Diet, Internal Medicine FAQ - Page 30

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Can Kidney Inflammation and Medications Delay Your Menstrual Cycle?

Medication management Hello doctor: I haven't had my period for 10 days. Recently, due to kidney inflammation, I have taken Cefadroxil and Strocain. Will this affect my menstrual cycle?


Dr. Liao Zhongxin Reply:
Dear readers: This information is provided by the health education pamphlet from Taichung Hospital for your reference. Cefadroxil Medication Guide ★ Brand Name: Ucefa ★ Generic Name: Cefadroxil Capsules Why is this medication prescribed? Cefadroxil is a cephalosporin antibiotic...

[Read More] Can Kidney Inflammation and Medications Delay Your Menstrual Cycle?


Understanding Moon Facies: Possible Causes and Diagnostic Approaches

What diseases can cause an unusually round and swollen face (similar to a full moon face)? I am a 22-year-old male, and recently while organizing old photos, I noticed that my face appears disproportionately swollen compared to my BMI. I am 175 cm tall and weigh 80 kg. I collecte...


Dr. Huang Yaoxuan Reply:
Hello Mr. Kobayashi: 1. Regarding kidney diseases, blood tests and urinalysis can be used for screening, and sometimes additional imaging studies such as ultrasound may be performed to assist in diagnosis and treatment. If, as you mentioned, you only have kidney stones (and ele...

[Read More] Understanding Moon Facies: Possible Causes and Diagnostic Approaches


Understanding RA Symptoms: Are They Related to Vasculitis?

Vasculitis? Rheumatoid Arthritis (RA)? Hello, doctor. I have been diagnosed with rheumatoid arthritis (RA) at a medical center due to polyarticular pain and a strongly positive anti-CCP test. I have been on medication for quite some time. Recently, I have been experiencing recurr...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. Based on the symptoms you described, vasculitis is a possibility, and rheumatoid arthritis (RA) can also lead to vasculitis. However, vasculitis associated with RA typically occurs when medication control is inadequate or treatment is irregular....

[Read More] Understanding RA Symptoms: Are They Related to Vasculitis?


Understanding Post-Meal Blood Sugar Levels: A Guide for Patients

Postprandial blood glucose is lower than preprandial blood glucose? Dear Doctor, three months ago my fasting blood glucose was 128 mg/dL. Three months later, my fasting blood glucose is 131 mg/dL, my postprandial blood glucose is 111 mg/dL, and my hemoglobin A1c is 7.0%. Shouldn&...


Dr. Cai Zonglin Reply:
Generally, postprandial blood glucose levels are higher than preprandial levels; however, this can vary based on dietary content and individual factors such as insulin sensitivity and the secretion levels of insulin and glucagon. A hemoglobin A1c (HbA1c) level below 7% is accepta...

[Read More] Understanding Post-Meal Blood Sugar Levels: A Guide for Patients


Understanding Elevated IgG and IgG-4 Levels: Causes and Solutions

Elevated levels of IgG and IgG4 immunoglobulins? Hello Doctor: My father had blood tests in the pancreatic department showing elevated levels of IgG: 1910 and IgG-4: 238. The pancreatic specialist advised us to consult a rheumatologist to determine the cause of the elevated globu...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. The diagnosis of IgG4-related disease cannot rely solely on the concentrations of IgG and IgG4 in the blood. Since the elevation of IgG and IgG4 can be due to various reasons beyond pancreatitis, it is essential to consider the overall clinical ...

[Read More] Understanding Elevated IgG and IgG-4 Levels: Causes and Solutions


Antihistamines and Citrus Fruits: What You Need to Know

Antihistamines and Citrus Fruits 2 Hello, Doctor Gao. Thank you very much for your response! If it weren't for the distance from Changhua, I would really like to consult with you in person, as I could receive very thorough answers. I truly appreciate it. I initially thought ...


Dr. Gao Jiankai Reply:
Hello, farmer. Thank you for your encouragement and questions. Allegra (Fexofenadine) and Claritin (Loratadine) are quite safe antihistamines. Although they are newer generation medications, they have been on the market for some time, so you can take them with confidence. Accordi...

[Read More] Antihistamines and Citrus Fruits: What You Need to Know


Managing Elevated Fasting Blood Sugar: Next Steps and Dietary Tips

Fasting blood glucose levels are elevated during health check-up? Hello Dr. Lee, I had a health check-up last month and my fasting blood sugar was 101, as the standard value is 100. What further tests should I undergo? Also, what dietary precautions should I take since my grandfa...


