Understanding Gastrointestinal Issues: Is Low Stomach Acid the Culprit?
Gastrointestinal issues inquiry? I am the patient who previously inquired about probiotics. Last night, I started feeling unwell again, and I experienced heartburn. After researching, I found that symptoms of low stomach acid align with my current condition: lack of appetite, ina...
Dr. Hong Yuanbin Reply:
Hello, the burning sensation you described is likely due to gastroesophageal reflux, which tends to occur after meals. To confirm the diagnosis, an endoscopy may be necessary. For treatment, I recommend starting with a diet of small, frequent meals combined with moderate exercise...[Read More] Understanding Gastrointestinal Issues: Is Low Stomach Acid the Culprit?
Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Diabetes: Postprandial Hyperglycemia Hello Dr. Lee, I would like to ask you some questions regarding diabetes. 1. My father was recently diagnosed with type 2 diabetes, and he has been controlling his diet and exercising regularly every evening. Initially, his blood sugar level...
Dr. Li Jian Reply:
1: It seems that dietary control is very strict, but postprandial blood glucose levels still do not decrease. It may be helpful to discuss medication adjustments with your physician to assist in lowering postprandial blood glucose. 2: Smoking accelerates microvascular and macrova...[Read More] Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Managing Rapid Heartbeat and Thyroid Medication: A Patient's Journey
My heart is racing? Currently, I take 250 mcg of thyroid hormone daily, but my heart rate has become very uncomfortable, averaging 120 beats per minute. When I walk or climb stairs, it almost reaches 150. Although I am happy to have lost 15 kilograms, I often feel short of breath...
Dr. Lin Jianliang Reply:
After reading your letter, I am unable to ascertain your general condition from your description. Given your uncomfortable symptoms, I recommend that you inform your attending physician immediately. Discussing your situation with them will help ensure your health.[Read More] Managing Rapid Heartbeat and Thyroid Medication: A Patient's Journey
Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Adrenal insufficiency I have adrenal insufficiency and recently visited the endocrinology department, where I mentioned issues with dizziness and bloating. The doctor suggested that it might be postural hypotension, but after measuring my blood pressure consistently for five days...
Dr. Lin Jianliang Reply:
Adrenal insufficiency, in addition to medication, can be managed by incorporating regular exercise, maintaining a normal daily routine, and following a balanced diet, among other healthy lifestyle choices.[Read More] Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Managing Post-HIV Test Anxiety and Skin Conditions: A Comprehensive Guide
HIV testing-related sequelae? Dear Dr. Hong, Hello. Over a month ago, I consulted you about HIV screening. As you anticipated, the HIV antigen-antibody rapid test result was negative 92 days after the sexual encounter, which allows me to rule out HIV. However, these past three m...
Dr. Hong Yuanbin Reply:
Hello, high stress levels can indeed lead to the occurrence of folliculitis. Dermatologists typically prescribe symptomatic medications, but the most important factors are regulating your daily routine, managing stress, and engaging in moderate exercise. If these methods do not i...[Read More] Managing Post-HIV Test Anxiety and Skin Conditions: A Comprehensive Guide
Understanding Hand Tremors: Causes, Concerns, and Management Tips
Please consult a doctor? Hello, about four years ago, I occasionally noticed that one of my fingers would shake while I was eating with chopsticks, which my family also observed. When I intentionally tried to straighten it, there was a slight tremor. Later, I consulted a neurolog...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is more likely that the hand tremors are caused by emotional factors, which is quite common, especially during moments of anger and anxiety. This is usually a normal physiological response, so some tests may come back normal. It is recommended...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips
Understanding Consistent Hemoglobin A1c Levels of 5.7: Causes and Management
Glycated hemoglobin (HbA1c) 5.7? Hello, Doctor: If I have been testing my hemoglobin A1c and fasting blood glucose every 3-6 months over the past few years, with the hemoglobin A1c consistently at 5.7 and normal fasting blood glucose (around 90), and my BMI has been stable at 16....
Dr. Li Jian Reply:
If there are doubts about the accuracy of glycated hemoglobin, one can also have glycated albumin tested at a major hospital as a reference.[Read More] Understanding Consistent Hemoglobin A1c Levels of 5.7: Causes and Management
Understanding Chest Discomfort: Is It Muscle Strain or Something More?
