Understanding Gastrointestinal Issues: Is Low Stomach Acid the Culprit?
Gastrointestinal issues inquiry? I am the patient who previously inquired about probiotics. Last night, I started feeling unwell again, and I experienced heartburn. After researching, I found that symptoms of low stomach acid align with my current condition: lack of appetite, ina...
Dr. Hong Yuanbin Reply:
Hello, the burning sensation you described is likely due to gastroesophageal reflux, which tends to occur after meals. To confirm the diagnosis, an endoscopy may be necessary. For treatment, I recommend starting with a diet of small, frequent meals combined with moderate exercise...[Read More] Understanding Gastrointestinal Issues: Is Low Stomach Acid the Culprit?
Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Diabetes: Postprandial Hyperglycemia Hello Dr. Lee, I would like to ask you some questions regarding diabetes. 1. My father was recently diagnosed with type 2 diabetes, and he has been controlling his diet and exercising regularly every evening. Initially, his blood sugar level...
Dr. Li Jian Reply:
1: It seems that dietary control is very strict, but postprandial blood glucose levels still do not decrease. It may be helpful to discuss medication adjustments with your physician to assist in lowering postprandial blood glucose. 2: Smoking accelerates microvascular and macrova...[Read More] Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Understanding Elevated Thyroglobulin Antibodies: When to Seek Medical Advice
Abnormal levels of thyroid globulin antibodies? In the past few years after receiving high-dose iodine-131 treatment, my thyroglobulin levels have been consistently below 1, rarely exceeding 2. However, this time my thyroglobulin antibody (aTG) level is 15. Should I schedule a fo...
Dr. Li Jian Reply:
This antibody index needs to be evaluated in reference to the initial surgical period, a series of blood test changes, and the follow-up results of the thyroid ultrasound in order to make a judgment. Please return to the original hospital for regular check-ups.[Read More] Understanding Elevated Thyroglobulin Antibodies: When to Seek Medical Advice
Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Adrenal insufficiency I have adrenal insufficiency and recently visited the endocrinology department, where I mentioned issues with dizziness and bloating. The doctor suggested that it might be postural hypotension, but after measuring my blood pressure consistently for five days...
Dr. Lin Jianliang Reply:
Adrenal insufficiency, in addition to medication, can be managed by incorporating regular exercise, maintaining a normal daily routine, and following a balanced diet, among other healthy lifestyle choices.[Read More] Managing Adrenal Insufficiency: Addressing Dizziness and Bloating Issues
Managing Post-HIV Test Anxiety and Skin Conditions: A Comprehensive Guide
HIV testing-related sequelae? Dear Dr. Hong, Hello. Over a month ago, I consulted you about HIV screening. As you anticipated, the HIV antigen-antibody rapid test result was negative 92 days after the sexual encounter, which allows me to rule out HIV. However, these past three m...
Dr. Hong Yuanbin Reply:
Hello, high stress levels can indeed lead to the occurrence of folliculitis. Dermatologists typically prescribe symptomatic medications, but the most important factors are regulating your daily routine, managing stress, and engaging in moderate exercise. If these methods do not i...[Read More] Managing Post-HIV Test Anxiety and Skin Conditions: A Comprehensive Guide
Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance
Sebaceous gland abnormalities Symptoms: 1. Several small white spots on the inner side of the lips (appeared at the end of October, confirmed by a dentist as sebaceous glands). 2. Dense small white spots on the upper eyelids and around the eyes (have been present for some time, c...
Dr. Li Jian Reply:
Excessive hair loss and weight loss can be evaluated for thyroid function abnormalities, while sebaceous gland issues should be referred to a dermatologist.[Read More] Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance
Understanding High Urinary Protein Levels: Causes and Concerns
Feeling scared due to high levels of protein in urine? Urine analysis shows the following results: - Creatinine (CRE): 189.40 mg/dL (normal range: 14-26 mg/dL) - Protein/Creatinine Ratio (P/C Ratio): 1558 (normal range: below 200) - Urine Total Protein: 295.0 mg/dL (normal rang...
Dr. Huang Yaoxuan Reply:
Hello Jack: "Urine 3+ and below are the contents of the urine. On 10/19, CRE (creatinine) was 189.40, with a standard range of 14-26. P/C Ratio was 1558, with a standard of below 200. Urine Total Protein was 295.0, with a standard of below 15." Among these urine test it...[Read More] Understanding High Urinary Protein Levels: Causes and Concerns
Understanding Creatinine Levels and eGFR Changes: What You Need to Know
Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, I have a few questions regarding my blood test reports. I am currently 35 years old and had surgery a while ago. Before the surgery, I had a blood test, and the report showed an estimated glomerular filtration rate (eG...
Dr. Wu Hongjie Reply:
The estimated glomerular filtration rate (eGFR) is not a fixed value at any given time. Chronic kidney disease (CKD) is defined as an eGFR of less than 60 ml/min/1.73 m² for a duration of three months, meaning that both the eGFR three months ago and today must be less than 60 to ...[Read More] Understanding Creatinine Levels and eGFR Changes: What You Need to Know
Managing Cholesterol and Wound Care: Your Health Questions Answered
Two questions? Hello Doctor, I received my health check results today as school is starting. The only red flags were a heart rate of 92 and a cholesterol level of 219. I would like to ask if there are any methods to lower cholesterol. I feel that my weight is not high, but this c...
