ANA, Internal Medicine FAQ

Understanding HbA1c Levels: Can You Reverse Prediabetes?

The glycated hemoglobin (HbA1c) level is 6.2? The hospital measured my hemoglobin A1c at 6.2. After three months of dietary control, my hemoglobin A1c was measured at 5.9. No one in my family has diabetes, but I have gained a lot of weight due to taking medication for bipolar dis...

Dr. Chen Shunfu Reply:
Congratulations! Your hemoglobin A1c has decreased from 6.2% to 5.9% after three months of dietary control. Based on your height of 179 cm and weight of 95 kg, your BMI is calculated to be 29.6, which indicates obesity. The medication Depakine (valproate) that you are taking can ...

Understanding ANA Titer Results: When to Seek Further Immune Testing

ANA titer issue? Hello, the ANA titer in the blood test report is 1:80, and my body temperature has been slightly elevated (around 37.3°C) for the past few weeks. My palms feel very warm, and my face often appears flushed. Should I undergo additional immunological tests?

Dr. Lin Wuxuan Reply:
Hello: Regarding your blood test report, the ANA (antinuclear antibody) level is elevated. Regardless of whether there are accompanying clinical symptoms, it is indeed recommended that you seek early follow-up and further diagnostic evaluation with a rheumatology specialist.

Impact of Soy Milk on Calcium Oxalate Kidney Stones: What You Need to Know

How does soy milk affect calcium oxalate kidney stones? I have some questions for the doctor. I have a history of kidney stones, and recently I researched dietary considerations for kidney stones online. I found some articles stating that soy milk, unlike other soybean products, ...

Dr. Wu Hongjie Reply:
Hello: The article mentions, "This is another good reason to keep dietary oxalate low – 50 to 100 mg if possible." This means that for patients prone to kidney stones, it is advisable to maintain dietary oxalate intake below 100 mg. A cup of soy milk contains approximat...

Understanding Blood Sugar Fluctuations and Diabetes Management

Inquiry about blood sugar issues? Hello Dr. Lin, I would like to ask you a few questions: 1. In non-diabetic patients, is it possible for acute gastroenteritis causing inflammation and persistent vomiting to lead to a temporary increase in blood glucose levels? 2. For patient...

Dr. Lin Jianliang Reply:
1. The body may experience abnormal blood sugar levels when feeling unwell or under significant stress. 2. The current trend seems to suggest that the use of metformin for diabetes prevention is not recommended. 3. In the early stages of diabetes, when the condition is not severe...

Understanding Unexplained Green Rectal Discharge: Causes and Solutions

Unexplained green discharge from the anus? I have been troubled by this symptom for about 5 to 6 months. There has been a discharge from my anus, which appears green when wiped with toilet paper. If I walk for a long time, the discharge increases, causing significant discomfort a...

Dr. Hong Yuanbin Reply:
Based on your description, it is likely an anal cyst or an abscess. It is advisable to schedule an appointment with a colorectal surgeon for a detailed examination. A culture of the discharge can also be considered to identify the pathogen. If the colorectal surgeon cannot determ...

Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?

Medical Inquiry Hello Dr. Chen, I am 23 years old and overweight. Recently, I had surgery for folliculitis near my groin, and I noticed that my wound healed slowly. The doctor suspected that I might have diabetes, so I had my hemoglobin A1c tested, which came back at 7.6, confi...

Dr. Chen Jianyu Reply:
1. Illness is dangerous; safety is paramount. Do not be afraid of taking medication; the real concern should be poor management of the condition. 2. If diet and exercise cannot adequately control blood sugar levels, medication must be used for management.

Managing Recurrent Chlamydia Infections: Treatment Options and Resistance

Treatment for Mycoplasma Infection Repeated infections with Chlamydia three times within two years. The first two times were successfully treated with two weeks of doxycycline. However, the third time, after two weeks of doxycycline, the infection did not resolve. If Chlamydia ha...

Dr. Lin Wufu Reply:
Hello, for standard chlamydial urethritis, a one-week course of doxycycline is usually sufficient. If there is no improvement after two weeks, there are several common possibilities: 1. It could be a recurrent infection - if you have a stable partner, they should also receive tre...

Understanding Tulip 20mg: Safety, Efficacy, and Alternatives for Cholesterol Management

Regarding Tofacitinib Extended-Release Tablets A 72-year-old female, 158 cm tall and weighing 53 kg, currently has low-density lipoprotein (LDL) cholesterol at 134.5 mg/dL, high-density lipoprotein (HDL) cholesterol at 55.1 mg/dL, and triglycerides at 59.2 mg/dL. She has no other...

Dr. Lin Jianliang Reply:
It is correct that medications should be used carefully, and they are generally considered safe. Whether to discontinue medication and address subsequent issues will depend on the patient's condition moving forward, which should be discussed with your physician. The primary ...

Can You Reverse High Hemoglobin A1c Levels? A Guide for Patients

Elevated glycosylated hemoglobin (HbA1c) levels? Hello doctor, I used to be quite active in school, but during the summer break, I hardly exercised at all, and my lifestyle has changed significantly. I don't drink much water and often consume sugary drinks. Recently, during ...

