Hand, Internal Medicine FAQ - Page 33

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Managing Dizziness and Falls in Elderly Patients with Hypertension

Hypertension. Mild cardiac edema..? Dear Deputy Director: My mother, in her seventies, frequently experiences dizziness and has fallen (she has hypertension and mild cardiac enlargement, which are managed with medication, but she still often feels dizzy and falls). What are the c...


Dr. Cai Yaozhou Reply:
When you see a doctor for "dizziness," it refers to a sensation of lightheadedness, dullness in the head, and visual disturbances, but not to the extent of feeling like the world is spinning. This is often caused by internal medical conditions. On the other hand, "...

[Read More] Managing Dizziness and Falls in Elderly Patients with Hypertension


Finding the Right Specialist for Complex Abdominal Symptoms

Finding the right physician for treatment? My mother is currently 73 years old and has diabetes, heart disease, and hypertension, which she manages with regular doctor visits and medication. This year, she has experienced discomfort in two areas of her body. The first issue is th...


Dr. Xiao Jingqin Reply:
The patient's primary pain is located in the lower abdomen, and it worsens with walking. They also experience loss of appetite and a tendency to feel bloated, which may not necessarily indicate a gastric issue. If we narrow down the problem to the lower abdomen, potentially ...

[Read More] Finding the Right Specialist for Complex Abdominal Symptoms


Understanding the Benefits of Red Sweet Potato Leaf Soup for Hypertension

Dietary Management of Hypertension Dr. Hollo Tsai: 1. My mother's blood pressure has been close to 200 for many years, approximately ten years, and she is currently 53 years old. 2. She recently started taking antihypertensive medication - Prazosin, but she is afraid to meas...


Dr. Cai Yaozhou Reply:
Dr. Andy Sun's Dietary Therapy for Hypertension to Prevent Stroke Hypertension is a common chronic disease in Taiwan, with early symptoms typically including dizziness, headaches, palpitations, insomnia, anxiety, irritability, and fatigue. The appearance of later symptoms d...

[Read More] Understanding the Benefits of Red Sweet Potato Leaf Soup for Hypertension


Understanding Palpitations and Dizziness: Should You See a Doctor?

Palpitations, dizziness? Experiencing dizziness, palpitations, a feeling of shortness of breath that requires deep breathing, and slight weakness or trembling in the hands every afternoon may indicate a thyroid issue. It is advisable to consult a doctor for an evaluation and nece...


Dr. Yang Hongzhi Reply:
Thyroid function tests can be conducted to determine if there are any thyroid function issues. Based on the description of the symptoms, the possibility of hyperthyroidism exists, but it is not very high.

[Read More] Understanding Palpitations and Dizziness: Should You See a Doctor?


Understanding Side Effects of Sleeping Pills: When to See a Doctor

Side effects after taking medication? Hello, Doctor: Due to insomnia, I have been taking the sleeping pills prescribed by you every night before bed. However, recently I have been experiencing frequent pain in the left kidney area upon waking up in the morning, along with numbnes...


Dr. Yao Quan Reply:
Hello Mr. Ahong, due to your insomnia, you have been taking the sleeping medication prescribed by your doctor every night. However, recently you have been experiencing frequent pain in the left kidney area upon waking up in the morning, along with numbness in your hands and feet,...

[Read More] Understanding Side Effects of Sleeping Pills: When to See a Doctor


Understanding Medication Side Effects: When to See a Specialist

Some reactions after medication use? Hello, doctor: Due to insomnia, I have been taking the sleeping pills prescribed by you every night before bed. However, recently I have been experiencing frequent pain in the left kidney area upon waking up in the morning, along with numbness...


Dr. Wu Jiyu Reply:
1. A renal ultrasound can be arranged. 2. A urinalysis can be arranged. General kidney area pain should first rule out issues such as infection or stones before considering other conditions.

[Read More] Understanding Medication Side Effects: When to See a Specialist


Can a 15-Year-Old Still Grow Taller? Insights for Parents

Can a 15-year-old still grow taller? Hello Dr. Yang, I would like to ask you about my son who is currently 14 years and 7 months old. He has mild cerebral palsy affecting his motor neurons, which prevents him from running and jumping like other children. He has a slight tendency ...


