Understanding Frequent Urination, Kidney Health, Liver Issues, and Acne in Teens
Frequent urination, kidneys, liver, acne? Hello, Doctor: I am a 17-year-old student about to enter my senior year, and I have been troubled by these issues for a long time. I will get checked during the summer break! 1. Frequent urination and kidney issues: I feel very thirsty ...
Dr. Huang Dayao Reply:
Reply: Hello, 1. Diabetes generally presents with three main symptoms: excessive thirst, frequent urination, and increased appetite. If you experience any of these symptoms, it is essential to visit an internal medicine clinic for evaluation. 2. If your kidneys are functionin...[Read More] Understanding Frequent Urination, Kidney Health, Liver Issues, and Acne in Teens
Understanding Oceanic Anemia: Coping with Chronic Fatigue and Weakness
I'm so tired? Hello, I would like to ask for advice. I have been feeling unwell for some time. I previously went to the hospital for an examination, and the doctor said I have oceanic anemia, but none of my family members have this genetic condition. I still feel unwell; I w...
Dr. Wang Fangli Reply:
Oceanic anemia is generally mild and may not present symptoms. If you experience fatigue and lack of energy throughout the day, you should visit a hospital and consult with an internist or family medicine physician for an evaluation.[Read More] Understanding Oceanic Anemia: Coping with Chronic Fatigue and Weakness
Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults
Generalized edema, headache (dizziness), insomnia, etc? Hello, my mother is 43 years old and has been feeling unwell lately, experiencing symptoms such as insomnia, headaches (dizziness), and sometimes waking up in the morning with generalized edema. During a previous health chec...
Dr. Zhao Chongliang Reply:
There are many causes of edema, including common kidney diseases (renal failure, nephrotic syndrome), heart diseases (heart failure), liver diseases (cirrhosis), endocrine disorders (hypothyroidism, hyperadrenalism, menstruation), systemic malnutrition, poor blood circulation, an...[Read More] Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults
Understanding Weakness in Hands and Feet: Causes and Solutions
Weakness in the limbs? Hello, I have been troubled by a long-standing issue where my hands and feet often feel weak. Sometimes, I even struggle to lift my hands to brush my teeth, and when I walk up stairs, it can get so severe that I end up kneeling down. I have low blood pressu...
Dr. Xiao Yongxun Reply:
Hello, in response to your question. The complaint of "weakness in the limbs" is common in clinical practice; however, due to the subjective nature of the experience, which varies from person to person, and the multitude of potential causes that lack specificity, it can...[Read More] Understanding Weakness in Hands and Feet: Causes and Solutions
Managing Weight Gain and Anemia in Patients with Thyroid Issues
Disease 4 I gained 4-5 kilograms over a year ago and have been unable to lose the weight. I had thyroid surgery over 20 years ago and also have a congenital anemia that I cannot seem to improve. How should I diagnose and treat these issues?
Dr. Yang Hongzhi Reply:
After more than 20 years post-thyroid surgery, weight gain and pelvic bleeding should raise the suspicion of post-surgical hypothyroidism, and blood tests should be considered for evaluation.[Read More] Managing Weight Gain and Anemia in Patients with Thyroid Issues
Which Doctor Should You See for Anemia Concerns?
Which specialist should I make an appointment with? I looked online for a hematologist, but I couldn't find any outpatient clinics specifically for hematologic oncology. I'm unsure which doctor I should consult regarding anemia. I apologize for any inconvenience.
Dr. Xiao Yongxun Reply:
Hello: In response to your question. Anemia is commonly encountered in clinical practice and generally refers to a decrease in the number of red blood cells or hemoglobin in the blood. For hemoglobin levels, the normal range for males is 14-18 gm/dL, and for females, it is 12-16 ...[Read More] Which Doctor Should You See for Anemia Concerns?
Understanding Nausea and Weakness: When to Consult a Doctor
I'm not sure if it can be considered a medical condition? I clearly eat food, but sometimes while walking, I feel nauseous. If I ignore it, I gradually feel weak, and my vision becomes increasingly impaired. However, if I sit down to rest or consume something with calories, ...
