Diet, Internal Medicine FAQ - Page 35

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Managing Essential Hypertension: Medication, Diet, and Lifestyle Tips

Essential hypertension Hello Dr. Yang, My boyfriend recently went to the emergency room due to high blood pressure exceeding 170. He has a hereditary form of essential hypertension. Does this mean he will need to take medication for life? He was diagnosed early on, and his usual...


Dr. Yang Zhongwei Reply:
Hello: 1. The target blood pressure for patients with hypertension is below 140/90 mmHg, while for patients with diabetes or chronic kidney disease, the target blood pressure is more stringent: below 130/80 mmHg. 2. Non-pharmacological management of hypertension includes: (1) ach...

[Read More] Managing Essential Hypertension: Medication, Diet, and Lifestyle Tips


Caring for Elderly Diabetic Patients: Nutrition and Supplement Guidance

Care for elderly diabetic patients? Hello Dr. Hsiao, I have a family history of hereditary diabetes; my grandmother and father have both experienced complications. I would like to ask if my grandmother, who is 81 years old and has diabetes, is suitable to take vitamin supplements...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The treatment methods for diabetes primarily include dietary control, regular exercise, and medication; these three have always been recognized by the medical community. Whether vitamin supplementation is necessary depends on individual ci...

[Read More] Caring for Elderly Diabetic Patients: Nutrition and Supplement Guidance


Balancing Hair Health and Diabetes Risk: Dietary Dilemmas

I don't want to go bald and I don't want to develop diabetes? Because my husband has a busy work schedule, I am worried that he might experience hair loss. Additionally, there is a family history of diabetes, and diabetic patients should avoid high-cholesterol and high-...


Dr. Zhong Weisheng Reply:
Diabetic patients should indeed limit their intake of high-cholesterol foods; however, consuming liver, egg yolks, and seafood can be beneficial for hair health. It is advisable for you to consult a dermatologist for further recommendations.

[Read More] Balancing Hair Health and Diabetes Risk: Dietary Dilemmas


Understanding Urine Test Results: Protein and Blood Levels Explained

Regarding urine reports? Dr. Yang: I would like to ask a few questions. I have been experiencing issues with proteinuria and hematuria for some time. Recently, I underwent a routine check-up, and the report showed: proteinuria at 1.85, but the physician there said the normal rang...


Dr. Yang Zhongwei Reply:
Hello: Currently, proteinuria refers to the detection of albumin in urine using a dipstick test, where a level exceeding the detectable limit of 30 mg/dL is indicated. If it exceeds this limit, it will be expressed as 1+ to 4+ or in numerical values. Regarding the values of 1.85 ...

[Read More] Understanding Urine Test Results: Protein and Blood Levels Explained


Dietary Considerations for Patients on Anticoagulants and Hypertension Medications

Anticoagulant medications and hypertension? My father is taking anticoagulant medication and antihypertensive medication. Although I didn't accompany him, I would like to know what dietary considerations he should be aware of while taking these two types of medications, such...


Dr. Chen Qingbin Reply:
Taking warfarin will inhibit blood coagulation. If surgery or tooth extraction is necessary, the medication should be discontinued one week prior. In terms of diet, a generally healthy and balanced diet is sufficient.

[Read More] Dietary Considerations for Patients on Anticoagulants and Hypertension Medications


Understanding Post-Shingles Pain: Treatment and Recovery Insights

Shingles (Herpes Zoster) Hello, Doctor. I experienced a miscarriage on June 15 and subsequently developed shingles on the right side of my waist. After completing a week of Acyclovir at 5 times a day, I felt stiffness and pain in my lower back two days later. I have taken various...


Dr. Wang Fangli Reply:
Gabapentin is an effective medication for treating postherpetic neuralgia, and it should gradually improve. It's important to maintain a balanced diet, ensure adequate sleep, and keep a positive mood as well.

[Read More] Understanding Post-Shingles Pain: Treatment and Recovery Insights


Understanding Abnormal Fasting Blood Sugar: Causes and Solutions

Abnormal fasting blood glucose? Hello Dr. Yang, Last year during my physical examination, I was diagnosed with impaired glucose tolerance. After making some adjustments, I have been using a glucometer to monitor my blood sugar levels, which have been consistently around 95 mg/dL...


Dr. Yang Hongzhi Reply:
The reasons you mentioned lack a clear correlation with blood sugar levels. Currently, the proven methods to reduce the progression from impaired glucose tolerance to diabetes are lifestyle changes. Dietary modifications and exercise (similar to weight control) can reduce the inc...

