Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Thyroid cancer My mother is 55 years old and has been monitored for nodules for several years. She was recently informed of malignant changes and was subsequently diagnosed with thyroid cancer at a larger hospital. Initially, when it was uncertain whether the cancer was malignant...
Dr. Li Jian Reply:
Thyroid dysfunction can also lead to abnormal cholesterol levels, and diet has a significant impact as well. Thank you for your inquiry.[Read More] Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Understanding Thyroid Nodules: Treatment, Diet, and Long-Term Care
Could you please clarify your question? Dear Doctor, I underwent a thyroid ultrasound and a fine needle aspiration biopsy, which revealed nodules measuring 1.1 cm and 1.4 cm on each side of the thyroid, and the biopsy results were benign. I was prescribed two medications: 1. Prop...
Dr. Li Jian Reply:
If thyroid function is normal, it may be considered unnecessary to take thyroid hormones or to avoid iodine. Thank you for your inquiry.[Read More] Understanding Thyroid Nodules: Treatment, Diet, and Long-Term Care
Understanding the Link Between Cholesterol Levels and Thyroid Function
Cholesterol and Thyroid? Hello, doctor. I would like to ask about my recent health check-up. After receiving the report, I found that my white blood cell count is 3200, eosinophils are 1.2, cholesterol is 256, low-density lipoprotein (LDL) is 133, high-density lipoprotein (HDL) i...
Dr. Li Jian Reply:
To determine if the thyroid is underactive, TSH levels must be assessed. High-density lipoprotein (HDL) is considered good cholesterol and cannot be lowered. Thank you for your inquiry.[Read More] Understanding the Link Between Cholesterol Levels and Thyroid Function
Understanding Blood in Stool: Causes and Solutions for IBS Symptoms
Rectal bleeding Recently, I seem to have developed irritable bowel syndrome (IBS). I often go to the bathroom two to three times a day; sometimes I have diarrhea, and other times I just pass gas without having a bowel movement. Most of the time, my stools are somewhat constipated...
Dr. Zhang Shixin Reply:
Hello: If there is bleeding when wiping the anus but no blood is found in the stool, it may be due to hemorrhoids. Contributing factors include a diet low in fiber, frequent diarrhea or constipation, prolonged sitting or standing, and irregular lifestyle habits. If there is persi...[Read More] Understanding Blood in Stool: Causes and Solutions for IBS Symptoms
Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Kidney-related issues? Hello Doctor, I recently felt inspired to undergo a health check-up, and after receiving the results, I am a bit concerned. My estimated Glomerular Filtration Rate (eGFR) is only 81.25, but my urine protein level is negative (<30). I have been monitoring...
Dr. Zhang Shixin Reply:
Hello, the definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60 and there is no prot...[Read More] Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Is Your Daily Medication Dosage for Hypertension and Supplements Appropriate?
Medication dosing issues? Hello, doctor. Currently, I am taking two pills of antihypertensive medication, two pills of chlorophyll, one multivitamin (Centrum), and two pills of a B-complex nerve medication daily. Is this dosage appropriate? Thank you.
Dr. Li Jian Reply:
Hello, please take dietary supplements according to the instructions; there should be no risk of overdose. For antihypertensive medications, please follow your physician's guidance. Thank you for your inquiry.[Read More] Is Your Daily Medication Dosage for Hypertension and Supplements Appropriate?
Understanding Low-Grade Dysplasia: What It Means for Your Health
Low-grade dysplasia refers to a condition where there are abnormal changes in the cells of a tissue, but these changes are not severe enough to be classified as cancer. It is Hello Dr. Cheng: During the Lunar New Year, I suddenly experienced abdominal pain (just above the navel),...
