Understanding Cold Symptoms and Medication Side Effects: A Patient's Concerns
Side effects and issues related to taking medication for the common cold? Hello Dr. Hong: I woke up yesterday with pain on one side of my tonsil or throat, along with nasal congestion and phlegm. I visited an ENT specialist who examined my tongue to check for any lesions. During ...
Dr. Hong Yuanbin Reply:
Hello, 1. Currently, legitimate clinics have established disinfection procedures for their equipment, and there is no evidence that COVID-19 can be transmitted through medical devices, so there should be no concern regarding COVID-19 infection. 2. Based solely on your descrip...[Read More] Understanding Cold Symptoms and Medication Side Effects: A Patient's Concerns
Food Contamination and HIV Risk: What You Need to Know
Foodborne transmission 1. Today, while taking my medication, I noticed something that looked like a clump of gray dust or lint on my hand. I'm not sure if I accidentally swallowed it along with the medication. If I did swallow something dirty like that, is there a risk of co...
Dr. Hong Yuanbin Reply:
Hello, 1. The cotton fibers outside do not adhere to the HIV virus, so there is no risk of infection from them. 2. Dietary habits do not transmit HIV. 3. Drinking cups do not pose a risk of HIV infection. Thank you for your question.[Read More] Food Contamination and HIV Risk: What You Need to Know
Understanding Vasculitis: Symptoms, Treatment, and Dietary Impact
Suspected vasculitis Hello Doctor: My mother is 73 years old and has hepatitis C, an autoimmune disease (Sjögren's syndrome), and dry eyes. She often experiences headaches and upper back pain (which she has had for many years). She has been seeing a rheumatologist and is on ...
Dr. Zeng Guosen Reply:
Hello, the clinical manifestations of hepatitis C or autoimmune diseases (such as Sjögren's syndrome) can include vasculitis. However, most symptoms present as petechiae, which are typically painless or slightly painful, and itching is rare, let alone severe itching. It is a...[Read More] Understanding Vasculitis: Symptoms, Treatment, and Dietary Impact
Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Factors affecting elevated creatinine levels? I have chronic kidney disease and have been undergoing regular follow-ups. However, the results of my kidney function tests have shown significant fluctuations this year (ranging from the 50s to the 30s). Therefore, I would like to as...
Dr. Wu Jiyu Reply:
Based on the data you provided, it falls within the range of stage 3 chronic kidney disease. Sometimes, we monitor kidney function by looking at a broader range and trends over several years, rather than just comparing the most recent outpatient visit with the previous one. In yo...[Read More] Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Understanding Gallstones and Elevated Blood Sugar in Seniors
Consultation Inquiry Hello, Doctor. I have some questions to ask you. 1. My mother is 65 years old and has been experiencing frequent abdominal pain, so she underwent an ultrasound and a colonoscopy. The results showed some gallstones and that her pancreatic duct is slightly la...
Dr. Wu Jiyu Reply:
Question 1: Please consult a hepatobiliary and gastroenterology specialist to confirm if there is a possibility of having diabetes or if you are already a diabetic patient with poor blood sugar control. It is important to seek medical assistance promptly and manage your diet and ...[Read More] Understanding Gallstones and Elevated Blood Sugar in Seniors
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan Reply:
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Managing COVID-19 Anxiety: Concerns About Safety and Infection Risks
Please consult a doctor for your questions? Hello, doctor. I have been out with my family for the past couple of days. Since the onset of COVID-19, my sister has become very anxious, even though it seems that the situation in the country is not as dangerous now. Three months ago,...
Dr. Hong Yuanbin Reply:
Hello, COVID-19 primarily spreads through respiratory droplets, and there is currently no clear evidence of transmission through food. Therefore, the dietary aspect you mentioned should not pose a risk of infection. As for the situation at the station, there have been no confirme...[Read More] Managing COVID-19 Anxiety: Concerns About Safety and Infection Risks
Is Daily Soy Milk Safe for Kidney Health? Understanding Dietary Concerns
Dietary Issues Can I drink soy milk or black soy milk every day without affecting kidney function? Thank you.
