Understanding Potassium-Deficient Muscle Disorders in Hyperthyroidism
Hypokalemic myopathy caused by hyperthyroidism? Hello Doctor. I had a question on October 14, 2006, which you kindly answered, helping my mother and me feel less anxious about her condition. For the past four months, my mother has been consistently taking her medications (Methima...
Dr. Yang Hongzhi Reply:
It is quite common in clinical practice for patients to exhibit a tendency towards hypothyroidism while on the same dosage of medication. Management may involve temporarily discontinuing the medication or reducing the dosage, but it is essential to monitor thyroid function to adj...[Read More] Understanding Potassium-Deficient Muscle Disorders in Hyperthyroidism
Persistent Back Pain at Night: Possible Causes and Solutions
Persistent back pain during sleep at night? Hello, Doctor. I have been troubled by back pain for a long time. Since one night in May of last year, I have been waking up with back pain, which occurs only at night while I sleep. The pain is located between my shoulders and lower ba...
Dr. Zeng Guosen Reply:
There are many causes of back pain, and it is not possible to determine the true reason from your email content. If ankylosing spondylitis is suspected, you should see a rheumatologist for an "HLA-B27" blood test and an X-ray of the sacroiliac joints in the lower back f...[Read More] Persistent Back Pain at Night: Possible Causes and Solutions
Which Specialist to See for Abdominal Swelling and Discomfort?
Should I see a general internist or a urologist? I have had a slight swelling in the area just above my left reproductive organ since middle school when I exert myself, but it hasn't interfered with my daily life, so I didn't pay much attention to it. Now that I am 26, ...
Dr. Lin Mingfeng Reply:
Based on the described symptoms, it may be a hernia. It is recommended to first consult a urologist.[Read More] Which Specialist to See for Abdominal Swelling and Discomfort?
Understanding Low Platelet Count: Causes, Treatments, and Concerns
A low platelet count, confirmed by bone marrow examination, indicates a viral infection? Hello Doctor: On December 27, 2006, I visited a dermatologist due to purple spots and some bruising on my body. The doctor suggested that I go to the hospital for a blood test, suspecting tha...
Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the low platelet count and accompanying purpura and bruising observed on December 27, 1995, common causes include liver dysfunction (cirrhosis), kidney dysfunction (dialysis), infections (viral infections, such as upper respiratory infections), hematol...[Read More] Understanding Low Platelet Count: Causes, Treatments, and Concerns
Managing Small Kidney Stones: What You Need to Know
Questions about kidney stones? Hello Doctor, I would like to ask about the two kidney stones measuring 0.25 cm that were discovered during my company's health check last week. I would like to know how I should proceed with this. I'm feeling a bit worried. Thank you.
Dr. Wu Jiyu Reply:
First, check if you have any symptoms such as lower back pain, hematuria, or urinary tract infection (fever, chills, frequent urination, or painful urination). If you do, you should consult a urologist. If not, based on the size of your stone (0.25 cm) and your age (20-39 years),...[Read More] Managing Small Kidney Stones: What You Need to Know
Understanding Fatigue and Lower Back Pain: Causes and Solutions
(Worried about) lower back pain and easy fatigue? Recently, I have been feeling easily fatigued and experiencing some lower back pain. What could be the cause of this? I am quite worried and would appreciate the doctor's insight. Thank you!
Dr. Yao Quan Reply:
Hello: The issue of easy fatigue can be considered from many angles. It may be due to high work stress, anxiety, or a diagnosis of chronic fatigue syndrome. If there are physical abnormalities, it is advisable to check for diseases related to the liver, heart, or endocrine system...[Read More] Understanding Fatigue and Lower Back Pain: Causes and Solutions
Maintaining Weight Loss: Tips to Avoid Yo-Yo Dieting and Hair Loss
Weight loss Hello, doctor. About 5-6 months ago, I lost 20 kilograms, going from 70 to 50 kg, through dieting. My method was to have a normal breakfast, but I often ate Kellogg's Fruit Granola with fresh milk. For lunch, I had various steamed vegetables and boiled pork, and ...