Dr. Li Zhiyao Reply:
Hello: A single pre-meal blood glucose level can be influenced by many factors, such as the duration of fasting, among others. Since you only had one pre-meal blood glucose reading of 101, there is no need to be overly concerned at this time. I recommend that you focus on dietary...

[Read More] Managing Elevated Fasting Blood Sugar: Next Steps and Dietary Tips


Understanding Heavy Metal Toxicity: Detection, Detoxification, and Treatment

Heavy metal concerns? Hello: Due to modern dietary habits, people may ingest heavy metals such as lead, arsenic, and mercury. I would like to ask: 1. Does the human body have the ability to excrete heavy metals on its own? 2. What foods or drinks can help accelerate the excretion...


Dr. Wu Jiyu Reply:
1. The human body can excrete heavy metals on its own, but the amount and speed of excretion can vary. Dietary interventions or other methods may not significantly increase the rate of excretion, and the key point in heavy metal poisoning is not the speed of excretion but rather ...

[Read More] Understanding Heavy Metal Toxicity: Detection, Detoxification, and Treatment


Understanding Diabetes: Concerns About Medication and Testing

Re-examination for Diabetes Mellitus Hello Dr. Chang, I would like to ask about diabetes. Two months ago, my father had a blood test at a general clinic, and the doctor informed him that he has diabetes (the blood test report indicated a fasting blood glucose level of 200). He im...


Dr. Zhang Guoji Reply:
1. Patients with diabetes who abruptly stop their medication are at risk of hyperglycemic complications, which can severely lead to hyperglycemic hyperosmolar state. Therefore, do not discontinue or adjust medications without medical advice. 2. HbA1c (glycated hemoglobin) testing...

[Read More] Understanding Diabetes: Concerns About Medication and Testing


Unusual Bowel Movements: Understanding Black Spots and Liquid Stool

Unusual bowel habits? In the past couple of days, when using the restroom, my bowel movements have been normal, but accompanied by flatulence, there are black, small oily spots floating on the surface of the water. When wiped, the residue appears dark brown. Sometimes, it is also...


Dr. Xiao Yongxun Reply:
Hello: Bowel movements can vary depending on dietary habits and types of food. You may want to observe further, and if you still have concerns, I recommend scheduling an appointment with a surgical outpatient clinic. Thank you!

[Read More] Unusual Bowel Movements: Understanding Black Spots and Liquid Stool


Managing Stage 3 Chronic Kidney Disease: Treatment and Dietary Concerns

Kidney disease issues? Dr. Chen: Hello, I have a question. My father is 82 years old and has been diagnosed with stage 3 chronic kidney disease (moderate). The doctor hasn't prescribed much medication for him, only some uric acid-lowering drugs. Is this treatment appropriate...


Dr. Chen Jianyu Reply:
1. The key focus in managing stage 3 chronic kidney disease is to monitor renal function and effectively control the patient's hypertension, diabetes, and other chronic conditions. 2. There are no medical research reports confirming that herbal decoctions can treat kidney ...

[Read More] Managing Stage 3 Chronic Kidney Disease: Treatment and Dietary Concerns


Why Is My Urine Colorless After Eating Red Dragon Fruit?

Colorless urine? Hello Dr. Wu, As we all know, consuming red dragon fruit can cause urine to appear more reddish. I experienced this normal phenomenon when I previously ate red dragon fruit. However, recently, after eating red dragon fruit, my urine seems to be nearly colorless...


Dr. Wu Jiyu Reply:
The color of urine can indeed vary based on hydration levels and diet. For example, when water intake is low, urine tends to be darker (concentrated), while higher water intake results in lighter urine (diluted). However, this can differ from person to person. Regarding your ques...

[Read More] Why Is My Urine Colorless After Eating Red Dragon Fruit?


Understanding Abdominal Pain: Causes Around the Belly Button

Is it stomach pain, abdominal pain, or something else...? Hello, I would like to ask about occasional pain on either side of the navel, and sometimes in the upper part of the abdomen. What could be the cause of this? Sometimes the pain is around the navel as well. Thank you.


Dr. Li Zhiyao Reply:
Hello, Xiao Ju: Based on the symptoms you described, they seem to lean towards gastrointestinal issues, which can have many causes, such as irregular bowel movements, abnormal diet, or other conditions like peptic ulcers, among others. If you are female, gynecological issues shou...

[Read More] Understanding Abdominal Pain: Causes Around the Belly Button


Kidney Health and Orthopedic Challenges After Severe Injury

Kidneys and Orthopedics After a severe car accident, my friend suffered a comminuted fracture in the lower leg, with the bone unable to be fully reconstructed, and there was damage to both blood vessels and nerves. Due to severe injuries in almost all limbs, a lot of medications ...


