Probiotics for Dialysis Patients: Benefits and Considerations
Patients on dialysis taking kidney-protective probiotics? My father has been a dialysis patient for many years due to uremia. He has always enjoyed various health supplements, and he continues to do so after starting dialysis. Recently, he has seen advertisements for kidney-prote...
Dr. Li Jian Reply:
Patients on dialysis who take probiotics may not see significant effects; it is sufficient to follow a diet plan provided by a nutritionist. Thank you for your inquiry.[Read More] Probiotics for Dialysis Patients: Benefits and Considerations
Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Antihypertensive medications, red yeast rice, and nitric oxide? My husband is 43 years old and has been taking blood pressure medication (Lisinopril and Amlodipine) for about six months. Can he take red yeast rice or nitric oxide-related health supplements?
Dr. Lin Wuxuan Reply:
Hello: Since we are unable to ascertain the current health status of the gentleman, it is recommended to bring the dietary supplements he wishes to take to his regular outpatient physician for consultation. Thank you for your inquiry.[Read More] Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Can Fasting Benefit Patients with Ankylosing Spondylitis?
Can fasting be done for ankylosing spondylitis? As the topic suggests, I have been on medication for two years and have maintained a regular exercise routine because I want to improve my athletic performance and achieve a better physique. I am considering trying a 3-day or 5-day ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that fasting will not affect the treatment of ankylosing spondylitis (AS), but it is advisable not to engage in fasting too aggressively. It is recommended to proceed gradually according to what your body can tolerate. Bone health sup...[Read More] Can Fasting Benefit Patients with Ankylosing Spondylitis?
Understanding Kidney Function Tests: What Your eGFR Results Mean
Kidney function tests Hello, doctor. During my health check-up last May, tests for urine protein, urine glucose, urine blood, kidney ultrasound, blood sugar, and blood pressure showed no abnormalities. My blood urea nitrogen was 12.0 mg/dL, creatinine was 0.79 mg/dL, and uric aci...
Dr. Su Zhehong Reply:
Currently, the test results are normal, and there is no need to limit protein and potassium intake. Focus on a balanced diet and regular exercise. For health supplements, use well-known and certified brands.[Read More] Understanding Kidney Function Tests: What Your eGFR Results Mean
Do Health Supplements Affect Birth Control Pills? A Medical Inquiry
Health Supplements and Contraceptive Pills Issues Hello, doctor. I have some allergies and tend to experience nasal congestion in winter. A friend bought a health supplement, "Cordyceps Sinensis capsules," from the pharmacy for me. However, since I am also taking birth ...
Dr. Hong Yuanbin Reply:
Hello, currently there is no clear evidence to suggest that these two medications interact with each other. It is recommended to review the prescribing information for both medications; if there is no mention of interaction, the likelihood of interaction is low. However, it is ad...[Read More] Do Health Supplements Affect Birth Control Pills? A Medical Inquiry
Do Health Supplements Affect Blood Test Results for Infections?
Follow-up questions regarding needle stick infection testing? Hello Dr. Hong, regarding the follow-up question on the 163238 needle stick infection test, will taking health supplements such as fish oil, probiotics, or Antrodia camphorata extract affect the test results for hepati...
Dr. Hong Yuanbin Reply:
Hello, theoretically, food or medication should not affect the test results, so there is no need for special avoidance. Thank you for your inquiry.[Read More] Do Health Supplements Affect Blood Test Results for Infections?
Clarifying Injection Infection Testing Concerns and Dietary Impact
Needle puncture infection testing follow-up questions? Hello Dr. Hong, I have follow-up questions regarding the infection testing for the 163244 needle stick. 1. Since you mentioned that theoretically food and medications do not affect the test results, does this mean that even...
Dr. Hong Yuanbin Reply:
Hello, 1. Yes, it will not have an impact. 2. A normal test result that indicates a problem is referred to as a "false positive," while a test result that shows normal when there is an issue is called a "false negative." Both of these are potential errors in t...[Read More] Clarifying Injection Infection Testing Concerns and Dietary Impact
Understanding Oily Stools: When to Seek Further Medical Evaluation
Oily stools during bowel movements? In the past month or two, I have noticed some oily residue in the toilet water after bowel movements. Although my stools are well-formed, I still feel an oily sensation when wiping. I don't experience much abdominal pain. I have undergone ...
Dr. Hong Yuanbin Reply:
Hello, the first step is to confirm whether it is "oil." It is recommended to not flush the toilet after a bowel movement. If it is oil, you will see oil floating on the surface of the water next to the stool. If you do not see this, the likelihood of it being "oil...[Read More] Understanding Oily Stools: When to Seek Further Medical Evaluation
Managing Concurrent Tuberculosis and Stroke: Challenges and Solutions
The coexistence of pulmonary tuberculosis and cerebrovascular accident (stroke)? Hello, Director. A family member has a history of pulmonary tuberculosis, which was previously treated and resolved. However, they suddenly suffered a stroke, which has made it difficult for them to ...
