Understanding Sudden Weight Gain: Causes and Concerns
Short-term rapid weight gain issues? Hello Doctor: This week, I suddenly noticed that my weight has increased significantly in just a few days (from 55 kg to 63 kg). My diet has remained the same as before, but my records indicate an increase in body fat percentage, a drastic dec...
Dr. Xiao Yongxun Reply:
Dear Ms. JMF: 1. If there is an increase from 55 kg to 63 kg within a week, that amounts to an approximate daily increase of 1 kg; and various extensive examinations have shown no issues. Such a rate of weight gain is extremely rare in medicine and even contradicts common sense....[Read More] Understanding Sudden Weight Gain: Causes and Concerns
Do I Have GERD? Understanding Symptoms and When to Seek Help
Is it gastroesophageal reflux disease (GERD), and is there a need for a medical consultation? I am not sure if I have gastroesophageal reflux disease (GERD) because I do not experience any burning sensation. Since elementary school, I have had episodes where, about half an hour a...
Dr. Xiao Yongxun Reply:
Dear Miss Ganzi: 1. The symptoms of gastroesophageal reflux disease (GERD) include a burning sensation in the epigastric area, chest pain, upper abdominal discomfort, a feeling of a lump in the throat, regurgitation of stomach contents, acid reflux, frequent belching, vomiting,...[Read More] Do I Have GERD? Understanding Symptoms and When to Seek Help
Effective Strategies to Manage Proteinuria and Albumin Levels in Lupus Patients
How can proteinuria and albumin levels be effectively managed? Hello Doctor, I am a patient with systemic lupus erythematosus (SLE) and have been diagnosed for over four years. I had been managing my condition well, even stopping medications like quinine and mycophenolate mofetil...
Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, there is currently still a significant amount of proteinuria, and given your history of lupus erythematosus, it is possible that you may have lupus nephritis. However, even within lupus nephritis, there are various types and degrees o...[Read More] Effective Strategies to Manage Proteinuria and Albumin Levels in Lupus Patients
Understanding Blood Sugar Levels: Diabetes, Insulin, and Digestion Effects
Blood sugar issues? I would like to ask the doctor, in diabetes patients, high blood sugar occurs due to loss or insufficient insulin function. If they do not take medication or inject insulin, will they experience hypoglycemia? Additionally, if their gastrointestinal function is...
Dr. Li Zhiyao Reply:
Hello: 1. Abnormal eating habits or other medical conditions can also lead to hypoglycemia. 2. The composition of the diet and the ability to digest and absorb nutrients can affect blood glucose levels.[Read More] Understanding Blood Sugar Levels: Diabetes, Insulin, and Digestion Effects
Understanding Diabetes: Key Questions on Blood Sugar Levels and Genetics
Regarding diabetes and the genetic aspects of diabetes? Director Li, I have a few questions: 1. My bedtime blood sugar levels are between 90 and 100. Is this considered low? In the morning, my levels are around 110 to 120. What should I be aware of? 2. Why do my post-meal blo...
Dr. Li Zhiyao Reply:
Hello: 1.a. There is no hypoglycemia. b. Please manage your diet and weight, and engage in regular exercise. 2. It may be an issue with the technique; you can consult a diabetes educator for the correct method. 3. I am unaware of your treatment plan, so I cannot answer; please di...[Read More] Understanding Diabetes: Key Questions on Blood Sugar Levels and Genetics
Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Excess stomach acid Hello, doctor. I previously underwent an endoscopy which showed that my gastrointestinal tract is generally fine, but I have gastroesophageal reflux disease (GERD). I have been taking Pantoprazole for a month, but I occasionally experience acid reflux, a burni...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Nexium® (generic name: Esomeprazole) is indicated for gastroesophageal reflux disease (GERD). Possible side effects include abdominal pain, constipation, diarrhea, bloating, nausea, dry mouth, headache, drowsiness, allergic reactions, fever, and others. Genera...[Read More] Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...[Read More] Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Could Your Diet and Dehydration Be Causing Kidney Pain?
