Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments
Hyperthyroidism Hello Doctor, I have been taking two anti-thyroid medications in the morning and evening, along with one medication to control my heart rate for about two months. On April 12, I had a blood test, and the results (which I will review on May 10) showed free T4 = 0.9...
Dr. Yang Hongzhi Reply:
Hello: Sometimes, thyroid function tests may return to normal, but there are still some symptoms of palpitations. In this case, you can resume taking the medication that initially controlled the sympathetic nervous system. Adjustments to thyroid medication should primarily be bas...[Read More] Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments
Understanding Diabetic Neuropathy: Concerns and Management Strategies
Diabetic neuropathy issues? Hello Dr. Shi: My mother is a diabetic and she is 65 years old. Last year, she underwent surgery for cervical spondylosis (she initially went for surgery due to numbness in her left hand), but unexpectedly, after the surgery, she experienced weakness i...
Dr. Shi Guangzhong Reply:
From your letter, it is evident that your mother has been struggling with weakness in her limbs for quite some time. There are many potential causes for limb weakness, including blood sugar control issues and cervical spondylosis. It appears that your mother's weakness has s...[Read More] Understanding Diabetic Neuropathy: Concerns and Management Strategies
Understanding Hand Tremors and Palpitations: When to Seek Medical Help
I would like to ask..? Dear Dr. Yang, I would like to ask about my symptoms: my hands tremble, I experience palpitations, and my heart rate is faster than normal. Initially, I thought I had hyperthyroidism, but my blood test results came back negative. However, I still have sym...
Dr. Yang Hongzhi Reply:
Hello: If the symptoms are not very pronounced, it may not be necessary to see a physician. If it seems more like a neuropsychiatric issue and the symptoms cause significant distress, it is advisable to consult a psychiatrist first.[Read More] Understanding Hand Tremors and Palpitations: When to Seek Medical Help
Sudden Swelling of Hands, Feet, and Lips: Lupus or Sun Exposure?
Sudden swelling of the hands, feet, and lips? I have lupus erythematosus. Yesterday, during the Qingming Festival, I was exposed to the sun while visiting graves. After that, I felt nauseous, had a headache, and my hands and feet became swollen. Could this be related to sun expos...
Dr. Zeng Guosen Reply:
Hello: According to netizens, symptoms appear to occur under sun exposure, which may be related to sun exposure and could be a physiological reaction or other underlying health issues. For safety, it is recommended to follow up with an outpatient clinic for further examination to...[Read More] Sudden Swelling of Hands, Feet, and Lips: Lupus or Sun Exposure?
Understanding HIV Transmission Risks in Emergency Situations
Regarding HIV infection? Hello Doctor: My boyfriend recently assisted in handling a car accident on the street. Due to significant bleeding from the injured party, he used tissue paper to help stop the bleeding, which resulted in some of the other person's blood getting on h...
Dr. Lin Mingfeng Reply:
1. If the skin is intact, the chance of contracting HIV from exposure to the blood of an HIV-positive individual is nearly zero. 2. However, most of the time we are uncertain if there are small cuts on our hands, so healthcare workers wear gloves in all situations where there may...[Read More] Understanding HIV Transmission Risks in Emergency Situations
Should You Seek Medical Attention for Hypothyroidism Symptoms?
Should I seek medical attention for hypothyroidism? Hello, doctor. I am currently seeking treatment for mental health issues. Aside from psychological problems, I do not have any major physical illnesses. The psychiatrist mentioned that hypothyroidism might affect emotional issue...
Dr. Yang Hongzhi Reply:
Hello: Your symptoms suggest that you should consider the possibility of hypothyroidism, and it is advisable to see a specialist in metabolic disorders.[Read More] Should You Seek Medical Attention for Hypothyroidism Symptoms?
Understanding Sneezing: Is It Normal to Smell Unusual Odors?
sneezing Hello Doctor, I would like to ask a question. When I sneeze, I cover my nose with my hand, and sometimes I notice an unusual smell. Could this indicate a problem with my body? Thank you for your response amidst your busy schedule.
