Foot, Internal Medicine FAQ - Page 7

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Understanding Unexplained Leg and Arm Symptoms: What Could It Be?

Is this symptom rheumatism? I have been experiencing a cool sensation in my left calf and forearm when they are at rest, and if I remain inactive for a long time, I also feel soreness. This has been happening for many years, but it has recently become more severe. I went to the h...


Dr. Zeng Guosen Reply:
Hello, user: I suggest that you first touch your left calf and forearm, which feel cool, and compare them with the same areas on the right side. If you find that they are significantly colder, it may indicate a vascular circulation issue, and you should consider seeing a cardiolo...

[Read More] Understanding Unexplained Leg and Arm Symptoms: What Could It Be?


Unexplained Swelling in Right Foot: Seeking Specialist Advice

Swelling of the right foot of unknown origin? Hello Director Wu, My father has been experiencing significant swelling in his right foot for more than a month and a half (from August 1 to August 15). Initially, he had pain in the sole of his foot and visited an orthopedic doctor,...


Dr. Wu Jiyu Reply:
Hello Arthur: 1. If the lower limb edema is caused by kidney problems, it is usually bilateral and not unilateral. 2. If there is unilateral lower limb edema accompanied by joint pain, joint issues should be considered. 3. If there is unilateral lower limb edema without joint...

[Read More] Unexplained Swelling in Right Foot: Seeking Specialist Advice


Understanding Complications After Diabetes-Related Amputation

Diabetes issues Hello, doctor. I would like to ask about my grandfather. He had an amputation above the left knee due to complications from diabetes, and he is currently in the intensive care unit with a breathing tube. His condition doesn't seem very good; the sputum that h...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, the text indicates that your grandfather is still in the intensive care unit. It is recommended that you consult the attending physician directly, as they are the most familiar with your grandfather's condition. Wishing for a speedy recov...

[Read More] Understanding Complications After Diabetes-Related Amputation


Dealing with Excessive Sweating: Solutions and Risks Explained

Hyperhidrosis I have severe sweating in my hands, feet, and armpits... it's really very serious and I don't know what to do to stop sweating. Can I have the sweat glands removed? Are there any side effects? I'm not sure if I've made the right choice! I think i...


Dr. Xiao Yongxun Reply:
Hello: 1. Generally, for patients requiring laparoscopic surgery to ablate the sympathetic ganglia, those with both palmar and plantar hyperhidrosis may experience improvement in foot sweating even if only the hand sweating is treated. The surgery typically lasts about 30 minutes...

[Read More] Dealing with Excessive Sweating: Solutions and Risks Explained


Managing High Blood Sugar Levels in Diabetes: Tips and Insights

High blood sugar? Hello Dr. Lee, I would like to ask how to handle high blood sugar levels? My mother has been a diabetic for about 15 years. She was previously controlled with oral medications, but for the past three years, she has started using insulin injections, which have no...


Dr. Li Zhiyao Reply:
Hello Amin, Your question can be summarized as "how to effectively manage diabetes." In addition to the patient and their family, a team consisting of physicians, dietitians, and diabetes educators should be involved in managing diabetes. Currently, health bureaus in v...

[Read More] Managing High Blood Sugar Levels in Diabetes: Tips and Insights


Understanding Endocrine Issues: Impact on Growth and Development

Endocrine issues? Dear Doctor, I developed an Adam's apple in the second semester of fifth grade, and during sixth grade, I started to grow pubic and underarm hair. I began masturbating in the second semester of fourth grade, and I'm unsure if this has contributed to th...


Dr. Yang Hongzhi Reply:
Precocious puberty can affect height, but it seems you have not reached that level yet. A height of 163 cm in the first year of junior high school is still considered acceptable.

[Read More] Understanding Endocrine Issues: Impact on Growth and Development


Understanding Foot Calluses: Causes, Symptoms, and Treatment Options

Plantar callus? Hello Dr. Yang, I have a hard lump about the size of a red bean on the bottom of my right foot, located centrally near the inner side of the foot's arch. It has been present for six months without any signs of resolution. It is painful when pressed at times, ...


