Understanding Recurring Ankle Swelling: Possible Causes and Solutions
Repeated mild swelling and subsiding of the ankle in a short period of time? Hello, Doctor. Let me summarize my condition. On the evening of October 18, I experienced pain in the left heel while walking, and my ankle was slightly swollen that night. On October 19, I felt a sharp ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 2. Recently, I have also noticed that after experiencing coldness in my hands and feet, I feel a sharp pain on the inner side of my left ankle. Is this related to gout or other diseases? --> It should not be related....[Read More] Understanding Recurring Ankle Swelling: Possible Causes and Solutions
Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry
Questions about pre-meal blood glucose and glycated hemoglobin? Hello Doctor, during my health check in 2018, my fasting blood sugar was 105, and in 2022, it was 113, with other results normal. After undergoing an endoscopy on September 1st this year, I noticed my previous blood ...
Dr. Li Jian Reply:
Elevated fasting blood glucose is also a risk factor for diabetes. It is recommended that you lose weight and continue to follow up at the metabolic clinic. Thank you for your inquiry.[Read More] Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry
Dietary Concerns for Patients with Hereditary Polycystic Kidney Disease
Genetic polycystic kidney disease raises concerns regarding dietary supplements such as protein powder? Hello Doctor, I would like to inquire about my situation. I have a family history of polycystic kidney disease, and my recent health check results are as follows: Blood Urea Ni...
Dr. Wu Hongjie Reply:
A low-protein diet is defined as 0.6-0.8 grams of protein per kilogram of body weight. Currently, it has shown benefits only for patients with a glomerular filtration rate (GFR) below 60; the effects for those with a GFR above 60 are unclear. Unless there are special requirements...[Read More] Dietary Concerns for Patients with Hereditary Polycystic Kidney Disease
Understanding Gastrointestinal Discomfort: Insulin Resistance Connection
Gastrointestinal discomfort Hello doctor, I have been experiencing issues with gas and belching for the past few months. I recently underwent an endoscopy, and the doctor prescribed medication, but it hasn't been very effective. Today, I received my company's health che...
Dr. Cai Mingsong Reply:
Intestinal gas can be caused by gastrointestinal diseases, dietary issues, or other problems. Insulin resistance occurs when the body's muscles and fat respond poorly to insulin, which may lead to hyperglycemia. Individuals with diabetes often experience gastrointestinal iss...[Read More] Understanding Gastrointestinal Discomfort: Insulin Resistance Connection
Understanding Blood Sugar Levels: Insights for Diabetic Concerns
Diabetes-related issues Hello doctor, I have a family history of diabetes, and recently I've been feeling some unusual symptoms. Sometimes I urinate a lot, and after fasting for eight hours, my blood glucose level was 118 mg/dL. My HbA1c was 4.4%, and the doctor said the hem...
Dr. Li Jian Reply:
You may also consider visiting a metabolic clinic for an oral glucose tolerance test. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Insights for Diabetic Concerns
Managing Edema: Concerns About Diuretics and Rising Uric Acid Levels
Discontinuation of diuretics can lead to edema? Hello, Doctor. About a month ago, I visited a clinic due to lower limb edema, and the doctor prescribed Rasitol 40 mg, one tablet daily. After taking it, the diuretic effect was quite good, and the edema improved. However, once I st...
Dr. Wu Hongjie Reply:
There are many causes of edema. Please visit the relevant specialty clinic to identify the underlying cause. Self-medicating with diuretics will not address the root issue. There are various types of diuretics; for example, thiazide diuretics can lead to elevated uric acid levels...[Read More] Managing Edema: Concerns About Diuretics and Rising Uric Acid Levels
Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
The medical examination report indicates urine ketones at 3+? Hello doctor, in April of this year, I experienced redness, swelling, and pain in my left foot, and a doctor at a clinic diagnosed it as gout (without blood tests). I have a history of gout and usually manage my diet, ...
Dr. Li Jian Reply:
The production of urine ketones is usually related to prolonged fasting. Please consult a metabolic specialist. Thank you for your inquiry.[Read More] Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
Understanding the Link Between Creatinine Levels and Hypertension Management
Hypertension and Elevated Creatinine Levels Dear Dr. Lin, Last December, my serum creatinine level was 0.78 mg/dL, with a glomerular filtration rate (GFR) of 122.6 mL/min. I weighed 64 kg and was 170 cm tall. This October, my serum creatinine increased to 0.9 mg/dL, and my micro...
Dr. Lin Wuxuan Reply:
Please take the medication as prescribed and follow up regularly. If you have any concerns, it is advisable to schedule an earlier consultation. Thank you.[Read More] Understanding the Link Between Creatinine Levels and Hypertension Management
Understanding Weight Fluctuations: When to Worry About Gastrointestinal Issues
I'm sorry, but I cannot provide a translation without the specific content you want Hello Doctor, I previously mentioned that I am currently working on weight loss, primarily through dietary control and incorporating walking exercises. I weigh myself about every 2-3 days, or...
Dr. Li Jian Reply:
There is only a slight difference in weight, so there is no need to be overly concerned. Thank you for your inquiry.[Read More] Understanding Weight Fluctuations: When to Worry About Gastrointestinal Issues
Understanding Diabetes Diagnosis: Is There Room for Reassessment?
Is there still room for maneuver regarding the diagnosis of diabetes? The company's health check showed a fasting blood glucose level of 131 mg/dL (with a hemoglobin A1c of 6.7% from late September). Last week, I had a separate lipid panel test with a triglyceride level of 1...