Dr. Hong Yuanbin Reply:
Hello, regarding your health check-up, a heart rate of 92 is still within the normal physiological range, and a liver enzyme level of 37 is also within normal limits, so there is no need to worry. The only thing you should consider is your cholesterol level of 219; it is recommen...[Read More] Managing Cholesterol and Wound Care: Your Health Questions Answered
Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Is it prediabetes? Hello Dr. Lin, sometimes about two hours after lunch, I feel hungry and experience symptoms similar to hypoglycemia (but this does not happen after dinner). Six months ago, I had a fasting blood glucose test that showed 101 mg/dL, and my blood glucose two hours...
Dr. Lin Jianliang Reply:
A fasting blood glucose level ranging from 100 to 125 mg/dL is classified as impaired fasting glucose (IFG), also known as "early diabetes," latent diabetes, or prediabetes. At this stage, dietary control and increased physical activity can help manage blood glucose lev...[Read More] Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Understanding Lip Issues: Causes and Solutions for Cracked Lips
Lip issues Hello, Doctor. Since the year before last, my lips have been cracking whenever there is a change in weather (such as rain or colder temperatures). Sometimes, the corners of my mouth also crack and bleed. I previously consulted a dermatologist who diagnosed me with angu...
Dr. Hong Yuanbin Reply:
Based on your description, it seems that you are experiencing chapped lips, which can be attributed to individual physiological factors. Many people have lower sebum production, making them more prone to this condition. Adjusting your daily habits and supplementing with vitamins ...[Read More] Understanding Lip Issues: Causes and Solutions for Cracked Lips
Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Diabetes Treatment Guidelines Hello Dr. Lee, My basic information is as follows: I have a family history of diabetes and was diagnosed with diabetes two years ago, with a fasting blood sugar of 113 and an HbA1c of 7.1 at that time. My weight was in the 80s (kg). Since then, I ha...
Dr. Li Jian Reply:
1. Lifestyle modifications combined with medication management yield better results; relying solely on diet and exercise to control blood sugar is more likely to fail. Having medication assistance makes it easier to achieve targets. 2. If significant weight loss can be achieved...[Read More] Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Understanding Endocrine Issues: Height Growth and Health Concerns
Regarding endocrine issues? Hello, doctor. I am currently a senior in high school and will turn 18 in less than a month. I developed a bad habit of smoking in middle school and have not been able to quit. My height is 166 cm, and I have not experienced any noticeable voice change...
Dr. Zeng Guosen Reply:
Hello, the factors that contribute to height growth include genetics, nutrition, sleep, exercise, and various other elements. If you are concerned about endocrine issues, you may want to consult an endocrinologist. However, other factors may not necessarily require medical interv...[Read More] Understanding Endocrine Issues: Height Growth and Health Concerns
Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Waking up with a clear mind but unable to control the body, and always feeling very fatigued upon waking? Hello, doctor. This issue has been intermittently bothering me for several years. I am in my twenties, and it started when I was preparing for university in high school. Some...
Dr. Hong Yuanbin Reply:
Hello, the condition you described is a type of sleep disorder, which is quite common among people in Taiwan. There are many potential causes, including irregular sleep patterns, stress, and airway obstruction. It is recommended that you consult a sleep medicine clinic, where a s...[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Diabetes issues Both parents have diabetes, and both sisters have also been diagnosed with diabetes. Therefore, there is a regular habit of exercising and maintaining a light diet. Recently, due to frequent feelings of hunger, a visit was made to the hospital's metabolic dep...
Dr. Li Jian Reply:
1. A hemoglobin A1c level of 5.8% can be diagnosed as prediabetes. 2. Taiwanese people often consume too much fruit, leading to elevated blood sugar levels; it is important to be cautious about excessive fruit intake. 3. Blood tests should be done after an absolute fasting pe...[Read More] Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Type 2 diabetes diagnosed for 8 years? Type 2 diabetes diagnosed for 8 years. Recent blood test results are as follows: - AC: 115 (Normal range: 70-100) - HbA1C: 6.3% (Normal range: 4-6%) - Triglycerides: 59 mg/dL (Normal range: <150 mg/dL) - Cholesterol: 170 mg/dL (Normal ra...
Dr. Chen Jianyu Reply:
Aside from elevated blood glucose levels and glycated hemoglobin, all other values are within normal range. Please continue to take your medication regularly, maintain dietary control, and engage in exercise. Regular follow-ups are recommended.[Read More] Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan Reply:
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Diabetes medications For diabetic patients who are using insulin and wish to consume bitter melon peptides, it is important to consult with a healthcare professional before making any changes to their medication regimen. Bitter melon may have blood sugar-lowering effects, so it i...
Dr. Lin Jianliang Reply:
Hello: It is recommended to consult your attending physician during your follow-up appointment.[Read More] How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Fasting Blood Tests: Do You Really Need to Avoid Water?
Blood test? Hello, Dr. Hong. I apologize for bothering you. I would like to ask if, when doing a 12-hour fasting blood test that includes cholesterol testing, I should avoid drinking any water at all for the full 12 hours. Previously, there was a nurse who told me that because I ...
Dr. Hong Yuanbin Reply:
Hello, 1. There are two situations regarding fasting. The first situation is when undergoing a CT scan or surgery, where fasting means that no food or even water can be consumed to prevent the risk of vomiting during the procedure. The second situation is for blood tests, such ...[Read More] Fasting Blood Tests: Do You Really Need to Avoid Water?