Chest issues inquiry? Hello, Doctor. When I move my left or right arm back at a large angle or swing my body side to side, I feel a slight movement in the bones or muscles in the front of my chest. Is this because the muscles are pulling on the sternum? Additionally, occasionally...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does seem to be symptoms of muscle or cartilage inflammation rather than a fracture or pneumothorax. I recommend resting and monitoring the situation. Unless the pain worsens, there is no need for immediate medical evaluation. Thank you for yo...[Read More] Understanding Chest Discomfort: Is It Muscle Strain or Something More?
Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Thyroid fine-needle aspiration biopsy? Hello Dr. Lin, My mother (70 years old) has been diagnosed with hyperthyroidism and has been advised to undergo a fine needle aspiration biopsy of the thyroid (and neck mass). The consent form mentions that anticoagulant use is a contraindi...
Dr. Lin Jianliang Reply:
Generally, a thyroid ultrasound is performed first, followed by a fine needle aspiration biopsy of the thyroid. It is recommended to inform the physician performing the biopsy beforehand.[Read More] Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels
Follow-up examination? Hello, I have a follow-up appointment to discuss my blood test results and I would like to take some of your time to ask the doctor some questions. On August 5, 2020, my lab results showed ALT 40, AST 22, Cholesterol 224, LDL 150, Neutrophils 26%, Lymphocyt...
Dr. Hong Yuanbin Reply:
Hello, 1. Based on your previous reports, the likelihood of a viral infection causing your cold is high. Most colds are caused by viral infections, and a key characteristic of viral infections is an increase in lymphocytes and a decrease in neutrophils. It is recommended to ret...[Read More] Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels
Can Eating Banana and Persimmon Together Cause Toxic Reactions?
Food mixing Hello doctor, I ate a banana around 3 PM, but at 8 PM I had about half a persimmon. Later, I learned that these two shouldn't be eaten together as they can form a hard mass. I would like to ask if eating persimmons and bananas really causes poisoning, or if it’s ...
Dr. Hong Yuanbin Reply:
Hello, poisoning refers to the reaction of certain substances within the body. However, if it involves consuming fruit itself, the content of any harmful substances is usually low and spaced out, so there is no risk of poisoning. Please don't worry, and thank you for your qu...[Read More] Can Eating Banana and Persimmon Together Cause Toxic Reactions?
Understanding HIV Testing and Risks for Newborns and Adolescents
HIV/AIDS..? Is it possible to know if a newborn has HIV right after birth? If a person has not contracted HIV for over a decade, does that mean they are HIV-negative (considering no sexual activity)? If someone performs oral sex without a condom and does not ejaculate in the part...
Dr. Xie Rongyuan Reply:
Hello: In response to your inquiry, please find the information below: HIV can only be confirmed through blood testing, with the most accurate testing time being three months after engaging in high-risk behaviors. The transmission routes of the HIV virus include blood, semen, and...[Read More] Understanding HIV Testing and Risks for Newborns and Adolescents
Understanding Glans Health: Common Concerns and Care Tips
Issues related to the glans penis? Hello Dr. Hong, After showering and drying off, I sometimes notice a small dot near the urethral opening on the glans that looks like a tiny pimple. I'm not sure if it's just an illusion caused by the wrinkling of the skin, but it see...
Dr. Hong Yuanbin Reply:
Hello, 1. The structure you described that resembles small pimples is likely the openings of glands, which is a normal anatomical feature of the human body, so there is no need for concern. 2. The glans may become engorged due to stimulation, and when not engorged, it may app...[Read More] Understanding Glans Health: Common Concerns and Care Tips
Managing Adrenal Insufficiency: Medication Alternatives and Symptoms Relief
Adrenal insufficiency I have known that I have this condition for nearly two years. My levels increased from 0 to 9, but then dropped to 1.5 within five months. Is medication absolutely necessary for this condition? I experience significant dizziness when standing, and my mood sw...
