Diet, Internal Medicine FAQ - Page 45

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Excessive Gas and Bloating: Understanding Your Digestive Issues

How could this happen? Doctor, I've been asking here for a long time. I followed your advice, but nothing seems to work. My stomach keeps making gurgling noises, and I keep passing gas. The gas has no sensation but is extremely foul-smelling. Sometimes I have a bowel movemen...


Dr. Hong Hongchang Reply:
Dear Unknown Sir, Gastrointestinal discomfort, rapid peristalsis, or excessive foul-smelling gas is primarily related to dietary choices, endocrine issues, and emotional factors. Therefore, to improve the situation, it is recommended to: 1. Reduce the intake of gas-producing foo...

[Read More] Excessive Gas and Bloating: Understanding Your Digestive Issues


Can You Stop Taking Uric Acid Medications After Treatment?

Can uric acid-lowering medications be discontinued? Hello Doctor, I experienced a gout attack in my right big toe several years ago. At that time, I took uric acid-lowering medication for about a year and a half, and since my uric acid levels were not high, I stopped the medicati...


Dr. Liu Hongxiang Reply:
The reference values for each test may vary depending on the initial settings of the instrument or the reagents used. After taking uric acid-lowering medication for a period of time, if the uric acid level can be reduced to below 6 or 7 (depending on the instrument), the medicati...

[Read More] Can You Stop Taking Uric Acid Medications After Treatment?


Understanding Stomach Cramps: Causes and Dietary Recommendations

About gastric colic? What are the causes of gastric cramps? Additionally, what types of food, such as fruits or beverages, are better for gastric cramps? Thank you for your assistance!


Dr. Cai Zonglong Reply:
Hello, gastric cramps are generally caused by gastric spasms, which can result from various factors such as inflammation, ulcers, or mucosal erosion. Rapid relief is not always easy to achieve; you might try consuming soda crackers, bread, or warm milk. However, it is advisable t...

[Read More] Understanding Stomach Cramps: Causes and Dietary Recommendations


Understanding Hydronephrosis: Dietary Impact and Management Tips

Hydronephrosis Grandma has not been feeling well recently, and after examination, she was diagnosed with hydronephrosis and the presence of kidney stones. Is there a significant correlation with diet? She has dementia and diabetes mellitus, so she usually pays special attention t...


Dr. Yang Jun Reply:
Hello: In response to your question... The cause of your grandmother's hydronephrosis is likely due to kidney stones, and it is essential to contact a urologist as soon as possible to check for ureteral obstruction and manage the stones. A diabetic diet does not cause kidney...

[Read More] Understanding Hydronephrosis: Dietary Impact and Management Tips


Understanding Gastrointestinal Issues: Symptoms, Treatments, and Concerns

Gastrointestinal issues Hello Doctor: I have been experiencing diarrhea for the past month. Three weeks ago, I went to see a doctor, and after a stool test, the doctor informed me that I had mild intestinal inflammation. He prescribed medication to aid digestion and relieve bloat...


Dr. Hong Hongchang Reply:
Hello BB: Colitis can be caused by inflammatory reactions, infectious lesions, or tumors, as well as emotional responses. Therefore, it is important to address the underlying issues. Based on the description, improving your diet and relaxing your mind should lead to symptom relie...

[Read More] Understanding Gastrointestinal Issues: Symptoms, Treatments, and Concerns


Common Causes of Anemia: Types, Solutions, and Important Considerations

Causes of Anemia Common causes of anemia include: 1. **Iron Deficiency Anemia**: This is the most common type, often due to inadequate dietary intake, blood loss (such as from menstruation or gastrointestinal bleeding), or increased demand (such as during pregnancy). 2. **Vitam...


Dr. Yu Xianneng Reply:
Hello Mr. Chi-Lin: The causes of anemia can generally be divided into issues related to the hematopoietic system itself or blood loss. Therefore, blood tests can be used for simple differential diagnosis, and stool tests can also detect the presence of blood loss. Additionally, e...

[Read More] Common Causes of Anemia: Types, Solutions, and Important Considerations


Understanding Stomach Pain: Is It Lactose Intolerance or Something Else?

Stomach pain Hello doctor, I would like to ask you a question. I've been experiencing stomach pain for a long time, but I usually don't pay much attention to it. Recently, I've been drinking a lot of milk, and last week, after drinking milk in the morning and havin...


