Brain, Internal Medicine FAQ - Page 4

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Can SLE Patients Safely Sunbathe for Vitamin D?

Can people with SLE really not be exposed to sunlight? Hello Doctor, I am an SLE patient. About three years ago, I was diagnosed with RA because I did not meet four criteria. Later, I experienced abdominal pain and vomiting after eating, which led to suspicion of small intestine ...


Dr. Gao Jiankai Reply:
Hello, Xin-Yi. Thank you for your inquiry! Patients with systemic lupus erythematosus (SLE) have a 60-100% chance of being sensitive to sunlight and ultraviolet (UV) rays, which can trigger disease exacerbation. Additionally, some patients may not be aware of their photosensitivi...

[Read More] Can SLE Patients Safely Sunbathe for Vitamin D?


Understanding Dizziness in Elderly Patients: Causes and Next Steps

Dizziness Consultation My mother is 70 years old and has been suffering from dizziness lately. She is almost completely bedridden and unable to move. She has hypertension, which is controlled with medication. She has seen various specialists but has not found a cause. Please cons...


Dr. Li Zhiyao Reply:
Hello Mr. Kuo: Based on the situation you described, the first consideration should be whether your blood pressure is too low. A blood pressure of 110/70 may be considered low for a 70-year-old, which could lead to weakness and confusion, making it difficult for the patient to ge...

[Read More] Understanding Dizziness in Elderly Patients: Causes and Next Steps


Understanding Complications After Peritoneal Dialysis Surgery

Postoperative Recovery After Peritoneal Dialysis Surgery Dear Dr. Yang, My father has been undergoing peritoneal dialysis for over a year. Recently, due to some exposure of the dialysis catheter, the doctor recommended a surgical procedure to fix the catheter. We initially thoug...


Dr. Yang Zhongwei Reply:
Hello: Exposed tubing can easily lead to infections, and it should be reconstructed. As for the infections, stroke, ulcers, and intubation you mentioned, I cannot comment on your father's condition since I am not present. I apologize for that! I sincerely wish your father a ...

[Read More] Understanding Complications After Peritoneal Dialysis Surgery


Can Leukemia Patients Receive Flu and Pneumonia Vaccines Together?

excuse me? Can leukemia patients receive the seasonal influenza vaccine and the pneumococcal vaccine? If so, should they be administered separately? Do the injection sites need to be different?


Dr. Cai Yaozhou Reply:
Patients with leukemia can receive both the seasonal influenza vaccine and the pneumococcal vaccine simultaneously. The pneumococcal vaccine should be administered according to vaccination guidelines: high-risk groups include individuals aged 65 and older, patients with heart dis...

[Read More] Can Leukemia Patients Receive Flu and Pneumonia Vaccines Together?


Should You Consider MRI for Unexplained Symptoms in Your Mother?

Should an MRI scan be performed? My mother is sixty years old and has been experiencing some symptoms, but the cause has not been identified. She sweats easily, feels cold, has weakness in her limbs, experiences fatigue, has a poor appetite, and also suffers from tinnitus, which ...


Dr. Yang Hongzhi Reply:
Thyroid computed tomography or magnetic resonance imaging may not be very helpful in this situation, but it ultimately depends on the judgment of the patient's attending physician.

[Read More] Should You Consider MRI for Unexplained Symptoms in Your Mother?


Understanding Nutritional Challenges in Dialysis Patients: A Caregiver's Guide

Dialysis Hello: My mother-in-law has been on peritoneal dialysis for 6 years. Due to her not eating or drinking and being inactive, she has developed malnutrition and dehydration. Recently, she was urgently hospitalized and a nasogastric tube was inserted for feeding with glucose...


Dr. Zhong Weisheng Reply:
Regarding your question about how long a patient can sustain themselves after discharge without intravenous fluids, only taking oral medications for feeding (considering they have diabetes and complications from dialysis), it is difficult to determine solely from online informati...

[Read More] Understanding Nutritional Challenges in Dialysis Patients: A Caregiver's Guide


Persistent Headache for 3 Days: Causes and Solutions

Headache for 3 days? Dear Doctor, I have been experiencing severe headaches every morning upon waking up, which has persisted for three days (from the moment I open my eyes until I go to bed at night). This issue has started to affect my work. I suspect that my blood pressure ha...


