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Understanding Weight Loss and Side Effects of Forxiga and Olmetec

Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...


Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...

[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec


Understanding Low TSH Levels After Thyroidectomy: Causes and Implications

Hypothyroidism I underwent a total thyroidectomy about 4 years ago and have been taking thyroid hormones since then. My T3 and T4 levels are maintained within the normal range, but my TSH levels have consistently been very low. I would like to know the reason for this. Is it beca...


Dr. Xiao Yongxun Reply:
Dear Ms. Ting: 1. This question should be directed to your attending physician, as it involves what specific thyroid disease you have, the reasons for total thyroidectomy, whether you are taking other medications, if there are any other endocrine issues, and if there are any oth...

[Read More] Understanding Low TSH Levels After Thyroidectomy: Causes and Implications


Concerns About HIV Transmission from Contaminated Floors and Shoes

Floor and shoe sole Hello: I work in a pathology lab where specimens often result in blood or bodily fluids dripping onto the floor. After handling specimens, I walk back to the adjacent office and am concerned that HIV in the bodily fluids on the floor could be brought back to t...


Dr. Liao Zhongxin Reply:
Dear readers, 1. The following are legally mandated infectious diseases that can be transmitted through contact: Granulomatous amoebic encephalitis, rabies, anthrax, glanders, leptospirosis, tetanus, neonatal tetanus, scabies, pediculosis, leprosy, cat scratch fever, tularemia, ...

[Read More] Concerns About HIV Transmission from Contaminated Floors and Shoes


Unexplained Pain: Understanding Your Sleep Disruptions and Kidney Issues

Unable to comprehend, unsure of what strange illness it is? I wake up every time, regardless of when I fall asleep, after about 1-2 hours due to the urge to urinate and dull pain in my left lower back. It's not severe pain, but it's enough to prevent me from falling bac...


Dr. Li Zhiyao Reply:
Hello: Please visit the urology department in person, as remote consultations are not possible.

[Read More] Unexplained Pain: Understanding Your Sleep Disruptions and Kidney Issues


Understanding Mediterranean Anemia: Symptoms and Diagnosis Explained

Mediterranean anemia (also known as thalassemia) Hello doctor, I have thalassemia and often experience dizziness. I thought it was due to moderate thalassemia. I recently had a routine blood test, and the results came back quickly. The doctor said my blood is normal, with a hemog...


Dr. Xiao Yongxun Reply:
Dear Mr. Wei, Thalassemia, or Mediterranean anemia, is classified into α-thalassemia (determined by four α genes on chromosome 16) and β-thalassemia (determined by two β genes on chromosome 11), both of which are inherited in an autosomal recessive manner. Problems arise only wh...

[Read More] Understanding Mediterranean Anemia: Symptoms and Diagnosis Explained


Understanding Chest Discomfort: When to Seek Further Medical Evaluation

Chest tightness/chest pain Hello doctor, I have been experiencing chest tightness and chest pain for more than half a month, and sometimes I have difficulty breathing. On March 17, I went to the emergency room, and the doctor ordered blood tests which came back normal. I was advi...


Dr. Zeng Guosen Reply:
Hello, online user: There are many causes of chest pain, and it is recommended to see a pulmonologist for evaluation and examination. If the emergency blood test results are normal, should further in-depth tests be conducted? This should be determined after a consultation with a ...

[Read More] Understanding Chest Discomfort: When to Seek Further Medical Evaluation


Understanding Left Buttock Pain: Causes and When to Seek Help

Pain in the buttocks? Hello: A few years ago, I noticed the following: A: "Whenever I have a particularly tiring day at work, after I get off, my left buttock near the coccyx tends to feel sore and soft, and sometimes I experience a sudden sharp pain that lasts about 2 secon...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If you have previously experienced a fall with your hip hitting the ground, you may want to consider seeing an orthopedic specialist. If not, you might want to consult a neurologist. However, regardless of which specialty you choose, it is recom...

