Understanding Low Platelet Count: Symptoms, Specialist Consultations, and Remedies
Abnormal platelet count (PLT) The annual health check report indicates that my platelet (PLT) count is 123, which is significantly lower than the normal range (142-424), thus classified as abnormal. I have never had any diseases or abnormal reactions related to this before, so I ...
Dr. Hong Hongchang Reply:
1. A platelet count (normal range 130,000 to 400,000) that decreases may lead to a tendency for bleeding (such as bruising and prolonged bleeding), and issues related to the liver, spleen, and blood should be considered; follow-up with a hematology clinic is recommended. 2. Scoli...[Read More] Understanding Low Platelet Count: Symptoms, Specialist Consultations, and Remedies
Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes
Questions regarding diaphragmatic hernia? Hello, I recently underwent a health check-up and the report indicated that I have gastritis, as well as a hiatal hernia. I also experience food reflux when I overeat or consume greasy foods, and I tend to vomit whenever I overeat and lie...
Dr. Ke Zhengchang Reply:
Hello Ms. Wu Pei-Rong: A diaphragmatic hernia must be diagnosed through an upper gastrointestinal series. For gastroesophageal reflux, it is advisable to eat small, frequent meals and to stop eating when feeling about 70% full. Avoid lying down immediately after meals. Additional...[Read More] Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes
Preventing and Managing Kidney Atrophy: Essential Strategies for Health
Kidney If there is kidney atrophy, how can we prevent its progression and what are the treatment options? Thank you.
Dr. Hong Hongchang Reply:
If kidney atrophy occurs, it indicates the onset of chronic nephritis or may lead to chronic kidney failure in the future. Dietary considerations should include a low-sodium diet and appropriate intake of protein and fluids. Additionally, unnecessary medications should be avoided...[Read More] Preventing and Managing Kidney Atrophy: Essential Strategies for Health
Understanding High Uric Acid and Amylase Levels: Causes and Dietary Tips
Health check-up report issues? Hello Dr. Hong: I underwent a health check at Joseph Hospital, where my Uric Acid level was 7.7 mg/dL and Amylase level was 138 U. Three months later, I returned for a follow-up, and the results showed a Uric Acid level of 8.3 mg/dL and an Amylase l...
Dr. Hong Hongchang Reply:
Based on the description of the condition, there are two main reasons: (1) High uric acid levels can be caused not only by the consumption of purine-rich foods (such as organ meats, legumes, seafood, etc.) but also by factors such as alcohol consumption, medications, or genetic p...[Read More] Understanding High Uric Acid and Amylase Levels: Causes and Dietary Tips
Understanding Abdominal Pain: Possible Causes and Concerns
Abdominal pain Hello, Dr. Hong! Two years ago, I underwent two surgeries on my uterus. Since early October, I have been experiencing some symptoms. When I lightly press on the left and right sides of my lower abdomen, it hurts, and I also feel discomfort around my navel. Addition...
Dr. Hong Hongchang Reply:
Postoperative intestinal adhesions are very common in clinical practice, with symptoms ranging from mild to severe. It is recommended to engage in moderate exercise and to consume a diet high in fiber. If there are any issues, please follow up at a gastroenterology clinic.[Read More] Understanding Abdominal Pain: Possible Causes and Concerns
Managing Abdominal Pain: Dietary Tips for High School Students
Abdominal pain? Hello, I am a high school student from Keelung City. I have digestive issues, and sometimes when I have stomach pain, my mom tells me to eat something. I am a bit skeptical about whether this is a good idea, and I wonder if there are better methods or dietary sugg...
Dr. Hong Hongchang Reply:
Gastrointestinal discomfort caused by stress or emotions commonly includes 1. Irritable Bowel Syndrome (IBS) and 2. Acute Gastritis. Therefore, it is important to have regular meals with controlled portions, avoid irritating foods, manage stress, and maintain a normal daily routi...[Read More] Managing Abdominal Pain: Dietary Tips for High School Students
Understanding Abdominal Cramps: When to Seek Medical Advice
Abdominal cramping? Hello, I would like to ask the following question: I am unmarried, 28 years old, female. Two days ago (on 12/18) around 10:30 PM, I ate a banana and an apple. After a while, I started experiencing cramping abdominal pain (two days after my menstrual period end...
