Brain, Internal Medicine FAQ - Page 3

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Understanding HIV-Related Neuropathy and Its Impact on Brain Health

HIV-related neuropathy symptoms Hello Dr. Hong, I had unprotected sexual intercourse five years ago, and for the past three years, MRI scans of my brain have shown suspected tumor formations. The affected areas are the cerebellum and brainstem. Initially, both the oncologist and ...


Dr. Hong Yuanbin Reply:
Hello, after HIV infection, the disease itself can present with such phenomena. HIV-related opportunistic infections, such as Kaposi's sarcoma or toxoplasmosis, may also exhibit similar manifestations. However, engaging in unsafe sexual practices does not necessarily result ...

[Read More] Understanding HIV-Related Neuropathy and Its Impact on Brain Health


Does Drinking Diet Soda Increase Your Risk of Diabetes?

Dietary Habits for Diabetes Management Is drinking diet cola really associated with an increased risk of diabetes? I found an article online that states that due to the presence of artificial sweeteners, when you consume diet beverages, your body is essentially deceived. The swee...


Dr. Lin Jianliang Reply:
Hello: Thank you for your message. According to some studies, both sugar and artificial sweeteners carry a risk of disease (such as diabetes). Therefore, moderation is key to avoid putting a strain on the body.

[Read More] Does Drinking Diet Soda Increase Your Risk of Diabetes?


Understanding Dizziness When Lying Down: Causes and Solutions

Dizziness when lying down? In recent days, whenever I lie on my side to sleep, I experience dizziness. Initially, it was only on my left side, but now it also occurs on my right side! Now, even when lying flat, I feel dizzy! During these episodes of dizziness, my vision spins unc...


Dr. Xiao Yongxun Reply:
Dear Ms. Chen: Changes in posture can lead to dizziness for various reasons, including peripheral causes such as vestibular neuritis, Meniere's disease, otolith dysfunction, and hearing loss. Central causes may also be involved, such as brainstem lesions, nerve compression, ...

[Read More] Understanding Dizziness When Lying Down: Causes and Solutions


Managing High Nighttime Blood Sugar Levels in Diabetes Patients

Diabetes and Blood Sugar Issues (Elevated Blood Sugar Levels Before Bedtime) Hello Doctor, my father is about 58 years old and had a stroke two years ago. Hospital examinations indicated that diabetes led to hypertension. After rehabilitation, he was able to live independently an...


Dr. Xiao Yongxun Reply:
Dear Mr. A-Hsiang, Before bed, the blood glucose level was 200 mg/dL, and the fasting blood glucose level in the morning was 105 mg/dL. Clinically, for diabetic patients who manage their condition solely through diet and exercise, these levels are acceptable. Normal postprandial...

[Read More] Managing High Nighttime Blood Sugar Levels in Diabetes Patients


Understanding Elevated IGF-1 Levels: Concerns and Follow-Up Recommendations

Questions related to IGF-1 levels? Hello Doctor: I previously visited the endocrinology department due to weight loss and fatigue. The doctor ordered a blood test, and only one result, IGF-1, was above the standard range (exact value unknown). The doctor is concerned about a pote...


Dr. Xiao Yongxun Reply:
Dear Ms. Chelle: 1. In medical terms, the hypothalamus in the brain secretes releasing hormones that stimulate the pituitary gland to secrete growth hormone. Growth hormone not only acts directly on target organs but also stimulates the liver and other tissues to secrete insuli...

[Read More] Understanding Elevated IGF-1 Levels: Concerns and Follow-Up Recommendations


Can You Get Parasitic Infections from Handling Water Plants?

Parasitic infection issues? Due to the need for fish farming, I manually pulled aquatic plants from a field ditch. After pulling them out, I washed my hands, and once they were dry, I ate some mint candy. Later, I discovered some worms in the aquarium that seem to be schistosomes...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Parasites...> the response is as follows: A: You can refer to the CDC website at http://www.cdc.gov.tw/diseaseinfo.aspx? 1. Overview of Common Intestinal Parasitic Diseases: Intestinal parasitic diseases are prevalent in tropical and subtropical ...

[Read More] Can You Get Parasitic Infections from Handling Water Plants?


Can Steroids Cause Dizziness? Understanding Side Effects and Concerns

Can steroids cause dizziness? Hello, Doctor. I have had SLE for 15 years, and I was recently discharged from the hospital due to vasculitis. I have been resting at home for ten days now and am currently taking eight corticosteroids. I feel about 90% recovered, but I am troubled b...


