult?
Understanding Red Flags in Health Check Reports: What to Do Next
Red text in health check reports can be quite alarming? What should I do if my health check report has these red flags? Is it serious? Please advise, thank you! I thought I was healthy~~ Pulse rate 110, urine occult blood 3+, GOT 39, GPT 91.
Dr. Cai Dongqi Reply:
Hello! A urine test showing 3+ hematuria may indicate the possibility of urinary stones (symptoms include back pain, lower abdominal pain, nausea, and abnormal urination) or a urinary tract infection (symptoms include fever, nausea, and loss of appetite). Other causes may exist, ...[Read More] Understanding Red Flags in Health Check Reports: What to Do Next
Understanding Digestive Issues: When to See a Doctor for Your Symptoms
Gastrointestinal diseases Recently, after eating, I feel a sense of hunger as if my stomach is empty. Could this be a peptic ulcer? I have a history of gastroesophageal reflux disease (GERD) and other stomach issues, but lately, I just feel like my stomach is empty shortly after ...
Dr. Xiao Yongxun Reply:
Dear Mr. Pig: 1. The typical symptoms of gastroesophageal reflux disease (GERD) include heartburn, acid regurgitation, dysphagia, epigastric pain, and early satiety. Other atypical symptoms may include endogenous asthma, chronic night cough, hoarseness, reflux laryngitis, vocal...[Read More] Understanding Digestive Issues: When to See a Doctor for Your Symptoms
Understanding Vaccine-Related Fainting: Causes and What to Do Next
Vaccine injection/syncope Hello Dr. Hsiao, my husband received his first dose of the AZ vaccine yesterday, August 4th, at 9:35 AM. After the vaccination, he stayed at the hospital for 20 minutes and then rode his motorcycle home (a 5-minute ride). Once home, he started drinking w...
Dr. Xiao Yongxun Reply:
Dear Ms. Lee: 1. Syncope refers to a transient loss of consciousness and inability to maintain posture due to insufficient cerebral blood perfusion. Its characteristic feature is a rapid recovery of consciousness without the need for treatment. Syncope is a symptom, not a diseas...[Read More] Understanding Vaccine-Related Fainting: Causes and What to Do Next
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Glycated hemoglobin (HbA1c) and fasting blood glucose levels are used to diagnose diabetes? Hello Doctor, I would like to ask you a few questions: I had a diabetes test done a year ago on August 2020, where my fasting blood glucose was 83 mg/dL and my hemoglobin A1c was 5.61%. I ...
Dr. Huang Hongshuo Reply:
The reference upper limit for fasting blood glucose is 99 mg/dL, while the upper limit for blood glucose two hours after a meal is 139 mg/dL. Hemoglobin A1c, often referred to as average blood glucose, has an upper limit of 5.6%. The range for elevated fasting blood glucose is 10...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Could Your Symptoms Indicate Prediabetes? Understanding the Signs
Is it a sign of prediabetes? Hello, Doctor. Since I was young, I have easily experienced many symptoms of hypoglycemia when fasting, such as sudden severe shaking, palpitations, dizziness, and anxiety. Sometimes these symptoms last for 1-2 hours and then turn into stomach pain. A...
Dr. Wu Zongying Reply:
Hello: Based on the symptoms you mentioned in your letter, they do not appear to be indicative of diabetes. Your weight is on the lower side, and your food intake is not substantial; the symptoms resemble hypoglycemia. It is advisable to maintain a normal food intake (to sustain ...[Read More] Could Your Symptoms Indicate Prediabetes? Understanding the Signs
Understanding Elevated White Blood Cell Count: Causes and Concerns
Leukocytosis I would like to ask the doctor, I recently underwent a labor health examination, and my white blood cell count was elevated (12,900 µL). I have also been experiencing hemorrhoids recently; could this be related?
Dr. Cai Dongqi Reply:
Scabies is not related to elevated white blood cell counts. Be aware of any symptoms such as fever, sore throat, wheezing, muscle aches, frequent painful urination, or hematuria. If you experience any of these symptoms, please seek medical attention immediately.[Read More] Understanding Elevated White Blood Cell Count: Causes and Concerns
How Long Can High Blood Sugar Last Before Affecting Health?
How long can persistent high blood sugar affect the body? Grandpa is a long-term diabetes patient. After being diagnosed with diabetes by a Western doctor, he continued to seek treatment at an unlicensed traditional Chinese medicine clinic for a year, believing that they could cu...
Dr. Wu Zongying Reply:
In patients with type 2 diabetes who have poorly controlled or elevated blood glucose levels, intracellular fluid shifts into the bloodstream, leading to hyperosmolarity, which can cause altered consciousness and dehydration. This condition is referred to as Hyperglycemic Hyperos...[Read More] How Long Can High Blood Sugar Last Before Affecting Health?
Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions
Stretching during the transition from sleep to wakefulness can easily lead to calf cramps? Hello: I often experience diarrhea, frequent urination, and insomnia at night, which requires me to take sleeping pills to fall asleep. Sometimes, I wake up in the middle of the night, stre...
Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Regarding your frequent symptoms of "diarrhea, frequent urination, and insomnia," there are many potential causes. It is advisable for you to avoid consuming beverages such as coffee, tea, milk tea, and alcohol. I recommend discussing this matter in de...[Read More] Why Stretching Upon Waking Can Lead to Calf Cramps: Causes and Solutions
Understanding Low-Grade Fever Before Menstruation: When to Seek Help
A low-grade fever before menstruation may persist for more than a week? Hello Doctor: Since around November 16, I have been feeling fatigued in the evenings and going to bed early. On November 19, I felt hot and measured an ear temperature of 37.8 degrees Celsius, while the foreh...
Dr. Wu Zongying Reply:
Hello: You have measured a temperature of 37.8 degrees Celsius with an ear thermometer, which indicates a fever, and it is advisable to seek medical treatment. Forehead temperature readings are generally less accurate. As for which department to visit, it depends on your symptoms...[Read More] Understanding Low-Grade Fever Before Menstruation: When to Seek Help
Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Urinalysis items in a health examination? Hello, I underwent a health check in September, and the report indicated positive results for urine bilirubin (1+), urine ketones (1+), and urine leukocyte esterase (1+), as well as elevated epithelial cells (6-10). On the day of the heal...
Dr. Wu Zongying Reply:
Hello: In cases of urethritis, the urine report should show a white blood cell count exceeding 5/HPF. The presence of urine ketones (1+) and urine bilirubin (1+) is not indicative of urethritis. Vaginal inflammation can certainly affect the test results. Additionally, frequent ur...[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health