Dr. Zhong Weisheng Reply:
Covering your mouth when sneezing is a good hygiene practice. If you sometimes notice an unusual odor, it may originate from your oral cavity, teeth, or nasopharynx. Therefore, it is recommended to brush your teeth regularly and avoid smoking. If the odor persists, consider visit...[Read More] Understanding Sneezing: Is It Normal to Smell Unusual Odors?
Understanding the Connection Between Finger Pain and Stomach Issues
Finger and stomach pain? Dear Dr. Tseng, Over the past year, I have experienced cracking, bleeding, redness, swelling, and itching of the skin on my fingers. I initially thought it was a condition related to "wealthy hands" and sought treatment from both traditional Ch...
Dr. Zeng Guosen Reply:
Dear Angel, 1. Finger deformity, inability to bend the fingers, and cold fingers may be associated with Raynaud's phenomenon. A decrease in complement levels indicates an abnormality in the immune system, which is unrelated to premature infants. It is recommended to consult...[Read More] Understanding the Connection Between Finger Pain and Stomach Issues
Understanding Uncontrolled Hand Tremors: Causes and Concerns
Hand Hello Doctor: I would like to ask about my hands occasionally shaking involuntarily. Is this a sign of a problem in my body? Which part might be affected? Thank you!
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. There are many causes of "tremors," generally classified into resting tremors and action tremors. The former includes Parkinson's disease, progressive supranuclear palsy, carbon monoxide poisoning, stroke, and mitochondrial d...[Read More] Understanding Uncontrolled Hand Tremors: Causes and Concerns
Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...
Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Understanding Internal Discomfort in Hands, Feet, and Chest During Sleep
Nourishing the hands and feet? Why do I sometimes feel a tingling or aching sensation in my palms, soles, and heart (chest) while I sleep? It's not on the surface; it feels like it's coming from within, and I can't seem to fall asleep as if someone is scratching me...
Dr. Lin Mingfeng Reply:
Based on your description of itching in the palms and soles, this is an issue related to sensory abnormalities. It is important to first observe for any skin lesions and the possibility of allergies, and to also consider neuropathy. However, if there is also itching in the chest ...[Read More] Understanding Internal Discomfort in Hands, Feet, and Chest During Sleep
Managing Thyroid and Heart Medications: What You Need to Know
Thyroid medication and cardiac medication (hypothyroidism)? After my mother visited the doctor, she was prescribed two medications: one is a thyroid hormone replacement, Eltroxin 0.1 mg (white round tablet), and the other is a cardiovascular medication, Concor 5 (yellow heart-sha...
Dr. Yang Hongzhi Reply:
Hello, sister: Patients with hypothyroidism who experience palpitations and tremors after using Eltroxin should consider dosage issues. Many individuals require lifelong use of Eltroxin. After treatment for hypothyroidism, patients can undergo surgery for other medical conditions...[Read More] Managing Thyroid and Heart Medications: What You Need to Know
Understanding Hand Numbness: Causes and Treatment Options
The hands often experience numbness? Doctor, I have been experiencing hand numbness unexpectedly for about five years. It seems to occur more frequently when I am tired. I have cervical spondylosis with bone spurs, and I am currently undergoing rehabilitation at the hospital. Cou...
Dr. Yang Hongzhi Reply:
Hello, Ah Shu: Cervical osteophytes can compress nerves, leading to neurological symptoms, including sensations of numbness. Rehabilitation therapy may be beneficial, but in more severe cases, surgery may be necessary.[Read More] Understanding Hand Numbness: Causes and Treatment Options
Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
I'm very scared? Hello doctor, I have been experiencing some difficulty with bowel movements lately. It has been over a week since my last bowel movement. After drinking vinegar and eating apples, I finally felt the urge to go. However, when I did, I noticed bright red blood...
