Back, Internal Medicine FAQ - Page 26

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Am I Pre-Diabetic? Understanding Blood Sugar Levels and Next Steps

Is this prediabetes? This morning, my fasting blood sugar was 82. Two hours after lunch, it was 179. A few minutes later, it changed to 161 and then 169. Two hours after dinner, it was 172, and two and a half hours after dinner, it was 144. My grandfather and father have diabetes...


Dr. Li Zhiyao Reply:
Hello: It is recommended to exercise more as you mentioned, improve dietary habits, especially paying attention to calorie intake and portion control. Following this, tracking your progress will allow for a more accurate diagnosis.

[Read More] Am I Pre-Diabetic? Understanding Blood Sugar Levels and Next Steps


Managing Hyperthyroidism: Pregnancy Risks and Treatment Options Explained

Hyperthyroidism issues? Hello Doctor: I would like to ask about my condition. I have had hyperthyroidism for over a decade, and although my levels were very high in the past, they have been stable and normal for the past two years. My most recent lab results show T3 at 153.35, T4...


Dr. Xiao Yongxun Reply:
Your question involves issues related to endocrinology and obstetrics; it is advisable to discuss this with your attending physician. 1. There are many causes of hyperthyroidism, with Graves' disease being the most common, likely due to an autoimmune response. Once well-co...

[Read More] Managing Hyperthyroidism: Pregnancy Risks and Treatment Options Explained


Understanding Upper Back Pain After a Cold: Causes and Solutions

I have a severe pain in the upper left back due to a cold? I caught a cold yesterday, and when I woke up from my nap at noon, I noticed that my upper back hurts a lot. What could be the cause? When I turn my head to the right and look up, it doesn't hurt, but when I turn my ...


Dr. Li Zhiyao Reply:
Hello: Since you mentioned that deep breathing also causes pain, to rule out any issues with the lungs and pleura, I recommend that you consult a pulmonologist for an examination.

[Read More] Understanding Upper Back Pain After a Cold: Causes and Solutions


Understanding ANA 1:160 Homogeneous Pattern and Its Implications

ANA 1:160 homogeneous type Hello, Doctor Gao. My mother has a family history of immune dysfunction, and she herself has experienced immune system irregularities. Eight years ago, she began to notice unexplained joint pain, primarily affecting her right ankle and the joints of her...


Dr. Gao Jiankai Reply:
Hello, Xiao Yuan. The ANA value of 160 is slightly elevated, which requires further examination. Additionally, since you are experiencing some joint pain symptoms and lymphadenopathy, it is indeed advisable to conduct further tests on your immune function. Please prepare your lab...

[Read More] Understanding ANA 1:160 Homogeneous Pattern and Its Implications


Post-Splenectomy Health Issues: Seeking the Right Specialist for Your Symptoms

Splenectomy performed? Dear Doctor... I had my spleen removed 14 years ago, and I am now 34 years old. I feel fatigued every day, and my lower back is sore and weak. I've heard that without a spleen, my hematopoietic function may be impaired, which could lead to poor blood c...


Dr. Wu Jiyu Reply:
After reviewing your question, I recommend seeking assistance from a urologist. Thank you for your inquiry. The Nephrology Department of Changhua Hospital cares about you.

[Read More] Post-Splenectomy Health Issues: Seeking the Right Specialist for Your Symptoms


Understanding Lung Discomfort: Symptoms, Causes, and When to Seek Help

Pulmonary discomfort? Hello Doctor: I was hospitalized for four days two weeks ago due to pneumonia, but I did not have a fever. I have been continuously using nebulized mucolytics and taking antibiotics for over a week. However, instead of producing phlegm, my breathing has beco...


Dr. Xie Rongyuan Reply:
Hello: If you are still experiencing shortness of breath, coughing with phlegm, it is possible that you have not fully recovered and should follow up with a pulmonologist for further treatment. Thank you for your message!

