Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Issues with blood lipids and blood glucose? Hello Dr. Lin, I have a few questions regarding my blood sugar and lipid levels. Below are my test results from two health check-ups spaced seven months apart: - Total Cholesterol (TCH): 235 mg/dL, 256 mg/dL (Reference value: <200)...
Dr. Lin Jianliang Reply:
1. According to your Glu AC and HbA1C, they are currently within the standard range. 2. Whether you need to take lipid-lowering medication depends on other risk factors, such as a family history of cerebrovascular disease or cardiovascular disease, among others. 3. It is currentl...[Read More] Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Understanding Nocturnal Wheezing: Causes and Concerns for Sleep Health
Sudden wheezing sounds during sleep? Hello Dr. Hong, I apologize for interrupting you during your busy schedule. Recently, I have noticed that I experience wheezing sounds while sleeping. After doing some research on Google, I suspect it might be related to respiratory issues, so...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that temperature changes or allergies may have led to allergic rhinitis and bronchitis. I recommend starting with keeping warm and wearing a mask, as well as engaging in moderate exercise, which can be helpful. If symptoms persist, it ma...[Read More] Understanding Nocturnal Wheezing: Causes and Concerns for Sleep Health
Understanding Declining GFR: When to See a Nephrologist?
The glomerular filtration rate (GFR) has been continuously declining? I would like to inquire about my health check report. My glomerular filtration rate (GFR) is 78, creatinine is 1.09, blood urea nitrogen (BUN) is 13.2, and uric acid is 4.9. All other reports are normal, and th...
Dr. Wu Hongjie Reply:
Hello: The glomerular filtration rate (GFR) is a variable value. If the GFR is <60 ml/min and persists for more than three months, the likelihood of a diagnosis of renal failure is high. If the GFR is >60 and there are no other pathological findings (such as renal biopsy), ...[Read More] Understanding Declining GFR: When to See a Nephrologist?
Understanding Lymphedema in Dialysis Patients: Causes and Treatment Options
Lymphedema caused by dialysis? Hello Doctor: My father has a long history of dialysis due to a family history of hereditary diseases. As a result of the dialysis, he frequently experiences various side effects (such as weight loss, dizziness, low blood pressure, nausea, diarrhea,...
Dr. Wu Jiyu Reply:
Due to the lack of direct examination of the patient, it is difficult to distinguish what you refer to as "lymphedema" from the "general edema" seen in dialysis patients. If it is general edema in dialysis patients, enhancing dehydration should resolve the iss...[Read More] Understanding Lymphedema in Dialysis Patients: Causes and Treatment Options
Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Adrenal insufficiency I have adrenal insufficiency and recently visited the endocrinology department, where I mentioned issues with dizziness and bloating. The doctor suggested that it might be postural hypotension, but after measuring my blood pressure consistently for five days...
Dr. Lin Jianliang Reply:
Adrenal insufficiency, in addition to medication, can be managed by incorporating regular exercise, maintaining a normal daily routine, and following a balanced diet, among other healthy lifestyle choices.[Read More] Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Thyroid fine-needle aspiration biopsy? Hello Dr. Lin, My mother (70 years old) has been diagnosed with hyperthyroidism and has been advised to undergo a fine needle aspiration biopsy of the thyroid (and neck mass). The consent form mentions that anticoagulant use is a contraindi...
Dr. Lin Jianliang Reply:
Generally, a thyroid ultrasound is performed first, followed by a fine needle aspiration biopsy of the thyroid. It is recommended to inform the physician performing the biopsy beforehand.[Read More] Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Understanding Blood Pressure Readings and Antibiotic Ointment Safety
Blood pressure and ointments? Hello Dr. Hong, I hope you are well. I am currently studying in the United States with my family and would like to ask you two questions. I have recently developed a habit of measuring my blood pressure at home using a blood pressure monitor. My read...
Dr. Hong Yuanbin Reply:
Hello, 1. Normal systolic/diastolic blood pressure is approximately 100-140/60-90 mmHg. Your measured values are within the normal range, so there is no need to worry. 2. Antibiotic ointment should not deteriorate overnight if left uncovered, so it should be fine to continue ...[Read More] Understanding Blood Pressure Readings and Antibiotic Ointment Safety
Understanding High Urinary Protein Levels: Causes and Concerns
Feeling scared due to high levels of protein in urine? Urine analysis shows the following results: - Creatinine (CRE): 189.40 mg/dL (normal range: 14-26 mg/dL) - Protein/Creatinine Ratio (P/C Ratio): 1558 (normal range: below 200) - Urine Total Protein: 295.0 mg/dL (normal rang...
