Understanding Left Kidney Pain: When to Seek Further Testing
Percussion of the left kidney causes pain? Hello Doctor: When I tap on the area of my left kidney, it hurts. This has been going on for a long time, so this year I went to the hospital for a kidney ultrasound, blood tests, and urinalysis, but the doctor said everything was fine. ...
Dr. Wu Hongjie Reply:
Dear Sender, The issue of left-sided lower back pain has many potential causes. If the pain radiates down the back to the thighs and calves, it may indicate nerve pain or compression. If it is related to kidney problems, such as stones or infections, it typically remains localiz...[Read More] Understanding Left Kidney Pain: When to Seek Further Testing
Post-Thyroid Cancer Surgery: Fertility Plans and Considerations
Post-thyroid cancer surgery considerations for fertility planning? Dear Dr. Hsiao, I underwent thyroid cancer surgery in early October 2015, which involved a total thyroidectomy and partial lymphadenectomy. I received radioactive iodine (I-131) treatment in early November 2015, ...
Dr. Xiao Yongxun Reply:
Dear Ms. H: 1. The half-life of iodine-131 is approximately 8 days. You may want to consult your attending physician regarding the dosage at that time to estimate the current residual amount in your body. Logically, from November 2015 to the present, it should theoretically have...[Read More] Post-Thyroid Cancer Surgery: Fertility Plans and Considerations
Persistent Cough and Itchy Airways: Seeking Answers for Unresolved Symptoms
Chronic bronchial itching and cough that cannot be resolved? Hello, doctor. I had a cold at the beginning of April, and after recovering, I started experiencing intense itching from my throat to my chest (likely in the trachea). Pressing firmly on my chest or the area between my ...
Dr. Hong Yuanbin Reply:
Based on the medical condition, it is important to clarify whether everything was normal before the cold in April, whether there are any underlying diseases, and if there are any other illnesses in the family to determine the relationship with the cold in April. Therefore: Situa...[Read More] Persistent Cough and Itchy Airways: Seeking Answers for Unresolved Symptoms
High Creatinine Levels After Dialysis: Causes and Solutions
After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...
Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...[Read More] High Creatinine Levels After Dialysis: Causes and Solutions
Understanding the Significance of RA and Abnormal Test Results in Internal Medicine
Inquiry about the significance of the test? Hello, doctor. In the past, I tested positive for rheumatoid arthritis (RA) during a health check, so my company has been adding this test to my annual examinations. About 6-7 years ago, I consulted a rheumatologist who mentioned that s...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Albumin is naturally more abundant than globulin, so a slight increase is not a concern. 2. An ANA titer of 1:80 (+) is within the normal range, so there is no need to worry. 3. For a positive rheumatoid arthritis (...[Read More] Understanding the Significance of RA and Abnormal Test Results in Internal Medicine
Understanding Digestive Issues: What Your Stool Color and Changes Mean
Gastrointestinal issues Hello Doctor: Two weeks ago, I noticed that the color of my stool was very dark, but it wasn't as black as melena. I also feel that my bowel movements have decreased; sometimes I have one stool, sometimes two. Additionally, I have the urge to defecate...
Dr. Xiao Yongxun Reply:
Dear Mr. Sam: 1. The color of feces is influenced by many factors, including bilirubin pigments, food, enzymes secreted by the intestines, bleeding and its location, medications, and other influencing factors. If there is a presence of black, tarry stools, one should consider up...[Read More] Understanding Digestive Issues: What Your Stool Color and Changes Mean
Understanding Gynecomastia: Why Liver Function Tests Matter
Gynecomastia I went to see a doctor for gynecomastia, and I have stretch marks on my abdomen that resemble those associated with obesity. The doctor mentioned that it might be influenced by steroids. The blood tests I need to undergo include ALT, ALK, and alpha-fetoprotein. I loo...
Dr. Xiao Yongxun Reply:
Dear Sir, 1. The causes of gynecomastia in males are numerous; the fundamental pathological mechanism is due to an increase in the action of female hormones. In fact, female hormones, male hormones, adrenal corticosteroids, aldosterone, and others can interconvert within the end...[Read More] Understanding Gynecomastia: Why Liver Function Tests Matter
Post-Thyroidectomy Complications: Managing Symptoms and Treatment Options
Complications after total thyroidectomy? Hello, Director Hsiao! My mother (75 years old, 155 cm tall, 45 kg) underwent surgery for a right thyroid nodule on March 24 of this year (she had surgery on the left side for a nodule over a decade ago). She is now without thyroid functio...
Dr. Xiao Yongxun Reply:
Dear Mr. Hsiao Tsai: 1. Eltroxin® Tablets are available in different dosages of 50 mcg and 100 mcg, primarily used for thyroid hormone replacement therapy, which may be necessary in cases of hypothyroidism or post-thyroidectomy. Generally, the therapeutic effects and symptom imp...[Read More] Post-Thyroidectomy Complications: Managing Symptoms and Treatment Options
Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu Reply:
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues
Endocrine disorder? Doctor, I have acne and pimples on my back and chest, and I also have red bumps and white streaks on my buttocks. Additionally, I have developed body hair on my chest and quite a bit of it, and there are some dark hairs on my cheeks that are not fine hair; the...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you first visit a hospital (not a clinic) to see a dermatologist, and then follow the advice of the dermatologist.[Read More] Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues
Understanding Acne on Chest and Back: Hormonal and Skin Concerns
There are acne and pimples on both the back and chest? I have a lot of acne and pimples on my chest and back. I've seen a dermatologist several times and have used medication, but there hasn't been much improvement. People say that high levels of male hormones can cause...