Dr. Lin Jianliang Reply:
Glycated hemoglobin: 9.9%. It is recommended to see a physician. With medical management, along with dietary changes and exercise, there should be a chance for improvement. Thank you for your message.

Managing Concurrent Tuberculosis and Stroke: Challenges and Solutions

The coexistence of pulmonary tuberculosis and cerebrovascular accident (stroke)? Hello, Director. A family member has a history of pulmonary tuberculosis, which was previously treated and resolved. However, they suddenly suffered a stroke, which has made it difficult for them to ...

Dr. Lin Wufu Reply:
Hello, I don't quite understand your question. In principle, the treatment for pulmonary tuberculosis does not conflict with the treatment for a stroke. Anticoagulants or platelet inhibitors do not affect pulmonary tuberculosis (unless the tuberculosis poses a risk of signif...

Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions

Endocrine disorder Hello, for the past six months, it seems that I have been experiencing hormonal imbalance. I have been under a lot of stress and suddenly gained 20 kilograms, going from 44 kilograms to 64 kilograms. Previously, I would feel full after eating a little, but now ...

Dr. Lin Jianliang Reply:
Based on your description, if you have already consulted with obstetrics and gynecology, dermatology, and psychosomatic medicine, and after undergoing examinations, it is also recommended to consider seeing an endocrinology and metabolism specialist for further evaluation. Thank ...

Managing Blood Sugar Levels: A Guide for Overweight Individuals

Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...

Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.

Managing Thyroid Issues During a Cold: What You Need to Know

Thyroid-related issues due to cold exposure? Doctor, I would like to ask about my condition. I have been suffering from hyperthyroidism for over two years. A few days ago, I caught a slight cold and have been experiencing intermittent high fever. When I visited the doctor, my hea...

Dr. Lin Jianliang Reply:
It is recommended that you see a physician for diagnosis and treatment as soon as possible, without delay, to prevent the condition from worsening and endangering your health. Thank you for your message.

Understanding Arm Pain in Diabetic Patients: Injection vs. Medication

Arm pain Your mother has chronic conditions such as diabetes, hypertension, hyperlipidemia, and gout, and her kidney function is poor. She has recently started insulin therapy. She has been complaining of arm pain and has been requesting injections at the clinic for years wheneve...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. With abnormal kidney function, both injections and oral medications need to be approached with caution. The injections administered at hospitals or clinics are generally similar, but it is important to remind the prescribing physician that the ...

Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions

Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...

Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...

Understanding HIV Risks: Safe Practices After Massage and Intercourse

HIV issues I'm not a doctor, but I can provide some general information. If you had a sexual encounter where a condom was used throughout, the risk of sexually transmitted infections (STIs) is significantly reduced, especially if the condom was intact and used correctly. How...

Dr. Hong Yuanbin Reply:
Hello, you need to check if the other person's semen has come into contact with your wounds or mucous membranes, such as the oral cavity, the inner anal area, or the penis. If there has been contact, the risk of infection is higher. If you are concerned, it is advisable to g...

Understanding Syphilis Treatment: Common Questions and Concerns

Syphilis: A Few Questions Hello doctor, I have been undergoing treatment for syphilis for a year now, and my PRP (Rapid Plasma Reagin) titer has remained at 1:2 without any upward or downward trend. Is this normal? I found information stating that it usually takes 3 to 5 years to...

Dr. Hong Yuanbin Reply:
Hello: 1. In addition to relapse, the index may also rise due to reinfection. 2. Not necessarily, as it varies from person to person. Generally, we will follow up every 3 to 6 months. A fourfold decrease indicates effective treatment; however, some individuals may only decrease t...

Understanding Left Rib Pain: Causes and When to Seek Help

Left rib cage Hello, doctor. Since noon today, I've been experiencing pain in my left ribcage whenever I take a deep breath, but the frequency is inconsistent; sometimes it hurts, and sometimes it doesn't. I'm not sure if it is related to my work involving lifting ...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the inflammation of the muscles or pleura on the left side of the ribcage could be due to heavy lifting, trauma, or severe coughing from a cold. It is recommended to rest the affected area and apply some analgesic ointment to allevi...

Understanding Persistent Ankle Pain: Is It Rheumatoid Arthritis?

Rheumatoid Arthritis I have been experiencing burning, pain, and swelling in both ankle joints for over a year. I had blood tests done at a major hospital, which showed elevated rheumatoid factor and inflammatory markers. I have been taking immunomodulatory medications, corticost...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Symmetrical arthritis combined with a positive rheumatoid factor is indeed characteristic of rheumatoid arthritis. However, if symptoms do not improve after treatment, even if inflammatory markers are normal, it is advisable to consult your phy...

Managing Chronic Lymphadenitis: Tips for Self-Care and Awareness

What should be noted regarding chronic lymphadenitis? Two to three years ago, I had lymphadenitis in my right armpit. Since then, I have experienced intermittent redness, swelling, and tenderness, which have been milder than the initial infection. There are times when I feel comp...

Dr. Hong Yuanbin Reply:
Hello, it is important to determine whether you have ever had surgery or an injury to your right hand or right chest. Previous injuries or surgeries can indeed lead to the symptoms you are experiencing. If there is no history of such events, we should consider whether your right ...

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