Dr. Yang Zhongwei Reply:
Hello: Please go for an orthopedic examination. Thank you!

[Read More] Understanding Foot Calluses: Causes, Symptoms, and Treatment Options


Understanding Your Symptoms: What Could Be Causing Your Illness?

What illness do my symptoms indicate? Hello, last night I went to the emergency room with symptoms of chills, a fever of 38.9 degrees Celsius, body aches, localized redness and swelling in one area of my foot, and tenderness in one spot on the inner thigh when pressed. I did not ...


Dr. Guo Hanyue Reply:
Based on the symptoms you described, it is very likely that you have cellulitis in your foot. Please visit the infectious disease clinic for further evaluation while taking your medication. Thank you!

[Read More] Understanding Your Symptoms: What Could Be Causing Your Illness?


Exploring Non-Amputation Treatments for Diabetic Foot Ulcers

Diabetic foot Hello, Doctor. My mother is 87 years old and has diabetes. She previously had a heel injury that improved with hyperbaric oxygen therapy. In February of this year, her heel cracked again, and she has also developed wounds on her toes. We have conducted cardiovascula...


Dr. Shi Guangzhong Reply:
The causes of amputation are often not due to a single factor, but rather the combined effects of multiple factors, including neuropathy, ischemic disease, ulcers, poor wound healing, and infections. Your mother has already undergone cardiovascular examinations; I am unsure of th...

[Read More] Exploring Non-Amputation Treatments for Diabetic Foot Ulcers


Understanding Severe Leg Swelling: Causes and Relief Strategies

My mother initially had swelling in her thigh, and now her calf is also swollen? Hello Doctor: My mother previously had severe swelling in her right thigh, feeling as if the skin was about to burst. There is a significant size difference between her legs. Initially, we thought it...


Dr. Lin Mingfeng Reply:
First, press on the foot to see if there is any indentation; if so, it may indicate lower extremity edema. There are many diseases that can cause lower extremity edema, such as heart failure, renal failure, liver dysfunction, malnutrition, as well as conditions like cellulitis, t...

[Read More] Understanding Severe Leg Swelling: Causes and Relief Strategies


Is It an Injury or a Disease? Understanding Foot Pain in Athletes

Unconsciousness or injury? I am overweight and enjoy playing basketball. In the past, I often sprained my ankle, and after seeing a doctor, my foot would stop hurting, so I continued playing. Now, if I play for a longer period, my foot starts to hurt, often in the ankle and the h...


Dr. Wang Fangli Reply:
It is true that gout can improve on its own without treatment, but if you experience foot pain after playing sports for an extended period, this is not necessarily a sign of gout. It is advisable to visit a hospital and consult with a family medicine physician for an evaluation.

[Read More] Is It an Injury or a Disease? Understanding Foot Pain in Athletes


Understanding Leg Swelling and Heel Pain: Causes and Treatments

Lower limb lymphadenopathy Hello Dr. Yao, I have two symptoms: 1. There is a hard lump about the size of a half peanut near the left leg at the popliteal fossa; I have noticed it for about three weeks, and sometimes it seems to be smaller. 2. After getting out of bed, I exp...


Dr. Yao Quan Reply:
Dear Mr. Yao, Hello. The hard lump at the acupoint "Shu Xi" may be considered as lymphadenopathy, which could be caused by inflammation, tumors, or other factors. I recommend that you visit our general surgery outpatient department, where the physician will assess the ...

[Read More] Understanding Leg Swelling and Heel Pain: Causes and Treatments


Understanding Uric Acid Levels: Do They Indicate Gout?

Uric acid Hello, I would like to ask about my previous foot pain. I went to see a doctor and the test results showed that my uric acid level is slightly higher than normal. Does this mean I have gout? Should I get another test done? Is gout a condition that can be completely cure...


Dr. Yang Hongzhi Reply:
Hello: If the uric acid level is high along with typical symptoms of a gout attack, a diagnosis of gout can generally be made. However, if only the uric acid level is elevated without typical attacks, it cannot be diagnosed as gout. Most gout treatments are effective, and after a...

