Blood pressure, Internal Medicine FAQ

Understanding Kidney Displacement: Potential Risks and Complications

About the kidneys? I recently experienced a sensation of something in my left kidney. After undergoing a urethrogram, it was found that only my right kidney is slightly displaced. What potential complications could arise from this? During a previous examination, the doctor mentio...

Dr. Yao Quan Reply:
Dear Ms. Lin, Hello! According to your letter, your intravenous pyelography revealed that your right kidney is descended, but your symptoms are occurring on the left side (where you often feel something in the left kidney area). You did not mention whether there are any symptoms...

Understanding Dry Cough in Hypertension Patients: Causes and Solutions

Antihypertensive medications and dry cough? Current medications include: 1. Tenormin 100 mg tablet (Atenolol) 2. Posterisan Forte ointment 10 g 3. Prozac 20 mg dispersible tablet (Fluoxetine) 4. Renitec tablet 5 mg (Enalapril) 5. Moduretic tablet (Amiloride and Hydrochlorothiazid...

Dr. Zhong Weisheng Reply:
The dry cough mentioned in your letter is most likely caused by the medication Renitec (Enalapril) 5 mg. It is recommended to discontinue this medication. If blood pressure increases, you may consider adding a non-angiotensin-converting enzyme inhibitor. Thank you for your letter...

Best Times to Measure Blood Pressure for Accurate Readings

Measuring blood pressure Dear Director: Hello, may I ask when is the most accurate time to measure blood pressure? 1. Measuring while lying in bed right after waking up (regardless of time) 2. Measuring after completing morning routines (washing face, brushing teeth) (regardless ...

Dr. Zhong Weisheng Reply:
Hello: In a normal person, blood pressure fluctuates throughout the 24-hour day. Generally, it is lower during sleep and in the early morning, while it tends to be higher in the afternoon until just before bedtime. Blood pressure measurements should be taken at the same time each...

Can Diabetes-Related Frequent Urination Cause Constipation?

Can diabetes-related polyuria cause constipation? Dr. Yang: Hello! My husband has been taking medication for hypertension for a long time. He usually urinates a lot, but recently he has lost weight rapidly and feels extremely thirsty. After testing his blood sugar two hours after...

Dr. Yang Hongzhi Reply:
Hello: Diabetes medications may cause gastrointestinal discomfort; sometimes reducing the dosage can help, and other times the body may gradually adapt. If discomfort persists, it may be necessary to adjust the medication. Constipation caused by diabetes medications is relatively...

Understanding Your Blood Pressure Readings: Do You Have Hypertension?

Hypertension Based on the measurements you provided over the past 12 days, your blood pressure readings indicate that you may have hypertension. The systolic (upper) and diastolic (lower) values you recorded show several instances where the systolic pressure is above 140 mmHg and...

Dr. Wang Fangli Reply:
According to the blood pressure values mentioned, there is hypertension. Both internal medicine and family medicine can provide consultation. In daily life, it is important to maintain an ideal weight, follow a diet low in oil and salt, consume plenty of fruits and vegetables, an...

Diabetes and Hypertension: Dietary Tips for Busy Eaters

Diabetes - Dietary Consultation for Diners Out As someone who frequently eats out and has high blood pressure, how can I manage my diet?

Dr. Xiao Yongxun Reply:
Hello: In response to your question, the crisis of eating out lies in the issues of high sugar, high fat, and high salt content. Therefore, dietary recommendations emphasize the importance of consuming ample fruits, vegetables, low-fat dairy products, and nuts; while avoiding foo...

Understanding Your Dizziness: Is It Related to Liver Health?

Is there a problem with the liver? I've been feeling dizzy for the past few days, with my blood pressure often around 86. However, when I went to the hospital, it was measured at 109, which the doctor said is normal. The doctor also suggested checking if I have a cold, exami...

Dr. Yang Hongzhi Reply:
Hello: Dizziness is a nonspecific symptom that many individuals do not have any correlation with underlying diseases. Generally, it is not significantly related to blood pressure, blood sugar, liver function, or thyroid function.

Persistent Hissing Sound Near Neck: Causes and Solutions

There is often a hissing sound near the back of the neck? I have been experiencing a constant hissing sound near the back of my neck (as if something is continuously passing through that area), especially noticeable before sleep. My work schedule is often irregular (I work on a c...

Dr. Chen Zhongshu Reply:
Dear Liu, In response to your letter, there are several factors to consider regarding the noise in the back of your head, such as tinnitus, cerebral vascular stenosis, or even excessive anxiety or stress, which can also lead to this phenomenon. It may be related to your work ove...

Understanding Sleep Disruptions: Is Your Kidney Health at Risk?

Lower back pain causing difficulty sleeping? Hello Doctor: In the past year, when I sleep on my right side at night, I often wake up around 3-4 AM due to a strong urge to urinate and lower back pain. Each time, the volume of urine is quite large, over 500cc. After waking up, I fr...

Dr. Wu Jiyu Reply:
Check/Precautions: 1. Please monitor your blood pressure first. 2. Then arrange for urine and kidney function tests. 3. Lower back pain, aside from the kidneys (such as infections or stones), is often due to inflammation of the muscles and tendons alongside the spine, and may not...

Managing High Blood Pressure: When to Consult a Doctor and Monitoring Tips

Hypertension Hello, 1. My father is 58 years old and has high blood pressure and elevated blood sugar, but he does not have diabetes yet. He is currently on medication, and his blood pressure has been maintained at around 140/70. However, it has recently risen to 180/80, althou...

