Understanding Potassium Deficiency: Causes, Symptoms, and Solutions
Potassium ion loss Two days ago, I felt weakness in my arms and legs. I couldn't even lift my feet to climb stairs, and walking was very difficult. After squatting down, it was hard to stand up again. I went to the hospital for a blood test, and my potassium levels were belo...
Dr. Cai Zonglin Reply:
Hypokalemia can have various causes, including diarrhea, medications, and hyperthyroidism. It can be managed with potassium supplementation or by increasing the intake of bananas and citrus fruits. Please consult your outpatient physician for further management.[Read More] Understanding Potassium Deficiency: Causes, Symptoms, and Solutions
Understanding Hypertension Management: Questions About Diagnosis and Treatment
Hypertension screening I started experiencing daily blood pressure readings around 140/98 and symptoms of dizziness and headaches at the end of February, so I went to see a cardiologist. The doctor prescribed antihypertensive medication before waiting for the test results. A week...
Dr. Zhang Guoji Reply:
1. If you have concerns about the original physician's management, you should discuss it with the physician during the outpatient visit to understand their perspective and resolve your issues, as each physician may have different thoughts and approaches. Asking other physici...[Read More] Understanding Hypertension Management: Questions About Diagnosis and Treatment
Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
How can one determine if it is simple proteinuria? I previously asked some questions and still have a few more. I would appreciate your answers. I have had proteinuria for two months, with two different tests showing one result as 1+ and another 24-hour result as 791. I also visi...
Dr. Wu Jiyu Reply:
1. The 24-hour result is 791 mg, which has not yet reached the level of nephrotic syndrome, and there are no clinical symptoms (such as edema or hypertension); therefore, there is currently no necessity for a kidney biopsy. 2. When is a kidney biopsy necessary? It is recommended ...[Read More] Understanding Simple Proteinuria: Symptoms, Diagnosis, and Concerns
Understanding Abnormal Kidney Function: What You Need to Know
Is there any abnormality in kidney function? Hello, Doctor. Last July, I had a urinalysis that showed hematuria and proteinuria, both positive. In August, I went to another hospital for another urine test, and again, there were reactions for hematuria and proteinuria. After blood...
Dr. Wu Jiyu Reply:
1. First, let's discuss the risk factors for kidney disease: the three highs (hypertension, hyperglycemia, and hyperlipidemia) and proteinuria. Based on the data you provided: Blood Pressure??? Blood Glucose (GLU AC) 89 mg/dL: OK; Lipid Profile Cholesterol 224 mg/dL: borderl...[Read More] Understanding Abnormal Kidney Function: What You Need to Know
Understanding Chronic Thyroiditis: Impact on Fertility and Pregnancy
Chronic thyroiditis Hello, doctor. Last May, I had a blood test that revealed my thyroid antibody level (TA) was 800, while other indices (TSH, T3, T4, MA) were normal. After taking quinine for a year, my TA level decreased to 470, but the other indices remain normal. My husband ...
Dr. Zeng Guosen Reply:
Dear Ms. Hsueh, I apologize for the delayed response as I have just returned to the country. Elevated thyroid antibodies with normal thyroid function (paying attention to TSH and Free T4) and the absence of symptoms should not pose a risk for miscarriage. I recommend seeking a ...[Read More] Understanding Chronic Thyroiditis: Impact on Fertility and Pregnancy
Understanding Blood Sugar Monitoring: Accuracy and Common Concerns
About diabetes? First of all, I would like to thank Dr. Lee for the previous response. I do have hyperlipidemia and hypertension, which I am currently managing with medication. My average blood pressure is (systolic) 110-120 and (diastolic) 65-75. In my last inquiry, my fasting b...
Dr. Li Zhiyao Reply:
Hello: The blood glucose levels obtained from a standard blood draw are typically about 15% higher than those measured by a glucose meter, which may raise some questions for you. Since you are at high risk for diabetes, it is recommended that you continue to manage your diet and ...[Read More] Understanding Blood Sugar Monitoring: Accuracy and Common Concerns
Impact of Diet on Blood Test Results for Prediabetes
Prediabetes Hello Dr. Lee: Today, the hospital's blood test report shows fasting blood glucose: 117, glycated hemoglobin: 5.8, triglycerides: 193, cholesterol: normal, and uric acid: normal. I consumed a large amount of soda (5 bottles) and ate fried chicken nuggets (4 piece...
