Feeling Tired After Sleep: Possible Causes and Solutions
Waking up feeling unrested? I have recently been feeling like I haven't had enough sleep after getting out of bed in the morning, and I feel a bit dizzy. I don't have trouble falling asleep at night, but sometimes I wake up around 1 or 2 AM and then go back to sleep. In...
Dr. Chen Qingbin Reply:
Your total cholesterol is elevated, so you should pay attention to your diet and avoid excessive fats. It's important to engage in regular exercise. You are experiencing sleep disturbances, and it would be best to consult a psychiatrist or a mental health specialist at a hos...[Read More] Feeling Tired After Sleep: Possible Causes and Solutions
Understanding High Total Cholesterol: Symptoms, Risks, and Solutions
Elevated total cholesterol? 1. Height: 176.5 cm 2. Weight: 77 kg 3. Body Mass Index (BMI): 24.7 4. Total Cholesterol: 238 mg/dL 5. Triglycerides: 116 mg/dL 6. Fasting Blood Glucose: 78 mg/dL 7. SGPT (ALT): 247 U/L 8. Blood Pressure: 124/77 mmHg a. What should be ...
Dr. Chen Qingbin Reply:
High cholesterol levels can easily lead to vascular sclerosis. Dietary control (low-fat diet) and regular exercise can help lower cholesterol. If there is a presence of diabetes or heart disease, cholesterol-lowering medication may be necessary.[Read More] Understanding High Total Cholesterol: Symptoms, Risks, and Solutions
Understanding Abnormal Urine and Blood Test Results: What You Need to Know
Examination report issues Hello, doctor. Recently, I noticed that my urine has been yellow for a while and hasn't improved. Additionally, I've been experiencing lower back pain, so I thought there might be an issue with my kidneys. I went to a laboratory to have my urin...
Dr. Yang Jun Reply:
Hello: In response to your question, I will address only the issues related to uric acid and blood lipids. A complete answer regarding other data requires a visit to an internist to review all reports (blood and urine). Elevated uric acid levels are a precursor to gout, and if it...[Read More] Understanding Abnormal Urine and Blood Test Results: What You Need to Know
Understanding Skin Pain Associated with Cold Symptoms
Skin pain caused by a cold? Hello Dr. Zhao, I have a question regarding a cold: Over the past year, whenever I catch a cold, in addition to the usual symptoms of runny nose, nasal congestion, mild dizziness, excessive phlegm, and general discomfort, I have been experiencing &qu...
Dr. Zhao Chongliang Reply:
What you are referring to is abnormal sensation, which is known as paresthesia in English. It can be caused by poor blood circulation throughout the body, atherosclerosis due to deposits of cholesterol or thrombosis, vitamin deficiencies, poor nutritional status, diabetes, hypoth...[Read More] Understanding Skin Pain Associated with Cold Symptoms
Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
The calculation of creatinine clearance (CCR) can be done using the following formula: \[ \text{CCR} = \ Hello Dr. Yang: I am a patient with Systemic Lupus Erythematosus (SLE) and currently suffering from nephrotic syndrome. My albumin levels have been around 2.8 to 3, and my ch...
Dr. Yang Jun Reply:
Hello: In response to your question, Systemic Lupus Erythematosus (SLE) is one of the causes of nephrotic syndrome. Treatment must focus on controlling the underlying disease (SLE) and reducing kidney function damage. A low-salt and low-protein diet is a method to slow down prote...[Read More] Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
Managing High Cholesterol After Pregnancy: Essential Tips and Guidance
High cholesterol Hello Doctor: I am currently five months postpartum, 175 cm tall and weigh 82 kg. Due to discomfort (shortness of breath and palpitations), I underwent blood tests. The results showed that everything else is normal, but my total cholesterol is 354 mg/dL (the doct...
Dr. Chen Qingbin Reply:
Your cholesterol levels are indeed too high. It is best to test again. If they remain high, you should focus on dietary control, increase physical activity, and lose weight, in addition to considering medication treatment.[Read More] Managing High Cholesterol After Pregnancy: Essential Tips and Guidance
Understanding Low Blood Pressure: Symptoms, Risks, and When to Seek Help
Blood pressure Doctor: Hello, what is considered low blood pressure? For example, even after walking, when I measure my blood pressure, the systolic pressure is between 60-50, and the diastolic pressure is between 50-40, or even lower. Is this normal? My cholesterol levels exceed...
