Managing Gout: Key Questions for Effective Treatment and Prevention
Gout Hello Doctor: I am 34 years old and have experienced gout attacks three times this year (approximately once a year). Currently, I am not taking any medication for prevention or treatment. I would like to ask you a few questions: 1. Since I often have irregular sleep patter...
Dr. Hong Hongchang Reply:
Gout is a joint disorder caused by the overproduction or impaired excretion of uric acid metabolites (purines). In addition to dietary management, alcohol consumption and hydration are also important factors. During acute attacks, colchicine and nonsteroidal anti-inflammatory dru...[Read More] Managing Gout: Key Questions for Effective Treatment and Prevention
Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has be...
Dr. Hong Hongchang Reply:
The patient has hypertension, endocrine disorders, electrolyte imbalances, and postoperative enteritis, which may clinically present with elevated white blood cell counts associated with bacterial infection. Additionally, the patient's use of corticosteroids may lead to decr...[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers
Understanding Unexplained Vomiting, Diarrhea, and Breathing Difficulties
Vomiting and diarrhea? I am experiencing unexpected vomiting and diarrhea, along with difficulty breathing, which makes me feel very unwell. Doctor, what could this illness be? Additionally, these symptoms occur every so often.
Dr. Hong Hongchang Reply:
1. Symptoms of gastrointestinal discomfort are related to dietary habits and types of food such as tea, coffee, spicy foods, dairy products, and fried foods. 2. Lifestyle factors such as sleep and stress also play a role. 3. Overall health conditions like colds, pregnancy, insomn...[Read More] Understanding Unexplained Vomiting, Diarrhea, and Breathing Difficulties
Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options
What is Shy-Drager syndrome? My mother has been experiencing gastrointestinal discomfort for over ten years, with frequent abdominal pain and diarrhea. Doctors believe she has colonic dysmotility and have also mentioned irritable bowel syndrome. In recent years, she has been diag...
Dr. Ke Zhengchang Reply:
Hello Ms. Tsai: Sjögren's syndrome is an autoimmune disease characterized by symptoms such as chronic dry eyes, dry mouth, keratoconjunctivitis, and difficulty swallowing (due to reduced saliva), as well as bilateral parotid gland enlargement. It often coexists with other au...[Read More] Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Helicobacter Pylori: Causes of Bad Breath and More
Helicobacter pylori I found online that "Helicobacter pylori" can cause bad breath when fasting or feeling hungry. Since I have regular oral check-ups with my physician every year, it should not be related to oral hygiene. Could you please share your thoughts on "H...
Dr. Ke Zhengchang Reply:
Hello, SS: Helicobacter pylori is associated with gastritis and peptic ulcers, but it is not directly related to halitosis. If you are experiencing gastrointestinal discomfort, please follow up with a gastroenterology clinic for further evaluation and treatment.[Read More] Understanding Helicobacter Pylori: Causes of Bad Breath and More
Understanding the Symptoms of Veterans' Disease: A Guide for Patients
Symptoms of Veterans' Disease? Hello Dr. Ke: What are the symptoms of Veterans' Syndrome (also known as Gulf War Syndrome) during its onset? Thank you!
Dr. Ke Zhengchang Reply:
Hello Lily: The symptoms are similar to those of general pneumonia, such as fever, cough, and chest pain. In severe cases, there may be difficulty breathing, confusion, and gastrointestinal discomfort.[Read More] Understanding the Symptoms of Veterans' Disease: A Guide for Patients
Severe Back Pain: Understanding Nighttime Discomfort and Possible Causes
Excruciating back pain? I would like to inquire about back pain (approximately located at the back, between the ribs) that is very painful (to the point of being unbearable) and occurs mainly at night. The individual has a history of ovarian tumor removal, and I wonder if this is...
Dr. Yang Guojun Reply:
There are many causes of back pain, ranging from the simplest and most common, which is muscular and nerve pain, to more serious conditions such as stones or tumors (for example, chronic back pain could be a sign of colon cancer with bone metastasis) or severe back pain due to ao...[Read More] Severe Back Pain: Understanding Nighttime Discomfort and Possible Causes
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 Gastrointestinal Discomfort: Insights for Office Workers
Gastrointestinal discomfort? Hello! I am an office worker and spend most of my time sitting in the office. I have low physical activity, and my Hepatitis B surface antigen is positive, while the e antigen is negative. My weight and height are 70 kg and 173 cm, respectively. I smo...
Dr. Yang Guojun Reply:
1. Your condition may involve hepatitis B, fatty liver, duodenal ulcer, and irritable bowel syndrome, along with renal insufficiency. Please start by losing weight, quitting smoking, and undergoing triple therapy for the treatment of the duodenal ulcer. 2. The presence of hepat...[Read More] Understanding Gastrointestinal Discomfort: Insights for Office Workers
Understanding Diarrhea: Causes and Concerns After Four Days of Symptoms
Diarrhea Hello Dr. Hong: I have been experiencing diarrhea for four days, with about five bowel movements each day. I feel gas moving in my abdomen (two years ago, I had an endoscopy that showed some erosion, and I often experience bloating in my stomach). Recently, I have been u...
Dr. Hong Hongchang Reply:
Based on your description, diarrhea may be triggered by emotions or certain foods (such as dairy products), which are typical clinical manifestations of irritable bowel syndrome (IBS). It is recommended to maintain a calm mood and avoid foods that cause gastrointestinal discomfor...[Read More] Understanding Diarrhea: Causes and Concerns After Four Days of Symptoms
Understanding Stomach Discomfort: Causes and Remedies Explained
My stomach? Hello! I have never had an endoscopy before, but sometimes when I haven't eaten, my head feels a bit dizzy and uncomfortable, and it might hurt. Usually, when this happens, I drink a cup of warm milk and after a few minutes, I eat a little bit of food (carbohydra...
Dr. Li Huixiong Reply:
Hello Miss Fiona: Experiencing dizziness while fasting may raise suspicion for "hypoglycemia" symptoms; however, there may also be other signs such as palpitations, tremors, and cold sweats, which is another issue altogether. If fasting makes you uncomfortable but eatin...[Read More] Understanding Stomach Discomfort: Causes and Remedies Explained