Dr. Gao Jiankai Reply:
Hello Julia, thank you for your question. Here is my response summarized as follows: 1. The dosage of 8 steroid pills is not considered high, and it should not be used for a long duration; you can always consult your physician about this. 2. Steroids are unlikely to cause dizz...

[Read More] Can Steroids Cause Dizziness? Understanding Side Effects and Concerns


Understanding Dizziness and Discomfort: When to Seek Medical Advice

Dizziness, body heat, discomfort, and dry heaving? Hello, Doctor! Recently, I've been experiencing dizziness and a feeling of warmth in my body after walking or standing for about a minute. My walking becomes unstable, especially during exercise, and I feel a pressure in my ...


Dr. Liao Zhongxin Reply:
Dear readers: "I have been experiencing dizziness when walking or standing for about a minute." Here are some responses: 1. Consider two aspects: (1) Orthostatic hypotension: This occurs when standing up suddenly after prolonged sitting or lying down, leading to ...

[Read More] Understanding Dizziness and Discomfort: When to Seek Medical Advice


Chronic Headaches: Seeking Relief and Solutions for Persistent Pain

Persistent headache I have been experiencing headaches for over a week, from the moment I wake up until I go to sleep, and the pain is increasing throughout the day. The pain is mostly concentrated in the left temple, radiating to my eyes and the back of my head. A few years ago,...


Dr. Xiao Yongxun Reply:
Dear Ms. Evelyn: 1. Your condition may be classified as a tension-type headache, although there could be other causes as well. Common scenarios include migraines, cluster headaches, ophthalmic disorders, colds, and headaches induced by medications or foods. A physical examinatio...

[Read More] Chronic Headaches: Seeking Relief and Solutions for Persistent Pain


Understanding Low TSH Levels After Thyroidectomy: Causes and Implications

Hypothyroidism I underwent a total thyroidectomy about 4 years ago and have been taking thyroid hormones since then. My T3 and T4 levels are maintained within the normal range, but my TSH levels have consistently been very low. I would like to know the reason for this. Is it beca...


Dr. Xiao Yongxun Reply:
Dear Ms. Ting: 1. This question should be directed to your attending physician, as it involves what specific thyroid disease you have, the reasons for total thyroidectomy, whether you are taking other medications, if there are any other endocrine issues, and if there are any oth...

[Read More] Understanding Low TSH Levels After Thyroidectomy: Causes and Implications


Severe Headaches and Anemia: Understanding Your Symptoms

Headache and anemia? Recently, I've been experiencing sudden headaches at night along with anemia for about three days. The headaches are so intense that it feels like my head is about to explode. It seems to be affecting my eyes as well, as my eyeballs feel a bit painful. I...


Dr. Xiao Yongxun Reply:
Dear Ms. Linda: 1. There are many causes of headaches, including migraines, tension-type headaches, cluster headaches, headaches related to head trauma, vascular headaches, non-vascular intracranial headaches, headaches caused by medications or foods, headaches related to non-he...

[Read More] Severe Headaches and Anemia: Understanding Your Symptoms


Causes of Brain Hypoxia: Diseases and Effects on Brain Atrophy

Brain issues Hello, doctor. I would like to ask about the diseases that can cause cerebral hypoxia. Can this lead to brain atrophy?


Dr. Li Zhiyao Reply:
Hello: There are numerous causes of cerebral hypoxia that cannot be listed exhaustively. Any condition that affects blood oxygen levels and respiration can lead to hypoxia, such as respiratory failure and brain lesions. Prolonged hypoxia may damage brain cells and lead to atrophy...

[Read More] Causes of Brain Hypoxia: Diseases and Effects on Brain Atrophy


Understanding Low Insulin and High Adrenaline: Insights on Addison's Disease

Low insulin, high adrenal hormones? Hello, Dr. Li recently visited a naturopathic doctor and had some blood tests done. The doctor mentioned that it could possibly be Addison's disease. My symptoms include a constant feeling of dizziness and brain fog 24 hours a day. I have ...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you visit the Department of Endocrinology and Metabolism at a hospital, where an endocrinologist can provide you with more reliable diagnosis and treatment.

[Read More] Understanding Low Insulin and High Adrenaline: Insights on Addison's Disease


Managing High Nighttime Blood Sugar with Normal Morning Levels

High blood sugar before bedtime and normal blood sugar upon waking? Hello Dr. Hsiao, my mother is seventy years old. She takes insulin during the day and controls her diet for three meals, but her blood sugar levels are consistently over 300 before bedtime. In the morning, her le...