Dr. Chen Shidian Reply:
Hello, netizen: For abdominal pain issues, it is primarily related to gastroenterology, especially for those without urinary or menstrual problems. Please be cautious with your dietary habits, and if similar situations occur frequently, seek medical examination. Wishing you safet...[Read More] Understanding Abdominal Cramps: When to Seek Medical Advice
Understanding Low White Blood Cell Count: Causes and Recovery Tips
Leukopenia I am an intern teacher in Taipei. Last Friday, I felt unwell, experiencing symptoms similar to a cold, dizziness, and fever. After taking medication for three days without improvement, I had a poor appetite and felt very weak. On the fourth day, I was hospitalized, and...
Dr. Ke Zhengchang Reply:
Hello, A-Jing: Generally, viral infections may cause a temporary decrease in white blood cell count (which can last for one to two weeks). If subsequent monitoring shows recovery to above 4000, there should be no major concerns. However, if the count remains persistently low, it ...[Read More] Understanding Low White Blood Cell Count: Causes and Recovery Tips
Managing Chronic Hepatitis B: Treatment, Diet, and Lifestyle Tips
Hepatitis B Hello Dr. Yang: I am a carrier of Hepatitis B. I would like to know if I need treatment for this condition. What should I pay attention to in my diet and daily life? How should I take care of myself? I have undergone several examinations, but my doctors have not menti...
Dr. Yang Guojun Reply:
Important Information for Hepatitis Survival The causes of hepatitis include viral, drug-induced, alcoholic, and autoimmune types. Viral hepatitis is classified into types A, B, C, D, E, and G. The progression of the disease often follows the sequence: hepatitis >> cirrhos...[Read More] Managing Chronic Hepatitis B: Treatment, Diet, and Lifestyle Tips
Effective Strategies to Manage Chronic Diarrhea: When to Seek Medical Help
Chronic diarrhea Hello, doctor. I am someone who has been suffering from diarrhea for a long time. Could you please advise me on how to improve this condition and which specialist I should see? Thank you.
Dr. Chen Shidian Reply:
Hello, internet user: Diarrhea issues require examination by a gastroenterologist. Please pay attention to your dietary habits and avoid milk. Wishing you good health![Read More] Effective Strategies to Manage Chronic Diarrhea: When to Seek Medical Help
Dietary Considerations for Hepatitis B Carriers During Pregnancy
Hepatitis B carrier Hello Dr. Yang, I would like to ask if hepatitis B carriers should avoid eating peanut butter to prevent aflatoxin infection and inflammation? What dietary precautions should be taken? Additionally, I am currently 23 weeks pregnant, and my recent blood tests s...
Dr. Yang Guojun Reply:
1. Yes, you should consume more high-protein foods and avoid foods that are high in fats. 2. Being HBsAg positive indicates that you have a higher infectiousness; please administer immunoglobulin within 24 hours of the child's birth. There are antiviral medications availab...[Read More] Dietary Considerations for Hepatitis B Carriers During Pregnancy
Understanding Thyroid Issues: Symptoms and Dietary Considerations
Thyroid gland I often experience unexplained chest tightness (on the left side), especially when inhaling. I'm not sure if it feels more like tightness or pain, but it becomes somewhat more comfortable if I tap on it with my fist. Additionally, I have irregular menstrual cyc...
Dr. Zeng Fenyu Reply:
Based on the described symptoms, it cannot be determined whether there is hyperthyroidism. Please visit the endocrinology outpatient clinic for an examination.[Read More] Understanding Thyroid Issues: Symptoms and Dietary Considerations
Managing High Triglycerides: When to See a Doctor and Which Specialist?
Triglycerides The company health check report shows a triglyceride level of 570. How should this be managed, and which medical specialty should I consult for this issue?
Dr. Zeng Fenyu Reply:
Please refer to the outpatient services of the Department of Internal Medicine, specifically the Metabolism and Endocrinology sections. The management approach is to start with dietary control; if levels remain high despite dietary management, pharmacological treatment may be add...[Read More] Managing High Triglycerides: When to See a Doctor and Which Specialist?
Managing Hyperthyroidism: Hair Loss, Medication, and Dietary Concerns
Hyperthyroidism I have hyperthyroidism that is generally under control, but I am experiencing severe hair loss with no improvement. Will my hair grow back? Can taking antithyroid medications lead to a cure, and how long might that take? Do stimulants such as alcohol, spicy foods,...
