Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Unexplained fever with low-grade temperature, unintentional weight loss, and joint and muscle pain? Hello, doctor. I have undergone numerous tests in the infectious disease department, and the only abnormal finding was a slightly elevated cancer marker (for reference only) and a ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does align with the situation of "fever of unknown origin." We should indeed be cautious about atypical infections or bone marrow issues. Therefore, I agree with your infectious disease physician's recommendation to conduct furt...[Read More] Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Concerns About Using Empagliflozin for Type 2 Diabetes Management
Regarding the use of the diabetes medication - Empagliflozin film-coated tablets? Hello Dr. Lin, I have type 2 diabetes and have been taking the extended-release metformin prescribed by my endocrinologist for many years. Earlier this year, my doctor recommended switching to empa...
Dr. Lin Jianliang Reply:
Empagliflozin in Jardiance Duo causes glucose to be excreted in the urine, which is why there is sugar in the urine. When taking this medication, it is important to be aware of potential side effects such as hypoglycemia, ketoacidosis, urinary tract infections, genital fungal inf...[Read More] Concerns About Using Empagliflozin for Type 2 Diabetes Management
Understanding Postprandial vs. Fasting Blood Sugar Levels: Key Insights
Postprandial blood glucose is higher than fasting blood glucose levels? I discovered a blood sugar level of 126 during a previous blood donation, so I went to the hospital for further testing. However, the doctor said that my glycated hemoglobin (HbA1c) was normal, and while my b...
Dr. Ke Taiyuan Reply:
You can continue to manage your condition with diet and exercise. However, if your fasting blood glucose remains greater than 126 mg/dL after 8 hours, you should consider starting medication for control. Please return for a follow-up appointment at the metabolism clinic.[Read More] Understanding Postprandial vs. Fasting Blood Sugar Levels: Key Insights
Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang Reply:
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters
Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Blood sugar issues? Hello Doctor, I would like to ask about my situation. Last year, I had several blood tests for other issues, and my blood sugar levels were normal. However, during my physical examination last month, my fasting blood sugar was measured at 106. Does this indica...
Dr. Chen Jianyu Reply:
1. Not counted. 2. Exercise control. 3. Yes.[Read More] Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
Understanding Your Blood Test Results: Key Abnormal Values Explained
Blood Test Report Hello Doctor, here are my blood test results. There are several abnormal values that I would like your help in analyzing: - WBC: 8.95 x 10^3/µL - RBC: 4.56 x 10^6/µL - HGB: 14.3 g/dL - HCT: 43.3% - MCV: 95.0 fL - MCH: 31.4 pg - MCHC: 33.0 g/dL - Platelet: 166 x...
Dr. Hong Yuanbin Reply:
Hello, the normal range for Mean Platelet Volume (MPV) in males is approximately 8.8-12.2. Your value falls below the normal range by three units. We will consider this alongside the white blood cell count and clinical symptoms. N-seg is at 81.1% (which is indicated as elevated b...[Read More] Understanding Your Blood Test Results: Key Abnormal Values Explained
Understanding Abdominal Discomfort: When to Seek Medical Help
Abdominal issues? I visited a gastroenterologist on February 1st. I had an upper endoscopy in November 2019, which revealed gastritis and severe gastroesophageal reflux disease. However, for the past three weeks, I have been experiencing discomfort in my lower abdomen. I previous...
Dr. Hong Yuanbin Reply:
Hello, 1. Ultrasound primarily examines solid organs, including the liver, gallbladder, pancreas, spleen, and kidneys. The intestines are generally not visible unless there is a large tumor. 2. It is important to hold your breath during the ultrasound to avoid blurriness caus...[Read More] Understanding Abdominal Discomfort: When to Seek Medical Help
Understanding Fever in Young Adults: Risks and Aftercare
Adult fever If a 22-year-old person has a fever starting around 8 PM and does not seek medical attention until the following morning at 11 AM, it is unlikely to cause significant long-term complications, especially if the fever is not associated with severe symptoms or underlying...
Dr. Hong Yuanbin Reply:
Hello, there are many causes of fever, and it is important to determine the underlying infection to assess the subsequent impact. It is recommended to consult an infectious disease specialist or a family medicine clinic for further evaluation. Thank you for your inquiry.[Read More] Understanding Fever in Young Adults: Risks and Aftercare
Managing Hyperthyroidism: Medication Challenges and Allergic Reactions
Thyroid issues = Hyperthyroidism medication, urticaria, and medication-related problems? I was diagnosed with hyperthyroidism in mid-October last year (taking only one pill a day). I started with the first medication, Methimazole, but after three days I felt extremely uncomfortab...
Dr. Lin Jianliang Reply:
There are generally two to three types of medications used to treat hyperthyroidism, and typically, treatment lasts for one to two years. If medication is not suitable, surgical intervention or radioactive iodine therapy may be considered. Antihistamines commonly have side effect...[Read More] Managing Hyperthyroidism: Medication Challenges and Allergic Reactions
Managing High Blood Sugar: Tips for Military Physical Exam Success
During the military service physical examination, it was reported that the blood sugar levels were elevated? On November 16, I was informed that I needed to undergo a re-examination due to high blood sugar levels. Prior to that, my weight was 80 kg and my height was 167 cm. After...
Dr. Ke Taiyuan Reply:
Aerobic exercise is the main focus. Light aerobic exercise can be done 30 minutes after a meal, jogging can be done after one hour, and long-distance running can be done after two hours.[Read More] Managing High Blood Sugar: Tips for Military Physical Exam Success
Understanding HIV-Related Neuropathy and Its Impact on Brain Health
HIV-related neuropathy symptoms Hello Dr. Hong, I had unprotected sexual intercourse five years ago, and for the past three years, MRI scans of my brain have shown suspected tumor formations. The affected areas are the cerebellum and brainstem. Initially, both the oncologist and ...
