Diet, Internal Medicine FAQ

Managing High Creatinine Levels: Hydration and Dietary Choices

Elevated creatinine levels? A month ago, I visited a doctor due to gout, and after blood and urine tests, I was found to have a high uric acid level of 9.9 and a creatinine level of 1.2. The doctor advised me to drink more water. After increasing my water intake, I started drinki...

Dr. Li Jian Reply:
In addition to excessive meat intake, consuming beverages high in fructose can also lead to elevated uric acid levels, so it is advisable to limit the intake of sugary drinks.

Should You Seek Medical Help for High Insulin Resistance?

Is it necessary to seek further medical attention for high insulin resistance? Hello Dr. Li, I recently had a health check-up and my results are as follows: Fasting Glucose: 93 mg/dL, HbA1c: 5.4% of Hb, Insulin: 23.4 mU/L, and Insulin Resistance (HOMA): 5.4. Both my blood glucose...

Dr. Li Jian Reply:
Currently, blood glucose levels are still normal. It is advisable to focus on lifestyle modifications and weight loss, while regularly monitoring blood glucose levels.

Understanding Urticaria and Thyroid Test Results: Key Insights

Urticaria and Thyroid Testing After catching a cold at the end of February (with symptoms of sore throat and general weakness), I began to develop hives all over my body, particularly around my eyes and neck. I visited a clinic where I was prescribed steroids and received an inje...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is there a connection between urticaria and slightly elevated TSH levels? Do I need to see a rheumatologist for an examination? --> In cases of long-term urticaria, we sometimes check thyroid function. Your TSH is ...

Dietary Recommendations for Elderly Patients with Diabetes, Hypertension, and Kidney Issues

For patients with chronic kidney dysfunction, diabetes, and hypertension, it is important to follow a diet that helps manage these conditions. Here are some dietary recommendations: 1. **Limit Sodium Intake**: Reduce salt consumption to help control blood pressure. Aim for less ...

Dr. Lin Wuxuan Reply:
Hello, it is recommended to first take the elderly person to an outpatient clinic for examination and evaluation, and then consult a nutritionist for dietary advice. Thank you.

Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health

Proteinuria 2+ Hello Dr. Lin, I have had a frequent urination problem since my school days. To avoid affecting my classes and work, I often hold my urine. During routine health check-ups, I have had hematuria, but my recent labor health check showed normal results for hematuria. ...

Dr. Lin Wuxuan Reply:
Hello, it is recommended to bring your health check-up report to a family medicine physician or a nephrologist for evaluation, and then consult a dietitian for nutritional advice. Thank you.

Assessing Mediterranean Anemia vs. Iron Deficiency: Next Steps and Nutritional Support

Diagnosis of Mediterranean or Iron Deficiency Anemia WBC 5.8, RBC 5.49, HB 11.3, HCT 35.2, PLT 243, MCV 64, MCH 20.6, MCHC 32.3, RDW 15.10, PDW 16.8, HB-A1 94.4, HB-A2 5.6, HB-F 0.00. The test results suggest a possible diagnosis of thalassemia. Should I go to the hospital for fu...

Dr. Lin Wuxuan Reply:
Hello, it is recommended that you bring the report to a consultation with a family medicine, internal medicine, or hematology clinic. Thank you.

Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle

Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...

Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...

Understanding Recurring Skin Infections: Causes and Treatments

Skin infection issues? There is a specific area on my calf that has become particularly rough due to prolonged friction with my pants. The skin in that area is darker, approximately 2.5 cm in size. Later, I experienced a sensation of a foreign body, and upon applying pressure, I ...

Dr. Hong Yuanbin Reply:
Hello, the condition you mentioned is likely folliculitis. You can use iodine ointment or antibiotic ointment. It's important to avoid squeezing or picking at it. Typically, this condition occurs more easily in hot and humid environments, so it's recommended to wear bre...

Understanding Kidney Function Tests and Chronic Kidney Disease in Seniors

Kidney function tests Hello Doctor: I would like to ask about a 90-year-old patient whose glomerular filtration rate (GFR) was found to be in the range of stage 2 during a blood test in early March. Does this indicate chronic kidney disease (CKD), or should we wait for the next b...

Dr. Huang Yaoxuan Reply:
Hello Matza: 1. "Chronic" kidney disease refers to a condition where kidney function abnormalities persist for a duration of 3 to 6 months with minimal variation. 2. Regarding the 90-year-old elder you mentioned, the glomerular filtration rate (GFR) falls within stag...

Understanding Sexual Development Issues in Adolescents: A Guide

Sexual development issues Hello, doctor. I am currently 17 years old, weighing 105 pounds and standing 166 cm tall. My pubic hair has developed normally, but my penis is less than 4 cm when not erect, and when fully erect, it measures about 14 cm. Additionally, I have very little...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the appearance of a shorter penis may be due to excess fat around the base, which can obscure the penis. Additionally, being overweight can affect the secretion of sex hormones, which may also impact physical development. Therefore,...

