Diet, Internal Medicine FAQ - Page 38

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Understanding the Connection Between Urticaria and SLE in Patients

About urticaria? Hello, doctor! I am a patient with Systemic Lupus Erythematosus (SLE) and have been stable for many years without any symptoms. Recently, I have been experiencing recurrent urticaria (hives). I would like to ask if there is a connection between urticaria and SLE....


Dr. Zeng Guosen Reply:
Hello, there are several possible reasons for urticaria in SLE patients: 1. Side effects from medications used to treat SLE; 2. Urticaria related to the SLE disease itself; 3. Other causes. It is important to consult your physician to help differentiate the cause. For SLE patient...

[Read More] Understanding the Connection Between Urticaria and SLE in Patients


Understanding Abdominal Bloating and Its Connection to Allergies

Abdominal bloating? I have been experiencing abdominal bloating recently, feeling full even without eating, as if my stomach is filled with a lot of water (similar to the sensation after drinking a lot of water at once). Sometimes, I also experience symptoms of excessive stomach ...


Dr. Chen Zhongshu Reply:
Dear Xiao Zhao: Based on your description, I would like to know about your bowel movements. Are you experiencing constipation? Additionally, do you have a preference for spicy foods or legumes in your diet? Do you tend to eat too quickly? Your possible condition may be gastrointe...

[Read More] Understanding Abdominal Bloating and Its Connection to Allergies


Understanding Excessive Gas: Causes, Dietary Links, and Solutions

Frequent flatulence? I often pass gas, and I don't know why. Is it related to what I eat, or is it just my body's constitution? Can it be improved?


Dr. Wang Fangli Reply:
A normal person passes gas 14 to 23 times a day. Foods that are more likely to produce gas include legumes, broccoli, cabbage, kale, onions, artichokes, asparagus, apples, pears, peaches, whole grains, fruit juices, dairy products, bread, corn chips, and salad dressings. However,...

[Read More] Understanding Excessive Gas: Causes, Dietary Links, and Solutions


Managing Proteinuria: Dietary Tips and Potassium Intake Guidance

Proteinuria Hello Doctor: Currently, kidney function is normal, but proteinuria is above 500, with 24-hour urine protein at 9 grams. Should potassium intake be reduced? Besides a low-sodium diet, what other dietary considerations should be taken into account?


Dr. Wu Jiyu Reply:
1. This is classified as nephrotic syndrome, and it is necessary to consult a nephrologist for treatment and medication management. 2. If the medication (such as steroids) is ineffective, a kidney biopsy should be considered to identify the underlying cause. 3. In terms of di...

[Read More] Managing Proteinuria: Dietary Tips and Potassium Intake Guidance


Understanding Weight Gain After Normal Bowel Movements: Causes and Concerns

Metabolic issues I have a few questions. I originally weighed 50 kilograms and often experienced constipation. However, at the age of 23, I suddenly started having regular bowel movements every day. In the span of a year, I gained 10 kilograms. I heard that constipation can lead ...


Dr. Xiao Jingqin Reply:
Weight gain occurs when the total caloric intake exceeds the calories burned by the body’s metabolism. Nowadays, if one is not careful with their diet, daily caloric intake often exceeds 3,000 calories. For typical daily activities, such as working in an office, the caloric expen...

[Read More] Understanding Weight Gain After Normal Bowel Movements: Causes and Concerns


Can CRA/DRSP Birth Control Pills Clear Acne and Regulate Menstrual Cycles?

CRA/DRSP acne treatment contraceptive pill? Hello, I learned from a magazine about "CRA/DRSP anti-acne contraceptive pills." I have been struggling with acne for a long time and have consulted both traditional Chinese medicine and dermatology, but to no avail. It mentio...


Dr. Li Zhiyao Reply:
Causes of acne include: 1. Increased sebaceous gland activity 2. Male hormones 3. Follicular hyperkeratinization 4. The action of Propionibacterium acnes. Other possible factors include genetics, diet, and emotional changes. Acne is a complex condition, and treatment outcomes var...

[Read More] Can CRA/DRSP Birth Control Pills Clear Acne and Regulate Menstrual Cycles?


