Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments
Is it diabetes? Hello Doctor: Since November, I have been experiencing hematuria. X-rays and ultrasounds showed no stones and were normal. Urinalysis results indicated the presence of white blood cells and red blood cells. The doctor mentioned it might be urethritis. Additionally...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the diagnostic criteria for diabetes are generally as follows: 1. A fasting plasma glucose level of greater than or equal to 126 mg/dL after fasting for at least 8 hours. 2. The presence of clinical symptoms of diabetes such as polyuria, polyd...[Read More] Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments
Understanding Hand and Foot Tremors: When to Seek Medical Advice
Tremors in the hands and feet? Hello, doctor. I am a very overweight girl, weighing about 85 kg and standing 160 cm tall. I often feel weak and even tremble when I'm hungry. Last time I was at the hospital, my blood sugar was measured (finger prick) two hours after a meal, a...
Dr. Liu Hongxiang Reply:
In healthy individuals, fasting blood glucose levels range from 70 to 110 mg/dL, and should not exceed 120 mg/dL two hours after a meal. Based on your value of 143 mg/dL after eating, this is considered elevated. Elevated levels often cause symptoms such as trembling in the hands...[Read More] Understanding Hand and Foot Tremors: When to Seek Medical Advice
Understanding Joint Aspiration for Gout: Key Questions Answered
Questions about joint aspiration? Symptoms: Hello, doctor. I have a history of gout! I would like to ask if joint aspiration for crystal examination can only detect crystals during an acute gout attack (redness and swelling), or is there no chance of detecting them when I am asym...
Dr. Zeng Guosen Reply:
Hello: 1. Hyperuricemia can lead to the formation of joint crystals, and during acute episodes, white blood cells can be seen phagocytizing these crystals. The two are different. 2. The larger the joint, the easier it is to aspirate; however, the soles of the feet cannot be aspir...[Read More] Understanding Joint Aspiration for Gout: Key Questions Answered
Managing Diabetes: Addressing Nerve Issues and Rehabilitation Options
Diabetes issues Hello Doctor: My mother has had diabetes for 9 years and has been taking medication to control her blood sugar. Recently, she has been experiencing numbness in her right hand and foot. I have seen your responses to other patients and understand that this is caused...
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Diabetic neuropathy may affect peripheral nerves, leading to symptoms such as numbness, tingling, and pain in the distal extremities, typically in the hands and feet. It can also cause soreness and weakness in proximal muscles, such as th...[Read More] Managing Diabetes: Addressing Nerve Issues and Rehabilitation Options
Understanding Redness and Swelling in Toes: Gout or Uric Acid?
Redness and swelling? I experience redness and swelling in my toes every winter. Could this be caused by gout or uric acid?
Dr. Chen Jingwen Reply:
Hello! When we consume protein-rich foods, they are metabolized into uric acid in the body. Elevated blood uric acid levels can lead to the deposition of urate crystals in soft tissues, joint capsules, or organs such as the kidneys, causing inflammation in the joints, which resul...[Read More] Understanding Redness and Swelling in Toes: Gout or Uric Acid?
Understanding Sudden Foot Swelling: Causes and When to Seek Help
Swollen feet? I recently noticed swelling on my foot (in the area where the heel connects to the calf, above it). About a week or two ago, I discovered a small lump that appeared suddenly, without any trauma or injury. It has since grown larger, approximately the size of a nickel...
Dr. Zeng Guosen Reply:
Hello: Based on your description of increasing redness and swelling, it is likely related to inflammation or could be a concern for infectious or rheumatologic conditions. If you are experiencing pain that prevents you from walking or have a fever, it is advisable to visit the em...[Read More] Understanding Sudden Foot Swelling: Causes and When to Seek Help
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun Reply:
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Is High Uric Acid Level a Definitive Indicator of Gout?
Having high uric acid levels does not necessarily mean that one has gout? Dear Doctor: A few months ago, I sought medical attention because my entire foot was swollen. After a blood test, the doctor informed me that my uric acid level was as high as 9.2. Does this mean I have gou...