Dr. Li Zhiyao Reply:
Hello: Based on what you mentioned, I recommend that you pay attention to the following three points: 1. Correct your dietary habits. 2. You are at high risk for diabetes: as your glycated hemoglobin (HbA1c) is greater than 5.7; please note that glycated hemoglobin is not affecte...[Read More] Impact of Diet on Blood Test Results for Prediabetes
Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Kidney problems Hello, doctor. Recently, I have been drinking a lot of water, but the amount I urinate is very little. I usually exercise a lot and sweat a lot, but lately, my sweat has had a very sour smell, somewhat like ammonia. Additionally, I have been experiencing a dull pa...
Dr. Wu Jiyu Reply:
1. Regarding acute renal failure (acute renal failure, also known as acute kidney injury): It is essential to understand the functions of the kidneys in the body. The kidneys primarily eliminate toxins produced from protein metabolism (commonly referred to as uremia) and regulate...[Read More] Understanding Acute Kidney Failure: Symptoms, Diagnosis, and Concerns
Understanding Right Groin Discomfort: Seeking the Right Medical Advice
Right groin? Since last summer, I've been experiencing discomfort on the right side of my body, starting with pain that is hard to describe. The uncomfortable area is located to the right of my right testicle, in the perineum, and the upper right side of my anus (initially, ...
Dr. Wu Jiyu Reply:
First, let's clarify a few points that may not seem related to nephrology (I am a nephrologist). 1. Where exactly do you feel discomfort? Is it in the scrotum, inner thigh, perineum, or near the anus? A physician examining you in person would have a better understanding of...[Read More] Understanding Right Groin Discomfort: Seeking the Right Medical Advice
Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Unexplained hand tremors? Unexplained hand tremors, could they be a sign of a disease? Thank you!
Dr. Lin Shunfa Reply:
Dear Anson, 1. Hand tremors may be a sign of underlying conditions such as hyperthyroidism, Parkinson's disease, or alcohol intoxication. However, Parkinson's disease is often associated with bradykinesia, postural instability, and a masked facial expression. Hyperthyr...[Read More] Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
High White Blood Cell Count: When to See a Specialist?
Leukocytosis Hello Doctor, after my IVF implantation, my blood test showed a white blood cell count exceeding 16,000. Two weeks later, I confirmed that I was not pregnant, but my white blood cell count is still above 11,000. Should I see a hematologist or an infectious disease sp...
Dr. Liao Zhongxin Reply:
Dear readers: Patients with chronic diseases, such as kidney disease and liver disease, may have certain test results that differ from the normal range due to multiple conditions, drug interactions, infections, or tumors. Therefore, infection may not be the only factor to conside...[Read More] High White Blood Cell Count: When to See a Specialist?
Is Kidney Shrinkage Serious? Understanding Ultrasound Results and Function
Is it serious if an ultrasound examination suggests that the kidneys are possibly smaller? Hello, doctor. I recently had a routine kidney check-up (due to having hematuria since childhood and regular follow-ups). My kidney function is otherwise normal, except for a creatinine lev...
Dr. Wu Jiyu Reply:
The size of the kidneys is not necessarily related to kidney function; it is important to look at the results of blood tests and urinalysis for accurate assessment. Additionally, in terms of size, while 9 cm is smaller than 10 cm, the difference is minimal and does not warrant ex...[Read More] Is Kidney Shrinkage Serious? Understanding Ultrasound Results and Function
How to Distinguish Between Type 1 and Type 2 Diabetes
Chronic diseases Hello, Dr. Lee. After a blood test, it has been confirmed that I have diabetes. How can I determine whether my diabetes is type 1 or type 2?
Dr. Li Zhiyao Reply:
Hello: Blood tests alone cannot distinguish between Type 1 and Type 2 diabetes. The classic feature of Type 1 diabetes—ketoacidosis—can sometimes also occur in Type 2 diabetes patients. Therefore, it can indeed be challenging to determine the initial classification of diabetes. S...[Read More] How to Distinguish Between Type 1 and Type 2 Diabetes
Understanding Hypokalemia: Causes and Kidney Health Concerns
Hypokalemia issues? Hello, Doctor. In December, my blood test showed a potassium level of 3.3. I did not have diarrhea or vomiting, nor did I use diuretics. The doctor prescribed Slow-K BID for three weeks, and when I was re-evaluated in early February, my potassium level had dro...