Dr. Hong Yuanbin Reply:
Hello, currently there are no reports linking long-term consumption of soy milk with renal function abnormalities, so there should be no direct correlation between the two. However, in terms of dietary recommendations, each food has its unique nutrients, and consistently consumin...[Read More] Is Daily Soy Milk Safe for Kidney Health? Understanding Dietary Concerns
Managing Gout: Dietary Tips and Frequency of Attacks Explained
Gout-related issues? I have had gout attacks three times so far, once a year, and was diagnosed last month. My uric acid level is 7.2. My question is: if I do not control my diet, will the attacks become more frequent? I drink 300 ml of 10% fruit juice from a cooperative every da...
Dr. Zeng Guosen Reply:
The online medication "Kang Hsi Su Long 5mg" is a steroid and should not be taken daily for an extended period. If gout is not controlled, most individuals will experience increasingly frequent attacks. It is recommended that you consult a rheumatologist, rather than an...[Read More] Managing Gout: Dietary Tips and Frequency of Attacks Explained
Managing Gout: Dietary Tips and Frequency of Attacks
Gout-related issues I have had gout attacks three times so far, once a year, and was diagnosed last month. My uric acid level is 7.2. I would like to know: if I do not control my diet, will the attacks become more frequent? I drink 300ml of 10% fruit juice from a cooperative ever...
Dr. Zeng Guosen Reply:
The online medication "Kang Hsu Su Long 5mg" is a steroid and should not be taken daily for an extended period. If gout is not managed, most individuals will experience increasingly frequent flare-ups. It is recommended that you consult a rheumatologist, rather than an ...[Read More] Managing Gout: Dietary Tips and Frequency of Attacks
Understanding Tongue Injuries and Cholesterol Management: When to Seek Help
Question for the doctor? Hello, doctor. This afternoon, while biting into a malt cookie, I accidentally scraped my tongue against something stuck to my teeth. Although there was no bleeding, I noticed a small red spot under my tongue. Could this be due to a microvascular bleed? D...
Dr. Hong Yuanbin Reply:
Hello, 1. A small cut on the tongue from accidentally biting it usually heals on its own, unless it worsens; otherwise, there is no need for medical attention. 2. High cholesterol is indeed caused by multiple factors, including diet, exercise, genetics, body composition, and ...[Read More] Understanding Tongue Injuries and Cholesterol Management: When to Seek Help
Understanding Oral Health: Healing Mouth Sores and Dietary Tips
Regarding yesterday's issue? Hello Dr. Hong, thank you for your response and explanation. I would like to ask you a few more questions. In the morning, before brushing my teeth, I notice that when I spit, there may be some saliva mixed with a bit of blood, possibly from my t...
Dr. Hong Yuanbin Reply:
Hello, 1. The healing time varies for each individual, but generally, it takes about 3-5 days. 2. It is normal to have many rough areas inside the mouth or around the teeth; this is a normal physiological phenomenon. 3. Drinking fruit juice can help supplement vitamins and provid...[Read More] Understanding Oral Health: Healing Mouth Sores and Dietary Tips
Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Obesity issues Hello doctor, I am 160 cm tall and weigh 73-74 kg, which indicates mild obesity according to my BMI. I have been controlling my diet, but my weight hasn't changed much. I drink more than 2000 cc of water daily and have bowel movements 1-2 times a day. I had bl...
Dr. Li Jian Reply:
Obesity is related to both genetic factors and environmental influences. In addition to thyroid hormones, other hormonal abnormalities may also contribute to obesity. Currently, one of the weight loss methods highly endorsed by mainstream medicine is intermittent fasting. For mor...[Read More] Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Regarding dry tongue? Hello Doctor, let me describe my condition: Two and a half years ago, during a newborn health check, my fasting blood glucose was 75 mg/dL, with no diabetes, and everything else was normal. About one to two years ago, I experienced two episodes of dry mouth ...