[Read More] Understanding Left Buttock Pain: Causes and When to Seek Help


Understanding the Link Between Skin Infections and HIV Concerns

HIV issues Hello, doctor. I would like to ask if my recurrent back fungal infection or nummular eczema (since I have received differing opinions from two dermatologists) is related to HIV (because HIV causes persistent illnesses). I have had this condition since middle school, an...


Dr. Li Zhiyao Reply:
Hello: If you have questions about HIV infection, you can consult an infectious disease specialist. Additionally, some hospitals offer anonymous free HIV testing services, which you can inquire about on your own.

[Read More] Understanding the Link Between Skin Infections and HIV Concerns


Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips

Gastrointestinal discomfort? One time, after having dinner and overeating while drinking soda, I couldn't sleep all night due to bloating. I thought I might vomit from the fish I ate that night, but I didn't. Instead, I experienced diarrhea, burping, and passing gas. Th...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult a gastroenterologist.

[Read More] Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips


Pain in Left Foot's Middle Toe: Causes and Treatment Options

The middle toe of the left foot is bent, and there is a pain sensation in the sole of the foot? Hello, doctor. On my way home tonight, I noticed a pain in the front part of my left foot while walking. After getting home and paying closer attention, I found that the pain originate...


Dr. Xiao Yongxun Reply:
1. [Sudden pain in the left third toe, especially painful during dorsiflexion.] Medically speaking, inflammation refers to the presence of redness, swelling, heat, and pain in tissues. Your complaint may indicate some form of inflammation. However, I recommend that you consult yo...

[Read More] Pain in Left Foot's Middle Toe: Causes and Treatment Options


Understanding Sudden Dizziness: Possible Heart Issues and Anemia

Sudden dizziness? Hello Doctor: On Tuesday, while I was taking a bus back to school from Taichung, I fainted at the station. Before fainting, I experienced symptoms such as cold sweats, tinnitus, nausea, blurred vision, and rapid heartbeat, after which I lost consciousness. Accor...


Dr. Li Zhiyao Reply:
Hello: 1. A lack of family history of heart disease does not mean that you are personally free from heart disease. 2. Whether you have anemia can be determined through a blood test; however, having anemia does not necessarily mean that your symptoms are solely due to anemia witho...

[Read More] Understanding Sudden Dizziness: Possible Heart Issues and Anemia


Which Specialist to See for Persistent Abdominal and Urinary Discomfort?

If you are experiencing discomfort in various parts of your body, you should consider visiting a primary care physician or a general practitioner. They can evaluate your symptoms and refer you to the appropriate specialist if needed? I have been experiencing persistent pain in my...


Dr. Wu Jiyu Reply:
In response to your inquiry, it seems you may have some medical background. 1. "Persistent left lower abdominal pain for several days, especially at night, to the point of being unable to sleep, with increased nocturia. Recently (for about a month), daytime urinary frequen...

[Read More] Which Specialist to See for Persistent Abdominal and Urinary Discomfort?


Understanding Causes of Sharp Pain in the Right Lower Back

Right lower back pain? I have been experiencing intermittent sharp pain in my right lower back for the past week. What could be the possible causes?


Dr. Zeng Guosen Reply:
Hello, users: Low back pain may be due to myofascial pain, spinal nerve pain, abdominal organ issues, or renal and urinary system problems. It is recommended to consult an orthopedic specialist first. Thank you for your question.

[Read More] Understanding Causes of Sharp Pain in the Right Lower Back


Understanding Inflammatory Spine Conditions: Assessing Severity in Ankylosing Spondylitis

Questions regarding the diagnosis of ankylosing spondylitis? Hello, I recently visited a large hospital to check on a long-standing pain condition. Most of the time, I experience numbness and pain on the right side of my body, and I cannot lie flat while sleeping due to back pain...


Dr. Zeng Guosen Reply:
Hello, internet user: 1. The so-called inflammation grade refers to the degree of inflammation observed in the sacroiliac joints on standard X-rays (you are referring to nuclear medicine scans), which is classified into four levels. 2. An accurate diagnosis of ankylosing spondyli...