Dr. Zheng Shuxing Reply:
Xiao Fen, you need a basic health check-up to determine if you have anemia or other issues. Wishing you good health, Dr. Zheng Shuheng, Taoyuan Hospital.[Read More] Understanding Nausea and Weakness: When to Consult a Doctor
Understanding Low Blood Sugar: Symptoms and When to Seek Help
My blood sugar seems to be too low? (Blood sugar level: around 70 after meals) Hello, I just finished my graduate school entrance exam and the civil service exam a couple of days ago. My eating and sleeping patterns are normal (I’m actually eating a bit more than before and my ap...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the normal fasting plasma glucose level for a healthy individual ranges from 70 to 110 mg/dL, while the postprandial blood glucose level two hours after eating should be between 80 and 140 mg/dL. Regarding blood pressure, it is generally desir...[Read More] Understanding Low Blood Sugar: Symptoms and When to Seek Help
Understanding Dark Lips and Eye Circles: Links to Depression and Health
excuse me? My lips are not very rosy; they appear somewhat dark, and I often have dark circles under my eyes, even when I get enough sleep. I actually have depression, and I'm wondering if this is related.
Dr. Zhao Chongliang Reply:
Dull and lackluster lip color in women may indicate insufficient makeup removal, leading to lipstick pigment deposition; in men, smoking should be considered first. If these issues are not present, it could be a sign of poor blood circulation or even anemia. The skin on the lips ...[Read More] Understanding Dark Lips and Eye Circles: Links to Depression and Health
How to Prevent Genetic White Hair in Your Future Children
Genetic predisposition to gray hair? Hello, I would like to ask how I can prevent my unborn child from inheriting the genetic trait of white hair, which I have due to hereditary reasons. What steps can I take to ensure this does not happen? Thank you.
Dr. Xiao Yongxun Reply:
Hello: In response to your question... 1. The causes of gray hair can be divided into physiological aging and non-physiological aging. The latter includes various factors, including both genetic and non-genetic causes. Genetic causes include conditions such as progeria and muscul...[Read More] How to Prevent Genetic White Hair in Your Future Children
Understanding Elevated Alkaline Phosphatase Levels: What You Need to Know
Elevated alkaline phosphatase levels? Hello Dr. Chen, I would like to ask you a question regarding my recent urine and blood test results. The liver function tests showed the following: - Total Protein: 7.5 g/dL (Reference range: 6.0-8.2 g/dL) - Albumin: 4.43 g/dL (Reference ...
Dr. Chen Jingwen Reply:
Hello, elevated alkaline phosphatase levels can have many causes, such as acute hepatitis, liver tumors, hemolytic anemia, bone disorders, and bile duct obstruction. Therefore, it is recommended to seek further evaluation at an internal medicine outpatient clinic.[Read More] Understanding Elevated Alkaline Phosphatase Levels: What You Need to Know
Common Causes of Anemia: Types, Solutions, and Important Considerations
Causes of Anemia Common causes of anemia include: 1. **Iron Deficiency Anemia**: This is the most common type, often due to inadequate dietary intake, blood loss (such as from menstruation or gastrointestinal bleeding), or increased demand (such as during pregnancy). 2. **Vitam...
Dr. Yu Xianneng Reply:
Hello Mr. Chi-Lin: The causes of anemia can generally be divided into issues related to the hematopoietic system itself or blood loss. Therefore, blood tests can be used for simple differential diagnosis, and stool tests can also detect the presence of blood loss. Additionally, e...[Read More] Common Causes of Anemia: Types, Solutions, and Important Considerations
Understanding Low Hemoglobin: Causes, Concerns, and Solutions
Hemoglobin Hello, doctor. During the company's health check-up, my hemoglobin level was found to be low, and they requested a retest. The report mentioned suspected thalassemia. What does that mean? However, I have donated blood several times, so I shouldn't have thalas...
Dr. Wang Fangli Reply:
Having donated blood does not necessarily mean one does not have thalassemia (formerly known as Mediterranean anemia). In cases of mild thalassemia, hemoglobin levels may fall within the normal range, but the red blood cells may be smaller in size. A low hemoglobin level observed...[Read More] Understanding Low Hemoglobin: Causes, Concerns, and Solutions
Understanding Thyroid Cysts: Causes, Health Impacts, and Management Tips
Thyroid cysts? Hello Dr. Yang, I would like to ask you about a thyroid issue. Recently, I visited a dermatologist due to long-term hair loss, and after a blood test, it was found that my thyroid T4 level is low (0.87). I also have significant iron deficiency anemia, so I was ref...
