Managing Gout: Dietary Tips and Frequency of Attacks Explained
Gout-related issues? I have had gout attacks three times so far, once a year, and was diagnosed last month. My uric acid level is 7.2. My question is: if I do not control my diet, will the attacks become more frequent? I drink 300 ml of 10% fruit juice from a cooperative every da...
Dr. Zeng Guosen Reply:
The online medication "Kang Hsi Su Long 5mg" is a steroid and should not be taken daily for an extended period. If gout is not controlled, most individuals will experience increasingly frequent attacks. It is recommended that you consult a rheumatologist, rather than an...[Read More] Managing Gout: Dietary Tips and Frequency of Attacks Explained
Managing Gout: Dietary Tips and Frequency of Attacks
Gout-related issues I have had gout attacks three times so far, once a year, and was diagnosed last month. My uric acid level is 7.2. I would like to know: if I do not control my diet, will the attacks become more frequent? I drink 300ml of 10% fruit juice from a cooperative ever...
Dr. Zeng Guosen Reply:
The online medication "Kang Hsu Su Long 5mg" is a steroid and should not be taken daily for an extended period. If gout is not managed, most individuals will experience increasingly frequent flare-ups. It is recommended that you consult a rheumatologist, rather than an ...[Read More] Managing Gout: Dietary Tips and Frequency of Attacks
Understanding Tongue Injuries and Cholesterol Management: When to Seek Help
Question for the doctor? Hello, doctor. This afternoon, while biting into a malt cookie, I accidentally scraped my tongue against something stuck to my teeth. Although there was no bleeding, I noticed a small red spot under my tongue. Could this be due to a microvascular bleed? D...
Dr. Hong Yuanbin Reply:
Hello, 1. A small cut on the tongue from accidentally biting it usually heals on its own, unless it worsens; otherwise, there is no need for medical attention. 2. High cholesterol is indeed caused by multiple factors, including diet, exercise, genetics, body composition, and ...[Read More] Understanding Tongue Injuries and Cholesterol Management: When to Seek Help
Managing Edema: Effective Strategies Beyond Diuretics for Relief
Systemic lupus erythematosus (SLE) Currently, I have edema affecting only the left side of my body, including the chest, arm, and lower extremities. After a hospital examination, the following causes were identified: (1) kidney disease - proteinuria or nephrotic syndrome in the u...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Please first confirm with your physician whether proteinuria and hypothyroidism are currently being treated with medication. If so, discuss with your physician the reasons why the edema is not improving. Generally, treatment requires some time ...[Read More] Managing Edema: Effective Strategies Beyond Diuretics for Relief
Understanding Oral Health: Healing Mouth Sores and Dietary Tips
Regarding yesterday's issue? Hello Dr. Hong, thank you for your response and explanation. I would like to ask you a few more questions. In the morning, before brushing my teeth, I notice that when I spit, there may be some saliva mixed with a bit of blood, possibly from my t...
Dr. Hong Yuanbin Reply:
Hello, 1. The healing time varies for each individual, but generally, it takes about 3-5 days. 2. It is normal to have many rough areas inside the mouth or around the teeth; this is a normal physiological phenomenon. 3. Drinking fruit juice can help supplement vitamins and provid...[Read More] Understanding Oral Health: Healing Mouth Sores and Dietary Tips
Is It Safe to Take Low-Dose Isotretinoin for Acne Management?
Is it safe to take a low dose? The dermatologist prescribed oral low-dose Isotretinoin (A acid) at 10 mg once a week. I can control my acne with just one capsule, and I can tolerate the side effects. I am currently continuing this regimen. However, I have type 2 diabetes, and my ...
Dr. Li Jian Reply:
Hello, dermatology is not my specialty. I recommend consulting your primary physician or a dermatologist.[Read More] Is It Safe to Take Low-Dose Isotretinoin for Acne Management?
Understanding Post-Thyroidectomy Neck Symptoms and Lymphedema Management
Post-thyroid lobectomy neck? I would like to ask the doctor, I underwent a total right thyroid lobectomy with unilateral neck lymphadenectomy in March of this year. Upon discharge, I experienced numbness in the right side of my neck, but it has gradually improved. The swelling ab...