[Read More] Understanding Uric Acid Levels: Do They Indicate Gout?


Diabetic Foot Wounds: When Is Amputation Necessary?

If a diabetic patient's foot wound is not healing, is amputation necessary? My mother is 75 years old and has been suffering from diabetes for 10 years. Her blood sugar, blood pressure, and kidney function are all under control. A year ago, she fell and has a wound that is n...


Dr. Guo Qinghui Reply:
Foot problems are one of the common chronic complications in patients with diabetes and are often a factor that necessitates hospitalization. Due to neuropathy, vascular occlusion, and a higher susceptibility to infections, the feet are more prone to ulcers, gangrene, and even th...

[Read More] Diabetic Foot Wounds: When Is Amputation Necessary?


Which Medical Specialty Should You Consult for Diabetic Foot Issues?

Which department should be consulted for a diabetic foot examination? Hello Doctor: Diabetes can lead to foot complications, and which department should one consult for a foot examination? Should it be the Department of Metabolism, Internal Medicine, Surgery, Neurosurgery, Dermat...


Dr. Shi Guangzhong Reply:
1. Regarding which department to consult for foot examinations: Foot lesions can be identified through some simple assessments. Medical institutions within the diabetes care network typically include foot examinations as part of their services. The assessment of small nerve funct...

[Read More] Which Medical Specialty Should You Consult for Diabetic Foot Issues?


Understanding the Risks of Black Fly Bites: A Patient's Journey

Bite from a black fly? Hello Dr. Wang: My medical issue began as follows, and I hope you can help me. Thank you in advance! Many years ago, while camping by a stream near Pinglin, Taipei, I was bitten by a black fly (similar to a housefly). The bite felt like a knife cut and bled...


Dr. Wang Weijie Reply:
Hello: I recommend that you consult an infectious disease specialist for diagnosis and treatment. Sincerely, Dr. Wang Wei-Jie, Internal Medicine.

[Read More] Understanding the Risks of Black Fly Bites: A Patient's Journey


Understanding Vasculitis: Symptoms, Treatments, and Concerns

Vasculitis Hello Doctor: I believe the information I provided last time was not clear enough. I had a biopsy last year that confirmed vasculitis, and I am currently receiving treatment. When the condition occurs, I develop red spots on my lower extremities (from the dorsum of the...


Dr. Zeng Guosen Reply:
Hello: 1. Steroids are a very important medication in clinical practice, often referred to as a "magic bullet" in the United States, and are generally safe when used by specialists. 2. Tightness in the heel may indicate Achilles tendinitis, which can lead to swelling af...

[Read More] Understanding Vasculitis: Symptoms, Treatments, and Concerns


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...

[Read More] Do I Need Medical Attention? Understanding BMI, Pain, and Irregular Cycles


Diabetic Foot Care: Are Sandals Safe and Beneficial?

Diabetic foot problems Foot Issues: Are diabetic patients suitable for wearing sandals? Is it better to have cushioning? There are diabetic-specific shoes available on the market (with more options in sandals), are they beneficial for patients? Is it often recommended to massage ...


Dr. Guo Qinghui Reply:
Diabetic foot is a common complication among individuals with diabetes, and in severe cases, amputation may be necessary. Choosing the right footwear is a crucial step in preventing diabetic foot complications and amputations, as diabetes can lead to peripheral neuropathy, result...

[Read More] Diabetic Foot Care: Are Sandals Safe and Beneficial?


Understanding Foot Pain: Causes and Treatment Options

Soreness in the soles of the feet? Hello Dr. Chen. Two years ago, I helped a friend with a catering job that required prolonged squatting, which resulted in overall body soreness. After working for about six months, I stopped helping (and took a break for nearly six months). My b...


Dr. Chen Baoli Reply:
Hello: Based solely on your description, it is somewhat challenging to achieve an accurate diagnosis. However, since you mentioned that your previous job required prolonged squatting, which often led to overall body soreness... now, if you experience pain in the soles of your fee...

[Read More] Understanding Foot Pain: Causes and Treatment Options


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