[Read More] Understanding Abnormal Fasting Blood Sugar: Causes and Solutions


Struggling with Weight Loss? Understanding Metabolism and Health Tips

Metabolism Hello Dr. Yang, I am petite and not very tall, and my thighs are not particularly thick. I have tried many weight loss methods, such as the cocktail diet and acupuncture, but I still can't maintain it for long and remain round and soft (actually, my appetite is no...


Dr. Yang Hongzhi Reply:
Obese individuals seeking weight loss can consult a metabolic specialist, but their expectations for weight loss should be realistic. The standard treatment approach emphasizes diet and exercise, with medication as an adjunct. A reasonable weight loss expectation is a reduction o...

[Read More] Struggling with Weight Loss? Understanding Metabolism and Health Tips


Does High Protein Intake Affect Urine Protein Tests?

Issues with consuming high-protein powder? Hello, doctor. I usually have a fitness routine and after working out, I consume high-protein supplements, about 100 grams of protein per day (I weigh 61 kg). I have a health check-up coming up and I would like to know if this will affec...


Dr. Yang Zhongwei Reply:
Hello: The average protein requirement is about 1.2 grams per kilogram of body weight per day. For a person weighing 60 kilograms, this amounts to approximately 70 grams of protein per day. In Taiwan, a normal three-meal diet typically provides sufficient protein. During exercise...

[Read More] Does High Protein Intake Affect Urine Protein Tests?


Long-Term Medication: Risks, Kidney Health, and Dietary Tips

The medication I am taking? Hello: Thank you for your clarification. I would like to ask the following questions: 1. What is the reason that long-term medication use may lead to dialysis? 2. I am currently taking PROZAC and ZOPICLONE, both of which are medications that need to ...


Dr. Wang Weijie Reply:
1. Long-term medication use may lead to dialysis; what are the reasons for this? The mechanisms by which drugs can impair kidney function include several factors. First, medications can alter the pressure of glomerular perfusion, such as certain antihypertensive drugs or non-ster...

[Read More] Long-Term Medication: Risks, Kidney Health, and Dietary Tips


Preventing Dialysis: Key Causes and Health Tips for Kidney Care

How to prevent dialysis? 1. What are the causes of dialysis? 2. How can one maintain health to avoid the need for dialysis? 3. I have been using a nasal spray containing Oxymetazoline Hydrochloride for over two years. The pharmacist advised me to use it for six days and then ...


Dr. Yang Weishun Reply:
1. The most common chronic diseases include diabetes and hypertension, along with chronic glomerulonephritis, kidney stones, and urinary tract obstruction, among others. 2. It is important to monitor for hypertension or hyperglycemia, as well as the presence of proteinuria. Avo...

[Read More] Preventing Dialysis: Key Causes and Health Tips for Kidney Care


Understanding Unexplained Body Discomfort: Symptoms and Concerns

I feel very unwell all over? Hello, I'm sorry to disturb you. I've been experiencing ongoing health issues for the past few months. My weight has dropped dramatically, losing 20 kilograms from October last year to April this year, without any changes in my diet or exerc...


Dr. Yang Hongzhi Reply:
Weight loss and increased heart rate are most commonly associated with hyperthyroidism, which can be confirmed or ruled out through blood tests.

[Read More] Understanding Unexplained Body Discomfort: Symptoms and Concerns


Does Drinking Sugary Beverages Increase Diabetes Risk? Key Prevention Tips

excuse me? Does drinking beverages contribute to diabetes? What should be considered to prevent diabetes?


Dr. Li Zhiyao Reply:
Diabetes is generally classified into Type 1 and Type 2 diabetes. Type 1 diabetes is caused by insufficient insulin secretion, while Type 2 diabetes is due to insulin resistance. The exact pathogenesis of both types is not fully understood. However, it is known that obesity incre...

[Read More] Does Drinking Sugary Beverages Increase Diabetes Risk? Key Prevention Tips


Understanding Watery Stool: Causes and Solutions for Digestive Issues

Recently, my bowel movements have been watery? In recent days, I've noticed that my bowel movements have been somewhat watery after using the restroom, similar to what is referred to in Taiwanese as "làu-sài." Today, I read in the newspaper that this might indicate...


Dr. Wang Weijie Reply:
In response to your question, it seems to be more related to gastroenterology. First, please assess the characteristics and color of your stool. How many times are you having bowel movements in a day? Is there any watery consistency? Are there any accompanying clinical symptoms s...

