Diet, Internal Medicine FAQ

Managing Hypothyroidism: Medication, Side Effects, and Dietary Tips

Hypothyroidism As a patient with hypothyroidism, do I have to rely solely on medication (Thyroxine sodium) for management? Are there any long-term side effects of taking this medication? What dietary considerations should I be aware of? Thank you, Dr. Yang!

Dr. Yang Hongzhi Reply:
Hello: Hypothyroidism can be a permanent condition, requiring lifelong medication. If the dosage is appropriate, there should be minimal side effects. In principle, it is advisable to avoid high-iodine foods (such as kelp and nori), as they may exacerbate hypothyroidism.

Essential Tips for Managing Discoid Lupus Erythematosus

Precautions for Systemic Lupus Erythematosus (SLE) Hello, doctor. I would like to ask if the coin-shaped erythematous lesions of lupus on the skin will improve after taking quinine. Additionally, should sunscreen be applied during winter and at night, and is it necessary to apply...

Dr. Xiao Yongxun Reply:
Subacute Cutaneous Lupus Erythematosus (SCLE) is commonly seen in young women and can be triggered by sun exposure. Approximately half of the patients may develop Systemic Lupus Erythematosus (SLE). Diagnosis is primarily based on medical history and immunopathological skin biops...

Essential Care Tips for Managing Hepatitis C Effectively

Hepatitis C How to take care of oneself with hepatitis C? Thank you.

Dr. Xiao Yongxun Reply:
1. The hepatitis C virus is an RNA virus, and its primary mode of transmission is through contact with the blood and bodily fluids of an infected person, such as sharing needles, blood transfusions, or sharing razors. Due to chronic inflammation over time, it can lead to cirrhosi...

Understanding High Uric Acid and Its Impact on Kidney Health

Uric acid issues? Hello, doctor: Recently, I participated in a health check-up, and the abdominal ultrasound report indicated that there are bilateral renal calcifications (gouty nephropathy) in the kidneys. The examining physician mentioned that this is caused by my elevated uri...

Dr. Wang Weijie Reply:
1. Bilateral renal calcifications may indicate the presence of calcified spots within the kidneys, which cannot be confirmed by other means. This could be one of the manifestations of hyperuricemia or hypercalcemia. If accompanied by hyperuricemia, controlling uric acid levels (t...

Understanding the Benefits of Red Sweet Potato Leaf Soup for Hypertension

Dietary Management of Hypertension Dr. Hollo Tsai: 1. My mother's blood pressure has been close to 200 for many years, approximately ten years, and she is currently 53 years old. 2. She recently started taking antihypertensive medication - Prazosin, but she is afraid to meas...

Dr. Cai Yaozhou Reply:
Dr. Andy Sun's Dietary Therapy for Hypertension to Prevent Stroke Hypertension is a common chronic disease in Taiwan, with early symptoms typically including dizziness, headaches, palpitations, insomnia, anxiety, irritability, and fatigue. The appearance of later symptoms d...

Understanding High Cholesterol: The Impact of Diet and Exercise

High cholesterol? Hello, doctor. I recently had a blood test that showed my cholesterol level is as high as 263 mg/dL. However, I exercise at least four times a week, engaging in activities like swimming and brisk walking for over 40 minutes. My daily diet mainly consists of frui...

Dr. Li Huixiong Reply:
Having elevated cholesterol levels at your age is indeed unusual and abnormal, especially considering your frequent and intense physical activity. Your caloric intake needs to be carefully monitored to determine if it is excessive; however, if you frequently and excessively consu...

Understanding Why Some People Can't Gain Weight: Insights and Causes

Regarding not gaining weight? Hello Doctor: I am someone who has difficulty gaining weight, possibly because I am a bit picky with food, but I do enjoy eating. Sometimes I even have late-night snacks, yet I still can't gain weight! I am currently 163 cm tall and weigh 44 kg....

Dr. Cai Yaozhou Reply:
If you want to gain weight, you should focus on your diet (which is very important): The primary key to weight gain is to "increase or prolong the likelihood of calories remaining in the body." At the same time, during the weight gain process, it is important to "i...

Understanding Sleep Issues and Skin Problems: A Comprehensive Guide

Often not getting enough sleep? Hello, doctor! Recently, I have been feeling constantly tired despite going to bed at 11 PM. I have to wake up at 6:30 AM for my 8 AM job. I've also been experiencing persistent and large acne breakouts, and I have been applying medication to ...

Dr. Liao Zhongxin Reply:
Dear readers: 1. It is important to note that sleep patterns vary significantly throughout human life. Infants can sleep all day, while elderly individuals may only sleep 2 to 3 hours a day. Whether one is getting enough sleep depends on age and the body's needs on a given...

Managing Blood Sugar Levels: Do You Need Medication at Age 50?

Blood sugar issues? I am about 50 years old, and my fasting blood glucose is around 115 mg/dL. Should I consider taking medication? Thank you.

Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. A fasting plasma glucose level of 115 mg/dL, which falls between 110-126 mg/dL, is classified as impaired fasting glucose (IFG). Whether this indicates diabetes still requires further confirmation. 2. If a diagnosis of diabetes is confirme...

Can Blood Cleansing Machines Help Lower Uric Acid in Gout Patients?

Gout 1. Can gout patients use "extracorporeal machines" to cleanse their blood in order to lower uric acid levels? I have been diagnosed by my physician with gout-induced arthritis, but I still have residual pain after two weeks. Is it possible that it is not gout? Can ...

Dr. Yao Quan Reply:
Hello: 1. Uric acid cannot be completely eliminated through dialysis; moreover, it can be effectively lowered with medication, so there is no need for excessive measures. 2. Gout typically resolves within a week, but if the wrong medication is used, the diagnosis is incorrect, or...

