Understanding Afternoon Dizziness: Causes and Solutions
Dizziness in the afternoon? Hello, I have been experiencing cold hands and feet in the afternoons. After squatting and standing up, I sometimes feel dizzy, and this can also happen in the mornings. Six months ago, I had a blood test that showed a blood sugar level of 68, which wa...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, the symptoms of dizziness may be related to hypoglycemia or orthostatic hypotension. It is recommended to visit the endocrinology clinic for evaluation and treatment.[Read More] Understanding Afternoon Dizziness: Causes and Solutions
Understanding Dizziness: Causes, Concerns, and Specialist Guidance
Dizziness Hello Dr. Wang, over the past ten years, I have experienced dizziness of unknown origin four to five times, approximately once every two to three years. The most recent episode occurred on March 21 at 6 PM. I recall that each time it happened, it was triggered by worryi...
Dr. Wang Fangli Reply:
Hello Mr. Chih-Chuan: As you mentioned, you experience dizziness each time due to worry about a certain issue. Therefore, it is important to pay attention to regular exercise, ensure adequate sleep, and maintain relaxation for both body and mind. Next time you visit the hospital,...[Read More] Understanding Dizziness: Causes, Concerns, and Specialist Guidance
Managing Persistent Heartburn and Sleep Issues in Elderly Patients
Heartburn Hello Dr. Hong: My mother is 68 years old. After catching a cold and having a fever last October, her blood pressure has been consistently low, and she has been experiencing significant discomfort and bloating in her stomach. We visited Taipei's Peace Hospital for ...
Dr. Hong Hongchang Reply:
Hello Minmin: The burning sensation in the abdomen may be related to abnormal gastrointestinal motility, which can cause nausea, regurgitation, gastroesophageal reflux, and loss of appetite. Therefore, prokinetic agents can be used to improve the condition in conjunction with ant...[Read More] Managing Persistent Heartburn and Sleep Issues in Elderly Patients
Understanding Hypokalemia: Causes, Symptoms, and Treatment
What is hypokalemia? What is hypokalemia?
Dr. Shi Guangzhong Reply:
Dear Sir, I apologize for the delayed response due to a recent computer malfunction. Potassium is the most important cation within human cells, directly influencing muscle contraction and nerve conduction functions. Its concentration in plasma is regulated by renal excretion. ...[Read More] Understanding Hypokalemia: Causes, Symptoms, and Treatment
Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...
Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure
What are the dialysis methods for renal failure? For patients with high blood pressure and low hematocrit and hemoglobin levels, which method is better: hemodialysis or peritoneal dialysis? (Assuming that the schedule, family support, and home environment can accommodate both met...
Dr. Yang Jun Reply:
Hello: In response to your question, there are two types of dialysis: hemodialysis and peritoneal dialysis. Peritoneal dialysis is performed continuously over 24 hours for the removal of uremic toxins, resulting in less fluctuation in body fluid status, and patients typically hav...[Read More] Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure
Understanding Low Blood Pressure: Symptoms, Precautions, and Prevention
Symptoms of low blood pressure? Hello, I apologize for bothering you! I would like to ask the doctor about low blood pressure. What are the symptoms associated with it, and what should individuals with low blood pressure be aware of? Additionally, how can it be prevented? I’m sor...
Dr. Chen Fuquan Reply:
Hello! Reason 1: Symptoms of low blood pressure include a tendency to feel dizzy, and the extremities often feel cold, especially more noticeably in winter. Sometimes there may also be palpitations. When lying down or squatting, standing up suddenly can lead to a feeling of diz...[Read More] Understanding Low Blood Pressure: Symptoms, Precautions, and Prevention
Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Do you recommend whether medication is necessary? Dr. Kuo, my mother is 64 years old, obese, and has a postprandial blood sugar level of 142. Recently, her cholesterol was checked at 266 and triglycerides at 198. Do you recommend that she needs medication? Thank you! Sincerely, Y...