Dr. Huang Yaoxuan Reply:
Hello Jack: "Urine 3+ and below are the contents of the urine. On 10/19, CRE (creatinine) was 189.40, with a standard range of 14-26. P/C Ratio was 1558, with a standard of below 200. Urine Total Protein was 295.0, with a standard of below 15." Among these urine test it...[Read More] Understanding High Urinary Protein Levels: Causes and Concerns
Is It Safe to Use Dexamethasone 40mg in End-Stage Kidney Disease?
Is it appropriate to use Dapagliflozin 40mg in patients with end-stage renal disease (eGFR < 5)? Hello Dr. Wu, Initially, I was only receiving treatment for kidney disease at Hospital A (where the doctors are relatively younger) and had stabilized for about two years. Howeve...
Dr. Wu Jiyu Reply:
Regarding your inquiry: 1. First, medications like benzodiazepines can still be used in patients with chronic kidney disease unless there is a contraindication such as hyperkalemia. 2. Controlling blood pressure is always the primary goal in the treatment of chronic kidney diseas...[Read More] Is It Safe to Use Dexamethasone 40mg in End-Stage Kidney Disease?
Understanding Sudden Dizziness: Causes and When to Seek Help
Sudden temporary dizziness? Doctor, I apologize for bothering you at night. I would like to ask you some questions. This morning, when I got up, I was lying down using my phone. After my family called me, I suddenly stood up and felt dizzy with a blurred vision for about 3-5 seco...
Dr. Hong Yuanbin Reply:
Hello, the phenomenon you described is known as "orthostatic hypotension." It occurs when there is a sudden change in posture, such as sitting up quickly from a lying position or standing up quickly from a sitting position. This happens because the cardiovascular respon...[Read More] Understanding Sudden Dizziness: Causes and When to Seek Help
Understanding Blood Pressure and Head Pain: When to Worry?
Blood pressure brain issues Hello doctor, after eating or sometimes when the air conditioning blows for too long, I suddenly feel a slight pain in the blood vessels in my head. In my follow-up with family medicine, the doctor has not recommended that I take antihypertensive medic...
Dr. Hong Yuanbin Reply:
Hello, your question can be addressed from several angles: 1. Regarding the headache you mentioned, headaches caused by prolonged exposure to air conditioning are typically due to temperature changes leading to the constriction or dilation of blood vessels in the head. This pain...[Read More] Understanding Blood Pressure and Head Pain: When to Worry?
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan Reply:
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan Reply:
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Understanding High Adrenaline Levels: Causes and Health Implications
Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...
Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...[Read More] Understanding High Adrenaline Levels: Causes and Health Implications
Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Obesity issues Hello doctor, I am 160 cm tall and weigh 73-74 kg, which indicates mild obesity according to my BMI. I have been controlling my diet, but my weight hasn't changed much. I drink more than 2000 cc of water daily and have bowel movements 1-2 times a day. I had bl...
Dr. Li Jian Reply:
Obesity is related to both genetic factors and environmental influences. In addition to thyroid hormones, other hormonal abnormalities may also contribute to obesity. Currently, one of the weight loss methods highly endorsed by mainstream medicine is intermittent fasting. For mor...[Read More] Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang Reply:
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters
Understanding the Health Implications of Low Triglycerides (39)
Low triglycerides (39) Dear Dr. Ke: My triglyceride level is low (39), high-density lipoprotein (HDL) is 66, low-density lipoprotein (LDL) is 116, and total cholesterol is 185. My height is 174 cm and weight is 67 kg. I have been following a "DASH diet" for two years an...
Dr. Ke Taiyuan Reply:
Low triglycerides are related to diet and serve as one of the energy sources for the body after metabolism. Your total cholesterol is not very low, and your high-density lipoprotein (HDL) is also not low. Your BMI is within the normal range, so your nutritional status should be f...[Read More] Understanding the Health Implications of Low Triglycerides (39)
Is It Normal to Have Bubbles in Urine During Menstruation?
Is it normal to have bubbles in urine during menstruation? Recently, I have noticed that when I menstruate, my urine has a lot of bubbles, and the bubbles are very fine. Normally, my urine does not have bubbles. Should I get this checked?
Dr. Huang Yaoxuan Reply:
Hello: Bubbles in urine may indicate proteinuria, or it could be a normal occurrence (other components may cause bubbles but do not affect health; in such cases, we do not need to identify the specific component, and we will only check for proteinuria). Recommendations: 1. Visit ...[Read More] Is It Normal to Have Bubbles in Urine During Menstruation?