Understanding Lingual Numbness: Causes and Concerns in Internal Medicine

I'm not sure where the problem lies..? Hello, doctor... About three months ago, my tongue has been continuously numb. What could be the cause of this tongue numbness? Additionally, I have experienced palpitations and arrhythmia. The numbness is persistent, although it has im...

Dr. Liao Zhongxin Reply:
Dear readers: 1. First, we should understand that the nerve control of the tongue comes from cranial nerves VII, IX, and X. If there is a mild stroke or excessive consumption of spicy foods, there may be abnormal sensations. Changing dietary habits may lead to improvement. 2....

Do I Need Medical Attention? Understanding BMI, Pain, and Irregular Cycles

Do I need to seek medical attention? Hello Doctor, I have a few questions I would like to ask: I am currently 30 years old, 158 cm tall, and weigh between 62 to 65 kg, giving me a BMI of 34. Over six months ago, I started a raw food diet, cooking with minimal oil, salt, and meat...

Dr. Chen Baoli Reply:
Dear Xiao Zhu, Regarding your question, I suggest you first consult an endocrinologist to check for any metabolic issues, such as hypothyroidism. As for the currently popular raw food diet, the medical community generally holds a skeptical view on whether it is suitable for ever...

Understanding Blood Sugar Levels: Why Fasting Can Be Higher Than Post-Meal

Pre-meal and post-meal blood glucose issues? Dr. Chen, I have a question. My mother has a history of diabetes, but it has been well controlled. However, during her recent blood sugar test, we found an issue: her fasting blood sugar was higher than her blood sugar two hours after ...

Dr. Chen Qingbin Reply:
Blood glucose levels fluctuate significantly due to diet, medication, and various hormones in the body. The control of blood glucose is more accurately assessed by measuring glycated hemoglobin (HbA1c).

Navigating Diabetes: How to Seek Medical Help for Your Loved Ones

Route I have seen some medical literature and I feel that a family member at home might really have diabetes. My relative should see a doctor. How should I follow up on this? Where can I find resources for seeking medical help?

Dr. Shi Guangzhong Reply:
1. You can visit the metabolism or endocrinology department at various hospitals. 2. Once diabetes is confirmed, the physician may ask you to join a diabetes care network, which will include not only the physician but also nurses, dietitians, and health educators who will teach y...

How to Diagnose and Manage Suspected Diabetes in Family Members

Diabetes mellitus I have read books about diabetes and noticed that a family member may have symptoms of diabetes. Where should I go for a consultation to confirm this? If they are indeed diagnosed with diabetes, how should I proceed with follow-up care?

Dr. Shi Guangzhong Reply:
1. You can visit the Metabolism or Endocrinology departments at various hospitals. 2. If diabetes is confirmed, the physician may ask you to join a diabetes care network, which will include not only the physician but also nurses, dietitians, and health educators who will teach yo...

Can a 15-Year-Old Still Grow Taller? Insights for Parents

Can a 15-year-old still grow taller? Hello Dr. Yang, I would like to ask you about my son who is currently 14 years and 7 months old. He has mild cerebral palsy affecting his motor neurons, which prevents him from running and jumping like other children. He has a slight tendency ...

Dr. Yang Hongzhi Reply:
Hello: If you have hypothyroidism, you should prioritize treatment for this issue. Hospitals with a metabolism department should be able to handle it.

Understanding Mild Proteinuria: Causes, Concerns, and Dietary Impact

Mild proteinuria detected in two consecutive tests? Hello, doctor. 1. Over a year ago and again last week, I used a urine test strip to check my urine. The healthcare personnel informed me that there was mild proteinuria, which may be related to my profession as a teacher, invo...

Dr. Wu Jiyu Reply:
1. To confirm proteinuria, a 24-hour urine collection is required for diagnosis. 2. Proteinuria can sometimes be physiological, such as from prolonged standing or exercise, and does not require excessive concern. 3. If uric acid levels exceed the standard values, please adher...

Understanding Dizziness: Causes and Concerns for Young Adults

First episode of dizziness? Hello, Doctor: I am a second-year graduate student. My daily routine usually involves entering the lab at 9 AM and returning to my dormitory around midnight, falling asleep between 1 and 2 AM. The day before yesterday, when I woke up in the morning, I ...

Dr. Wang Fangli Reply:
In healthy individuals, dizziness can occur in the presence of viral infections, bacterial infections, sleep deprivation, or stress. If you have iron deficiency anemia with a hemoglobin level of only 8, you should seek treatment at a hospital and pay attention to your diet and li...

Understanding Unpleasant Sneezing: Air Quality vs. Lung Health

Foul-smelling nasal discharge? Hello, in the past year, I have noticed that my husband’s sneezing has a moldy and foul smell. Is this an issue with his lungs or the air quality in our environment? My husband has a smoking habit, and we also have a dog at home. I believe it’s an a...

Dr. Xie Yonghui Reply:
Dear Ms. Jiun, According to your letter, your husband is experiencing halitosis (commonly known as bad breath), which is not directly related to lung issues. Symptoms of lung diseases typically include cough, yellow sputum, and difficulty breathing. Halitosis is generally associ...

Managing High Cholesterol with a Low Body Weight: Dietary Tips

Underweight but with high cholesterol? Hello, Director Hsiao: I recently found out from my health check-up that my cholesterol level is high (237). However, I am 162 cm tall and weigh 46 kg, which is underweight. I usually enjoy snacks and eggs. Could you please advise me on what...

Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Your weight is 46 kg, height is 162 cm, and your Body Mass Index (BMI) is 17.5 kg/m². According to the Department of Health's recommended ideal BMI range of 18.5-23.9, you are indeed underweight. However, being underweight does not nec...

Previous｜Page ｜Next