[Read More] Understanding Lung Discomfort: Symptoms, Causes, and When to Seek Help


Understanding Reduced Saliva Production: Causes and Solutions

Hello, doctor. I have a question regarding decreased saliva production? Four years ago, I noticed a decrease in saliva production, which has led to difficulties swallowing. I often need to drink liquids while eating. I went to the rheumatology and immunology department for blood ...


Dr. Zeng Guosen Reply:
Hello, there are many reasons for dry mouth. Currently, there are medications available to alleviate the symptoms, as well as toothpaste, oral gels, and mouthwashes that can help. It is advisable to consult an otolaryngologist for further evaluation.

[Read More] Understanding Reduced Saliva Production: Causes and Solutions


Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained

How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...


Dr. Wu Jiyu Reply:
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...

[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained


Understanding Joint Pain: Insights on Arthritis and Fibromyalgia Management

Joint pain I have juvenile arthritis and fibromyalgia. I have been managing my condition with medication for about a year, and it has improved significantly. However, after an accidental ankle sprain and fracture, my joints suddenly started to hurt again. Strangely, my blood test...


Dr. Zeng Guosen Reply:
Hello, internet user: Joint pain can be caused not only by arthritis but also by surrounding structures such as cartilage, ligaments, and muscles. Therefore, it is possible to experience joint pain even if blood test results are normal. Medications for fibromyalgia and arthritis ...

[Read More] Understanding Joint Pain: Insights on Arthritis and Fibromyalgia Management


Is Your Back Pain a Sign of Kidney Deficiency? Understanding Symptoms and When to Seek Help

I'm not sure if it's kidney deficiency? Hello, I would like to ask the doctor about a situation. I previously worked part-time lifting heavy objects, and at that time, my posture was poor. After finishing the lifting on that day, I felt something unusual around my lower...


Dr. Xiao Yongxun Reply:
"Kidney deficiency" is a term used in Traditional Chinese Medicine, commonly understood as dysfunction of the endocrine system, kidney function, or sexual function. However, from the perspective of evidence-based medicine, if you experience lower back pain due to liftin...

[Read More] Is Your Back Pain a Sign of Kidney Deficiency? Understanding Symptoms and When to Seek Help


Understanding Kidney Issues: Symptoms and Concerns Explained

Suspected kidney issues? Hello, doctor. I would like to ask you something. Previously, when I drank alcohol, my hands would shake and I would experience acid reflux. Recently, I have developed many small red spots on my lower back. When pressed, nothing comes out. I also feel lik...


Dr. Lin Peifeng Reply:
Hello, it is recommended that you visit a hospital for a physician to make a personal assessment in order to provide you with a clear diagnosis and advice. Thank you.

[Read More] Understanding Kidney Issues: Symptoms and Concerns Explained


Understanding Severe Pneumonia and Complications in Elderly Patients

Pneumonia, currently undergoing intubation treatment? Doctor, I would like to ask you: My father, who is 83 years old, went to the emergency room due to back pain, but he has a long history of experiencing shortness of breath without further medical evaluation. He was initially s...


Dr. Xie Rongyuan Reply:
Hello: The patient is still experiencing an infection. It is advisable to discuss the condition and treatment with the attending physician, as I cannot provide any recommendations without observing the patient's clinical situation. Thank you for your message!

[Read More] Understanding Severe Pneumonia and Complications in Elderly Patients


Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options

Polyarthritis 1. I have an ASLO index of 247 (or 274?). Is this caused by genetics or an infection? My family has a history of almost all hereditary diseases, including lupus erythematosus, ankylosing spondylitis, gout, rheumatoid arthritis, kidney stones, kidney disease, stroke,...


Dr. Gao Jiankai Reply:
Hello Ms. Yang, I hope this message finds you well. Your questions are somewhat complex, and since I haven't actually seen you, many of my thoughts are merely speculation. It is best for you to discuss these matters with a physician who has examined you in person. Here are m...

[Read More] Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options


Understanding Hormonal Development Issues: A Guide for Young Adults

Hormones (previous question inquiry) Last time I had a question... Since I am 20 years old, my voice hasn't changed like a girl's, and I feel that my genitalia hasn't developed. Yesterday, I visited a urologist and initially asked the doctor about my "voice&qu...