Dr. Xie Rongyuan Reply:
Hello! If you frequently experience stomach pain or bloating and dietary adjustments have not been effective, you should visit a hospital to identify the underlying cause. Thank you!

[Read More] Understanding Stomach Pain: Is It Lactose Intolerance or Something Else?


Can Women with Diabetes Safely Get Pregnant?

Can a person with diabetes become pregnant? Dear Dr. Huang, In April of this year, I was admitted to Tunghai University Hospital Wuchi Branch due to gallstones complicated by acute pancreatitis. Following the doctor's advice, I underwent a cholecystectomy and was discharged...


Dr. Huang Maosen Reply:
Hello! It is possible to become pregnant with diabetes; however, special attention must be paid to blood sugar control during pregnancy. According to the information you provided, your blood sugar control is not ideal. Hemoglobin A1c should be maintained below 7, fasting blood su...

[Read More] Can Women with Diabetes Safely Get Pregnant?


Exploring Traditional Chinese Medicine for Diabetes Management

Traditional Chinese Medicine (TCM) Treatment for Diabetes 1. Can traditional Chinese medicine for diabetes replace oral medications for blood sugar control? 2. Is the "Yangshan Yongquan San" (modified Yuquan Wan) available on the market effective for treatment? 3. H...


Dr. Guo Qinghui Reply:
1) Currently, traditional Chinese medicine for diabetes cannot replace oral hypoglycemic medications. 2) I do not understand what "Yongquan San (modified Yuquan Wan)" consists of and what its effects are. 3) Please consult a dermatologist for treatment. The treatment me...

[Read More] Exploring Traditional Chinese Medicine for Diabetes Management


Understanding Hepatitis B: Impacts on Liver Health and Dietary Considerations

Hepatitis B Hello Dr. Tsai: If a patient has undergone a liver biopsy due to hepatitis B and is now immune, does this indicate that there has been significant damage to liver function (such as fibrosis or hepatitis)? If so, aside from regular follow-ups every six months, what spe...


Dr. Cai Zonglong Reply:
Hello, the immune response after a liver biopsy only indicates that the patient's liver function or liver inflammation was abnormal during that period; it does not necessarily imply severe fibrosis or irreversible damage. For patients with liver disease, we usually recommend...

[Read More] Understanding Hepatitis B: Impacts on Liver Health and Dietary Considerations


Is It Kidney or Liver Issues? Understanding Your Symptoms and Solutions

Is it a kidney issue or a liver issue? Frequent late nights and poor daytime work performance, along with yellow urine and occasional feelings of bladder weakness, as well as recent hair loss, may indicate several underlying issues. These symptoms could be related to dehydration,...


Dr. Yang Hongzhi Reply:
These symptoms are non-specific and are mostly not caused by liver or kidney issues. Dietary treatment is unlikely to provide significant benefits. If symptoms persist, it is advisable to consult an internal medicine specialist.

[Read More] Is It Kidney or Liver Issues? Understanding Your Symptoms and Solutions


Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management

Type A globulin glomerulonephritis Hello Doctor, I have had microscopic hematuria for a year. Last year, I underwent examinations in the nephrology department, including blood tests, urine tests, and imaging X-rays. Aside from 4+ occult blood, I sometimes had proteinuria and some...


Dr. Yang Jun Reply:
Hello: In response to your question... Persistent microscopic hematuria and occasional proteinuria are indicative of glomerulonephritis. Generally, type A alpha globulin nephritis is more common. An IgA level of 380 is elevated, which further supports the high likelihood of type ...

[Read More] Understanding A-Alpha Globulin Nephritis: Symptoms, Diagnosis, and Management


Can Alkaline Ionized Water Help with High Uric Acid and Hepatitis B?

Alkaline ionized water I have high uric acid levels. I've heard that drinking alkaline ionized water can help improve this condition. However, I also have hepatitis B and I'm not sure if it's safe for me to drink it.


Dr. Xie Yonghui Reply:
You have a condition of hyperuricemia, which can lead to gout in severe cases. In addition to medication, treatment for gout should include dietary modifications (a low-purine diet) and adequate hydration. It is generally recommended to drink at least 2000cc of water daily to aid...