[Read More] Understanding Watery Stool: Causes and Solutions for Digestive Issues


How to Lower Your Cholesterol Levels: Tips for a Healthier Heart

Cholesterol is particularly high? A few days ago, my health check report came back, and my cholesterol level is particularly high at 238. The other values, such as uric acid, creatinine, and liver function tests, are all normal. What can I do to lower this level?


Dr. Yang Hongzhi Reply:
Cholesterol levels should ideally be kept below 200 mg/dL. Initially, dietary modifications can be implemented to manage this. It is advisable to reduce the intake of egg yolks, meats, seafood, animal fats, fatty meats, and whole milk. After 3 to 6 months, a follow-up should be c...

[Read More] How to Lower Your Cholesterol Levels: Tips for a Healthier Heart


Managing Diet and Activity for Moderate Kidney Disease Patients

Moderate kidney disease patients GFR 50 mL/min/1.73m² (moderate) Serum creatinine 2.3 (normal range 0.6–1.4) Serum potassium 6.0 (normal range 3.5–5.0) Serum phosphorus 5.2 (normal range 2.5–4.5) Presence of edema Age: 20 years Gender: Male Height: 160 cm Weight: ...


Dr. Yang Zhongwei Reply:
Hello: If someone is 20 years old and has stage 3 chronic kidney disease, they really need to take extra care! Do they have hypertension or diabetes? If so, it is crucial to manage these conditions strictly, as they can accelerate the decline of kidney function. Additionally, con...

[Read More] Managing Diet and Activity for Moderate Kidney Disease Patients


Post-Thyroid Surgery Diet: What to Eat and Avoid for Optimal Health

Thyroid Diet After undergoing a partial thyroidectomy due to a benign nodule, it is important to pay attention to your diet. Generally, you should focus on a balanced diet that supports overall health. Foods that are typically encouraged include: - Fruits and vegetables - Whol...


Dr. Lü Jing Reply:
Hello: 1. Foods high in iodine, such as kelp, nori, and vitamins should be consumed in moderation or avoided. 2. Cabbage and bok choy should also be eaten sparingly. 3. Limit the consumption of groundwater and mineral water.

[Read More] Post-Thyroid Surgery Diet: What to Eat and Avoid for Optimal Health


Can Chamomile Tea and Pumpkin Powder Help Lower Blood Sugar?

Regarding chamomile tea and pumpkin powder? Hello, I have some questions regarding my father's current health situation. He has elevated blood sugar levels but has not yet developed diabetes. He is currently taking medication to lower his blood sugar and regularly visits a n...


Dr. Shi Guangzhong Reply:
Your father has already been treated at the clinic and is taking medication for lowering blood sugar; he is a diabetic patient, not just someone with elevated blood sugar levels. The best methods for controlling blood sugar are regular exercise and dietary management, which inclu...

[Read More] Can Chamomile Tea and Pumpkin Powder Help Lower Blood Sugar?


Understanding Kidney Atrophy: Causes, Risks, and Diagnosis Explained

Renal atrophy I experienced lower back pain six months ago, and upon examining my kidneys, it was found that my left kidney measures 9 cm while my right kidney measures 12.2 cm. Both blood and urine tests were normal. The doctor was uncertain whether the left kidney atrophy was c...


Dr. Wang Weijie Reply:
Hello, the normal size of a kidney is approximately 10-12 centimeters, and its shape resembles that of a fava bean. Your left kidney is indeed smaller in size. Distinguishing whether this is due to congenital atrophy or acquired atrophy is quite challenging. It may be caused by c...

[Read More] Understanding Kidney Atrophy: Causes, Risks, and Diagnosis Explained


Can You Drink Milk with Proteinuria? Understanding Dietary Restrictions

Can I drink milk if I have proteinuria? Hello, doctor! I have kidney issues and have been hospitalized multiple times. Recently, several tests have shown proteinuria, and my urine often appears foamy like soap. I also frequently experience pain in my right lower back. Could you p...


Dr. Yang Zhongwei Reply:
Hello: The test conducted on your urine is for albumin, which should normally not be detectable in urine. If you consistently show proteinuria in your urine tests, it may indicate an issue with your renal glomeruli, and further examination is necessary. As for your lower back pai...

[Read More] Can You Drink Milk with Proteinuria? Understanding Dietary Restrictions


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