Exploring Combined T4 and T3 Therapy Post-Thyroidectomy in Taiwan

Total thyroidectomy for papillary thyroid carcinoma, with a new medication option combining LT4 (Levothyroxine) and LT3 (Liothyronine)? Hello Doctor, I underwent a thyroidectomy in July 2022 and have been taking Levothyroxine Sodium at a total dosage of 100 mcg per day. I current...

Dr. Li Jian Reply:
Currently, in Taiwan, only thyroxine supplementation is available, and thyroid function is adjusted by modifying the dosage of thyroxine. Thank you for your inquiry.

Should You Adjust Your Diet for Slightly Elevated Fasting Glucose?

Pre-meal elevated glucose levels issue? I would like to ask the doctor, during a recent blood test, my fasting glucose level was 96. Although it is still within the normal range of 70-100, should I make adjustments to my diet based on this value, or do glucose levels vary with ea...

Dr. Lin Jianliang Reply:
Hello: The blood sugar levels measured before meals may not always be the same. There can be fluctuations, but as long as they are within the normal range, they can be considered normal values. It is recommended to adjust your diet to avoid abnormalities.

Understanding Dizziness and Head Injuries: Key Recovery Tips

Dizziness and fainting followed by a head injury? Hello Dr. Hong, my girlfriend is in Spain. A couple of days ago, she suddenly fainted in the kitchen and hit her head. When she went to see a doctor, the doctor requested some physiological response tests, such as whether her eyes...

Dr. Hong Yuanbin Reply:
Hello, it is recommended to monitor for severe headaches or vomiting within the next 48 hours. If either occurs, you should promptly return to the emergency department for evaluation of potential intracranial hemorrhage. If no significant symptoms develop afterward, the likelihoo...

Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained

Thyroid blood test report Hello Doctor, I would like to ask you about my blood test results: TSH 1.480 (normal range 0.27-4.20), T4 1.120 (normal range 0.89-1.8), ATA 53.9 (normal range <115), TPO Ab 247 (normal range <34). The doctor mentioned that I have chronic inflammat...

Dr. Li Jian Reply:
If antibody positive, monitor thyroid function at least once a year. If there are abnormalities in thyroid function, consider treatment. Avoid iodine-rich foods such as kelp, seaweed, and nori as much as possible.

Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help

Gastrointestinal issues Hello Doctor, I would like to ask about something that happened to me yesterday. Before going to bed, I suddenly felt bloated in my stomach. I managed to fall asleep, but I woke up in the middle of the night feeling uncomfortable and had to have a bowel mo...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be acute gastroenteritis. As for whether it is caused by norovirus, testing may be needed to confirm. However, the management typically involves a bland diet, plenty of rest, and increased fluid intake, which should lead to gradual im...

Understanding Changes in Creatinine and GFR: What You Need to Know

Creatinine and glomerular filtration rate (GFR) can vary significantly? In 2020, after a 12-hour fasting test, the results showed a creatinine level of 0.80 and a glomerular filtration rate (GFR) of 121. In 2023, after having a meal at around 1 PM, doing strength training and aer...

Dr. Wu Hongjie Reply:
Creatinine levels are related to diet, including meat intake and hydration. It is recommended to fast for 8 hours prior to testing. To accurately assess kidney function, meat consumption should not be excessive. A comparison of results is necessary to determine if there has been ...

Can Gout Recur Days After First Attack in Patients with No History?

Is it possible for someone with no history of gout to experience a recurrence of symptoms just a few days after the first attack? Hello Doctor, thank you for taking the time to answer my questions. My mother, who is 72 years old, has high blood pressure and her height is 153 cm w...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Gout can indeed have recurrent attacks in a short period of time. Gout attacks typically present with redness and heat, so the absence of these symptoms does lower the likelihood. Eating shiitake mushrooms is fine, and consuming fish is also ac...

Key Health Concerns and Obesity: Understanding Your Test Results

Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...

Dr. Li Jian Reply:
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.

The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry

The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy New Year. I have a question. At the end of April last year, I underwent a PET scan, which revealed two osteolytic lesions in my body. Here are the excerpts from the report: 1. There are two osteo...

Dr. Wu Hongjie Reply:
Hello: 1. I am curious about the reason for your positron emission tomography (PET) scan. If it is due to cancer with suspected bone metastasis, certain cancers can secrete various proteins, which may lead to increased urinary protein levels even in the absence of bone metastas...

Preparing for Stool Tests: Dietary Guidelines and Allergies Explained

Examination issues Hello Doctor, today I visited a gastroenterologist because I was experiencing abdominal pain and was a bit worried. There is currently no family history of gastrointestinal issues, although my grandfather had some, but my parents do not. They only arranged for ...

Dr. Hong Yuanbin Reply:
Hello, your stool test should be a fecal occult blood test. It is indeed recommended to avoid red meat or blood products, such as pig's blood cake or rice blood cake, the night before. As for medications and vitamins, they should not have an impact. Thank you for your inquir...

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