Dr. Wang Fangli Reply:
For breakfast, you can continue eating as you did six months ago. For lunch and dinner, you should add one bowl of rice (filled to 80%). Avoid consuming too much sweet fruit. In addition to dietary control, it's important to maintain regular exercise.[Read More] Maintaining Weight Loss: Tips to Avoid Yo-Yo Dieting and Hair Loss
Is It Gastroenteritis? Understanding Abdominal Pain and Symptoms
Is there a problem with the gastrointestinal tract? Two days ago, while I was running, I suddenly felt pain on the right side of my abdomen. After feeling the pain, I stopped running and walked slowly; any movement would cause pain. Later that evening, when I got home, I started ...
Dr. Xiao Jingqin Reply:
1. Gastroenteritis is the inflammation of the gastric and intestinal mucosa, commonly caused by food poisoning. Symptoms include severe vomiting and diarrhea, often accompanied by abdominal cramping and colicky pain, fever, and sweating. Prolonged and significant fluid loss can l...[Read More] Is It Gastroenteritis? Understanding Abdominal Pain and Symptoms
Understanding Persistent Stomach Pain: Possible Causes and Solutions
Stomach pain I often experience stomach pain that radiates to my back. Recently, a friend mentioned it might be a gallbladder issue. However, I went to the hospital for an ultrasound, and the doctor said everything was fine but couldn't answer my questions. Last night, the p...
Dr. Cai Yaozhou Reply:
If you are experiencing unexplained stomach pain, it is advisable to consult a gastroenterologist for a proper diagnosis to avoid delaying treatment due to inappropriate medication. There are numerous potential causes of stomach pain, so it is crucial to specify the location of t...[Read More] Understanding Persistent Stomach Pain: Possible Causes and Solutions
Understanding Persistent Fever and Back Pain: A Guide for Busy Professionals
Fever Hello Dr. Liao, I apologize for taking up your time. I am a working individual, 155 cm tall and weighing 43 kg, and I have been troubled by back pain for a long time. Over the past year, the pain has worsened, radiating from my spine to a deep point in my epigastric area. D...
Dr. Liao Zhongxin Reply:
Dear readers: 1. If you experience chronic back pain, general fatigue, and low-grade fever, you should first consult a neurosurgeon or orthopedic specialist to determine if it is due to poor posture, scoliosis, or spinal issues. 2. Taiwan is considered a high-prevalence area for ...[Read More] Understanding Persistent Fever and Back Pain: A Guide for Busy Professionals
Do You Need High Doses of Vitamin C for Urticaria Relief?
Do hives require a large intake of vitamin C? I have been experiencing a rash for half a month. Although I have undergone blood tests, the results have not yet come back. My condition includes numerous red rashes on my hands and body, and I also feel tightness and discomfort in m...
Dr. Zeng Guosen Reply:
Hello: The treatment of urticaria with vitamin C and B is not a medically recommended approach and may be based on hearsay. It is essential to identify the underlying cause of urticaria to achieve complete control of the condition. However, in most cases of chronic urticaria, the...[Read More] Do You Need High Doses of Vitamin C for Urticaria Relief?
Understanding Left Side Lower Back Pain: Causes and Solutions
Left lumbar region Doctor, I have been experiencing pain in the upper left side of my lower back for some time now, especially when riding my motorcycle or sitting. Previously, I would have pain in my back or lower back, but now it is only the left side that feels a dull ache tha...
Dr. Wu Jiyu Reply:
Regarding left-sided lower back pain, most people tend to think it is a kidney issue. However, after examination, it is often found to be merely inflammation of the muscles or tendons. It is recommended that you visit a nephrology clinic to arrange for urine tests and ultrasound ...[Read More] Understanding Left Side Lower Back Pain: Causes and Solutions
Understanding Skin Issues: Persistent Folliculitis and Allergic Reactions
excuse me? I have a few questions for the doctor. I would like some guidance... Recently, my health has been a bit strange. I used to rarely experience folliculitis, but now I am having frequent outbreaks all over my body, especially on my chest. They are not healing easily and a...
Dr. Cai Yaozhou Reply:
It is advisable to consult a dermatologist for a proper diagnosis and treatment of folliculitis, which is a skin condition characterized by inflammation of the hair follicles due to bacterial infection, often recurring. It can occur in any area with hair follicles, commonly affec...[Read More] Understanding Skin Issues: Persistent Folliculitis and Allergic Reactions
Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?