Dr. Chen Qingbin Reply:
Your blood pressure is low; it is advisable to visit a hospital for an internal medicine consultation.[Read More] Understanding Low Blood Pressure: Symptoms, Risks, and When to Seek Help
Should I Take Medication for Diabetes? Exploring Treatment Options
Is medication necessary? I have been diagnosed with diabetes for a year and a half. During this time, my fasting blood sugar levels have ranged from 140 to 160 mg/dL, and my postprandial blood sugar levels have been between 180 and 200 mg/dL. My HbA1c levels are between 7.0% and ...
Dr. Yang Hongzhi Reply:
Generally, a hemoglobin A1c level below 7.0% is considered acceptable, while a level above 8.0% necessitates intervention. Since your level is currently between these two thresholds, you can try to enhance your diet and exercise as non-pharmacological treatments. However, if you ...[Read More] Should I Take Medication for Diabetes? Exploring Treatment Options
Can Eating Fruits and Vegetables Offset Cholesterol from Seafood?
Can cholesterol be offset? Hello, doctor. I would like to ask: Recently, I have been enjoying seafood, such as shrimp, clams, oysters, and fish heads, almost every other day. If I eat more fruits and vegetables, which are cholesterol-free foods, will that counteract the cholester...
Dr. Ke Zhengchang Reply:
Currently, it has not been proven that consuming more fruits and vegetables can offset the increase in cholesterol caused by high-cholesterol foods. High-cholesterol foods and high-purine foods have some overlap, such as organ meats and seafood.[Read More] Can Eating Fruits and Vegetables Offset Cholesterol from Seafood?
Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Do you recommend whether medication is necessary? Dr. Kuo, my mother is 64 years old, obese, and has a postprandial blood sugar level of 142. Recently, her cholesterol was checked at 266 and triglycerides at 198. Do you recommend that she needs medication? Thank you! Sincerely, Y...
Dr. Guo Qinghui Reply:
Is medication necessary? To answer this question, it is important to understand your mother's health status, such as whether she has heart disease or high blood pressure. Therefore, please have your mother visit a nearby healthcare facility for a comprehensive assessment of ...[Read More] Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Essential Dietary Tips for Diabetes Prevention and Management
Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.
Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...[Read More] Essential Dietary Tips for Diabetes Prevention and Management
Managing High Cholesterol: Alternatives to Statins Without Liver Impact
Taking lipid-lowering medications can cause liver inflammation? Hello Dr. Ke: I have high triglycerides (360) and cholesterol (255), and I have been taking a lipid-lowering medication, LIPITOR (atorvastatin) 10 mg, one tablet daily for three months. After a follow-up test, my tri...
Dr. Ke Zhengchang Reply:
If you do not have risk factors for cardiovascular diseases such as hypertension or diabetes, a cholesterol level below 240 is acceptable. If your triglycerides are high but your high-density lipoprotein (HDL) is not below 40, treatment may not be necessary. You can initially man...[Read More] Managing High Cholesterol: Alternatives to Statins Without Liver Impact
Understanding Abnormal Blood Test Results: Key Indicators Explained
Abnormal blood test results? 1. Globulin - <3.6> 2. Total Cholesterol - <208>, HDL Cholesterol - <63.7>, LDL Cholesterol - <130> 3. Segmented Neutrophils - <32.5> 4. Lymphocytes - <58.8> What could be the potential issues?
Dr. Zhao Chongliang Reply:
The globulin value is calculated by subtracting albumin from total protein, and both values should be provided together for interpretation. The values for neutrophils (Segment) and lymphocytes are expressed as ratios, and the total white blood cell (WBC) count is necessary to cal...[Read More] Understanding Abnormal Blood Test Results: Key Indicators Explained
Understanding the Risks of High and Low Blood Pressure in Young Adults
Is high or low blood pressure dangerous? Dr. Chen: Hello! I previously underwent a physical examination for military service at Taipei Provincial Hospital, and later they notified me to go for a re-examination! The department for my re-examination is (blood pressure xx), and the ...
