ANA, Internal Medicine FAQ - Page 44

There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...

Symptoms such as discomfort in the stomach associated with diabetes? Hello Doctor, my mother is 57 years old. Last year, she was diagnosed with diabetes and has been taking insulin every morning. Earlier this year, she developed diabetic retinopathy, which required surgery. Recen...

Poor blood sugar control? Hello Doctor, I was diagnosed with type 2 diabetes in 2010. Over the years, my blood sugar levels have remained consistently high due to poor management and adherence to medication. In July of this year, I underwent tests at China Medical University, whe...

Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...

Rectal bleeding Hello, doctor. In the past few months, I have noticed blood on the toilet paper after wiping, although there is no blood in the stool. The blood is bright red. This situation usually occurs a few days before or after my menstrual period, but it does not happen eve...

Genetic Issues in Diabetes Hello Doctor: My father has a genetic predisposition to diabetes, and he is currently managing it quite well at the age of 50. I would like to ask if I am at risk of developing diabetes as well. Should I be able to prevent it by paying attention to my d...

Mediterranean anemia Hello doctor, I have thalassemia and my hemoglobin level is 11.4. I usually exercise and don't have any issues. I would like to enlist in the military; can I increase my hemoglobin to 12 through blood transfusions? Are there other methods to improve it?

Can HIV be transmitted while on medication? I have a same-sex partner and later found out that he has HIV. We had sexual intercourse, but we used condoms throughout. However, there was kissing and genital contact. What is the likelihood of me getting infected? Additionally, if an...

Chronic Kidney Failure Hello Doctor, my grandmother has issues with hypertension, diabetes, and anemia. Additionally, she was diagnosed this year with proteinuria and chronic kidney failure, but she has not yet started dialysis. Her reports show creatinine levels from June to Sep...

Oral candidiasis Hello, doctor! In the past week or two, I noticed an oval-shaped white membrane on my lips. After scraping it off, I saw a slightly red sore that didn't hurt. Later, I wasn't sure if I bit it or if something else happened, but it turned into a regular u...

How can individuals who eat out achieve a low-protein diet? Hello Doctor: At the beginning of the month, I had a blood test that showed my kidney creatinine level at 2.5, which has increased to 2.62 as of October 27. Although my attending physician referred me to the nutrition de...

Kidney problems Hello, doctor. In 2014, I had abnormal creatinine levels and elevated uric acid, which led me to seek consultation in the nephrology department of a major hospital for examinations (ultrasound and CT scan) and continuous monitoring. About six months later, my leve...

Medications for Ankylosing Spondylitis Hello, I would like to inquire about the medication "Wankesi" that I am taking for ankylosing spondylitis. Is it safe to use this medication long-term? If my inflammatory markers are not high, can I take it only when I feel discomf...

Glomerular and renal function issues? Hello doctor, I would like to ask a question. I am 35 years old, and my glomerular filtration rate (GFR) has not exceeded 90 for the past seven years. I do not have hypertension or diabetes. In my most recent urine test, the protein level was...

If the potassium ion levels in the electrolytes are elevated, what should be done? Hello Doctor: I recently had a blood test for electrolytes, and the report shows that my potassium level is 6.1 mEq/L. Is this value considered high? How can I address the issue of potassium imbala...

This symptom is somewhat severe..? Hello Dr. Liao, on October 10th, I went to a hotel with my girlfriend for the first time. The bathroom was dry, and we took about 40 minutes before using the toilet. That day, I did not have an erection or penetration, but I did use my tongue to...

Chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain? Hello Dr. Liao: I am a 40-year-old mother, and I have been troubled by pain for the past few months (some of this pain actually started several years ago), but it has worsened recen...

Post-exercise hyperglycemia in type 2 diabetes? Hello Doctor: I am a patient with type 2 diabetes. Recently, my blood sugar levels were around 200 mg/dL after two exercise sessions (one was a one-hour walk, and the other was a 35-minute brisk walk followed by a 20-minute rest bef...

Are starchy liquid foods suitable for individuals with diabetes? Hello, my mother has type 2 diabetes (non-insulin dependent), bile duct cancer, and dementia, and she has insufficient chewing ability due to missing teeth. Currently, she is being fed three cans of nutritional supp...

Should I get a blood test? The school health check report shows the following results: WBC 6470, RBC 5.53, Hb 10.2, Hct 33.5, MCV 60.6, MCH 18.4, MCHC 30.4. The items marked in red indicate that you may have anemia, as your hemoglobin (Hb) and hematocrit (Hct) levels are below th...