Dr. Yang Hongzhi Reply:
Hello: If you have hypothyroidism, you should prioritize treatment for this issue. Hospitals with a metabolism department should be able to handle it.

[Read More] Can a 15-Year-Old Still Grow Taller? Insights for Parents


Managing High Cholesterol with a Low Body Weight: Dietary Tips

Underweight but with high cholesterol? Hello, Director Hsiao: I recently found out from my health check-up that my cholesterol level is high (237). However, I am 162 cm tall and weigh 46 kg, which is underweight. I usually enjoy snacks and eggs. Could you please advise me on what...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Your weight is 46 kg, height is 162 cm, and your Body Mass Index (BMI) is 17.5 kg/m². According to the Department of Health's recommended ideal BMI range of 18.5-23.9, you are indeed underweight. However, being underweight does not nec...

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Understanding Numbness in the Left Hand: Causes and Concerns

Numbness in the hands? Hello Doctor: In the past few days, I have been experiencing frequent numbness in my left hand, similar to the sensation of pressure for too long, leading to poor circulation. I am a bit concerned that I might be having a stroke (or have already had one). R...


Dr. Liu Hongxiang Reply:
The most common cause of hand numbness is "carpal tunnel syndrome," which occurs when the median nerve is compressed as it passes through the carpal tunnel. This condition is often seen in pregnant women, typists, workers who frequently twist their wrists, computer user...

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Understanding Redness in Hands and Feet: Causes and Next Steps

What causes the palms and soles to turn red? My mother is about 58 years old and has already gone through menopause. Recently, she has noticed redness in her palms and soles, without any pain or tingling sensations. She does not have hypertension, but her blood pressure reading i...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many causes for chest tightness, including cardiovascular issues (such as angina, myocardial infarction, aortic dissection, mitral valve prolapse, pericarditis), pulmonary conditions (such as pneumothorax, pulmonary embolism, ple...

[Read More] Understanding Redness in Hands and Feet: Causes and Next Steps


Managing Multiple Chronic Conditions: Risks and Treatments for Your Mother

Multiple chronic diseases Hello Dr. Chen, My mother is 56 years old and has elevated uric acid levels, hypertension, and an allergic constitution. She has been experiencing long-term bone pain, which has now evolved into pain and stiffness in the joints of her hands. She is a he...


Dr. Chen Baoli Reply:
Hello, Xiaoyu: From your description, I would like to highlight a few points: 1. Soy isoflavones, a type of phytoestrogen, serve as an alternative to traditional hormone therapy for the prevention of osteoporosis. However, the actual safe dosage has not been established. There...

[Read More] Managing Multiple Chronic Conditions: Risks and Treatments for Your Mother


Understanding Vasculitis: Symptoms, Causes, and When to Seek Help

Vasculitis Hello Dr. Tseng, I previously had 2 to 3 instances where reddish-brown spots appeared on my hands and feet. I visited a dermatologist, who diagnosed me with vasculitis. They conducted blood tests and a urinalysis, and the results indicated that my immune system activit...


Dr. Zeng Guosen Reply:
Hello: 1. Based on your description, the likelihood of vasculitis is quite high, and further examination is recommended. 2. There should be no correlation with sexual activity or peeling skin. Sincerely, Dr. Tseng Kuo-Sen, Internal Medicine.

[Read More] Understanding Vasculitis: Symptoms, Causes, and When to Seek Help


Understanding Osteoporosis at 22: Causes and Treatment Options

Osteoporosis at the age of 22? Hello doctor... I was diagnosed with osteoporosis at the age of 18. Recently, I went to the hospital for a check-up, and the orthopedic doctor said my osteoporosis has progressed from stage two to stage three. Although I don't like to exercise,...


Dr. Yang Hongzhi Reply:
Some endocrine issues can lead to osteoporosis. Given your symptoms, hyperthyroidism should be considered, and you may want to consult with an endocrinologist.

[Read More] Understanding Osteoporosis at 22: Causes and Treatment Options


Am I Dying? Understanding Unexplained Symptoms and Seeking Help

Am I going to die soon? Doctor, my symptoms are quite strange... 1. When I walk, I feel unsteady... I can't tell if it's my head or my body that's shaking... 2. It feels like something is jumping in my chest, which is very uncomfortable. 3. My chest has been hurtin...