Lower back pain? I have pain on the left side of my lower back extending at a 45-degree angle to my spine. I feel soreness in certain positions, but the right side is fine. Recently, I noticed some swelling. Four months ago, I had a record of high protein in my urine. I would lik...
Dr. Wang Weijie Reply:
Hello: To determine if there is kidney disease, a urinalysis can provide the necessary information. The cause of low back pain is often related to poor posture, resulting in neuromuscular pain. Correcting posture and the use of analgesics can lead to improvement. Another cause is...[Read More] Understanding Left-Sided Lower Back Pain: Possible Kidney Issues?
Understanding Severe Palpitations: Causes and Diagnostic Approaches
Severe palpitations? I apologize! Recently, I often feel a strong heartbeat, and there is a sharp pain in the lower left side of my heart. The back of my head also experiences sharp pain that is truly unbearable. It has been occurring more frequently. In previous health check-ups...
Dr. Chen Qingbin Reply:
You need to go to the hospital for an electrocardiogram (ECG) and thyroid function tests.[Read More] Understanding Severe Palpitations: Causes and Diagnostic Approaches
Understanding Lipomas: When to Worry About Pain and New Growths
Lipoma There is a pre-existing lipoma on the left posterior side of the lower back, approximately 2 cm in diameter, which has been present for over a decade. It causes slight pain when compressed, but its size has remained unchanged, and its color is normal skin tone. In the past...
Dr. Cai Yaozhou Reply:
Lipomas are quite common benign tumors located in the subcutaneous tissue, composed of fat. Typically, lipomas are surrounded by a thin fibrous capsule that separates them from the surrounding normal tissue. However, sometimes this fibrous layer may be absent, making it difficult...[Read More] Understanding Lipomas: When to Worry About Pain and New Growths
Can Allergic Purpura Appear on Thighs? Symptoms and Treatment Insights
Purpura can appear on the thighs? Hello, doctor. I would like to ask if allergic purpura can appear on the thighs and the inner thighs? The symptoms are as follows: occasional abdominal pain, lower back pain, and knee pain when walking. The spots are painful when pressed. Will th...
Dr. Yao Quan Reply:
Hello, Miss Sandy. Allergic purpura primarily appears on the lower extremities and can occur on the thighs. Some patients may also have purpura on the trunk. The following photo is from the British Journal of Dermatology, 149(6):1282-5, December 2003. Allergic purpura is a type o...[Read More] Can Allergic Purpura Appear on Thighs? Symptoms and Treatment Insights
Understanding Itchy Coccyx and Groin: Causes and Solutions
Itching in the coccygeal area and the groin? Hello Doctor: In the past two weeks, I have experienced intense itching in the area of my coccyx and on both sides of my groin. There is no redness, swelling, or any signs of rash or insect bites. Sometimes the itching extends from the...
Dr. Wang Fangli Reply:
It is most likely localized urticaria, which is an allergic reaction. It can be treated with oral antihistamines for 5-7 days, followed by observation. God bless you, Jesus loves you.[Read More] Understanding Itchy Coccyx and Groin: Causes and Solutions
Understanding Muscle Strain and Nerve Sensations After Weight Training
Paralysis Hello Doctor: A while ago, I was doing weight training and accidentally injured my lower back. After treatment, it was diagnosed as a muscle strain, and I have improved significantly with medication, although I still occasionally feel something unusual. Recently, when I...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Inappropriate weight training may lead to muscle and ligament strains; it can even result in intervertebral disc disorders or joint diseases. Therefore, it is essential to have a health assessment, a comprehensive training plan, and warm-u...[Read More] Understanding Muscle Strain and Nerve Sensations After Weight Training
Understanding Sleep Issues and Skin Problems: A Comprehensive Guide
Often not getting enough sleep? Hello, doctor! Recently, I have been feeling constantly tired despite going to bed at 11 PM. I have to wake up at 6:30 AM for my 8 AM job. I've also been experiencing persistent and large acne breakouts, and I have been applying medication to ...
Dr. Liao Zhongxin Reply:
Dear readers: 1. It is important to note that sleep patterns vary significantly throughout human life. Infants can sleep all day, while elderly individuals may only sleep 2 to 3 hours a day. Whether one is getting enough sleep depends on age and the body's needs on a given...[Read More] Understanding Sleep Issues and Skin Problems: A Comprehensive Guide