Dr. Wu Jiyu Reply:
1. Regarding your inquiry, it is recommended to consult a urologist or an endocrinologist. Since you have already seen a urologist, please wait for the blood test results and listen to the explanation from your physician. 2. If your questions remain unanswered at that time, reque...

[Read More] Understanding Hormonal Development Issues: A Guide for Young Adults


Understanding Kidney Pain and Unpleasant Urine Odor: Symptoms Explained

I feel like there is a problem with my kidneys? Hello doctor, recently I have been experiencing occasional sharp pain in my left lower back, approximately where the kidney is located, and my urine has a foul odor. What could these symptoms indicate?


Dr. Wu Jiyu Reply:
Regarding the pain you mentioned in the left lower back, which is approximately where the kidney is located, along with the occasional sharp pain and foul-smelling urine, it is possible that you may be experiencing kidney inflammation, stones, or other issues. It is advisable to ...

[Read More] Understanding Kidney Pain and Unpleasant Urine Odor: Symptoms Explained


Which Medical Specialist Should You See for Severe Abdominal Pain?

Which department should I go to for medical treatment? If you experience severe lower abdominal pain during your menstrual period, and have already consulted a gynecologist for examination and treatment, but have recently started experiencing lower abdominal pain even outside of ...


Dr. Chen Qingbin Reply:
Hello: If you are experiencing discomfort while urinating, it is recommended that you consult a urologist.

[Read More] Which Medical Specialist Should You See for Severe Abdominal Pain?


Understanding Kidney Inflammation: Is Pain Normal During Treatment?

Kidney inflammation (pyelonephritis) Hello Dr. Chen, I was diagnosed with pyelonephritis on August 1st. It has been six days, and I am still taking antibiotics, but I still experience slight pain in my left lower back at times. Is this a normal occurrence?


Dr. Chen Jianyu Reply:
Yes, if there is no improvement, please return to the outpatient clinic for follow-up treatment.

[Read More] Understanding Kidney Inflammation: Is Pain Normal During Treatment?


Is Drinking Milk at Night Safe for Diabetics?

Waking up at night to drink milk for diabetes? Hello, doctor. My father has diabetes, and he often gets up in the middle of the night to drink milk before going back to sleep. Is this good for his health? Thank you.


Dr. Xiao Yongxun Reply:
Generally speaking, a 250 ml cup of fresh milk contains approximately 150 calories, which includes carbohydrates, proteins, fats, and other nutrients. Currently, there is no information available to explain why someone might wake up in the middle of the night to drink milk; it co...

[Read More] Is Drinking Milk at Night Safe for Diabetics?


Understanding Kidney Imaging: When to Repeat and What It Means

Renal imaging I would like to ask the doctor, a few years ago I had a urinalysis that showed trace hematuria (1+), and the doctor performed an intravenous pyelogram (IVP) which came back normal. If I have another urinalysis now that still shows trace hematuria (1+), should I unde...


Dr. Wu Jiyu Reply:
1. It is recommended to consult a nephrologist or urologist for a renal ultrasound for monitoring. If any issues arise, further examinations such as an Intravenous Pyelogram (IVP) or a CT scan can be considered. 2. To determine if there is proteinuria, a urinalysis is sufficient...

[Read More] Understanding Kidney Imaging: When to Repeat and What It Means


Understanding Hypertension: Symptoms and Health Risks Explained

Hypertension issues Hello, Dr. Lee! Recently, I have been experiencing chest tightness, nausea, pain at the back of my temples (with a feeling of tightness), and bloating. I visited the clinic today, and my blood pressure was 179/87. Am I considered part of the hypertensive popul...


Dr. Li Zhiyao Reply:
Hello: Some of your symptoms may indeed be caused by hypertension, such as headaches. However, the connection between bloating and hypertension is relatively minor. Here is a basic concept for your reference: the diagnosis of hypertension should be based on multiple measurements ...

[Read More] Understanding Hypertension: Symptoms and Health Risks Explained


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