Drinking insufficient water and experiencing lower back pain after consuming certain foods may indicate a potential issue with the kidneys? Hello Doctor: I have noticed that whenever I eat certain specific foods (like Angelica duck noodles or braised dishes), I experience sorenes...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding your symptoms, there are several possible scenarios: 1. The pain in your elbows and knees may be related to gout. I recommend visiting a hospital for a blood test to check your uric acid levels. 2. A high-sodium diet can lead to increased fluid intake...[Read More] Could Your Diet and Dehydration Be Causing Kidney Pain?
Understanding Meal Frequency: Managing Insulin Resistance in Pre-Diabetes
Regarding small frequent meals for diabetes? Hello Doctor, I have been concerned about the term "frequent small meals." In the past, doctors and news reports often mentioned that frequent small meals help control insulin secretion and food intake. However, I have recent...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah Xiang: The term "small frequent meals" is often mentioned in daily life; however, it has never been precisely defined, making it easy to misuse. For instance, what constitutes a small amount? What is the glycemic index (GI) of the food? What is the glycemic ...[Read More] Understanding Meal Frequency: Managing Insulin Resistance in Pre-Diabetes
Understanding Hemoglobin A1c Levels: What Does a 5.6% Mean for You?
Glycated Hemoglobin (HbA1c) Hello, I recently donated blood a few days ago and, since I met the qualifications, I also had a check for the three highs (hypertension, hyperglycemia, and hyperlipidemia). I received the report showing my hemoglobin A1c level at 5.6%, with the standa...
Dr. Xiao Yongxun Reply:
Dear Mr. Azong: 1. Generally speaking, human hemoglobin is primarily composed of heme and globin chains (alpha and beta chains). Due to the abundance of proteins, when blood glucose levels rise, these proteins can bind with glucose in the blood, a process known as glycation, whi...[Read More] Understanding Hemoglobin A1c Levels: What Does a 5.6% Mean for You?
Managing Diabetes: Tips for Blood Sugar Control and Digestive Health
Diabetes issues Hello Doctor, last month I went to the hospital due to blurred vision and was diagnosed with diabetes (blood sugar over 300). The doctor prescribed Metformin HCl 500 mg, to take half a tablet before breakfast and dinner, and to monitor my blood sugar two hours aft...
Dr. Li Zhiyao Reply:
Hello: 1. Your blood sugar shows "improvement"; however, to determine if it has reached the control target, we still need to refer to your hemoglobin A1c levels. 2. A postprandial blood sugar of 110 is not considered high. It is possible for blood sugar levels to decrea...[Read More] Managing Diabetes: Tips for Blood Sugar Control and Digestive Health
Managing Water Intake for Patients with Chronic Kidney Disease
Water Intake Issues in Patients with Chronic Kidney Failure Hello Dr. Wu, My mother has a history of mild stroke, along with mild diabetes, hypertension, hyperlipidemia, high uric acid, proteinuria, and hematuria. Her estimated glomerular filtration rate (eGFR) is currently arou...
Dr. Wu Jiyu Reply:
Hello: Regarding your question, we will discuss it in two parts: (1) Based on the information you provided, your mother's estimated glomerular filtration rate (eGFR) of 50 indicates that she is approximately in stage 3 of chronic kidney disease (CKD), which has a total of fi...[Read More] Managing Water Intake for Patients with Chronic Kidney Disease
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? Hello, doctor. First of all, thank you for your response to my questions last month. After that, I visited a physician who initially diagnosed me with general gastritis. I was prescribed medications for gastrointestinal motility disorders, to reduce b...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Please discuss your concerns with your attending physician; avoid seeking opinions online that may interfere with your physician's assessment. 2. Nexium® (generic name: Esomeprazole) is a proton pump inhibitor primarily used to treat peptic ulcers and ga...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Upper Right Abdominal Pain: Causes and Solutions
Regarding sharp pain in the right upper abdomen? Hello, Dr. Hsiao. I have been experiencing a sudden feeling of hunger shortly after meals, which feels somewhat like an empty stomach sensation without the typical stomach growling. If I eat too quickly, I might even feel hungry ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Shi: 1. Regarding your upper right abdominal pain, I believe it may be what is commonly referred to as side stitch, as mentioned in my response on June 27, 2016. Therefore, I recommend that you consult a coach to learn proper breathing techniques while running to avoid ...[Read More] Understanding Upper Right Abdominal Pain: Causes and Solutions
Understanding Persistent Right Upper Abdomen Pain After Exercise
Regarding sharp pain in the upper right abdomen after exercise? Hello Dr. Hsiao, I previously inquired about a problem here (#107015). The symptoms of hunger have not disappeared, and I am currently maintaining a small, frequent meal schedule. I would like to ask another question...