Dr. Lin Jianliang Reply:
The main treatment for adrenal insufficiency is medication. If you experience discomfort after taking the medication, you should discuss it with your physician to determine if the medication is the cause. Sometimes, the discomfort may not be due to the medication but rather other...[Read More] Managing Adrenal Insufficiency: Medication Alternatives and Symptoms Relief
Understanding Swelling in the Right Foot: Causes and Specialist Guidance
Swelling of the right dorsum of the foot? Hello doctor, about 9 years ago I was hospitalized for cellulitis in the dorsum of my right foot. It recurred approximately 4 years ago, and I was treated with oral antibiotics. Since then, my right foot has been persistently swollen, wit...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. After repeated infections in the foot, local circulation may deteriorate, leading to increased swelling and even pigmentation changes. It is recommended that you consult with an infectious disease specialist or a cardiologist, and inform them of...[Read More] Understanding Swelling in the Right Foot: Causes and Specialist Guidance
Understanding Blood Infection Risks: Acne Wounds and HIV Exposure
Regarding the previous issue of blood infection? Thank you for your detailed explanation last time. I would like to ask: 1. If the acne wound is bleeding, is it still okay if my face comes into contact with someone else's blood? If both of us are bleeding, is there a risk ...
Dr. Hong Yuanbin Reply:
Hello, 1. Because the wounds from acne are relatively small, the infection risk you mentioned is still low. 2. There is indeed a risk of infection from a needle stick contaminated with HIV-infected blood, but the probability is much lower than that of blood transfusions or sharin...[Read More] Understanding Blood Infection Risks: Acne Wounds and HIV Exposure
Understanding Anal Fissures: Symptoms and Treatment Options
Anal fissure for one month? In October, after experiencing hard stools, I developed an anal fissure. Initially, it wasn't too bad, but later on, my bowel movements resembled goat droppings. When wiping with toilet paper, there would be blood, and sometimes blood would drip d...
Dr. Hong Yuanbin Reply:
Based on your description, the most likely conditions are hemorrhoids or a benign cyst. It is recommended to increase your intake of vegetables and exercise more to help soften your stools. If the symptoms persist or worsen, you should consider seeing a general surgeon or a color...[Read More] Understanding Anal Fissures: Symptoms and Treatment Options
Understanding Abdominal Muscle Pain After Nausea: Causes and Remedies
Abdominal muscles Hello, today I suddenly experienced a dry heaving sensation after drinking water, and I’m not sure if it was too forceful. I felt a sharp, cramp-like pain in my abdomen, specifically near the right side of my navel, lasting about 10 seconds, although it subsided...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed due to vomiting that caused abdominal muscle strain. Applying a warm compress may provide some relief, and you can also use topical analgesic ointments from the rehabilitation department. Thank you for your inquiry.[Read More] Understanding Abdominal Muscle Pain After Nausea: Causes and Remedies
Understanding Potential Diabetes and PCOS: Symptoms and Management
Suspected diabetes / polycystic ovary syndrome (PCOS) issues? Hello, Doctor. I apologize for the lengthy explanation, and I appreciate your patience. About mid-last year, I consulted an endocrinologist because I felt that my weight loss efforts were ineffective, and I suspected i...
Dr. Lin Jianliang Reply:
You can discuss your condition and how to monitor it with your physician. Most doctors are willing to engage in a collaborative discussion with you, but please clearly communicate your concerns. You may eat between meals, but it is important to avoid foods that could affect your ...[Read More] Understanding Potential Diabetes and PCOS: Symptoms and Management
Understanding High Urinary Protein Levels: Causes and Concerns
Feeling scared due to high levels of protein in urine? Urine analysis shows the following results: - Creatinine (CRE): 189.40 mg/dL (normal range: 14-26 mg/dL) - Protein/Creatinine Ratio (P/C Ratio): 1558 (normal range: below 200) - Urine Total Protein: 295.0 mg/dL (normal rang...
Dr. Huang Yaoxuan Reply:
Hello Jack: "Urine 3+ and below are the contents of the urine. On 10/19, CRE (creatinine) was 189.40, with a standard range of 14-26. P/C Ratio was 1558, with a standard of below 200. Urine Total Protein was 295.0, with a standard of below 15." Among these urine test it...[Read More] Understanding High Urinary Protein Levels: Causes and Concerns