Dr. Li Jian Reply:
It is recommended to discuss postoperative recovery matters with the original surgeon to address how to alleviate and improve the situation.[Read More] Understanding Post-Thyroidectomy Neck Symptoms and Lymphedema Management
Concerns About Insects in the Ear: When to Seek Medical Attention
I'm not sure if something has entered my ear? Hello, Doctor. This afternoon, I cleaned my ears, and just now while sitting and looking at something, I suddenly felt as if something touched my left ear. Although I didn't hear any flapping sounds at that moment, there hav...
Dr. Hong Yuanbin Reply:
Hello, usually when small insects enter the ear canal, there are symptoms such as a foreign body sensation or itching. If there are no such symptoms, the likelihood is low. It is recommended to see an otolaryngologist only if you experience discomfort in the ear later, such as a ...[Read More] Concerns About Insects in the Ear: When to Seek Medical Attention
Concerns About Fish Bone Injury and Oral Anatomy Explained
Ingestion of fish bones and the structure of teeth and oral cavity, please inquire? Hello, Dr. Hong. During dinner, I suspect I may have bitten my gum on a small fish bone. Fortunately, I don't think I swallowed it, as I spat it out but couldn't find it. Currently, I do...
Dr. Hong Yuanbin Reply:
Hello, the small holes you described in the oral cavity are a normal anatomical structure. As for the fishbone you mentioned, if there are no symptoms, it is likely that it has not penetrated. It is advisable to see an ENT specialist only if you experience any discomfort in the t...[Read More] Concerns About Fish Bone Injury and Oral Anatomy Explained
Understanding Abnormal Results in Your Health Check Report
Health check report issues Hello Doctor: I recently received a report from a previous health check-up, but I am confused about several items marked in red on the report. I would like to ask the doctor what could cause these abnormal values? After learning about these abnormal res...
Dr. Hong Yuanbin Reply:
Hello, regarding the following data: (1) pCO2 (partial pressure of carbon dioxide) → 46.9 mmHg, (2) pO2 (partial pressure of oxygen) → 30.1 mmHg, (3) HCO3 (bicarbonate) → 26.4. The normal reference ranges for these values are determined using arterial blood; however, based on you...[Read More] Understanding Abnormal Results in Your Health Check Report
Managing Blood Sugar Levels: Insights for Seniors with Diabetes
High blood sugar issue? My mother is 75 years old, weighs 70 kg, and her fasting blood sugar in the morning is 83 mg/dL, while it rises to 180 mg/dL after meals. She has been experiencing increasingly blurred vision, and after dinner around 6 PM, she reported some numbness and di...
Dr. Lin Jianliang Reply:
Based on your description, there are many reasons for poor blood sugar control, including diet, medication, exercise, and the functioning of the liver and kidneys, as well as other underlying conditions. It is advisable to consult your mother's attending physician to seek so...[Read More] Managing Blood Sugar Levels: Insights for Seniors with Diabetes
Understanding Your Body's Response to Push-Ups: Is It Normal?
Please provide the content you would like me to translate regarding push-up-related questions? Hello, doctor. I usually don't exercise much except for walking, and my boyfriend is worried that staying indoors due to the pandemic is not good for my health, so he taught me how...
Dr. Hong Yuanbin Reply:
Hello, some young males can indeed experience spontaneous pneumothorax, but it typically presents with noticeable shortness of breath and chest pain. Based on your description, it does not seem to be pneumonia or pneumothorax, but rather a muscle strain caused by sudden intense e...[Read More] Understanding Your Body's Response to Push-Ups: Is It Normal?
Concerns About Dental Visits for Seniors During COVID-19
Worried about seeing a doctor..? Hello doctor, my elderly family member is experiencing tooth pain, and I would like to take them to the hospital to see a dentist. However, due to the recent COVID-19 pandemic, I am concerned about the risk of exposing them to the virus. Since den...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Currently, hospitals and clinics are paying attention to temperature measurements and medical history inquiries, and they are continuously promoting the importance of maintaining safe social distancing. Therefore, I believe the situation is mana...[Read More] Concerns About Dental Visits for Seniors During COVID-19
Understanding HIV and HBV Transmission Risks: A Guide for Concerned Partners
Inquiry about the transmission routes of HIV and HBV? Hello Dr. Hong, I would like to ask you a question on behalf of my girlfriend. She has a small wound on her toe due to paronychia. Last night, she called me and mentioned that while she was on her way home, a worker passed by ...