Dr. Xiao Yongxun Reply:
Dear Mr. Steve: 1. First of all, I sincerely apologize for the inconvenience. I am unsure whether it is a system issue or if there was an error in handling my files, but <a href="https://adoctor.tw/article/107015">#107015</a> did not appear in my personal f...[Read More] Understanding Persistent Right Upper Abdomen Pain After Exercise
Understanding Diabetes Risk and Weight Loss: Key Insights for Health
Regarding diabetes and weight loss? Hello Dr. Hsiao, Last year's health check report indicated that my fasting blood glucose was elevated (101 > 100) and my hemoglobin A1c was normal (5.7 < 6.7). The year before, my fasting blood glucose was 85 (normal < 100) and m...
Dr. Xiao Yongxun Reply:
Dear Mr. ABC: Please read the following two points: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for 8 hours or more, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral g...[Read More] Understanding Diabetes Risk and Weight Loss: Key Insights for Health
Understanding Immune System Values and Boosting Immunity with Thalassemia
Immune system What are the normal values for the immune system? If my immunity is low, will it take a long time to improve? Will it be difficult? I have thalassemia, so exercising and getting sunlight is more challenging for me, and my immune value is only 190.
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "What are the normal values for the immune system? If my immunity is low, will it take a long time to improve? Will it be difficult? I have thalassemia, so exercising and getting sunlight is more challenging for me, and my immune value i...[Read More] Understanding Immune System Values and Boosting Immunity with Thalassemia
Managing Elevated Uric Acid Levels: When to Start Medication?
Uric acid issues? Hello, doctor. I would like to ask about my uric acid level of 7.6 mg/dL, which is slightly above the standard range of 4.0-7.5. Do I need to start medication for control, or should I wait to recheck it in three months? Occasionally, I experience sudden pain in ...
Dr. Huang Yaoxuan Reply:
Hello: Your uric acid level is slightly elevated at 7.6 mg/dL (normal range is 4.0-7.5 mg/dL; different laboratories may have slightly varying normal ranges, and at my workplace, the normal range is 3.7-7.3 mg/dL). It is only slightly above normal, and you can manage it with diet...[Read More] Managing Elevated Uric Acid Levels: When to Start Medication?
How to Manage Post-Meal Blood Sugar Levels Effectively
How to improve postprandial blood sugar levels? Dear Dr. Hsiao, I recently had a physical examination, and the results are as follows: a. Fasting plasma glucose level after more than 8 hours is 89 mg/dL, b. Postprandial glucose level after 2 hours is 162 mg/dL, c. HbA1c (glycate...
Dr. Xiao Yongxun Reply:
Dear Mr. Chubby: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for more than 8 hours, b. 2-hour plasma glucose level ≥ 200 mg/dL during an Oral Glucose Tolerance Test (OGTT), c...[Read More] How to Manage Post-Meal Blood Sugar Levels Effectively
Understanding Blood Pressure Fluctuations: Concerns and Solutions
Blood pressure issues Hello Doctor: I am 170 cm tall and weigh 53 kg. My parents do not have hypertension, I rarely drink alcohol, and I quit smoking six months ago. I tend to get anxious and have annual health check-ups, where my blood pressure has always been normal (<120/&l...
Dr. Li Zhiyao Reply:
Hello: 1. Blood pressure can vary due to internal factors such as physical activity and emotions, as well as external factors like temperature; this is a normal phenomenon. 2. Most people tend to have higher blood pressure readings in the hospital compared to at home, which is re...[Read More] Understanding Blood Pressure Fluctuations: Concerns and Solutions