Dietary Guidelines for Managing Kidney Disease and Heart Conditions
Diet for Kidney Disease My father has a history of coronary artery disease, and he has experienced proteinuria, as evidenced by foamy urine, for some time. He has previously consulted both traditional Chinese medicine and Western medicine, but his symptoms do not seem to have imp...
Dr. Hong Hongchang Reply:
Hello: In addition to blood lipids, there are other factors related to coronary heart disease. The causes include diet, medications, and genetic metabolism. Furthermore, hyperuricemia can lead to kidney damage, resulting in proteinuria. It is recommended to follow up with a cardi...[Read More] Dietary Guidelines for Managing Kidney Disease and Heart Conditions
Managing Gout: Key Questions for Effective Treatment and Prevention
Gout Hello Doctor: I am 34 years old and have experienced gout attacks three times this year (approximately once a year). Currently, I am not taking any medication for prevention or treatment. I would like to ask you a few questions: 1. Since I often have irregular sleep patter...
Dr. Hong Hongchang Reply:
Gout is a joint disorder caused by the overproduction or impaired excretion of uric acid metabolites (purines). In addition to dietary management, alcohol consumption and hydration are also important factors. During acute attacks, colchicine and nonsteroidal anti-inflammatory dru...[Read More] Managing Gout: Key Questions for Effective Treatment and Prevention
Understanding Lupus: Causes, Treatment, and Dietary Considerations
Systemic lupus erythematosus (SLE) The patient experiences persistent nosebleeds, low platelet count, purplish spots on the skin, and hair loss. What could be the cause of these symptoms? With the current level of medical care, is it possible to treat this condition? Is this a he...
Dr. Hong Hongchang Reply:
This condition is a challenging disease to treat in internal medicine and requires regular follow-up treatment. It is an autoimmune dysfunction disorder that should be managed by a specialist in allergy, immunology, and rheumatology to prevent the occurrence of complications.[Read More] Understanding Lupus: Causes, Treatment, and Dietary Considerations
Effective Strategies for Gaining Weight: High-Calorie Foods to Consider
How to gain weight? Dr. Hong: Hello, I would like to ask: I weigh 44 kg and am 170 cm tall, which is quite thin! How can I gain weight? Could you please provide specific foods that are high in calories? I really need your advice, please. I feel that my body proportions are not go...
Dr. Hong Hongchang Reply:
Based on your height-to-weight ratio, your weight is indeed on the lower side. However, weight loss can be related to factors such as body composition, diet, and endocrine issues (such as diabetes or thyroid dysfunction). Therefore, it is recommended to first follow up with an in...[Read More] Effective Strategies for Gaining Weight: High-Calorie Foods to Consider
Understanding Uremia: Symptoms, Kidney Inflammation, and Care Tips
Uremia Urinary uremia is said to be caused by kidney inflammation. What are the symptoms of kidney inflammation? I've been feeling strange in the lower back on both sides recently. Also, how can I take care of my kidneys? What dietary considerations should I keep in mind?
Dr. Ke Zhengchang Reply:
Hello, A-Feng: In cases of kidney inflammation, it is essential to perform a urinalysis, along with testing for BUN and creatinine levels to assess your kidney function. Generally, uremia is indicated by BUN levels greater than 100 and creatinine levels greater than 10, accompani...[Read More] Understanding Uremia: Symptoms, Kidney Inflammation, and Care Tips
Is It Safe for Teens to Use Weight Loss Supplements? Expert Advice
Weight loss I am 15 years old and want to lose weight. I've always wanted to take weight loss pills, but I'm afraid they might affect my growth and development. However, someone recommended Herbalife to me, saying it is a natural product that can be consumed by all age ...
Dr. Ke Zhengchang Reply:
Hello, A-Rong: At the age of 15, which is still a developmental stage, weight loss should ideally be conducted under the guidance of a physician and a nutritionist to avoid improper dieting that could affect growth and health. Herbalife is a meal replacement approved by the Depar...[Read More] Is It Safe for Teens to Use Weight Loss Supplements? Expert Advice
Understanding Abnormal Urine Protein and Blood Sugar Levels in Seniors
Question Hello, my mother participated in a regular health check organized by the health center in June this year, where abnormal urine protein and a blood glucose level of 122 were found. Over the past year, she has frequently mentioned experiencing numbness in her fingertips an...