Dr. Zhang Shixin Reply:
Hello Mr. Hsieh: Low-grade dysplasia refers to a stage where cells exhibit abnormal proliferation but have not yet transformed into cancer cells. The causes of abnormal proliferation may be related to environmental factors (such as Helicobacter pylori, high salt or pickled diets,...[Read More] Understanding Low-Grade Dysplasia: What It Means for Your Health
Probiotics for Dialysis Patients: Benefits and Considerations
Patients on dialysis taking kidney-protective probiotics? My father has been a dialysis patient for many years due to uremia. He has always enjoyed various health supplements, and he continues to do so after starting dialysis. Recently, he has seen advertisements for kidney-prote...
Dr. Li Jian Reply:
Patients on dialysis who take probiotics may not see significant effects; it is sufficient to follow a diet plan provided by a nutritionist. Thank you for your inquiry.[Read More] Probiotics for Dialysis Patients: Benefits and Considerations
Post-Exposure Prophylaxis for STIs: Key Questions and Dietary Guidelines
Post-Exposure Prophylaxis (PEP) for Sexually Transmitted Infections (STIs) Hello Doctor, I would like to ask about my situation. I had unprotected vaginal intercourse with an unfamiliar woman (without a condom and with ejaculation) and took PEP medication 25 hours later. I also h...
Dr. Liao Zhongxin Reply:
1. There are no dietary restrictions while using the guitar vein; it can be used at any time or not used at all. 2. The protective effect of the hepatitis B vaccine diminishes over time; if you are required to work in a healthcare facility, it is recommended that you get tested...[Read More] Post-Exposure Prophylaxis for STIs: Key Questions and Dietary Guidelines
Why Is My Stool Floating with an Oily Surface? When to See a Doctor
Stool that floats on water and has a shiny, oily appearance? Starting about 2 to 3 months ago, without any changes in diet, my stools have suddenly begun to float on the water, and there is a thin layer of oil on the surface. Should I see a doctor for this condition?
Dr. Li Jian Reply:
If it persists, please follow up with a gastroenterologist. Thank you for your inquiry.[Read More] Why Is My Stool Floating with an Oily Surface? When to See a Doctor
Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Systemic lupus erythematosus complicated by class IV lupus nephritis? My husband was diagnosed with systemic lupus erythematosus (SLE) and developed class IV lupus nephritis after a biopsy last October. The rheumatologist recommended hospitalization for treatment. Initially, he h...
Dr. Lin Wuxuan Reply:
Please follow the medical advice provided. If new symptoms or other concerns arise, please return for consultation with the attending physician in the Rheumatology and Immunology department. Thank you.[Read More] Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Understanding Abdominal Heat: Symptoms, Causes, and Treatment Options
Abdominal heat flow Hello, Doctor. About a week ago, I experienced a warm sensation in the middle-left area of my abdomen (slight warmth and mild pain when pressed). I have noticed an increase in flatulence and burping. Four days ago, I visited a doctor who prescribed medication ...
Dr. Xie Rongyuan Reply:
Hello: The gastroscopy examination showed no issues, but taking stomach medication from the pharmacy has improved your condition. It is recommended that if symptoms persist, you should consult a gastroenterologist to identify the underlying problem. Thank you for your message![Read More] Understanding Abdominal Heat: Symptoms, Causes, and Treatment Options
Understanding Low Complement C3 Levels: Causes and Concerns
Low complement C3 levels? Hello, I would like to ask you about my previous emergency department lab report. Date: 10/21/112 - Hemoglobin: 13.6 - MCH: 29.8 - MCHC: 31.7 - MCV: 93.9 - Platelets: 239 - RBC: 4.57 - RDW: 11.8 - WBC: 6.8 - Basophil: 0.7 - Eosinophil: 1.0 - Lymphocyte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Is it possible for an average person to have low C3 levels, or is low C3 always abnormal and related to autoimmune diseases? --> Yes, it is possible. Low C3 levels do not necessarily indicate an autoimmune disease. ...[Read More] Understanding Low Complement C3 Levels: Causes and Concerns
Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia
Glycated hemoglobin (HbA1c) Hello Doctor, I have some questions I would like to ask you: I had a blood test done in December. Since both of my parents have diabetes and my weight has decreased from 64 kg in mid-August to only 59 kg recently, I am very anxious about my blood sugar...