Dr. Li Huixiong Reply:
Based on your age and the symptoms you described, the likelihood of blood in your stool being caused by constipation is higher, rather than being a result of malignant tumors such as colorectal cancer. Additionally, the abdominal impact from riding a motorcycle a few days ago is ...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Why Do My Fingers Swell and Feel Tight Upon Waking?
Waking up with swollen and tight fingers? Hello Dr. Yao: May I ask why my fingers are swollen and tight upon waking up? Thank you.
Dr. Yao Quan Reply:
Dear Mr. Pu Pu, Edema indicates an excess of fluid. Since the distribution of fluid is primarily determined by gravity, if there is generalized edema, it may be more pronounced in the lower extremities during the day, while upon waking, the edema may be more noticeable in the up...[Read More] Why Do My Fingers Swell and Feel Tight Upon Waking?
Managing High Cholesterol: Tips for Daily Life and Treatment
Individuals with hyperlipidemia should pay attention to the following aspects in their daily lives: 1. **Dietary Choices**: Adopt a heart-healthy diet that is low in saturated fats, trans fats, and cholesterol. Focus on consuming fruits, vegetables, whole grains, and lean prote...
Dr. Cai Yaozhou Reply:
Hyperlipidemia can have significant effects on the human body, as lipids can easily deposit in the arterial walls, accelerating the process of atherosclerosis and leading to diseases such as myocardial infarction and stroke. Elevated triglyceride levels can also increase the risk...[Read More] Managing High Cholesterol: Tips for Daily Life and Treatment
Understanding Primary Pulmonary Hypertension: Key Differences from General Hypertension
Primary pulmonary hypertension What is primary pulmonary hypertension, and how does it differ from general hypertension?
Dr. Zhong Weisheng Reply:
Xiao Guo: What you are asking about is primary pulmonary hypertension and how it differs from general hypertension. Pulmonary hypertension refers to the increased pressure in the pulmonary arteries due to primary pulmonary vascular diseases (primary pulmonary hypertension) accomp...[Read More] Understanding Primary Pulmonary Hypertension: Key Differences from General Hypertension
Managing Complications of Diabetes: Addressing Nerve Pain and Fatigue
What are some complications associated with diabetes? Hello Dr. Shi, I would like to ask about my mother, who is 68 years old and has a hereditary form of diabetes. She has been diagnosed for over 30 years. Previously, she managed her condition with oral medications, but two year...
Dr. Shi Guangzhong Reply:
Regarding your mother's condition, the main concern is complications. Your mother has had diabetes for 30 years, which can lead to various complications. Numbness in the hands and feet is a common neuropathic complication related to past blood sugar control and the duration ...[Read More] Managing Complications of Diabetes: Addressing Nerve Pain and Fatigue
Is My Blood Test Normal? Understanding MCV and Anemia Concerns
Could you please provide more details about the report in question? Hello Doctor: A few days ago, my health check report came out. One item was highlighted in red, M.C.V 97.7, and the comments below indicated possible microcytic anemia, iron deficiency anemia, or thalassemia, sug...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Anemia is a common clinical symptom, typically referring to a decrease in the number of red blood cells, hemoglobin levels, or hematocrit. MCV stands for mean corpuscular volume, which indicates the average volume of red blood cells, mea...[Read More] Is My Blood Test Normal? Understanding MCV and Anemia Concerns
Do You Need High Doses of Vitamin C for Urticaria Relief?
Do hives require a large intake of vitamin C? I have been experiencing a rash for half a month. Although I have undergone blood tests, the results have not yet come back. My condition includes numerous red rashes on my hands and body, and I also feel tightness and discomfort in m...
Dr. Zeng Guosen Reply:
Hello: The treatment of urticaria with vitamin C and B is not a medically recommended approach and may be based on hearsay. It is essential to identify the underlying cause of urticaria to achieve complete control of the condition. However, in most cases of chronic urticaria, the...[Read More] Do You Need High Doses of Vitamin C for Urticaria Relief?