Dr. Li Zhiyao Reply:
Dear Rickey, Headaches are classified into two main categories: primary headaches and secondary headaches. Primary headaches mainly include 1. migraines, 2. tension-type headaches, and 3. cluster headaches. Secondary headaches include: head trauma, brain infections, cerebrovascu...

[Read More] Persistent Headache for 3 Days: Causes and Solutions


Managing Antibiotic Treatment for Elderly Patients with Multiple Health Issues

Antibiotics Hello Dr. Tsai: My grandfather had a lot of bacteria in his sputum and urine cultures during his hospitalization. He was treated with third-generation antibiotics and also received steroids. Within a week of discharge, he developed a fever again. Is it effective to us...


Dr. Cai Yaozhou Reply:
The physician must assess the clinical symptoms and, in conjunction with the results of bacterial cultures, determine which antibiotic to use based on the clinical presentation and the culture results.

[Read More] Managing Antibiotic Treatment for Elderly Patients with Multiple Health Issues


Improving Symptoms of Thalassemia: Tips for Better Oxygenation

Mediterranean anemia Hello Dr. Hsiao, I am a patient with thalassemia and often feel dizzy and have headaches due to brain hypoxia. I would like to ask if there are any ways to improve this condition. Thank you! Wishing you peace and joy, Ms. An.


Dr. Xiao Yongxun Reply:
Hello: Thalassemia, also known as Mediterranean anemia, is primarily caused by genetic defects and is commonly classified into alpha and beta types. The alpha type is located on the 16th pair of chromosomes, containing four alpha genes; the beta type is found on the 11th pair of ...

[Read More] Improving Symptoms of Thalassemia: Tips for Better Oxygenation


Understanding Recurring Headaches: Causes and When to Seek Help

Headache Hello Dr. Chen, Around the evening of February 12th, I suddenly experienced dizziness and headaches. I took some acetaminophen on my own, and I felt much better the next day. However, on February 15th or 16th, similar symptoms reappeared, and I took acetaminophen again,...


Dr. Chen Changxun Reply:
To my friend DRAGON: Headaches have become bothersome in your daily life over the past two days. Various diseases can induce headaches, with upper respiratory infections, fever, and diarrhea being frequent causes. However, if the symptoms persist for more than a month, you should...

[Read More] Understanding Recurring Headaches: Causes and When to Seek Help


Persistent Hiccups: Causes, Remedies, and When to Seek Help

Persistent hiccups? I have been hiccuping continuously for four days... I have tried almost all the home remedies I found online. Although they provide temporary relief, the hiccups return shortly after. The hiccups are starting to make me feel a bit nauseous...


Dr. Chen Changxun Reply:
TO MICKEUING: Hiccups are a problem caused by spasms of the phrenic nerve. This nerve originates from the brainstem and extends to the cardiac plexus, distributing over the diaphragm. Several abnormalities can induce phrenic nerve spasms and gastric reflux, leading to the onset a...

[Read More] Persistent Hiccups: Causes, Remedies, and When to Seek Help


Persistent Pulsation in the Back of the Head: Causes and Solutions

Pulsating sensation in the back of the head? For the past two to three weeks, I have been feeling my heartbeat and a pulsing sensation in the back of my head while sleeping. I have consulted a cardiologist who mentioned that I have a slight mitral valve prolapse and that I do not...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, "headache" generally refers to pain in the areas above the eyes and ears, as well as the occipital region and the back of the neck. Headaches can be classified into primary headaches and secondary headaches. The former includes migra...

[Read More] Persistent Pulsation in the Back of the Head: Causes and Solutions


Should You Seek Medical Attention for Hypothyroidism Symptoms?

Should I seek medical attention for hypothyroidism? Hello, doctor. I am currently seeking treatment for mental health issues. Aside from psychological problems, I do not have any major physical illnesses. The psychiatrist mentioned that hypothyroidism might affect emotional issue...


Dr. Yang Hongzhi Reply:
Hello: Your symptoms suggest that you should consider the possibility of hypothyroidism, and it is advisable to see a specialist in metabolic disorders.

[Read More] Should You Seek Medical Attention for Hypothyroidism Symptoms?


