Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Thyroid issues Hello Doctor, I received the AZ vaccine on August 5th, and about 10 days later, I experienced rapid heartbeat, chest tightness, and some shortness of breath until I sought medical attention on August 19th. My thyroid blood test results were as follows, while other ...
Dr. Lin Jianliang Reply:
Hello: Question 1: The distinction between mild and severe is quite subjective. Based on your values: FT4: 1.86 (reference range 0.59-1.43), it is not significantly above the upper limit. Question 2: Please follow your attending physician's advice; if the doctor has not inst...[Read More] Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Understanding Vaccine Side Effects: A Case Study on Moderna
Vaccine side effects On July 8, I received the first dose of the Moderna vaccine. On the third day, I experienced some drowsiness but had no other discomfort. However, on August 3, after taking a shower and combing my hair, I suddenly found it difficult to raise both arms, my hea...
Dr. Hong Yuanbin Reply:
Hello, after taking a shower, vasodilation combined with raising both arms can lead to a decrease in the blood return to the heart, causing an increase in heart rate. This is a normal physiological phenomenon and should not be directly related to the vaccine. As for the soreness ...[Read More] Understanding Vaccine Side Effects: A Case Study on Moderna
Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...
Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.[Read More] Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot
After receiving the vaccine Hello, doctor. I recently received my second dose of the Moderna vaccine, and it's been five days. I've been experiencing pain in my arm when making larger movements (like shaking, running, or jumping), but it doesn't hurt much when I&#x...
Dr. Hong Yuanbin Reply:
Hello, based on your description, these are indeed possible phenomena after vaccination. It is not necessarily required to seek medical attention immediately unless the symptoms become more pronounced or if you experience fever, chest pain, severe shortness of breath, or other co...[Read More] Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot
Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Urticarial vasculitis? Hello, doctor. I have a tendency to be allergic and sneeze (which started about nine years ago). I have also experienced mild urticaria intermittently. However, starting in April of this year, I suddenly developed widespread urticaria. I went to a dermatolo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. How is anaphylactic shock determined? Although I was experiencing stomach pain, I was still responsive at the time... --> Perhaps "shock" is a bit severe, but you did have swelling of the lips and eyelids,...[Read More] Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Understanding Symptoms: Numbness, Low Fever, and Heart Issues
Numbness in the cheeks, unexplained fever, and heart rate issues? Around 1 AM on June 2, my family member received a notification from the "Taiwan Social Distancing" app indicating possible contact with a confirmed COVID-19 case. They went to work in the morning, but in...
Dr. Lin Wufu Reply:
Hello! It is common to experience palpitations and other discomforting symptoms during a fever. A single negative test result does not definitively confirm that you are negative for the virus. If you still have the same symptoms after 3-4 days (which is now), it is advisable to c...[Read More] Understanding Symptoms: Numbness, Low Fever, and Heart Issues
Understanding Blood Pressure and HbA1c Levels: Key Insights for Patients
Issues related to blood pressure and glycated hemoglobin? 1. My father is 71 years old. During his health check-up, his hemoglobin A1c level was 6.1. The criteria for passing at the clinic is below 6. The physician there mentioned that levels below 6.7 do not qualify as diabetes....
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.5 or higher can diagnose diabetes. If the hemoglobin A1c continues to rise, early intervention with glucose-lowering medications may be considered to prevent the onset of diabetes; however, these medications may require out-of-pocket expenses. For low ...[Read More] Understanding Blood Pressure and HbA1c Levels: Key Insights for Patients
Understanding Occipital Pain During Intense Workouts: What to Know
When reaching a certain level of fitness, there may be pain at the back of the head? I am 28 years old, 171 cm tall, and weigh 69 kg. About 1.2 years ago, I suddenly noticed that my blood pressure readings were consistently around 140/90, which is somewhat elevated compared to my...
Dr. Hong Yuanbin Reply:
Hello, gyms usually have blood pressure machines. It is recommended to check your blood pressure when you feel unwell, as it may rise due to excessive exercise. If your blood pressure is normal, you may need to visit a neurology clinic for further evaluation to check for any neur...[Read More] Understanding Occipital Pain During Intense Workouts: What to Know
Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
The issue of microalbuminuria? Dear Doctor Wu, I was diagnosed with diabetes three years ago, and since then I have been controlling my diet and taking medication, maintaining my hemoglobin A1c below 6. My blood pressure before bed has been below 130. However, starting around No...
Dr. Wu Hongjie Reply:
ACR is used as a substitute for the 24-hour urine collection method to measure daily protein loss; the former is only an approximate estimation of the latter. Therefore, the accuracy of this estimation is inevitably not completely reliable. If ACR does not significantly increase,...[Read More] Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
Understanding Sudden High Blood Pressure and Kidney Hydronephrosis
Sudden onset of elevated blood pressure and hydronephrosis? Hello Doctor: I am 31 years old and have a regular habit of donating blood. My blood pressure has never exceeded the normal range until mid-April this year when my company conducted a health check, and my blood pressure ...
Dr. Wu Jiyu Reply:
First, let's define what hypertension is. If you only have hypertension, your target is to maintain blood pressure below 140/90 mmHg. However, if you have comorbidities such as chronic kidney disease or diabetes, the target should be below 130/80 mmHg. Based on your current ...[Read More] Understanding Sudden High Blood Pressure and Kidney Hydronephrosis
Understanding Unintentional Weight Loss and Blood Pressure Concerns
Weight gradually decreases year by year? Hello, doctor. I apologize for asking you this question. I'm not sure if this is something for an internist. My mother is 58 years old. Although her weight is normal according to her health check report, it has decreased by 2 kilogram...