Dr. Hong Yuanbin Reply:
Hello, the viral load of HIV in saliva is very low, so transmission does not occur through saliva contact, nor does it occur through contact with wounds. The primary mode of HIV transmission is still through sexual intercourse, so you can reassure her about this. Thank you for yo...[Read More] Understanding HIV and HBV Transmission Risks: A Guide for Concerned Partners
Understanding the Differences Between HIV Ag+Ab Combo and HIV Ag/Ab Combo Tests
Fourth-generation ELISA testing supplementary consultation? Hello Dr. Hong, thank you for your explanation. I may not have expressed myself clearly. When you mentioned “+,” you were referring to a positive test result, and “-” refers to a negative test result, correct? However, I...
Dr. Hong Yuanbin Reply:
Hello, these two expressions have the same meaning. Thank you for your question.[Read More] Understanding the Differences Between HIV Ag+Ab Combo and HIV Ag/Ab Combo Tests
Managing Mitral Valve Prolapse: Dietary Tips and B Vitamins
Mitral valve prolapse Hello, doctor: A family member has symptoms of mitral valve prolapse. Besides avoiding strong tea and caffeine and ensuring adequate rest, is it advisable to supplement with low-dose B vitamins or similar products? Thank you.
Dr. Hong Yuanbin Reply:
Currently, there is no strong evidence to support the efficacy of low-dose B vitamin supplementation for mitral valve prolapse; however, there are also no significant drawbacks, as B vitamins are water-soluble and easily excreted from the body. In addition to the points you menti...[Read More] Managing Mitral Valve Prolapse: Dietary Tips and B Vitamins
Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Please consult a doctor regarding blood sugar issues. Thank you! This year, at 42 years old, I have a standard build (166 cm / 55 kg) and a history of gallbladder removal surgery as well as kidney stones. My father and grandmother have a history of diabetes. In early January, a b...
Dr. Lin Wuxuan Reply:
Hello: Based on your initial glycated hemoglobin (HbA1c) level of 6.5 and your relevant family history, you can be diagnosed with diabetes according to diabetes management guidelines. However, diabetes patients are not completely unable to metabolize glucose; the body retains var...[Read More] Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Consultation for Lipid Disorders Hello Dr. Lin, I am the person who consulted about cholesterol issues on 2020/03/25 <a href="https://adoctor.tw/article/154449">#154449</a>. Thank you for your previous response. I would like to follow up on my earlier questi...
Dr. Lin Jianliang Reply:
After medication, if blood lipid levels can be maintained within the standard range, it is generally less likely to experience hyperlipidemia.[Read More] Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Mild cough and upper abdominal pain? There is a feeling of slight discomfort in the middle of the clavicle, which may lead to occasional mild coughing (about one or two coughs). Aside from in the morning upon waking, there is no production of phlegm or dry cough, and there is no ...
Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, it is important to confirm whether you have ever experienced any injury to the center of your chest. If there has been an injury, it could be the cause. If there has been no injury, the most likely conditions are esophagitis or gastroes...[Read More] Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Understanding the Risks of HIV Transmission During Anoscopy Procedures
Hygiene Issues with Anoscopy Hello Dr. Hong: Yesterday, I visited the clinic for hemorrhoids, and the doctor performed a rectal examination using an anoscope. Although there was no bleeding from the anus, it is still a sensitive mucosal area, and I am concerned about whether the ...
Dr. Hong Yuanbin Reply:
Hello, the anal speculum does have specific disinfection methods, and following the correct disinfection procedures can prevent many infectious issues, including the HIV you mentioned. However, the key factor still depends on whether the disinfection process is properly executed....[Read More] Understanding the Risks of HIV Transmission During Anoscopy Procedures