Dr. Guo Qinghui Reply:
Is medication necessary? To answer this question, it is important to understand your mother's health status, such as whether she has heart disease or high blood pressure. Therefore, please have your mother visit a nearby healthcare facility for a comprehensive assessment of ...[Read More] Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Understanding Chest Tightness and Cough After Cervical Spine Injury
Chest tightness and cough after cervical spine injury? Hello, doctor. Thank you for helping me with my concerns. I was in a car accident two and a half months ago, and after X-ray and MRI examinations, a neurosurgeon diagnosed me with a C5-C6 disc herniation. I am currently weari...
Dr. Chen Fuquan Reply:
Hello Miss, 1. After your car accident, the neurosurgery department conducted X-rays and MRI examinations, diagnosing you with C-5 and C-6 subluxation. You are currently wearing a cervical collar for observation. During this time, please be cautious with your neck and avoid any...[Read More] Understanding Chest Tightness and Cough After Cervical Spine Injury
Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Type A globulin glomerulonephritis Hello Doctor, I have had microscopic hematuria for a year. Last year, I underwent examinations in the nephrology department, including blood tests, urine tests, and imaging X-rays. Aside from 4+ occult blood, I sometimes had proteinuria and some...
Dr. Yang Jun Reply:
Hello: In response to your question... Persistent microscopic hematuria and occasional proteinuria are indicative of glomerulonephritis. Generally, type A alpha globulin nephritis is more common. An IgA level of 380 is elevated, which further supports the high likelihood of type ...[Read More] Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management
Understanding Gray-White Lung X-Ray: Causes of Breathing Difficulties and Edema
The X-ray of the lungs shows a grayish-white appearance? Hello: My grandfather has fainted due to difficulty breathing and is currently in the intensive care unit. He was discharged last week after the TB bacterial load reached a non-infectious level, but why did he suddenly expe...
Dr. Zhao Chongliang Reply:
Hello! Based on your description, your grandfather's chest X-ray appears to show signs of either cardiogenic pulmonary edema or non-cardiogenic pulmonary edema, such as renal-related pulmonary edema or acute respiratory distress syndrome (ARDS). Cardiogenic or renal-related ...[Read More] Understanding Gray-White Lung X-Ray: Causes of Breathing Difficulties and Edema
Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs
What symptoms may occur if the thyroid gland is affected? I recently caught a cold and went to see a doctor. I have a headache, a slight sore throat, and feel very weak and lethargic. The doctor said my blood pressure is high (in the 150s) and my heart rate is elevated. They pres...
Dr. Yang Hongzhi Reply:
Hello: Common symptoms of hyperthyroidism include goiter, palpitations, tremors, anxiety, sweating, and weight loss. If there is a goiter, especially with nodular enlargement, medical attention should be sought regardless of the presence of other symptoms.[Read More] Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs
Understanding Hypoglycemia: Symptoms, Diagnosis, and Next Steps
Hypoglycemia I experienced excessive thirst, fatigue, blurred vision, and nausea, thinking it might be diabetes. When I went to the hospital for a check-up at 10 AM (after eating bread at 8 AM), my blood sugar level was only 77, and my blood pressure was 124/75. I have not lost a...
Dr. Yang Hongzhi Reply:
If the blood sugar level is 77 without taking antidiabetic medications, diabetes can be ruled out. If symptoms persist, further evaluation for other diseases should be considered.[Read More] Understanding Hypoglycemia: Symptoms, Diagnosis, and Next Steps
Understanding Kidney Function: Key Concerns and Management Strategies
Renal function index Hello Dr. Yang, Due to having urinary tract stones in my youth, I have not noticed for a long time that my left kidney has become swollen. My creatinine level is currently 1.5, and my urine protein level is about 190, for which I am taking medication for co...