Dr. Ke Zhengchang Reply:
Hello Pink: Normal fasting blood glucose levels range from 70 to 110 mg/dL, and postprandial levels should be between 70 and 140 mg/dL. A blood glucose level of 122 mg/dL does not meet the diagnostic criteria for diabetes. The presence of protein in the urine indicates potential ...[Read More] Understanding Abnormal Urine Protein and Blood Sugar Levels in Seniors
Balancing Hormones: Effects of Deficiency and Excess on Health
Hormone deficiency Excessive hormone supplementation can have negative effects on health, such as increasing the risk of certain cancers, cardiovascular issues, and metabolic disorders. Conversely, hormone deficiency can lead to various health problems, including fatigue, mood sw...
Dr. Guo Conghuai Reply:
Dear Julia: Please inquire with the obstetrics and gynecology department. Thank you.[Read More] Balancing Hormones: Effects of Deficiency and Excess on Health
Understanding Tuberculosis Prevention and Treatment: Key Insights
What are the prevention and treatment measures for tuberculosis? Hello: My husband was hospitalized at National Taiwan University Hospital earlier this year and was diagnosed with tuberculosis, which the doctor said has been present for over six months. I would like to ask: 1. At...
Dr. Guo Conghuai Reply:
DEAR LISA: As long as your husband can take the medication for six months and achieve recovery, it is challenging to prevent further issues in daily life. He should focus on maintaining a balanced diet and engaging in regular exercise. Air purifiers do not provide 100% effectiven...[Read More] Understanding Tuberculosis Prevention and Treatment: Key Insights
Understanding Low Triglycerides: Health Implications and Management Tips
Low triglycerides? I found related questions in the FAQ, but I still cannot understand my situation. I would greatly appreciate Dr. Tseng's clarification! I am 162 cm tall and weigh 50 kg, a non-smoker, and I usually eat little meat and almost no seafood, preferring sweet fo...
Dr. Zeng Fenyu Reply:
If the total cholesterol is greater than 200 mg/dL without other risk factors, dietary and lifestyle modifications can be initiated, and a follow-up should be done after three months. If the levels remain high, medication treatment may be considered. It is recommended that you co...[Read More] Understanding Low Triglycerides: Health Implications and Management Tips
Understanding Thyroid Issues: Symptoms, Diagnosis, and Dietary Impact
Thyroid issues Dear Dr. Tseng, Over the past month, I have been experiencing a tight, pressure-like sensation in my neck. I consulted an endocrinologist who ordered blood tests and an ultrasound. The results indicated a slight enlargement of the thyroid gland, and my blood test ...
Dr. Zeng Fenyu Reply:
Please go to the endocrinology department for another blood test to check thyroid function.[Read More] Understanding Thyroid Issues: Symptoms, Diagnosis, and Dietary Impact
Understanding Gout: Causes, Prevention, and Treatment Options
Gout is a form of inflammatory arthritis characterized by the accumulation of uric acid crystals in the joints Gout is caused by the accumulation of uric acid crystals in the joints, leading to inflammation and pain. It can be triggered by factors such as high purine intake (foun...
Dr. Ke Zhengchang Reply:
Reply SOS: The accumulation of excessive uric acid crystals in the joints causes inflammation and swelling, known as gout. Consuming too many high-purine foods, such as organ meats, seafood, hot pot broth, meats, and alcoholic beverages, leads to the metabolism of these substance...[Read More] Understanding Gout: Causes, Prevention, and Treatment Options
Does Long-Term Milk Consumption Affect Diabetes Risk?
Will long-term consumption of milk lead to diabetes? I have been drinking milk for several years now, and it seems that there is natural insulin in milk. Could this affect my blood glucose levels?
Dr. Zeng Fenyu Reply:
Drinking milk does not cause diabetes, but it is important for individuals with diabetes to maintain a balanced diet. The calories and nutrient composition of milk should be taken into account, and it should be consumed in moderation.[Read More] Does Long-Term Milk Consumption Affect Diabetes Risk?
Understanding Cholesterol and Uric Acid Levels: Risks and Treatment Options
Borderline cholesterol levels with accompanying uric acid? My cholesterol levels are around 110-120. What are the potential complications? How should it be treated? I have a uric acid level of about 22. Are there any interactions between these two conditions? Is medication treatm...