Dr. Zeng Fenyu Reply:
Please refer to the response from December 7th.[Read More] Managing Hyperthyroidism: Hair Loss, Medication, and Dietary Concerns
Can Fish Oil Help Reduce Fatty Liver? Tips and Recommendations
Fatty liver disease My mother has been diagnosed with fatty liver and has blisters on it after examination. I heard that deep-sea fish oil can help reduce fat; is this true? What are some good recommendations? Besides dietary control, are there other options to lower fatty liver ...
Dr. Chen Shidian Reply:
Hello, internet user; fatty liver is often caused by excessive caloric intake, and it is important to rule out factors such as diabetes, hyperlipidemia, inappropriate medication (such as steroids), and alcohol consumption. Exercise and dietary control are the fundamental approach...[Read More] Can Fish Oil Help Reduce Fatty Liver? Tips and Recommendations
Managing Diabetes: Diet Tips, Insulin Effects, and New Treatments
Diabetes mellitus 1. I would like to know what dietary choices are best for managing diabetes. 2. Does long-term insulin injection have adverse effects on the body? 3. Are there better treatment options available for diabetes now?
Dr. Yang Guojun Reply:
1. Avoid consuming high-sugar foods such as sugary beverages, and increase physical activity. 2. Insulin is a substance that the body naturally produces, making it essential for the treatment of diabetes, and it does not have adverse effects. 3. There are now many new oral medica...[Read More] Managing Diabetes: Diet Tips, Insulin Effects, and New Treatments
Chronic Morning Cough and Nausea: Causes and Solutions
Nausea? Hello Dr. Hong: I often experience a mild cough upon waking up every day, accompanied by nausea and excessive stomach acid. This condition has persisted for 10 years, and it is particularly noticeable during colder weather. I am unsure of the cause. What should I pay atte...
Dr. Hong Hongchang Reply:
A dry cough after waking up may be due to allergic bronchitis or gastroesophageal reflux disease (GERD) causing the cough. It is recommended to avoid irritating foods and sweets in your diet, as well as the habit of eating late at night. Additionally, if symptoms persist or worse...[Read More] Chronic Morning Cough and Nausea: Causes and Solutions
Understanding Persistent Stomach Pain and Heat Sensation After Meals
Gastric issues? Hello Doctor, I would like to ask a question. My stomach has always been problematic, and I often experience stomach pain. However, I have a specific issue: after eating a full meal, I feel a heat sensation in my stomach, and my entire back becomes numb, extending...
Dr. Chen Shidian Reply:
Hello, based on what you've described, the discomfort after meals may be due to indigestion or poor peristalsis (or even ulcers). In severe cases, it can lead to head discomfort (in a minority of individuals). Please pay attention to improving your dietary habits, eating at ...[Read More] Understanding Persistent Stomach Pain and Heat Sensation After Meals
Managing Low Blood Pressure: Tips for Thyroid Disease Patients
Hypotension I have thyroid disease and am currently on medication for management. I experience leg cramps while sleeping, my blood pressure is in the 50s, and I often feel dizzy. I'm unsure if low blood pressure requires treatment and how to prevent it. What should I pay att...
Dr. Zeng Fenyu Reply:
If blood pressure is low, dietary salt intake can be increased. If the blood pressure is significantly low and accompanied by symptoms, certain vasopressor medications may be considered. However, it is essential to first investigate any underlying causes of hypotension. It is rec...[Read More] Managing Low Blood Pressure: Tips for Thyroid Disease Patients
Understanding Liver Nodules: What You Need to Know About Your Health
There are small bubbles on the liver? I have no symptoms, but during an ultrasound examination, the doctor found small bubbles on my liver and is unsure if there is a connection. I am a carrier of hepatitis B. Please provide some advice on diet and management, and whether further...
Dr. Hong Hongchang Reply:
Most liver cysts (hepatic cysts) are benign, but since you are a carrier of hepatitis B, it is important to remain vigilant. You should have ultrasound examinations, liver function tests, and alpha-fetoprotein tests every 4 to 6 months. If any issues arise, please consult a gastr...[Read More] Understanding Liver Nodules: What You Need to Know About Your Health