Dr. Yang Hongzhi Reply:
Thyroid nodules are common incidental findings on ultrasound. Most of them do not affect health and do not require treatment; however, it cannot be ruled out that they may grow, and a small percentage may have malignant potential. Therefore, monitoring is necessary. Currently, th...[Read More] Understanding Thyroid Cysts: Causes, Health Impacts, and Management Tips
Understanding Rough Liver Surface: Implications and Next Steps
Rough surface of the liver? I underwent an ultrasound examination which showed a rough liver surface, but my liver function tests were normal. The doctor ordered additional blood tests to check "if my immune system is attacking my liver," but those results also came bac...
Dr. Chen Jingwen Reply:
1. The ultrasound examination shows a rough liver surface, which may indicate the presence of parenchymal liver disease. However, due to the subjective nature of the operator's assessment, this does not necessarily imply a problem. It is essential to consider other laborator...[Read More] Understanding Rough Liver Surface: Implications and Next Steps
Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis
Unexplained pain? The area near the spine on the back (close to the shoulder blade), the lower edge of the ribs on the front chest, the thoracic cavity near the armpit, as well as the arms and fingers (especially the ring and little fingers) have been experiencing unexplained pai...
Dr. Zhao Chongliang Reply:
Due to pain near the lower rib cage and around the temples, it does not seem to originate from the spine or joints. If this has been persistent and there is no fever, it may be indicative of myofascial pain syndrome. A common condition is myofascial rheumatism (also known as fibr...[Read More] Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis
Improving Anemia and Managing Gout in Peritoneal Dialysis Patients
Peritoneal dialysis Hello Doctor: I am a patient undergoing peritoneal dialysis, but my hemoglobin level is only between 7 and 8, and my hematocrit is only 25. I often feel dizzy, and once my hematocrit dropped to 19, causing me to faint at work! However, there hasn't been m...
Dr. Jiang Wenzhi Reply:
There are many causes of anemia in dialysis patients, including nutritional deficiencies, insufficient iron stores, issues related to dialysis and erythropoietin (EPO) dosage, and secondary hyperparathyroidism. A comprehensive understanding requires integrating clinical data. Add...[Read More] Improving Anemia and Managing Gout in Peritoneal Dialysis Patients
Understanding Mediterranean Anemia and Its Impact on Fertility
Mediterranean anemia (also known as thalassemia) Hello Dr. Wang: I would like to ask if individuals with "thalassemia" have a lower chance of conception. Why is it that even without contraception, they still have difficulty achieving pregnancy? Thank you!
Dr. Wang Fangli Reply:
It is advisable to seek an obstetric and gynecological examination for your concerns.[Read More] Understanding Mediterranean Anemia and Its Impact on Fertility
Understanding Nausea: Is It a Sign of Gastrointestinal Issues?
Often feel nauseous? Doctor, I used to never feel nauseous when eating, and I'm not pregnant. However, in recent months, I've occasionally felt nauseous after eating, and sometimes I even vomit. I'm not sure if it's because I've eaten food that wasn'...
Dr. Zhao Chongliang Reply:
Persistent nausea or vomiting should prompt consideration of hepatitis, gastrointestinal ulcers, bacterial or parasitic infections in the intestines, food allergies, the use of specific medications, chronic alcoholism, and prior chemotherapy or radiation therapy due to cancer. If...[Read More] Understanding Nausea: Is It a Sign of Gastrointestinal Issues?
The Connection Between Kidney Function and Red Blood Cell Production
Kidney function Hello, doctor: I would like to ask about the relationship between kidney function and the production of red blood cells. Why do patients with uremia experience anemia? Thank you for your response.
Dr. Yu Xianneng Reply:
Renal failure leads to insufficient erythropoietin production, resulting in anemia that requires external supplementation, which is why EPO was developed. Details about EPO injection can be provided verbally during outpatient consultations.[Read More] The Connection Between Kidney Function and Red Blood Cell Production