Understanding Adrenal Tumors: When to Seek Treatment
Adrenal gland A year ago, an adrenal tumor measuring 3 centimeters was unexpectedly discovered during an examination. I switched to a urologist who conducted blood tests and 24-hour and 12-hour urine tests. The lab results indicated elevated cortisol levels. The doctor mentioned ...
Dr. Hong Yuanbin Reply:
Hello, generally speaking, there is concern about pheochromocytoma, which can secrete norepinephrine and cause high blood pressure. If your blood pressure is normal, the likelihood of this condition is indeed low. As for cortisol levels, they can fluctuate due to daily activities...[Read More] Understanding Adrenal Tumors: When to Seek Treatment
Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Could this indicate the possibility of diabetes? Hello, Doctor. In mid-May of this year, I had a blood test that showed a hemoglobin A1c of 5.0 and a fasting blood glucose level of 86. From the end of May until today, my height and weight changed from 160 cm/55 kg to 160 cm/52 kg...
Dr. Xiao Yongxun Reply:
Dear Ms. NN: 1. Zoloft® (Sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI) because it specifically inhibits the reuptake of serotonin, exhibiting a selectivity for serotonin transporters that is 300 to 3000 times greater compared to norepinephrine tran...[Read More] Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Blood sugar issues? Hello Doctor, I am 168 cm tall and weigh 57 kg. I had a health check-up at a major hospital in early October this year, where my fasting blood glucose level was 95 mg/dL. Since this value is close to the upper limit of the normal range, I was quite worried abo...
Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. A fasting blood glucose level of 95 mg/dL or 96 mg/dL shows no significant change clinically; in other words, it lacks significant meaning. Based solely on this value, no physician would suggest that it will soon exceed 100 mg/dL. Generally, blood glucose level...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Foamy urine and kidney issues? Hello Dr. Lee, I have high blood pressure (stopped medication for 3 months, currently 135/82 mmHg). Over the past few months, I have experienced increased urination with foamy urine. I underwent a physical examination, and the results showed no pro...
Dr. Li Zhiyao Reply:
Hello: The normal value for 24-hour urine epinephrine is < 22.4 µg/24hrs; please confirm the test results. As for the foamy urine, the test results showed no proteinuria, but you may consider performing a microalbuminuria quantitative test to confirm the absence of proteinuria...[Read More] Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Can Stress Cause Sudden Blood Sugar Spikes? Understanding Diabetes Risks
Stress Doctor, may I ask if stress can cause blood sugar levels to spike suddenly? My usual fasting blood sugar is around 97 to 106, but I started feeling unwell yesterday, and this morning, after fasting for 8 hours, my blood sugar was 131. Two hours after eating, it was 184. Wh...
Dr. Xiao Yongxun Reply:
Hello: Increased stress can lead to heightened activity of the sympathetic nervous system, resulting in increased secretion of catecholamines such as norepinephrine and epinephrine. This can cause elevated blood sugar levels, increased glycogenolysis in the liver and muscles, hei...[Read More] Can Stress Cause Sudden Blood Sugar Spikes? Understanding Diabetes Risks
Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Pediatric Urticaria Urticaria, commonly known as hives, can be caused by various factors, including allergic reactions, infections, stress, and certain medications. The severity of symptoms can vary from mild itching and redness to more severe reactions, such as angioedema or ana...
Dr. Wang Weijie Reply:
Dear Mr. Ke, (1) Urticaria, commonly known as hives, is characterized by raised, itchy red welts that often have distinct snake-like borders, with a central area that may fade. The size of the welts can vary, and many people have experienced urticaria at some point. (2) The cau...[Read More] Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Understanding Facial Swelling: Allergies or Other Underlying Issues?
Facial edema Hello Dr. Zhao, About a week ago, my face started to swell. It happened right after I had dinner at an Italian restaurant, so the doctor suspected it was a food allergy. After taking Prednisone for three days, the swelling is not as severe as it was initially, but t...
Dr. Zhao Chongliang Reply:
Hello! Your symptoms sound like angioedema (also known as angioneurotic edema or Quincke's edema). It is a type of allergic reaction caused by a deficiency of C1 esterase inhibitor, leading to the release of histamine and other chemicals into the bloodstream after exposure t...[Read More] Understanding Facial Swelling: Allergies or Other Underlying Issues?
Understanding Adrenal Hormone Injections: Side Effects and Management
Injection of adrenal hormones? Hello Dr. Ke, I would like to ask some questions. My friend has an endocrine issue, which he says is a hereditary condition, and he has developed acute renal failure. During one of his episodes, he mentioned that he went to the hospital to receive...
Dr. Ke Zhengchang Reply:
Replying to Bear: I have not heard of injecting adrenal hormones for acute renal failure. Injecting epinephrine can lead to increased heart rate, vasoconstriction, and cold sweats. It should not be administered casually. I recommend visiting a hospital to consult with the endocri...[Read More] Understanding Adrenal Hormone Injections: Side Effects and Management