Dr. Hong Yuanbin Reply:
Hello, regarding your question about dry mouth, it is likely not caused by other underlying diseases. Typically, a healthy young person should consume around 2000-3000 cc of fluids (including water) per day, especially in hot weather when fluid loss is rapid. It is advisable to m...[Read More] Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Understanding Changes in Stool Color After Antibiotic Use
The effects of medications on stool? Hello, doctor. I have been seeing an ENT specialist for the past five days due to a cold and have been prescribed antibiotics along with a green pill that the doctor said is for the stomach. I would like to ask if taking these medications can ...
Dr. Hong Yuanbin Reply:
Hello, First, the color of stool can indeed vary due to food or medication. Generally, when we are concerned about gastrointestinal bleeding, the stool may appear very dark, resembling the color of hair, and it is sticky, referred to as "melena." I believe your stool ...[Read More] Understanding Changes in Stool Color After Antibiotic Use
Understanding Abnormal Results in Your Health Check Report
Health check report issues Hello Doctor: I recently received a report from a previous health check-up, but I am confused about several items marked in red on the report. I would like to ask the doctor what could cause these abnormal values? After learning about these abnormal res...
Dr. Hong Yuanbin Reply:
Hello, regarding the following data: (1) pCO2 (partial pressure of carbon dioxide) → 46.9 mmHg, (2) pO2 (partial pressure of oxygen) → 30.1 mmHg, (3) HCO3 (bicarbonate) → 26.4. The normal reference ranges for these values are determined using arterial blood; however, based on you...[Read More] Understanding Abnormal Results in Your Health Check Report
Managing Blood Sugar Levels: Insights for Seniors with Diabetes
High blood sugar issue? My mother is 75 years old, weighs 70 kg, and her fasting blood sugar in the morning is 83 mg/dL, while it rises to 180 mg/dL after meals. She has been experiencing increasingly blurred vision, and after dinner around 6 PM, she reported some numbness and di...
Dr. Lin Jianliang Reply:
Based on your description, there are many reasons for poor blood sugar control, including diet, medication, exercise, and the functioning of the liver and kidneys, as well as other underlying conditions. It is advisable to consult your mother's attending physician to seek so...[Read More] Managing Blood Sugar Levels: Insights for Seniors with Diabetes
Managing Mitral Valve Prolapse: Dietary Tips and B Vitamins
Mitral valve prolapse Hello, doctor: A family member has symptoms of mitral valve prolapse. Besides avoiding strong tea and caffeine and ensuring adequate rest, is it advisable to supplement with low-dose B vitamins or similar products? Thank you.
Dr. Hong Yuanbin Reply:
Currently, there is no strong evidence to support the efficacy of low-dose B vitamin supplementation for mitral valve prolapse; however, there are also no significant drawbacks, as B vitamins are water-soluble and easily excreted from the body. In addition to the points you menti...[Read More] Managing Mitral Valve Prolapse: Dietary Tips and B Vitamins
Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Please consult a doctor regarding blood sugar issues. Thank you! This year, at 42 years old, I have a standard build (166 cm / 55 kg) and a history of gallbladder removal surgery as well as kidney stones. My father and grandmother have a history of diabetes. In early January, a b...
Dr. Lin Wuxuan Reply:
Hello: Based on your initial glycated hemoglobin (HbA1c) level of 6.5 and your relevant family history, you can be diagnosed with diabetes according to diabetes management guidelines. However, diabetes patients are not completely unable to metabolize glucose; the body retains var...[Read More] Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Mild cough and upper abdominal pain? There is a feeling of slight discomfort in the middle of the clavicle, which may lead to occasional mild coughing (about one or two coughs). Aside from in the morning upon waking, there is no production of phlegm or dry cough, and there is no ...
Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, it is important to confirm whether you have ever experienced any injury to the center of your chest. If there has been an injury, it could be the cause. If there has been no injury, the most likely conditions are esophagitis or gastroes...[Read More] Managing Mild Cough and Upper Abdominal Pain: Tips for Relief