Persistent Dizziness and Sweating: Understanding Your Symptoms

Dizziness and cold sweats? Dear Doctor, I have been experiencing dizziness and lightheadedness every morning upon waking, accompanied by cold sweats and resulting in vomiting. Since I haven't eaten yet, I am only vomiting stomach acid. Although I underwent a comprehensive ex...


Dr. Wang Fangli Reply:
As the symptoms are becoming more severe, it is recommended to return to the original hospital for further examination. In addition to internal medicine, evaluations by otolaryngology, obstetrics and gynecology, and neurology should also be conducted.

[Read More] Persistent Dizziness and Sweating: Understanding Your Symptoms


Understanding Autoimmune Antibodies and Their Impact on Vascular Health

Autoimmune antibodies __ vasculitis At the age of 29, I was diagnosed with "cardiovascular disease" (currently, there is no pulse in my left arm due to an issue with the aorta). I was scheduled for bypass surgery in September 2007, as the area requiring bypass connects ...


Dr. Zeng Guosen Reply:
1. It is essential to first assess for vasculitis and the extent of vascular involvement before determining the necessity of surgery. 2. The etiology of vasculitis is unknown; therefore, long-term treatment, management, monitoring, and evaluation are required. 3. Follow the treat...

[Read More] Understanding Autoimmune Antibodies and Their Impact on Vascular Health


Why Am I Still Tired After Sleeping 7-8 Hours?

Feeling tired despite sleeping for a long time and needing to sleep more? Hello, Doctor. I have seen news reports stating that sleeping for at least 7 hours is generally sufficient, so I usually sleep between 7 to 8 hours. However, sometimes I still feel the urge to sleep more. I...


Dr. Cai Yaozhou Reply:
The golden sleep period for humans is from 10 PM to 6 AM. This is when the human circadian rhythm activates at 10 PM, leading to the secretion of growth hormone and melatonin, a slight decrease in body temperature, and a gradual transition of brain waves from high-amplitude alpha...

[Read More] Why Am I Still Tired After Sleeping 7-8 Hours?


Understanding Uncontrolled Hand Tremors: Causes and Concerns

Hand Hello Doctor: I would like to ask about my hands occasionally shaking involuntarily. Is this a sign of a problem in my body? Which part might be affected? Thank you!


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. There are many causes of "tremors," generally classified into resting tremors and action tremors. The former includes Parkinson's disease, progressive supranuclear palsy, carbon monoxide poisoning, stroke, and mitochondrial d...

[Read More] Understanding Uncontrolled Hand Tremors: Causes and Concerns


Understanding Thyroid Cancer and Its Connection to Melkersson-Rosenthal Syndrome

Thyroid and Melkersson-Rosenthal Syndrome Dear Dr. Tsai: Since April and May of last year, I have developed some follicular lesions in my genital area. After visiting a gynecologist, my condition improved after about 20 days, but later I experienced skin lesions on my lips and ey...


Dr. Cai Yaozhou Reply:
Consult an internist for further examinations.

[Read More] Understanding Thyroid Cancer and Its Connection to Melkersson-Rosenthal Syndrome


Confused Patient: Navigating Complex Symptoms and Specialist Referrals

Confused patient Dear Dr. Yang, Since April or May of last year, I have been experiencing follicular lesions on my lower body and thighs. After about 20 days of medication treatment, the condition was controlled. However, I later developed swelling and skin breakdown on my eyeli...


Dr. Yang Hongzhi Reply:
Hello Kelly: Your issue does not seem to have a relevant underlying cause, and it may be necessary to consult the specialty you are currently seeing.

[Read More] Confused Patient: Navigating Complex Symptoms and Specialist Referrals


Understanding Potassium-Deficient Muscle Disorders in Hyperthyroidism

Hypokalemic myopathy caused by hyperthyroidism? Hello Doctor. I had a question on October 14, 2006, which you kindly answered, helping my mother and me feel less anxious about her condition. For the past four months, my mother has been consistently taking her medications (Methima...


Dr. Yang Hongzhi Reply:
It is quite common in clinical practice for patients to exhibit a tendency towards hypothyroidism while on the same dosage of medication. Management may involve temporarily discontinuing the medication or reducing the dosage, but it is essential to monitor thyroid function to adj...

[Read More] Understanding Potassium-Deficient Muscle Disorders in Hyperthyroidism


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