Alternatives to Colchicine for Gout in Patients with Favism
Favism & Gout Hello, due to having G6PD deficiency, I have been experiencing a gout flare-up these past few days. I have had gout before and consulted a rheumatologist who prescribed colchicine and pain relievers. However, I recently discovered that individuals with G6PD defi...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. In Taiwan, patients with G6PD deficiency (favism) exhibit varying degrees of severity. Some patients have a milder form of the condition, which allows for a greater safety margin when using medications, resulting in fewer severe side effects. W...[Read More] Alternatives to Colchicine for Gout in Patients with Favism
Can Taking Baktar Tab 400 MG Cause Long-Term Effects in Favism Patients?
Consumption of Baktar Tab 400 mg in individuals with G6PD deficiency can lead to hemolysis. The potential for long-term sequelae depends on the severity of the hemolytic episode. In most cases, if the hemolysis is mild and managed appropriately, there may be no lasting effects. H...
Dr. Wu Hongjie Reply:
Hello: Individuals with favism (G6PD deficiency) may experience hemolysis and a decrease in hemoglobin levels when exposed to oxidizing agents. The increase in bilirubin levels is indicative of hemolytic anemia, which can last approximately 8 to 14 days, depending on the oxidativ...[Read More] Can Taking Baktar Tab 400 MG Cause Long-Term Effects in Favism Patients?
Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?
Abnormal blood glucose levels with consistently normal glycated hemoglobin (HbA1c) may not necessarily indicate diabetes. It is important to consider other factors and conduct further testing to determine the underlying cause of the abnormal blood glucose levels? Hello Doctor, fo...
Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for more than 8 hours; b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance tes...[Read More] Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?
Does Favism Disappear with Age? Understanding the Condition
Regarding Favism (G6PD deficiency) Hello! Does G6PD deficiency disappear with age?
Dr. Wu Jiyu Reply:
Regarding this issue, a physician has already responded on "Taiwan e-Hospital." Please refer to the following link: http://sp1.hso.mohw.gov.tw/doctor/Often_question/type_detail.php?q_type=%E8%A0%B6%E8%B1%86%E7%97%87&UrlClass=%E5%85%92%E7%A7%91 Thank you for your inq...[Read More] Does Favism Disappear with Age? Understanding the Condition
Understanding Favism: Blood Tests and Military Exemption Criteria
Regarding the issue of Favism? Hello, doctor! I would like to ask if testing for G6PD deficiency can be done with a regular blood test? Additionally, I have heard that patients with G6PD deficiency may be exempt from military service. According to the current "Standards for ...
Dr. Yang Hongzhi Reply:
Hello: Favism is caused by a deficiency of the enzyme G6PD. Diagnosis can be made by testing the activity of G6PD through a blood sample. Most individuals with this condition are asymptomatic, and hemolytic anemia occurs only after the ingestion of certain medications or foods.[Read More] Understanding Favism: Blood Tests and Military Exemption Criteria
Fever Management in Patients with G6PD Deficiency: Safe Medication Options
Patients with G6PD deficiency (favism) should use acetaminophen (paracetamol) for fever reduction. It is important to avoid non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin, as they may pose risks for these patients. Always consult a healthcare professi...
Dr. Ke Zhengchang Reply:
Hello, Ami: Common pain relievers and antipyretics such as Panadol (acetaminophen), Voltaren (diclofenac), or ibuprofen are safe for individuals with G6PD deficiency. However, antibiotics such as sulfonamides or Negacide should not be used.[Read More] Fever Management in Patients with G6PD Deficiency: Safe Medication Options
Understanding Causes of Gastrointestinal Bleeding in Children: A Parent's Guide
Causes of gastrointestinal bleeding in children? Our second child, a boy in the fourth grade (height 126 cm, weight 26 kg), usually does not complain of stomach pain, has a good appetite, and eats plenty of fruits and vegetables. However, he occasionally experiences constipation....
Dr. Li Huixiong Reply:
Could you please tell me what color your child's vomit was? Was there any coffee ground appearance? Did they consume pig's blood soup or duck blood cake previously? In theory, gastrointestinal bleeding can occur at any age, but it is uncertain whether your child is expe...[Read More] Understanding Causes of Gastrointestinal Bleeding in Children: A Parent's Guide