Dr. Chen Fuquan Reply:
1. A high uric acid level does not necessarily lead to gout symptoms. 2. The normal range for uric acid in the blood is 2.4 to 7.6 mg/dL. If the uric acid level exceeds 7.6 mg/dL, it is referred to as "hyperuricemia." Typically, men have higher uric acid levels (about s...[Read More] Is High Uric Acid Level a Definitive Indicator of Gout?
Which Specialist to See for Muscle Inflammation in the Foot?
Muscle inflammation If you have inflammation in the muscles of the foot, you should consult a specialist in orthopedics or a podiatrist. Thank you.
Dr. Yu Xianneng Reply:
Muscle inflammation should be evaluated by either an orthopedic specialist or a rheumatologist.[Read More] Which Specialist to See for Muscle Inflammation in the Foot?
Understanding Leg Cramps: Causes and When to Seek Medical Advice
Please help me, doctor? Hello, doctor. Last night while I was sleeping, I moved the blanket with my right foot, and I suddenly felt a sharp pain in the back of my right calf. It felt like something was continuously cramping, which was very uncomfortable. I'm concerned about ...
Dr. Ke Zhengchang Reply:
Hello: There are many causes for calf muscle cramps, including muscle fatigue, deficiencies in potassium and calcium ions, and the use of medications such as diuretics and bronchodilators. It is recommended to follow up with a neurology outpatient clinic for further evaluation an...[Read More] Understanding Leg Cramps: Causes and When to Seek Medical Advice
Navigating Diabetes Complications: A Daughter's Plea for Guidance
I'm sorry, but I need specific content to translate. Please provide the text you would My father, who has always had a strong personality, has been suffering from diabetes for the past three years without letting any of his friends or family know. It wasn't until Decemb...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, I am deeply sorry to hear about your father's condition. The complications of diabetes include macrovascular diseases such as heart and cerebrovascular disorders, as well as microvascular diseases like retinopathy, nephropathy, and periphe...[Read More] Navigating Diabetes Complications: A Daughter's Plea for Guidance
Understanding Lymph Node Swelling in Children: Causes and Concerns
Lymph node Yesterday, my third-grade son suddenly discovered a small hard lump above his groin (which is not painful). I was very anxious and immediately took him to see his family doctor. The doctor initially diagnosed it as lymphadenopathy and prescribed anti-inflammatory medic...
Dr. Zhao Chongliang Reply:
The inflamed area may not be very obvious. For example, when bitten by a mosquito while sleeping at night, one might unknowingly scratch the itch, transferring bacteria from under the fingernails into the bite wound. By morning, the redness and swelling caused by the bite may hav...[Read More] Understanding Lymph Node Swelling in Children: Causes and Concerns
Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
I'm sorry, but I need specific content to translate. Please Hello: I would like to ask about the pathological mechanism of gout, what medications are used for treatment, and what symptoms it has?
Dr. Ke Zhengchang Reply:
Gout is formed due to prolonged elevated levels of uric acid in the blood, leading to the formation of urate crystals in the joint cavity, which causes acute attacks characterized by redness, swelling, heat, and pain in the joints. Over time, this can result in joint deformities ...[Read More] Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
Supporting a Young Friend with Type 1 Diabetes: Essential Care Tips
A 20-year-old patient with diabetes!? Hello Doctor: I am truly at a loss and would like to seek your advice. I have a female friend who has informed me that she has a hereditary form of diabetes, diagnosed as Type 1 diabetes. She must inject insulin daily to maintain her blood su...
Dr. Yang Hongzhi Reply:
1. If there are abnormalities in foot sensation, the risk of foot ulcers increases. It is important to regularly inspect the feet. If there are sensory abnormalities or a history of foot ulcers, custom footwear may be considered. 2. For young women with reasonably controlled bl...[Read More] Supporting a Young Friend with Type 1 Diabetes: Essential Care Tips
Understanding Joint Aspiration: Is It Gout and What to Expect?