Dietary Recommendations for Managing Hyperthyroidism in Elderly Patients

80-year-old patient with hyperthyroidism? Hello, my father is an 80-year-old patient with hyperthyroidism. Do you have any dietary recommendations for elderly patients like him? I only know that he should avoid foods high in iodine, such as kelp, seaweed, and seafood, but I'...


Dr. Yang Hongzhi Reply:
Hello Vicky: The principle for managing hyperthyroidism is to reduce iodine intake. Foods that are highest in iodine include seaweed and kelp, so it is best to minimize their consumption. Other various foods also contain some iodine, but if restrictions are too strict, it can sev...

[Read More] Dietary Recommendations for Managing Hyperthyroidism in Elderly Patients


Understanding Bloating and Discomfort: Causes and Solutions

Stomach feels bloated, stomach feels tight? Hello, my family member experienced sudden abdominal distension about six months ago. They visited a gastroenterologist and underwent examinations, which indicated that everything was normal. It was also suggested that it could be relat...


Dr. Cai Yaozhou Reply:
Perform an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease and gastric ulcers.

[Read More] Understanding Bloating and Discomfort: Causes and Solutions


Understanding Hormonal Changes in Men Over 40: Effects and Solutions

Male hormones 1. After the age of 40, do men experience a decrease in hormone secretion? 2. What are the effects of decreased hormone levels on the body? 3. Some articles mention that hormone replacement therapy may be associated with cancer risks. If one chooses to increase horm...


Dr. Yang Hongzhi Reply:
Hello: Unlike women, men do not experience a defined menopause. Testosterone levels in men over 40 do not significantly decline, and only a small portion of older men may experience a decrease in testosterone. Whether hormone replacement therapy is necessary in these cases remain...

[Read More] Understanding Hormonal Changes in Men Over 40: Effects and Solutions


Understanding Adrenal Tumors: Symptoms, Treatment, and Family Risks

Adrenal adenoma issues? Hello Doctor: Last week, I went back to the neurology department to review my report, which indicated that my adrenal hormone levels are elevated. The doctor mentioned that this could likely be the reason for my hypertension at a young age. I have been tak...


Dr. Zhong Weisheng Reply:
Hello QQ: First, to answer your personal questions, 1. There are many causes of hypertension. Of course, in younger individuals, the occurrence of hypertension is significantly related to adrenal tumors. However, a definitive diagnosis must be made through various examinations (s...

[Read More] Understanding Adrenal Tumors: Symptoms, Treatment, and Family Risks


Understanding Cholesterol Metabolism Issues in Vegetarians

Inability to metabolize cholesterol? Hello, Doctor. My father is 56 years old, 165 cm tall, and weighs 52 kg. His blood pressure is also low at 96/70. Due to his busy work schedule, he exercises for about 20 minutes, 2 to 3 days a week. Last week, he had a blood test and found th...


Dr. Chen Qingbin Reply:
High cholesterol levels can easily lead to atherosclerosis. Improvement methods should start with diet and exercise. If control is still not achieved, medication treatment may be necessary.

[Read More] Understanding Cholesterol Metabolism Issues in Vegetarians


Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?

The patient has experienced significant weight loss over the past six months, but despite eating a lot, they do not feel full? Patients with hypertension and diabetes who are currently on medication should pay attention to the following dietary considerations: 1. **Limit Sodium ...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many reasons for weight loss, with common causes including diabetes, hyperthyroidism, cancer, and other diseases. Among these, cancer predominantly involves gastrointestinal disorders. 2. The dietary management for hypertensi...

[Read More] Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?


Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice

Thyroid issues Hello Doctor: My family member previously went to the hospital for a thyroid function test, which showed T3: 136, T4: 8.27, TSH: 13.3. Later, during a follow-up test, the TSH level increased to over 51. I have a few questions: 1. What could have caused this? 2. My ...


Dr. Yang Hongzhi Reply:
Normal T3 and T4 levels with a slight increase in TSH are referred to as subclinical hypothyroidism, indicating that the thyroid gland is showing a tendency towards dysfunction. However, due to compensatory mechanisms, thyroid function remains normal. If TSH rises to 51, it is ne...

[Read More] Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice


Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes

Hepatitis. Liver Cirrhosis? Is this symptom serious? If it's just in the early stages, should it be treatable? Is this symptom related to diet, or is it due to something else?