Dr. Lin Jianliang Reply:
Hello, glycated hemoglobin (HbA1c) is an indicator of the average blood glucose levels over the past three months. The most significant factor affecting it is the blood glucose level itself. The primary influences on blood glucose are diet and lifestyle. Mild anemia does not have...[Read More] Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia
Managing Slightly Elevated Cholesterol: Medication or Lifestyle Changes?
Slightly elevated total cholesterol? Hello doctor, I recently received my cholesterol test results as follows: Total cholesterol 228, triglycerides 155, high-density lipoprotein (HDL) 102.3, low-density lipoprotein (LDL) 107.8, and atherosclerosis risk index 2.23. Should I take m...
Dr. Xie Rongyuan Reply:
Hello: If there is no diabetes or cardiovascular disease, improvements can be made through diet and exercise. However, if such conditions are present, medication may be necessary for management. Thank you for your message![Read More] Managing Slightly Elevated Cholesterol: Medication or Lifestyle Changes?
Should Asthma Patients Consider L-Arginine Supplementation?
Asthma patients taking L-arginine? Hello Doctor, I am a 23-year-old asthma patient who has been experiencing episodes for about ten years. Recently, I have had a higher demand for exercise, working out at least three times a week for two to three hours each session, with a ratio ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Currently, there are no studies in the literature indicating that L-arginine may worsen asthma. In fact, supplementation with L-arginine may help with asthma control, although more research is needed to confirm this. I believe that some studies...[Read More] Should Asthma Patients Consider L-Arginine Supplementation?
Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Regarding the recent cold weather, I have been experiencing a dull sensation in my big toe, which has a history of gout, upon waking up in the morning. However, after urinating, the discomfort significantly decreases? Hello, Director Gao! I apologize for bothering you, but I have...
Dr. Gao Jiankai Reply:
Hello, this question has been asked before, so I will repost my response. If your uric acid levels remain consistently normal, I don't believe it is a gout attack. Previously affected joints from arthritis may leave some residual effects, making them more sensitive to change...[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Does Chronic Inflammation from Ankylosing Spondylitis Raise LDL and Heart Disease Risk?
Does chronic inflammation from ankylosing spondylitis lead to elevated LDL (low-density lipoprotein) levels, increasing the risk of cardiovascular disease? 1. I am 55 years old and a patient with ankylosing spondylitis. About 4 to 5 years ago, I was effectively managing my condit...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I am 55 years old and a patient with ankylosing spondylitis. About 4 to 5 years ago, I was effectively managing my condition with Salazopyrin and Celebrex, which normalized my pain and inflammatory markers, so I stopp...[Read More] Does Chronic Inflammation from Ankylosing Spondylitis Raise LDL and Heart Disease Risk?
Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Regarding the recent cold weather, I have been experiencing a feeling of heaviness in my big toe, which previously had gout, upon waking up in the morning. However, after urinating, the sensation decreases significantly? Hello, Director Gao! I apologize for bothering you, but I h...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. If your uric acid levels remain consistently normal, I don't believe this is a gout attack. Joints that have previously experienced arthritis may leave some residual effects, making them more sensitive to changes in humidity and climate. Y...[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Understanding Kidney Function Decline in Healthy Aging Adults
Kidney problems Hello, doctor. I have come to inquire about some related issues that my friends and family have been experiencing. The patient is a 55-year-old female who maintains a healthy diet (primarily whole foods, with minimal intake of refined, high-sugar, and high-fat foo...
Dr. Wu Hongjie Reply:
eGFR 60-70, with no proteinuria, kidney function decline may be attributed to age factors. A low-phosphorus diet currently benefits those in stage 3 (GFR < 60) and it remains inconclusive whether implementing it earlier has advantages.[Read More] Understanding Kidney Function Decline in Healthy Aging Adults