Joint aspiration Doctor... I went to the hospital yesterday to have joint fluid extracted, but they couldn't get any. The swelling in my left foot has not gone down for 2 to 3 months; sometimes it hurts, and sometimes it doesn't. I used to have swelling in my right inde...
Dr. Ke Zhengchang Reply:
1. If the swelling in your left foot has not resolved after 2 to 3 months, it is important to consider the possibility of other underlying issues, including infections or rheumatoid arthritis. Please discuss this further with your physician. 2. With a uric acid level of 12 and ...[Read More] Understanding Joint Aspiration: Is It Gout and What to Expect?
Understanding Leg Swelling: Causes, Symptoms, and When to Seek Help
Edema I often experience swelling in my legs, especially when I am tired from work. I have a cramping sensation from my buttocks to my calves. Recently, I had a urine protein test and a spinal X-ray at the hospital, both of which returned normal results. I am unsure of the cause....
Dr. Chen Guifeng Reply:
The urine protein test is normal, which should rule out kidney issues. Additionally, since your edema seems to be more pronounced in the afternoon and evening after work, it is likely due to slower venous return, causing fluid accumulation in the legs. Engaging in some foot exerc...[Read More] Understanding Leg Swelling: Causes, Symptoms, and When to Seek Help
Can Hyperbaric Oxygen Therapy Help Alleviate Dizziness in Seniors?
Dizziness My father, who is 70 years old, developed a condition commonly known as shingles (herpes zoster) on the sole of his left foot in February this year, which caused nerve pain and made it difficult for him to walk. He was subsequently hospitalized in June at a hospital in ...
Dr. Xiao Yongxun Reply:
Hello, in response to your inquiry: 1. There are many causes of dizziness, which can be broadly categorized into central and peripheral types. Each category encompasses various underlying reasons, ranging from benign to malignant forms of dizziness. These can include vascular a...[Read More] Can Hyperbaric Oxygen Therapy Help Alleviate Dizziness in Seniors?
Understanding Foot Pain Upon Waking: Causes and Solutions
Sore feet? I am a college student who exercises frequently and generally has good health. However, I have been experiencing a concern lately: every time I get out of bed in the morning and step onto the floor, the soles of my feet feel very sore, but the discomfort goes away afte...
Dr. Yang Jun Reply:
Hello: In response to your question, there are no specific kidney diseases that solely cause foot pain. Generally, kidney diseases may present with symptoms such as hematuria, proteinuria, edema, and fatigue. If kidney function is suspected to be an issue, it is advisable to cons...[Read More] Understanding Foot Pain Upon Waking: Causes and Solutions
Managing Diabetes and Nerve Pain: Seeking Solutions for Severe Symptoms
Diabetes mellitus I would like to ask the doctor. My mother is 51 years old and has been suffering from diabetes for about 5 years. She often experiences numbness in her limbs, especially in her feet, to the point where she doesn't feel it even when her shoes fall off. This ...
Dr. Ke Zhengchang Reply:
In response to SHIN: The primary treatment for diabetic neuropathy is the control of blood glucose levels, as other medications have limited efficacy. It is recommended to follow up with a metabolic clinic for treatment, and a detailed examination by a neurologist is also necessa...[Read More] Managing Diabetes and Nerve Pain: Seeking Solutions for Severe Symptoms
Understanding Tetanus Symptoms and When to Get a Tetanus Shot
What are the symptoms of tetanus? If someone is stabbed by a knife or scissors, is there a risk of tetanus? Is it necessary to receive a tetanus shot? What are the symptoms of tetanus? Please let me know. Thank you.
Dr. Ke Zhengchang Reply:
Hello, Ms. Yuequan: In cases of injuries caused by contaminated sharp objects, bamboo splinters, or dog bites, in addition to thorough wound debridement, receiving a booster tetanus vaccine is beneficial for preventing the occurrence of tetanus. Symptoms of tetanus include genera...[Read More] Understanding Tetanus Symptoms and When to Get a Tetanus Shot