Dr. Yang Jun Reply:
Hello: In response to your question, the presence of protein in urine and a creatinine level greater than 1.4 are indicators of impaired kidney function, which must be managed under the guidance of a nephrologist regarding medication and dietary treatment. Kidney function may dec...[Read More] Understanding Kidney Function: Key Concerns and Management Strategies
Is There a Link Between Hyperhidrosis and Endocrine Disorders?
Is there a relationship between hyperhidrosis and the endocrine system? Hello, I have a problem with generalized hyperhidrosis. I previously consulted with Dr. Ding from the neurosurgery department, and according to his response, I am indeed an irritable person with elevated bloo...
Dr. Yang Hongzhi Reply:
Excessive sweating, nervousness, and eating a lot without gaining weight may indicate hyperthyroidism. Other symptoms of hyperthyroidism include palpitations, tremors, and increased bowel movements. If these symptoms are present, thyroid function tests should be considered.[Read More] Is There a Link Between Hyperhidrosis and Endocrine Disorders?
Understanding Blood Pressure Changes and Associated Health Issues
Blood Pressure and Related Issues: A Question Hello, doctor... I have had a habit of donating blood regularly for the past five years, which also helps me monitor my health status. From five years ago until about six months ago, my systolic and diastolic blood pressure consistent...
Dr. Zeng Guosen Reply:
Hello: 1. Blood pressure has decreased from 120 to 100 over the past six months. Is it the same blood pressure monitor? Have you been taking any medications, and have you experienced any gastrointestinal bleeding or weight loss? It is recommended to consult a cardiologist. 2....[Read More] Understanding Blood Pressure Changes and Associated Health Issues
Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Is it hypertension? Hello, Doctor: I often feel inexplicably anxious, with a rapid heartbeat and a sensation of shortness of breath. Whenever this happens, my blood pressure tends to rise, with a recorded high of 140/105. I previously had an electrocardiogram, and the report was ...
Dr. Li Dong'an Reply:
Hello Chris: 1. Hypertension is defined as a systolic blood pressure of ≥140 mmHg or a diastolic blood pressure of ≥90 mmHg. However, it must be measured at least three times within two weeks, and the measurements should be taken under conditions of no stress (such as tension, an...[Read More] Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Understanding Toxic Signs: What Do They Indicate in Internal Medicine?
What is "toxic sign"? What is a "toxic sign"? Does it refer to changes in appearance? Thank you.
Dr. Zheng Shuxing Reply:
Hello: This is a brief description of the patient's infectious disease, indicating whether the course is "severe" or "rapid." The patient exhibits toxic signs, meaning they are experiencing acute discomfort, high fever, chills, tachycardia, tachypnea, and...[Read More] Understanding Toxic Signs: What Do They Indicate in Internal Medicine?
Managing Dizziness and Nausea During Dialysis: Key Considerations
Dizziness, vomiting? Hello, my mother has been experiencing dizziness and even vomiting for about two months after or during dialysis since the second day of the Lunar New Year. She has taken anti-nausea medication and has undergone a thorough examination in the neurology departm...
Dr. Lü Yuansan Reply:
Common causes of dizziness or vomiting during dialysis are a drop in blood pressure, which may be due to the patient's pre-existing cardiovascular issues or excessive weight gain during the dialysis session. It is advisable to consult a physician to adjust antihypertensive m...[Read More] Managing Dizziness and Nausea During Dialysis: Key Considerations
Understanding Chest Pain and Discomfort: Causes and Solutions
Chest pain and chest tightness? Hello... I often feel pain and tightness in the upper central part of my chest, and there is phlegm above my trachea. I had an ultrasound, electrocardiogram, and stress echocardiogram last year, all of which were normal. At the same time, I experie...
Dr. Li Huixiong Reply:
Hello: Based on your condition, your body seems to be quite robust. If you are still concerned, I recommend undergoing gastrointestinal examinations, such as an esophagogastroduodenoscopy (EGD) and a colonoscopy.[Read More] Understanding Chest Pain and Discomfort: Causes and Solutions