Dr. Xiao Yongxun Reply:
1. There are many types of insulin, primarily including ultra-rapid acting, rapid acting, intermediate acting, and long acting. The timing of their peak effect and duration of action varies. Clinically, it is possible to mix rapid acting and intermediate acting insulins for injec...

[Read More] Managing High Nighttime Blood Sugar with Normal Morning Levels


Understanding Hunger-Induced Dizziness and Sleepiness: Blood Sugar Issues?

Feeling hungry, dizzy, and experiencing mood swings, followed by sleepiness after eating, could indicate several issues. These symptoms may suggest fluctuations in blood sugar levels, possibly related to conditions such as hypoglycemia or insulin resistance. It could also be rela...


Dr. Xiao Yongxun Reply:
1. According to the conclusions and recommendations of the American Diabetes Association in 2010, a fasting plasma glucose level between 100 and 125 mg/dl is classified as impaired fasting glucose, indicating an increased risk of diabetes. Therefore, if your blood glucose level i...

[Read More] Understanding Hunger-Induced Dizziness and Sleepiness: Blood Sugar Issues?


Understanding Anemia: Causes of Dizziness and Treatment Options

Questions related to anemia? Hello: I have a history of anemia and previously received treatment with iron injections. Recently, I have been experiencing frequent dizziness. I went for an examination, and my blood count is better than before (not as low as it used to be). The doc...


Dr. Xie Rongyuan Reply:
Hello: (1) Oral iron supplements can treat iron deficiency anemia, but they are ineffective for thalassemia. (2) There are many causes of dizziness, not just anemia; for example, issues with the inner ear balance system or problems in the brain can also cause dizziness. It is bes...

[Read More] Understanding Anemia: Causes of Dizziness and Treatment Options


Understanding Hyperventilation: Symptoms, Causes, and Treatment Options

Hyperventilation Hello, doctor! I would like to ask about an incident that happened last month. While I was standing in line for punishment at school, I suddenly fainted and have no recollection of the school nurse and her team bringing a stretcher. I experienced shortness of bre...


Dr. Zeng Guosen Reply:
Hello, if you experienced a loss of consciousness along with convulsions in your limbs, the likelihood of epilepsy is higher. You should consult a neurologist, as they can clarify your concerns through diagnostic tests and relevant inquiries. Thank you for your question.

[Read More] Understanding Hyperventilation: Symptoms, Causes, and Treatment Options


Can Rabies Be Transmitted Through Dog Sneezes? Expert Insights

Rabies Consultation Hello, Dr. Liao: A dog being carried by someone on a motorcycle (standing on the motorcycle seat) passed by me about 1 meter away while I was waiting at a traffic light. It suddenly sneezed, and I have acne on my face that has already scabbed over and is no lo...


Dr. Liao Zhongxin Reply:
Dear readers, I. First, please refer to the announcement from the Centers for Disease Control: http://www.cdc.gov.tw/diseaseinfo.aspx?treeid=8d54c504e820735b&nowtreeid=dec84a2f0c6fac5b&tid=9D2E1B3A862F06FB <Transmission Methods> 1. Animals infected with rabies car...

[Read More] Can Rabies Be Transmitted Through Dog Sneezes? Expert Insights


Does Rheumatoid Arthritis and Lupus Worsen Over Time?

Is the condition worsening or stable? Does rheumatoid arthritis and systemic lupus erythematosus affect the central nervous system (brain), and do the clinical manifestations worsen over time? Does the condition deteriorate or remain stable as time progresses? Thank you, doctor.


Dr. Gao Jiankai Reply:
Hello, the central nervous system lesions associated with lupus erythematosus are quite complex, and the symptoms can be varied and unusual, making it difficult to determine the prognosis in a few words; a thorough examination of the manifestations is necessary for a definitive d...

[Read More] Does Rheumatoid Arthritis and Lupus Worsen Over Time?


Impact of Dialysis Timing on Post-Surgery Outcomes in Brain Injury Patients

Dialysis patients A friend underwent brain surgery due to a fall that caused intracranial hemorrhage. The surgery was performed on the same day as dialysis, and later that evening, there was a need for an emergency surgery due to recurrent intracranial bleeding. Is there a connec...


Dr. Wang Weijie Reply:
Dear Ah Hua, Hello, the normal surgical procedure involves dialysis the day before the surgery and again the day after the surgery. In case of an emergency, consultation with both the surgical and nephrology specialists is necessary. According to the latest international guideli...

[Read More] Impact of Dialysis Timing on Post-Surgery Outcomes in Brain Injury Patients


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