Dr. Li Jian Reply:
Weight loss can be evaluated at a metabolism clinic to check for thyroid antibodies or diabetes. A systolic blood pressure below 130 is preferable; it is advisable to reduce sodium intake and then monitor changes in blood pressure.[Read More] Understanding Unintentional Weight Loss and Blood Pressure Concerns
Understanding Kidney Function Tests: What Your eGFR Results Mean
Kidney function tests Hello, doctor. During my health check-up last May, tests for urine protein, urine glucose, urine blood, kidney ultrasound, blood sugar, and blood pressure showed no abnormalities. My blood urea nitrogen was 12.0 mg/dL, creatinine was 0.79 mg/dL, and uric aci...
Dr. Su Zhehong Reply:
Currently, the test results are normal, and there is no need to limit protein and potassium intake. Focus on a balanced diet and regular exercise. For health supplements, use well-known and certified brands.[Read More] Understanding Kidney Function Tests: What Your eGFR Results Mean
Managing Fluctuating Creatinine Levels: Causes and Solutions
What should be done if creatinine levels fluctuate and increase over a short period? In January 2020, the urea nitrogen level was 0.88, in July 2020 it was 1.22, in January 2021 it was 1.14, in February 2021 it was 0.98, and in April 2021 it was 1.26. There was foamy urine, but t...
Dr. Wu Jiyu Reply:
Based on the data you provided, the calculated e-GFR (estimated Glomerular Filtration Rate) values are 95, 66, 70, 84, and 63, which indeed show some variation. Recommendations are as follows: 1. If there is no proteinuria, a low-protein diet is not necessary at this time, but a ...[Read More] Managing Fluctuating Creatinine Levels: Causes and Solutions
Understanding Heart Palpitations: When to Seek Medical Advice
Cardiac issues Hello, doctor. A few days ago, I experienced symptoms of chest tightness. After searching online, I found that palpitations can be felt as a noticeable heartbeat. However, for several years, I have been able to feel my heartbeat almost all the time when I am still ...
Dr. Li Jian Reply:
Hello: The sensation of feeling one's heartbeat is referred to as palpitations. There are many situations that can cause palpitations, commonly including life stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated wit...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Managing Unstable Blood Pressure: When to Consider Medication
Unstable blood pressure? Hello, doctor. Three months ago, my blood pressure suddenly spiked to 200/105 at midnight, but I didn't feel unwell. I went to the emergency room, and basic tests like an ECG and X-ray were done, which showed no issues. I was prescribed medication, a...
Dr. Su Zhehong Reply:
It is recommended to consult a cardiologist for further evaluation and to check for potential causes of secondary hypertension.[Read More] Managing Unstable Blood Pressure: When to Consider Medication
Should You Seek Medical Attention for Low Blood Pressure in Seniors?
Blood pressure readings are not elevated within one hour? Hello Doctor: My father is 76 years old and has a malignant lung tumor. Recently, he seems to have caught a cold due to the change in weather. On the morning of March 23, his blood pressure readings were not high after thr...
Dr. Hong Yuanbin Reply:
Hello, it mainly depends on your father's usual blood pressure readings. If his typical blood pressure is around 90-100/60-70 and he has no other discomfort, monitoring is sufficient. However, if his usual readings are above 100/70, it would be advisable to seek medical eval...[Read More] Should You Seek Medical Attention for Low Blood Pressure in Seniors?
Managing Blood Pressure Medications: Safe Combinations and Timing
Blood pressure, drug interactions? Dear Doctor, I would like to ask some questions regarding medication usage. I have already started taking antihypertensive medication (Suhuo 5/40 mg) and I am also taking "Xunli Ning" concurrently. However, I am unsure about the order...
Dr. Lin Wuxuan Reply:
Hello: Generally speaking, it is recommended to take chronic disease medications at least 30-60 minutes apart from dietary supplements for optimal results. The order of intake does not significantly affect the outcome, but due to the common issue of patients forgetting to take th...[Read More] Managing Blood Pressure Medications: Safe Combinations and Timing
Understanding Kidney Injury: Insights on Hematoma, Function, and Recovery
Renal hemorrhagic atrophy? Hello, doctor. I was injured in a car accident at the end of July last year, which affected my left kidney and caused bleeding. The hematoma was approximately 10 cm at that time. I underwent two CT scans in the emergency room (one without contrast and o...
Dr. Wu Jiyu Reply:
1. The current estimated glomerular filtration rate (eGFR) is calculated based on serum creatinine levels. When eGFR is above 60, even a slight change in creatinine can lead to differences in eGFR, so regular follow-up is recommended. 2. Hematomas have the potential to decrease ...[Read More] Understanding Kidney Injury: Insights on Hematoma, Function, and Recovery
Understanding Cold Sensitivity and Fatigue in Elderly Patients
Chills and lack of energy? Hello Dr. Hong: My mother (in her seventies) mentioned feeling discomfort in her abdomen the night before last. Yesterday, she experienced chills and felt cold even while wearing heavy clothing, and she was shivering. She occasionally coughed, but it wa...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to check her temperature and blood pressure. If she has diabetes, it is also important to measure her blood glucose levels. Based on your description, she may have an infection, which could be a respiratory tract infection, urinary tract infection, or gas...[Read More] Understanding Cold Sensitivity and Fatigue in Elderly Patients
Understanding Pentoxifylline: Uses and Duration of Treatment
Kidney function tests Doctor, what is the primary use of this medication (400mg Pentoxifylline), and how long can it be taken?
Dr. Wu Hongjie Reply:
Hello: The indication for this medication under health insurance is to improve peripheral circulation; however, it has been found to reduce urinary protein, improve creatinine levels, and lower inflammatory markers. Therefore, some physicians use it to treat renal dysfunction. Po...[Read More] Understanding Pentoxifylline: Uses and Duration of Treatment