Dr. Hong Hongchang Reply:
1. Cholesterol (CHOL TG) includes two main components, and it is important to pay attention to the cholesterol content in your diet. Regular exercise is essential, and quitting smoking is also necessary. If hyperlipidemia persists, it is advisable to consider lipid-lowering medic...[Read More] Understanding Cholesterol and Uric Acid Levels: Risks and Treatment Options
Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips
Thyroid tumor Dear Dr. Tseng, (1) What are the differences between hyperthyroidism, thyroid tumors, and thyroid nodules? Why do thyroid tumors occur? (Currently, I work during the day and attend classes at night, often going to bed around 1 or 2 AM, and I frequently feel a lot o...
Dr. Zeng Fenyu Reply:
Hello, Miss Yajin: For benign thyroid tumors, doctors may prescribe thyroid hormones to provide feedback inhibition to help reduce the size of the tumor. Generally, tumors smaller than 1 cm have a higher chance of disappearing. If the patient does not take the medication or if th...[Read More] Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips
Weight Loss and Hormonal Imbalance: When to Seek Medical Advice
Weight loss can lead to hormonal imbalances? Dear Dr. Tseng, At the end of last year, I started to lose weight gradually because I was dissatisfied with my body. I adopted a method of eating less and exercising more, and over several months, I lost about five kilograms. Although...
Dr. Zeng Fenyu Reply:
Hello, Xiao Bing: Even when dieting, it's important to meet your basic caloric needs and ensure a balanced intake of various nutrients. If you continue to experience low menstrual flow or if the situation does not improve, please make sure to consult an endocrinologist.[Read More] Weight Loss and Hormonal Imbalance: When to Seek Medical Advice
Understanding Heart Valve Issues and Hypertension: Risks and Treatments
Heart disease & hypertension Hello, Dr. Ko. My boyfriend has been experiencing chest tightness due to stress for quite some time, to the point where he couldn't sleep. After much persuasion, he finally went to the hospital for an examination. He said the doctor informed ...
Dr. Ke Zhengchang Reply:
If a young male has a blood pressure of 180/130, he must seek emergency treatment for malignant hypertension and be hospitalized for further evaluation to determine the cause of the hypertension. Unless there are severe congenital anomalies or abnormalities of the heart and major...[Read More] Understanding Heart Valve Issues and Hypertension: Risks and Treatments
Why Is My Blood Darker After a Test? Dietary Factors Explained
Question Hello Dr. Ke: I would like to ask you something. After my blood is drawn, the color of my blood appears darker than others. Could this be related to my diet? Please provide some clarification, thank you. Wishing you good health and happiness.
Dr. Ke Zhengchang Reply:
Hello: For young individuals, 1. if hemoglobin levels are elevated, 2. if certain medications cause a reduction in hemoglobin, it may appear darker, 3. if there are signs of hypoxia, it may also appear darker. It is essential to go to the hospital for examination to confirm the d...[Read More] Why Is My Blood Darker After a Test? Dietary Factors Explained
Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns
Thyroid nodule Hello Dr. Tseng, I have been experiencing symptoms such as hand tremors, palpitations, and a sensation of pressure in my neck. Sometimes, I also have difficulty breathing and wheezing. I previously consulted a doctor, who performed blood tests and an ultrasound, ...
Dr. Zeng Fenyu Reply:
Dear Miss Yi-Jun, Thank you very much for your letter. Regarding your questions, my responses are as follows: 1. The indications for surgery on thyroid nodules are as follows: (1) When the nodule is too large and compresses the trachea. (2) When there is suspicion of mali...[Read More] Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns
Understanding Chinese Restaurant Syndrome: Symptoms and Management
Chinese Restaurant Syndrome? Hello, I have been experiencing migraine symptoms for over ten years, accompanied by vomiting, muscle soreness, and general weakness. Recently, the symptoms have become more severe. A friend pointed out that I might have what is known as Chinese Resta...
Dr. Ke Zhengchang Reply:
Reply to Alice: The symptoms of Chinese Restaurant Syndrome include transient burning sensations in the neck and upper arms, chest tightness, and headaches. Your symptoms are more severe and include vomiting, muscle soreness, and generalized weakness, which are less characteristi...[Read More] Understanding Chinese Restaurant Syndrome: Symptoms and Management