Dr. Cai Yaozhou Reply:
In the early stages, liver cirrhosis may not present any symptoms, and liver function tests may appear normal. Diagnosis of liver cirrhosis can be made through liver function tests and abdominal ultrasound. The causes of liver cirrhosis include: 1. Chronic hepatitis B. 2. Chr...

[Read More] Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes


Essential Diabetes Care Tips for Seniors: What to Know

What should people with diabetes pay attention to? Hello Dr. Shi: My father is 66 years old and was diagnosed with diabetes after surgery. Since he doesn't like going to the hospital, what should he pay attention to regarding diabetes management?


Dr. Shi Guangzhong Reply:
Diabetes is a chronic condition that requires regular monitoring, so it is recommended that your father continue to visit the hospital for check-ups. The management of diabetes varies from person to person; some patients can stabilize their blood sugar levels through dietary cont...

[Read More] Essential Diabetes Care Tips for Seniors: What to Know


Understanding Constipation: When to See a Doctor and Which Specialist to Choose

Constipation I used to have irregular bowel movements, so I started using laxatives. Now I'm dependent on them, and I can't have a bowel movement without them. Do I need to see a doctor? Which specialist should I consult?


Dr. Xiao Jingqin Reply:
In today's society, the fast-paced lifestyle and a diet leaning towards high-fat, low-fiber Western foods have led to an increase in constipation, particularly among young women. There are many patients with such conditions in gastroenterology. For those with chronic constip...

[Read More] Understanding Constipation: When to See a Doctor and Which Specialist to Choose


Can Poor Health Lead to Weight Gain? Understanding Digestion and Appetite

Is it possible to gain weight if you have a poor constitution? Hello doctor, I seem to have a poor constitution. Although I haven't had a thorough examination, I often feel that my sense of fullness lasts a long time after eating, as if I haven't digested my food. When ...


Dr. Xiao Jingqin Reply:
Based on the symptoms you described, it seems very much like functional dyspepsia. However, this diagnosis is made through exclusion, meaning that other pathological diagnoses (such as ulcers, tumors, etc.) must be ruled out first. Recurrent duodenal ulcers can sometimes lead to ...

[Read More] Can Poor Health Lead to Weight Gain? Understanding Digestion and Appetite


Understanding Low Platelet Count: Causes, Treatments, and Concerns

A low platelet count, confirmed by bone marrow examination, indicates a viral infection? Hello Doctor: On December 27, 2006, I visited a dermatologist due to purple spots and some bruising on my body. The doctor suggested that I go to the hospital for a blood test, suspecting tha...


Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the low platelet count and accompanying purpura and bruising observed on December 27, 1995, common causes include liver dysfunction (cirrhosis), kidney dysfunction (dialysis), infections (viral infections, such as upper respiratory infections), hematol...

[Read More] Understanding Low Platelet Count: Causes, Treatments, and Concerns


Understanding Oil Passage During Bowel Movements: Causes and Concerns

Passing oil during flatulence or bowel movements? Hello Doctor: I sometimes experience oily discharge during gas or bowel movements, approximately once every month or two. I have undergone tests for stool and blood at the hospital, and the results were normal. The doctor only adv...


Dr. Cai Yaozhou Reply:
Passing oil during bowel movements can be related to several factors, including the use of weight loss medications and severe chronic pancreatitis, which is rare in Taiwan. Since your stool and blood test results are normal, it is likely related to your diet. If this condition pe...

[Read More] Understanding Oil Passage During Bowel Movements: Causes and Concerns


Managing High Cholesterol: Tips for Daily Life and Treatment

Individuals with hyperlipidemia should pay attention to the following aspects in their daily lives: 1. **Dietary Choices**: Adopt a heart-healthy diet that is low in saturated fats, trans fats, and cholesterol. Focus on consuming fruits, vegetables, whole grains, and lean prote...


Dr. Cai Yaozhou Reply:
Hyperlipidemia can have significant effects on the human body, as lipids can easily deposit in the arterial walls, accelerating the process of atherosclerosis and leading to diseases such as myocardial infarction and stroke. Elevated triglyceride levels can also increase the risk...

[Read More] Managing High Cholesterol: Tips for Daily Life and Treatment


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