Dr. Zhao Chongliang Reply:
The initial consultation is the first medical visit, and typically, we do not treat abnormal blood pressure during this visit, as there are many factors that can influence blood pressure, such as time zone changes (lower in the morning, higher in the evening), eating, exercise, a...[Read More] Understanding the Risks of High and Low Blood Pressure in Young Adults
Understanding Vascular Hardening: Causes and Concerns for Your Health
Vascular sclerosis Hello Dr. Chen, Recently, our company conducted a health check-up, and my health report indicated a vascular sclerosis risk factor (RF) of 2.7, which is noted as an abnormal condition. My blood pressure is 110/68 mmHg, and my heart rate is 99 beats per minute...
Dr. Chen Qingbin Reply:
Hello Popo: The main purpose of a health check-up is to screen for potential abnormalities. If there are any issues, it is still necessary to go to the hospital for further confirmation of diagnosis and treatment. Health Education Department Director, Chen Ching-Pin.[Read More] Understanding Vascular Hardening: Causes and Concerns for Your Health
Understanding Diabetes Index: Is Medication Necessary for Mild Cases?
What is the diabetes index? Hello, Director Hsiao: My mother is 72 years old. During her health check this year, her blood sugar level was found to be 130, while the normal upper limit is 110. However, the doctor said it is still mild and that she does not need medication, just d...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The normal fasting plasma glucose level for healthy individuals is between 70 to 100 mg/dL, and the postprandial glucose level two hours after a meal should be between 80 to 140 mg/dL. A fasting plasma glucose level of 130 mg/dL after 8 ho...[Read More] Understanding Diabetes Index: Is Medication Necessary for Mild Cases?
Understanding Excessive Urine Bubbles: Causes and Concerns
There are many bubbles in the urine? Hello Dr. Yang, I would like to ask you a question. I have noticed that there are a lot of bubbles in the toilet when I urinate, and the same thing happens at night. Last month, I had a blood test, and my albumin level was slightly low (38)....
Dr. Yang Jun Reply:
Hello: In response to your question: Kidney disease can lead to proteinuria, which is clinically observed as increased foamy urine. If the condition is severe, it can result in low albumin levels, along with elevated cholesterol and edema, which can be diagnosed as nephrotic synd...[Read More] Understanding Excessive Urine Bubbles: Causes and Concerns
Gallbladder Stones: To Operate or Not? Key Considerations and Timing
Gallstones—Surgery or Not? The patient has a 10-year history of gallbladder stones and has experienced occasional right upper abdominal pain after meals for the past 2 years. There was one episode of fever and vomiting during an attack 2 weeks ago, which spontaneously subsided af...
Dr. Xiao Yongxun Reply:
Dear FRED: 1. The management of asymptomatic gallstones remains controversial. The risk of developing symptoms or complications that require surgery is quite low, around 1 to 2 percent per year, in most asymptomatic gallstone patients. 2. Recommendations for prophylactic cholec...[Read More] Gallbladder Stones: To Operate or Not? Key Considerations and Timing
Understanding Cholesterol Levels in Dried Fish: A Guide for Health Concerns
May I ask the doctor? Hello, doctor. I would like to ask: I have high cholesterol and osteoporosis. A few days ago, while traveling in Japan, I bought a lot of local dried small fish, intending to eat some every meal to supplement my calcium intake (since I experience diarrhea fr...
Dr. Chen Qingbin Reply:
Hello Mr. Lin: Generally, the cholesterol content in small dried fish is not very high, with approximately 80 milligrams of cholesterol per 100 grams, which is similar to that of chicken breast. Consuming it in small amounts should not pose any issues. As for how much you can eat...[Read More] Understanding Cholesterol Levels in Dried Fish: A Guide for Health Concerns
Exploring Possible Causes Beyond Anemia: A Patient's Inquiry
The user continues to ask? Dr. Wang Fangli: Thank you very much for your reply. Regarding the tests and symptoms you mentioned, I have undergone some examinations at various hospitals. Initially, other doctors suspected anemia, but after ruling that out, they proceeded with tests...
Dr. Wang Fangli Reply:
Hello Mr. Lin: I think you may need to undergo some additional biochemical tests such as blood glucose, liver function, kidney function, cholesterol, and triglycerides. If these tests are normal, we should consider physiological responses caused by psychological stress. Internal ...[Read More] Exploring Possible Causes Beyond Anemia: A Patient's Inquiry