[Read More] Can Alkaline Ionized Water Help with High Uric Acid and Hepatitis B?


Understanding Low Hemoglobin: Causes, Concerns, and Solutions

Hemoglobin Hello, doctor. During the company's health check-up, my hemoglobin level was found to be low, and they requested a retest. The report mentioned suspected thalassemia. What does that mean? However, I have donated blood several times, so I shouldn't have thalas...


Dr. Wang Fangli Reply:
Having donated blood does not necessarily mean one does not have thalassemia (formerly known as Mediterranean anemia). In cases of mild thalassemia, hemoglobin levels may fall within the normal range, but the red blood cells may be smaller in size. A low hemoglobin level observed...

[Read More] Understanding Low Hemoglobin: Causes, Concerns, and Solutions


Evaluating Ketosteril: Can It Delay Dialysis in Chronic Kidney Disease?

Ketosteril Director Yang: Hello, in patients with chronic renal failure, especially in the end stages where muscle wasting occurs, what is your clinical experience with the efficacy of Ketosteril? Is it really as miraculous as the manufacturer claims in suppressing BUN and delayi...


Dr. Yang Jun Reply:
Hello: In response to your question... The dietary recommendation for patients with chronic kidney failure is to follow a low-protein diet to avoid increasing the burden on the kidneys, which could lead to elevated blood urea nitrogen (BUN) levels. For patients with malnutrition,...

[Read More] Evaluating Ketosteril: Can It Delay Dialysis in Chronic Kidney Disease?


Should You Take Vitamin C and B Complex? Expert Advice for Your Age

Vitamin C and B vitamins I apologize, but may I ask if people our age should consider taking vitamin C and B complex supplements available on the market? If I have a habit of frequently getting chapped lips, does that indicate a deficiency in certain nutrients? What should I pay ...


Dr. Wang Fangli Reply:
Vitamin B complex and vitamin C can be taken together after meals. However, the most important factors for maintaining good health are regular and balanced meals, a nutritious diet, a consistent daily routine, and regular exercise.

[Read More] Should You Take Vitamin C and B Complex? Expert Advice for Your Age


Long-Term Antibiotic Use for Acne: Risks and Alternatives Explained

Symptom consultation Hello Doctor: I have been troubled by acne since puberty. During my student years, I didn't pay much attention to it, and occasionally taking medication worked well, but once I stopped, my face would break out again. Recently, I have been in continuous t...


Dr. Zheng Shuxing Reply:
The causes of acne are mostly related to individual constitution, so it is advisable to consult a dermatologist for improvement. As for the long-term use of tetracycline antibiotics, the side effects may include allergic reactions, dental development abnormalities such as discolo...

[Read More] Long-Term Antibiotic Use for Acne: Risks and Alternatives Explained


Essential Dietary Tips for Diabetes Prevention and Management

Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.


Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...

[Read More] Essential Dietary Tips for Diabetes Prevention and Management


Understanding Acid Reflux: Causes, Symptoms, and Solutions

Gastroesophageal reflux? Hello Dr. Lee: I have been feeling discomfort in my throat recently, and it hurts a lot when I eat. Today, after undergoing an upper gastrointestinal endoscopy at National Taiwan University, the doctor informed me that I have excessive stomach acid. Becau...


Dr. Li Huixiong Reply:
Why does excessive stomach acid occur, and why do some people experience it? This remains largely unresolved and can often be attributed to "autonomic nervous system dysfunction." Currently, many medical conditions do not have clear answers. What you refer to as "a...

[Read More] Understanding Acid Reflux: Causes, Symptoms, and Solutions


Understanding Hereditary Thyroid Issues and Prevention Tips for Kids

Hello, how can I assist you today? 1. What thyroid symptoms may be hereditary? For example, conditions like goiter, etc.? 2. If they are hereditary, how can children prevent them in their daily lives, and what dietary considerations should be taken into account? Thank you.


Dr. Yang Hongzhi Reply:
Common thyroid diseases, such as hyperthyroidism, have a genetic predisposition. Excessive iodine intake can sometimes trigger the manifestation of underlying thyroid conditions. If there is a significant history of thyroid disease and family history, it may be advisable to avoid...

[Read More] Understanding Hereditary Thyroid Issues and Prevention Tips for Kids


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