Dr. Li Jian Reply:
Since the blood glucose levels were tested separately on two occasions, they meet the criteria for diabetes. It is advisable to control it as soon as possible.[Read More] Understanding Diabetes Diagnosis: Is There Room for Reassessment?
Understanding Weight Fluctuations: When to Worry About Your Health
Weight issues Hello Doctor, I have recently been controlling my diet and brisk walking for weight loss. I weigh myself approximately every 2-3 days. Last Thursday (9/14), I weighed 91.3 kg, and I didn't weigh myself on Friday, Saturday, or Sunday. Yesterday (9/18), I weighed...
Dr. Li Jian Reply:
If there is a need for weight loss, it doesn't have to be rapid; losing weight gradually is more sustainable. Thank you for your inquiry.[Read More] Understanding Weight Fluctuations: When to Worry About Your Health
Post-Surgery Diet: Can You Continue Drinking Clam Extract?
Postoperative Diet for Kidney Stones I usually consume commercially available clam essence. After undergoing surgery, can I continue to use it, or is it a product that may contribute to stone formation and should be used sparingly?
Dr. Huang Yaoxuan Reply:
Three meals a day are normal, with low oil and low salt. Clam extract can be used sparingly. There are many types of kidney stones, one of which is uric acid stones, making it even more unsuitable to consume foods high in purines.[Read More] Post-Surgery Diet: Can You Continue Drinking Clam Extract?
Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Both creatinine and triglycerides are elevated? Question: I visited my family medicine doctor on Sunday because I previously had high cholesterol issues (last year it was 236). The doctor asked if I could have blood drawn to track my levels today. I replied that I had just gone h...
Dr. Lin Jianliang Reply:
Hello, Xiaohua: To measure triglycerides, you should fast for 8-10 hours. The values can be affected by diet, so it is recommended to fast for 8-10 hours and avoid vigorous exercise before the test.[Read More] Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Understanding Nausea and Vomiting: Insights on Esophageal Ulcers and Treatment
Nausea and vomiting? Hello Doctor, I would like to inquire about my gastroscopy performed in April this year. Previous gastro-camera or fiberoptic findings: Premedication: Buscopan 20 mg intramuscularly and local use of 10% Xylocaine spray. Esophagus: 1. ONE CORD OF LINEAR ULCER....
Dr. Zheng Weijun Reply:
Hello, based on the results of your gastroscopy, you have a history of esophageal ulcers and mild gastritis. The symptoms of nausea and regurgitation you mentioned may indeed be related to autonomic nervous system dysfunction. Symptoms that can arise from autonomic nervous system...[Read More] Understanding Nausea and Vomiting: Insights on Esophageal Ulcers and Treatment
Understanding Food and Supplement Interactions While on PEP Treatment
Concerns Regarding Food and Supplement Intake During and After a 30-Day Course of PEP? Hello, Doctor. I am taking Biktarvy and would like to ask: 1. I have a habit of drinking 400cc of milk daily while on this medication. Will this affect the efficacy of the drug? I just realized...
Dr. Liao Zhongxin Reply:
1. BIKTARVY should not be taken concurrently with polyvalent cation medications (such as magnesium, aluminum, or calcium). If necessary, these should be taken two hours before or after BIKTARVY. However, the calcium content in milk is not high enough to cause any significant inte...[Read More] Understanding Food and Supplement Interactions While on PEP Treatment
Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
If the effect of using metformin after meals is not satisfactory, can insulin therapy be considered? Hello, Doctor. Thank you very much for your response. I have had diabetes for 2 years, with an initial HbA1c of 6.6 and a fasting blood glucose of 142. I have been using Metformin...
Dr. Lin Jianliang Reply:
Hello: 1. There are many factors that contribute to postprandial hyperglycemia, and there are various ways to manage it. Insulin is one of the methods. I am not aware of the specific regulations regarding insulin under the health insurance system. 2. Your physician will likely co...[Read More] Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
Understanding Diabetic Peripheral Neuropathy Recovery Challenges
Diabetic peripheral neuropathy recovery issues? Hello Doctor, my father (59 years old) has been experiencing numbness in his legs since October of last year. By January, his condition deteriorated rapidly from being able to walk to having difficulty walking within just a few week...
Dr. Lin Jianliang Reply:
1. Seeking a second opinion, if necessary, is not a waste of time. 2. Some conditions can be cured, while others can only be managed. However, not treating them is not an option, and improvement may take time. 3. If leg swelling cannot be adequately controlled through diet al...[Read More] Understanding Diabetic Peripheral Neuropathy Recovery Challenges
Can Kidney Disease Patients Drink Unsweetened Lemon Water?
Diet for Kidney Disease I would like to ask the doctor if patients with kidney disease can drink unsweetened lemon water? (Currently in a mildly low sodium and low potassium state) Thank you.
Dr. Lin Wuxuan Reply:
Each individual's health condition is different. For dietary recommendations related to kidney disease, it is advisable to consult a nutritionist. Thank you.[Read More] Can Kidney Disease Patients Drink Unsweetened Lemon Water?
Understanding Urine Changes: When to Seek Medical Advice
Urinary issues and proteinuria? Hello, doctor. On the evening of May 2nd, I visited a traditional Chinese medicine practitioner and explained that my urine in the morning was darker yellow, with a lot of bubbles that lasted longer than ten minutes. Aside from the first morning ur...
Dr. Lin Wuxuan Reply:
Hello: There are many causes of foamy urine, including disease-related factors (such as proteinuria) and general physiological states (such as higher urea concentration in the first morning urine). This phenomenon serves as a preliminary assessment tool for individuals to evaluat...[Read More] Understanding Urine Changes: When to Seek Medical Advice
Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...
Dr. Li Jian Reply:
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help