Dr. Zeng Guosen Reply:
Hello, it seems you have quite a few acne and comedones on your chest and back, as well as some stretch marks on both sides of your abdomen. These are all skin symptoms, and I recommend consulting a dermatologist. Thank you for your question.[Read More] Understanding Acne on Chest and Back: Hormonal and Skin Concerns
Understanding Sjögren's Syndrome: Diagnosis and Management Insights
Regarding Sjögren's syndrome? Hello, I would like to ask about my recent blood test at the rheumatology clinic. The doctor mentioned that I have Sjögren's syndrome because my blood tested positive for Anti-SSA antibodies. I would like to know if a positive result for th...
Dr. Zeng Guosen Reply:
Hello, online user: A diagnosis of Sjögren's syndrome requires the presence of symptoms such as dry mouth or dry eyes, confirmed by a physician, along with positive results for Anti-SSA or Anti-SSB antibodies. This condition can be well managed and is not considered very sev...[Read More] Understanding Sjögren's Syndrome: Diagnosis and Management Insights
Understanding Blood Sugar Issues: When to Seek Medical Advice
Blood sugar issues? The hospital's blood test report shows an AC of 89 and an HbA1c of 5.3. Although these values are within the normal range and the lab technician mentioned that a single test may not be conclusive, during the Lunar New Year period, I experienced intermitte...
Dr. Xiao Yongxun Reply:
Dear Ms. Alice: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after 8 hours of fasting, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA1c (glycate...[Read More] Understanding Blood Sugar Issues: When to Seek Medical Advice
Understanding Immunological Factors in Miscarriage and Thyroid Issues
Immunological Issues in Miscarriage Hello, Doctor: I would like to ask about pregnancy issues. I have hyperthyroidism and have been on medication for a long time; my T3 and T4 levels are normal. Since I had surgery to remove an empty follicle, I have not been able to conceive, an...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Regarding your inquiry, I will respond as follows: 1. If you have already consulted with an obstetrician-gynecologist and ruled out issues related to reproductive anatomy and hormones, I believe it would be worthwhile to investigate potential...[Read More] Understanding Immunological Factors in Miscarriage and Thyroid Issues
Understanding HIV Risks and Next Steps After Potential Exposure
HIV Issues Hello Doctor: In January, I had unprotected intercourse with a female sex worker and she later informed me that she is HIV positive. I am aware of the risks, so I had a blood test yesterday. I am also married. What should I do next?
Dr. Liao Zhongxin Reply:
Dear readers: The probability of contracting HIV from each instance of unprotected sexual intercourse is 0.1-0.3%. Please visit a nearby medical facility for follow-up and testing. Thank you![Read More] Understanding HIV Risks and Next Steps After Potential Exposure
When Should You Start Medication for Diabetes Management?
When should medication treatment for diabetes begin? I just received my blood test report, and my hemoglobin A1c is 7.1, and my fasting blood glucose is 118. I have hypertension and high cholesterol, both of which are controlled with medication. My hemoglobin A1c has been around ...
Dr. Xiao Yongxun Reply:
Dear Patient, 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for at least 8 hours, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA1c (glyca...[Read More] When Should You Start Medication for Diabetes Management?
Understanding Hair Loss, Irregular Periods, Weight Gain, and Fatigue
Hair loss, irregular menstruation, weight gain, and easy fatigue? Hello, Doctor: I would like to ask you about my condition. I started experiencing hair loss around July of last year and have visited 3-4 clinics and one large hospital for examinations. The diagnosis from each pla...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult the "Endocrinology and Metabolism Department" as misdiagnosis can occur if the wrong specialty is chosen.[Read More] Understanding Hair Loss, Irregular Periods, Weight Gain, and Fatigue
Understanding Bruising and Bleeding: Could It Be Leukemia?
Bruising and bleeding during brushing? Hello, doctor. I have two or three unexplained bruises on my body and I've been experiencing bleeding while brushing my teeth, so I went for blood tests. My white blood cell count was normal, and I had two tests done about a month apart...
Dr. Xiao Yongxun Reply:
Dear Mr. Chiu Rong-Ching: 1. Leukemia, also known as blood cancer, is characterized by the abnormal and uncontrolled proliferation of precursor cells of granulocytes, lymphocytes, monocytes, or leukocytes, leading to a reduction in normal white blood cells. It includes acute lym...[Read More] Understanding Bruising and Bleeding: Could It Be Leukemia?
Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Arrhythmia in Hyperthyroidism Hello, Doctor. I was diagnosed with Graves' disease and hyperthyroidism at the age of 40. I have been taking medication for hyperthyroidism for a year now, but I still occasionally experience arrhythmias, with a heart rate of about 120, especial...
Dr. Xie Rongyuan Reply:
Hello: You should go to the hospital for further examination of thyroid function abnormalities. As for your daughter's T4 and TSH levels, they are within the normal range. If her symptoms persist, you should promptly visit the hospital to identify the underlying cause. Thank...[Read More] Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Understanding the Causes of Elevated Creatinine Levels in Lupus Patients
Causes of elevated creatinine levels? I have systemic lupus erythematosus, which was diagnosed in 2009. At that time, my serum creatinine level was 4.4. After receiving steroid treatment, it decreased to 2.5. I have since been under the care of rheumatology and nephrology. Howeve...
Dr. Lin Peifeng Reply:
The provided information is limited. Lupus nephritis can cause six types of pathological changes in the kidneys, some of which are acute changes. In such cases, the use of stronger immunosuppressants and corticosteroids may improve some kidney function. However, if the changes ar...[Read More] Understanding the Causes of Elevated Creatinine Levels in Lupus Patients