Dr. Chen Qingbin Reply:
Hello CHI: Your father's blood pressure is unstable. It is best to visit his original physician and provide them with the blood pressure log for reference. There is no limit to how many times blood pressure should be measured; ideally, it should be taken 2 to 4 times a day.

Managing Kidney Cysts: Health Tips for a 57-Year-Old Woman

Renal cysts Hello Dr. Wu, I would like to ask you a question. My mother is 57 years old, and there is no history of kidney-related hereditary issues in our family. About two years ago, she underwent a kidney ultrasound, and the doctor informed her that there were small cysts in ...

Dr. Wu Jiyu Reply:
1. First, confirm the number of cysts; if there are more than three on each side, consider the possibility of polycystic kidney disease and regular follow-up is necessary. If there is only a single cyst on one side, it is likely a degenerative cyst, and only observation is requir...

Understanding Thyroid Antibodies: Symptoms, Exercise, and Health Tips

Question I was diagnosed with hyperthyroidism about six months ago. I discovered it when I noticed severe swelling in my legs after standing for too long; pressing on my legs left a significant indentation. My thyroid antibody levels have been steadily increasing from 45 to 52. M...

Dr. Yang Hongzhi Reply:
Hello: Hyperthyroidism may cause patients to feel easily anxious and excited. The symptoms of hyperthyroidism typically show significant improvement within 1 to 2 months after treatment begins, and there should be no specific restrictions in daily life.

Understanding Kidney Cysts and Edema: Treatment and Care for Seniors

Kidney cysts and edema issues? Hello Doctor: I would like to ask if medication is necessary to treat cysts in the kidneys. My grandmother was hospitalized for a urinary tract infection and has now been discharged. The doctor mentioned that there is edema and cystic formation in t...

Dr. Wu Jiyu Reply:
1. If there are only a few blisters, this is a degenerative issue and does not require medication. However, if there are multiple blisters, this is a genetic issue that needs to be managed in collaboration with a physician, monitoring blood pressure and avoiding urinary tract inf...

Understanding Adrenal Tumors: Symptoms, Treatment, and Family Risks

Adrenal adenoma issues? Hello Doctor: Last week, I went back to the neurology department to review my report, which indicated that my adrenal hormone levels are elevated. The doctor mentioned that this could likely be the reason for my hypertension at a young age. I have been tak...

Dr. Zhong Weisheng Reply:
Hello QQ: First, to answer your personal questions, 1. There are many causes of hypertension. Of course, in younger individuals, the occurrence of hypertension is significantly related to adrenal tumors. However, a definitive diagnosis must be made through various examinations (s...

Understanding Cholesterol Metabolism Issues in Vegetarians

Inability to metabolize cholesterol? Hello, Doctor. My father is 56 years old, 165 cm tall, and weighs 52 kg. His blood pressure is also low at 96/70. Due to his busy work schedule, he exercises for about 20 minutes, 2 to 3 days a week. Last week, he had a blood test and found th...

Dr. Chen Qingbin Reply:
High cholesterol levels can easily lead to atherosclerosis. Improvement methods should start with diet and exercise. If control is still not achieved, medication treatment may be necessary.

Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?

The patient has experienced significant weight loss over the past six months, but despite eating a lot, they do not feel full? Patients with hypertension and diabetes who are currently on medication should pay attention to the following dietary considerations: 1. **Limit Sodium ...

Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many reasons for weight loss, with common causes including diabetes, hyperthyroidism, cancer, and other diseases. Among these, cancer predominantly involves gastrointestinal disorders. 2. The dietary management for hypertensi...

Understanding Post-Injection Complications: A Case Study

After receiving the injection? On February 1st, around 11 AM, I accompanied a friend to a pediatric clinic for a consultation. Her symptoms included muscle pain, headache, and neck stiffness. The doctor diagnosed her with what seemed to be influenza and administered an anti-infla...

Dr. Wang Fangli Reply:
The information you provided is insufficient for making a diagnosis or assessment. The hospital that provided your emergency care should have the most comprehensive data. If you have concerns about the treatment from the first clinic, it is advisable to consult with a physician a...

Understanding Peripheral Vascular Examination: Risks and Insights

What is a peripheral vascular examination? Dr. Hsiao: 1. What is a peripheral vascular examination? 2. Is there any risk involved? Thank you.

Dr. Xiao Yongxun Reply:
Hello: In response to your question, peripheral vascular examination generally refers to various tests for diagnosing peripheral vascular diseases, primarily related to arterial stenosis or occlusion caused by atherosclerosis in the lower extremities. These tests include: 1. Ankl...

How to Lower Blood Pressure in a 22-Year-Old Male: Tips and Strategies

Blood pressure A 22-year-old male, 169 cm tall, weighing 69 kg, with a systolic blood pressure of 140. What can be done to improve this? Thank you!

Dr. Zhong Weisheng Reply:
A-Ming: Basically, you are a young man; your weight is slightly above normal. If you can exercise more and reduce your intake of oil and salt, control your weight, and continue to monitor your blood pressure, that would be great. Thank you for your question, Dr. Chung Wei-Sheng.

How to Lower Your Blood Pressure: Tips for Managing 140 mmHg Systolic

Blood pressure If your systolic blood pressure is 140, here are some ways to improve it: 1. **Dietary Changes**: Adopt a heart-healthy diet that includes plenty of fruits, vegetables, whole grains, and lean proteins. Reduce sodium intake and limit processed foods. 2. **Regular ...

Dr. Zhong Weisheng Reply:
Dear Xiao Ming: According to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) in the United States, hypertension is defined as having two or more resting blood pressure measurements greater than ...

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