Dr. Hong Hongchang Reply:
For those who are unsure of what to do: Based on your description of the condition, it seems to involve a wide range of issues. However, I recommend starting with a visit to a cardiologist, followed by a consultation with a psychiatrist, so that your symptoms and physical manifes...

[Read More] Am I Dying? Understanding Unexplained Symptoms and Seeking Help


Understanding High Cholesterol: Causes, Symptoms, and Treatment Options

High cholesterol Height 157 cm, weight 50 kg. In recent years, I have undergone three health check-ups. The first one was two years ago, where my cholesterol level was 257. Last September, I had another check-up due to feeling unwell, and my cholesterol was 255. I suspect that th...


Dr. Chen Qingbin Reply:
If cholesterol levels remain above 240 mg/dL despite dietary control, medication therapy should be considered.

[Read More] Understanding High Cholesterol: Causes, Symptoms, and Treatment Options


Can Sweet Drinks Cause Heart Palpitations and Weakness?

Can sweets also cause discomfort in the body? Hello, I recently noticed that whenever I drink sweet beverages like milk tea or soy milk, I experience symptoms such as palpitations and weakness. However, these symptoms disappear after about an hour. I would like to know if this is...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The symptoms of diabetes include polyphagia, polydipsia, polyuria, weight loss, slow healing of wounds, and thirst, among others. If acute complications occur, diabetic ketoacidosis or hyperglycemic hyperosmolar nonketotic coma may develop...

[Read More] Can Sweet Drinks Cause Heart Palpitations and Weakness?


Understanding Cold Extremities and Heart Issues: A Guide for Friends

Cardiac Issues - 2 Hello Dr. Chen: Following up on my previous question, my friend tends to have cold hands and feet during cold weather and sometimes experiences heart discomfort that prevents her from sleeping. Additionally, during her school health check-up, her test results s...


Dr. Chen Qingbin Reply:
The issues you mentioned are related to heart disease, and you should consult a cardiologist for a thorough examination and treatment.

[Read More] Understanding Cold Extremities and Heart Issues: A Guide for Friends


Why Is Fasting Blood Sugar Higher Than Bedtime Levels?

Why is fasting blood glucose higher than pre-bedtime levels? I went to bed with a blood sugar level of 150, and when I woke up in the morning, my fasting blood sugar was 170. Throughout the night, I didn't eat anything except for sleeping. Why did my blood sugar increase? Wh...


Dr. Shi Guangzhong Reply:
Waking up in the morning with elevated fasting blood glucose can be attributed to two phenomena: the Somogyi effect (rebound phenomenon) and the dawn phenomenon. The Somogyi effect occurs in diabetic patients who inject insulin before bedtime or dinner and experience hypoglycemia...

[Read More] Why Is Fasting Blood Sugar Higher Than Bedtime Levels?


Is It Safe to Prescribe Omeprazole Without Proper Diagnosis?

The doctor prescribed Lansoprazole to my mother without performing an X-ray or endoscopy? Hello, Doctor: My mother (46 years old) recently experienced gastrointestinal discomfort and was referred to a clinic in Keelung City by a friend. The physician (approximately 60 years old) ...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. It is advisable to discuss the issues you raised with the physician. 2. The diagnosis of gastric ulcers can be based on clinical symptoms and medical history, upper gastrointestinal barium studies, and upper gastrointestinal endoscopy; the...

[Read More] Is It Safe to Prescribe Omeprazole Without Proper Diagnosis?


Understanding Ankylosing Spondylitis: Testing and Specialist Insights

Ankylosing Spondylitis Hello, doctor: I would like to ask if the hospital can test for "ankylosing spondylitis" and "sacroiliitis." I want to understand which doctors in the rheumatology and immunology department handle follow-up tests. Thank you for your resp...


Dr. Zeng Guosen Reply:
Hello, our hospital can perform tests and evaluations for ankylosing spondylitis. Please make an appointment with Dr. Tseng Kuo-Sen in the Department of Rheumatology, Immunology, and Allergy. Sincerely, Dr. Tseng Kuo-Sen, Internal Medicine.

[Read More] Understanding Ankylosing Spondylitis: Testing and Specialist Insights


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