Dr. Wang Weijie Reply:
Dear Pin, Thank you for your message. The patient is currently hospitalized, and it is recommended to discuss the condition with the attending physician at the hospital. If you have any other questions, please feel free to reach out again. Wishing you safety and health, Dr....

[Read More] Kidney Health and Orthopedic Challenges After Severe Injury


Understanding Foamy Urine: Is It a Sign of Kidney Issues?

Foamy urine? Hello Dr. Wu: Recently, I have noticed bubbles in my urine. Initially, they were small bubbles, but over the past two days, they have become slightly larger. I also feel more fatigued than usual, and I usually drink plenty of water. Could this indicate a kidney probl...


Dr. Wu Jiyu Reply:
The presence of bubbles in urine that do not dissipate over time may indicate the possibility of "proteinuria." You can visit a hospital for a urine screening to confirm this. (Note: Various components in urine can cause bubbles, but the one related to bodily diseases i...

[Read More] Understanding Foamy Urine: Is It a Sign of Kidney Issues?


Is It Normal to Fluctuate Between 71.5 and 73.5 kg in Weight?

Weight issues Recently, I might have overeaten a bit, and my weight reached 73-73.5 kg. However, over the next week, my diet has been more regular while at work, and in the past few days, my weight has dropped to less than 72 kg, around 71.5-72 kg. Is this normal?


Dr. Gao Jiankai Reply:
Hello, A-Zhe. Thank you for your question. Generally speaking, if there is a weight loss of more than 10% of your original body weight in a short period of time, we would investigate to see if there are any underlying causes for the weight loss. Therefore, based on this standard,...

[Read More] Is It Normal to Fluctuate Between 71.5 and 73.5 kg in Weight?


Understanding Parathyroid Hormone Levels: What You Need to Know

Parathyroid gland Hello Doctor: My mother is 65 years old and recently had a health check-up. The results showed that her parathyroid hormone level is 120, which is above the standard value. She does not have any noticeable symptoms. I would like to ask: 1. Is this significantly ...


Dr. Cai Zonglin Reply:
Each hospital may have slightly different standard values. If parathyroid hormone levels are elevated, further evaluation of blood calcium levels or an ultrasound may be necessary. In cases of parathyroid adenoma accompanied by hypercalcemia or osteoporosis, surgical intervention...

[Read More] Understanding Parathyroid Hormone Levels: What You Need to Know


Understanding Impaired Glucose Tolerance: Symptoms and Management

Impaired glucose tolerance Doctor, I seem to have impaired glucose tolerance. My fasting blood sugar is around 80, which is normal, but my postprandial blood sugar sometimes reaches 130, 140, 150, and even up to 166 after two hours. Could this be a sign of impaired glucose tolera...


Dr. Cai Zonglin Reply:
The standard procedure is the Oral Glucose Tolerance Test (OGTT), where a solution containing 75 grams of glucose is consumed. If the blood glucose level is between 140 and 199 mg/dL two hours after drinking, it is classified as impaired glucose tolerance (IGT). Regardless of whe...

[Read More] Understanding Impaired Glucose Tolerance: Symptoms and Management


Post-Splenectomy Health Issues: Symptoms, Treatments, and Dietary Tips

Issues After Spleen Removal A family member had a car accident in their teenage years, resulting in a ruptured spleen that was surgically removed. Now at 31 years old, they have been experiencing increasingly poor complexion, fatigue, sensitivity to cold, and general weakness. Wh...


Dr. Chen Qingbin Reply:
Hello Ms. Chen: The spleen has functions related to hematopoiesis and immunity. It is best to seek examination and treatment at a large hospital.

[Read More] Post-Splenectomy Health Issues: Symptoms, Treatments, and Dietary Tips


Post-Surgery Kidney Function Concerns in Children with Urinary Reflux

Postoperative renal function issues after ureteral reflux surgery? My child is 8 years old and was diagnosed in 2009 with left-sided vesicoureteral reflux, which caused scarring in the left kidney, reducing its function to only 27%. The right kidney is normal. He underwent reflux...


Dr. Wu Jiyu Reply:
Q1: The doctor told me that my child's left kidney function is only 27%, but the normal right kidney will compensate, so overall, kidney function is similar to that of a healthy person. Is this true? Answer: This statement is correct. Q2: Should the diet be controlled like...

[Read More] Post-Surgery Kidney Function Concerns in Children with Urinary Reflux


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