Dr. Hong Yuanbin Reply:
Hello, after HIV infection, the disease itself can present with such phenomena. HIV-related opportunistic infections, such as Kaposi's sarcoma or toxoplasmosis, may also exhibit similar manifestations. However, engaging in unsafe sexual practices does not necessarily result ...[Read More] Understanding HIV-Related Neuropathy and Its Impact on Brain Health
How to Accurately Monitor Blood Sugar After Diabetes Remission
Diabetes issues Hello Dr. Chen: I have been suffering from diabetes for about 5 to 6 years. My highest recorded HbA1c was 11.2, and my highest fasting blood glucose was around 250. Recently, I have been actively losing weight, and my latest test results show an HbA1c of 5.8 and a...
Dr. Chen Jianyu Reply:
Diabetes is currently manageable but not curable. Management methods include diet, exercise, and medication. A hemoglobin A1c of 11.2 indicates poor blood sugar control, while a current blood sugar level of 90 and an A1c of 5.8 indicate good blood sugar control. Therefore, there ...[Read More] How to Accurately Monitor Blood Sugar After Diabetes Remission
Managing Steroid Dosage: Concerns Over Accidental Overdose and Dependence
Steroid dosage Hello Dr. Ke: I have been continuously taking steroids due to kidney issues, but I have developed a dependency on them, which has led to fluctuating dosages. Currently, I am taking eight 5mg tablets every two days. However, I accidentally took an extra eight tablet...
Dr. Ke Taiyuan Reply:
When tapering off high doses of steroids after long-term use, it is indeed important to reduce the dosage gradually. However, your current situation involves accidentally taking a little more on one or two occasions, rather than consistently over several weeks. There is no need t...[Read More] Managing Steroid Dosage: Concerns Over Accidental Overdose and Dependence
Managing Infected Lipomas: Risks of Endocarditis and Antibiotic Prophylaxis
Infected sebaceous cyst? I have an inflamed lipoma on my shoulder that is 2.5 cm and red, but it hasn't ruptured, and I don't want surgery for now. I also have aortic coarctation and a bicuspid aortic valve with mitral valve prolapse. If I leave the inflammation untreat...
Dr. Hong Yuanbin Reply:
Hello, regarding aortic stenosis with bicuspid aortic valve and mitral valve prolapse, prophylactic antibiotics are only necessary in certain situations that may cause bleeding, such as tooth extraction, due to concerns about infective endocarditis. If it is simply a lipoma, prop...[Read More] Managing Infected Lipomas: Risks of Endocarditis and Antibiotic Prophylaxis
Managing Fatty Liver and Food Expiration: Expert Advice for Patients
I would like to consult a physician? Hello: (1) I am a psychiatric patient. My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverage...
Dr. Hong Yuanbin Reply:
Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication. I believe there is still a chance for success. I recommend consulting with a specialist in obesity medicine. As for expired food, it is ...[Read More] Managing Fatty Liver and Food Expiration: Expert Advice for Patients
Understanding Renal Ptosis: Causes, Effects, and Management Strategies
Nephroptosis (floating kidney) Hello, doctor. I would like to ask about my mother, who underwent surgery about six years ago to remove a large hepatic cyst. She has been having regular abdominal ultrasounds for follow-up every year. Recently, the doctor mentioned that she may hav...
Dr. Ke Taiyuan Reply:
Floating kidney is more commonly seen in individuals who are slender or have experienced rapid weight loss. Common symptoms include lower back pain. If symptoms are present, a support belt can be used to stabilize the kidney in a higher position. It is recommended to lie down wit...[Read More] Understanding Renal Ptosis: Causes, Effects, and Management Strategies
Managing Post-Pill Symptoms in Diabetic Patients: What to Know
Diabetic patients taking emergency contraceptive pills? Hello doctor, I am a diabetes patient. About two weeks ago, I took emergency contraceptive pills, and recently I have been experiencing frequent nausea, unusual fatigue, palpitations, and elevated blood sugar levels. Will th...
Dr. Ke Taiyuan Reply:
The side effects of emergency contraceptive pills include nausea and fatigue, but they typically do not last for two weeks. The package insert does not mention any effects on blood sugar levels. In this regard, obstetricians and gynecologists have more experience with these medic...[Read More] Managing Post-Pill Symptoms in Diabetic Patients: What to Know
Understanding Thyroid Issues: Early Detection and Family Risks
Thyroid issues Hello, Doctor. Recently, my mother underwent surgery for bilateral thyroid enlargement. The ultrasound-guided fine needle aspiration report indicated benign results, but for safety reasons, the entire thyroid was removed. However, the postoperative biopsy revealed ...
Dr. Lin Jianliang Reply:
Hello, it is advisable to continue monitoring. Thank you.[Read More] Understanding Thyroid Issues: Early Detection and Family Risks
Is Frotin Enteric Effective for Treating Chlamydia Infections?
Treatment for Mycoplasma Infection Hello, I was diagnosed with a Chlamydia infection today, and the doctor prescribed Frotin Enteric. I have heard that Chlamydia requires antibiotic treatment, so I would like to ask if the medication prescribed by the doctor is appropriate for th...
Dr. Hong Yuanbin Reply:
Hello, regarding the Frotin Enteric (Furazolidone) that you mentioned, this is an antibiotic used for anaerobic bacteria and Trichomonas vaginalis infections. Therefore, it seems that your physician believes you have an infection related to these pathogens, which is why this anti...[Read More] Is Frotin Enteric Effective for Treating Chlamydia Infections?