Dr. Lin Shunfa Reply:
Hello Mimi: 1. It seems that you are quite aware of the possible causes of hypokalemia. The main causes can be summarized as follows: a. Gastrointestinal losses, which are the most common. b. Renal losses due to certain complications of diabetes, autoimmune diseases, hi...[Read More] Understanding Hypokalemia: Causes and Kidney Health Concerns
Understanding Nighttime Chest Pain: Causes and Solutions
Chest pain at night? Hello Dr. Lee, I have been experiencing chest pain for the past five nights since February 1st. I cannot determine if the pain is superficial or internal; it feels like being punched or having a heavy weight pressing down. During the day, after I get up, th...
Dr. Li Huixiong Reply:
Since there are no issues with your cardiology consultation, you can at least be relieved about heart-related problems. In my opinion, your issue may not be easily identified through blood tests, X-rays, or electrocardiograms. I recommend that you visit a trusted internal medicin...[Read More] Understanding Nighttime Chest Pain: Causes and Solutions
Why Won't My Grandfather's Wound Heal After a Fall?
Why do injuries from falls never seem to heal? My grandfather fell and got injured over a year ago. At that time, we didn't think much and treated the wound with standard first aid, but it never healed and continued to spread. Later, we went to a major hospital for examinati...
Dr. Liao Zhongxin Reply:
Dear readers, 1. First, assess whether the grandfather is of advanced age and if his diet is normal; then consider if there are any underlying diseases or medications involved. Many factors can affect wound healing. 2. If liver disease, diabetes, and malnutrition have been ru...[Read More] Why Won't My Grandfather's Wound Heal After a Fall?
Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Headache and eye pressure? Hello Director Lin: Happy New Year and best wishes for prosperity. Please help me with some guidance, thank you. (Since I am temporarily working in Malaysia, the doctors here only mentioned that my cholesterol is high and advised me to watch my diet wit...
Dr. Lin Shunfa Reply:
Ms. Anqi: Hello!! According to the data, you have two high conditions (hypertension and hyperlipidemia). Proper blood pressure control can reduce the risk of new vascular diseases by 20 to 30%. Clearly, your blood pressure is ideally controlled at 130/80. High cholesterol is the ...[Read More] Understanding Headaches and Eye Pressure: Cholesterol Concerns Explained
Understanding Fatigue: Causes and Solutions for Low Energy and Dizziness
Physical fitness and bodily issues? Doctor, recently I have been experiencing decreased energy levels, dizziness, nausea, and a feeling of weakness in my heart. I often feel fatigued for no apparent reason. What should I do?
Dr. Li Huixiong Reply:
You should go to the family medicine clinic for a blood test for further examination.[Read More] Understanding Fatigue: Causes and Solutions for Low Energy and Dizziness
Understanding Hepatitis B Carriers: Concerns and Health Management
Questions about Hepatitis B carriers? Hello, I would like to ask some questions about hepatitis B. My spouse is a carrier of hepatitis B, which makes me very sad and worried. I heard a long time ago that hepatitis B carriers are infectious but may not develop the disease themselv...
Dr. Li Huixiong Reply:
It is recommended that you visit a large hospital with a hepatobiliary department near your residence for further examination and consultation.[Read More] Understanding Hepatitis B Carriers: Concerns and Health Management
Understanding Post-Gastroenteritis Recovery: Managing Symptoms and Medications
Issues related to gastroenteritis after more than two months? Hello doctor, I started experiencing symptoms at the end of August, and it has been over two months since then. There has been some improvement, but I'm not sure if I am fully recovered because I still occasionall...
Dr. Hong Hongchang Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: An unbalanced diet can lead to gastrointestinal dysfunction. It is advisable to consult with a nutritionist. During episodes of gastrointestinal dysfunction, a ...[Read More] Understanding Post-Gastroenteritis Recovery: Managing Symptoms and Medications