[Read More] Understanding Inflammatory Spine Conditions: Assessing Severity in Ankylosing Spondylitis


Concerns About HIV Transmission After Dental Visit: What You Need to Know

Transmission of HIV/AIDS Today I went to the dentist, and after the doctor administered anesthesia, I rinsed my mouth. After rinsing, I put the cup back in its place by the faucet and noticed there were bloodstains on the faucet (I’m not sure if they were dry or not). This could ...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "If I rinse my mouth with blood from someone with HIV and I have small needle punctures in my mouth from anesthesia (4 injections), am I at risk of infection? Do I need to get tested?" A: (1) The transmission routes for HIV are thro...

[Read More] Concerns About HIV Transmission After Dental Visit: What You Need to Know


Understanding Low Glomerular Filtration Rate: What You Need to Know

Low glomerular filtration rate (GFR) Hello doctor, I am currently 26 years old and below are my data (the abnormal ones related to kidney function tests). Last year, my blood pressure was 137/80, cholesterol was 208 (standard upper limit is 200), white blood cells were 4.7 (norma...


Dr. Wu Jiyu Reply:
Based on the data you provided, the glomerular filtration rate (GFR) has decreased from 94.58 to 80.89, which raises concerns about changes in kidney function. Currently, the GFR we use is derived from studies conducted by international scholars, and there are also researchers in...

[Read More] Understanding Low Glomerular Filtration Rate: What You Need to Know


Understanding Right Lower Chest and Abdominal Pain: When to Seek Help

Pain in the lower right quadrant of the abdomen? Hello, doctor! Recently, a family member has been experiencing discomfort in the lower right side of the abdomen, but there are no lumps in the chest or abdomen. The pain comes in waves and has been ongoing for about five days. The...


Dr. Li Zhiyao Reply:
Hello: The most common cause of pain in the upper right abdomen is related to liver and gallbladder issues. If the symptoms are severe, it is advisable to go to the emergency department; otherwise, it is recommended to see a gastroenterologist specializing in liver and gallbladde...

[Read More] Understanding Right Lower Chest and Abdominal Pain: When to Seek Help


Understanding Lymphadenitis: Symptoms, Diagnosis, and Concerns

Strange Lymph Nodes Hello Doctor, here is the situation regarding my girlfriend: Last week, she had a severe sore throat and was diagnosed with lymphadenitis after seeing a doctor. After taking medication for a week, although the pain has subsided, she still has some swelling. Sh...


Dr. Zeng Guosen Reply:
It is highly recommended to visit an otolaryngologist for differential diagnosis. Thank you for your question.

[Read More] Understanding Lymphadenitis: Symptoms, Diagnosis, and Concerns


Understanding Left Lower Rib Pain: Causes and Solutions

Dull pain inside the left lower rib cage? I experience a dull pain inside my left lower rib when I bend over, and it comes in waves. The pain intensifies when I exercise, and sometimes it is accompanied by a sudden sharp sensation in my left back, like an electric shock. When I s...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you first consult a pulmonologist to determine if your issue is related to a thoracic problem. If it is not a thoracic issue, the pulmonologist can refer you to another specialty.

[Read More] Understanding Left Lower Rib Pain: Causes and Solutions


Understanding Recurring Knee Swelling: Causes and Solutions

Knee edema keeps recurring? Hello Doctor: I previously fell and injured my left foot, but I'm not sure if this is the reason for the persistent swelling and inflammation in my knee. The first time it swelled, it was so severe that I couldn't walk or bend it at all. I we...


Dr. Xiao Yongxun Reply:
1. Knee pain is a common site for sports injuries, degenerative arthritis, inflammatory arthritis, and infectious arthritis. From a clinical anatomical perspective, the joint structures to consider are the medial tibiofemoral, lateral tibiofemoral, and patellofemoral compartments...

[Read More] Understanding Recurring Knee Swelling: Causes and Solutions


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