Dr. Lin Wufu Reply:
Hello, I don't quite understand your question. In principle, the treatment for pulmonary tuberculosis does not conflict with the treatment for a stroke. Anticoagulants or platelet inhibitors do not affect pulmonary tuberculosis (unless the tuberculosis poses a risk of signif...[Read More] Managing Concurrent Tuberculosis and Stroke: Challenges and Solutions
Can Atypical Ankylosing Spondylitis Patients Receive Measles Vaccine?
Can patients with atypical ankylosing spondylitis receive the measles vaccine? Dear Dr. Gao, Can a male family member who is an atypical ankylosing spondylitis patient and has been on bone-strengthening medication receive the measles vaccine? What assessments should be done pri...
Dr. Gao Jiankai Reply:
Hello Ms. Su, thank you for your inquiry. If your family member is only taking Bone Health supplements, it will not affect immune function, and they can receive the measles vaccine. Ankylosing spondylitis itself will not impact the effectiveness of the measles vaccine or increase...[Read More] Can Atypical Ankylosing Spondylitis Patients Receive Measles Vaccine?
Understanding Green Stool: Causes and When to Seek Medical Advice
Frequent green stools? Hello, doctor. I have been experiencing green stools at least three days a week after lunch, as I usually eat out. I'm not sure if it's related to the food, but I take iron supplements in the morning. Recently, my stool test during a health checku...
Dr. Xiao Yongxun Reply:
Dear Ms. Rachel: 1. There are many reasons for green stools; most commonly, it is due to the consumption of certain foods, such as dark green vegetables, iron supplements, or formula milk. It may also be related to liver, gallbladder, or gastrointestinal diseases. In your case,...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Understanding Sjögren's Syndrome: Managing Symptoms and Treatment Options
Sjögren's syndrome Doctor: Hello, I have been experiencing dry mouth and dry eyes, and I initially thought it was due to menopause. However, blood tests revealed that I have Sjögren's syndrome, and the results for lupus and rheumatoid arthritis are still pending. I am c...
Dr. Zeng Guosen Reply:
Hello, user: Mild dizziness, diarrhea, belching, and sweating are likely side effects of the medication. 1. If you only experience dry mouth and dry eyes without any other organ abnormalities, you can discontinue the medication and manage the symptoms. 2. It is possible for the m...[Read More] Understanding Sjögren's Syndrome: Managing Symptoms and Treatment Options
Post-Splenectomy Health Issues: Symptoms, Treatments, and Dietary Tips
Issues After Spleen Removal A family member had a car accident in their teenage years, resulting in a ruptured spleen that was surgically removed. Now at 31 years old, they have been experiencing increasingly poor complexion, fatigue, sensitivity to cold, and general weakness. Wh...
Dr. Chen Qingbin Reply:
Hello Ms. Chen: The spleen has functions related to hematopoiesis and immunity. It is best to seek examination and treatment at a large hospital.[Read More] Post-Splenectomy Health Issues: Symptoms, Treatments, and Dietary Tips
Can Hypertensive Patients Safely Consume Red Yeast Rice Supplements?
Can patients with hypertension consume red yeast rice health supplements? Hello, Doctor. I have been experiencing hypertension (around 140-150 when not on medication) and tachycardia for almost 2 years. Over the past year, my cholesterol levels have been rising, and two months ag...
Dr. Chen Qingbin Reply:
Hello, San: High blood lipids do not necessarily require the use of health supplements; improvements should be made through lifestyle and dietary habits. Red yeast rice supplements should not be taken in conjunction with anticoagulants or lipid-lowering medications.[Read More] Can Hypertensive Patients Safely Consume Red Yeast Rice Supplements?
Post-Weight Loss Symptoms: Hair Loss, Rashes, and Lymph Node Swelling
Aftereffects of weight loss? Hello, Doctor: Last year, after taking traditional Chinese medicine for four months, I lost over 20 kilograms, but then I suddenly experienced significant hair loss (my hair was already thin and soft). I also had two episodes of widespread skin rashes...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Rapid weight loss can indeed lead to hair loss; however, if accompanied by rashes and lymphadenopathy, further investigation is necessary. Generally, a physician will examine the scalp to determine whether the hair loss is simply due to alopecia...[Read More] Post-Weight Loss Symptoms: Hair Loss, Rashes, and Lymph Node Swelling
Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Pediatric Urticaria Urticaria, commonly known as hives, can be caused by various factors, including allergic reactions, infections, stress, and certain medications. The severity of symptoms can vary from mild itching and redness to more severe reactions, such as angioedema or ana...
Dr. Wang Weijie Reply:
Dear Mr. Ke, (1) Urticaria, commonly known as hives, is characterized by raised, itchy red welts that often have distinct snake-like borders, with a central area that may fade. The size of the welts can vary, and many people have experienced urticaria at some point. (2) The cau...[Read More] Understanding Pediatric Urticaria: Causes, Symptoms, Treatment, and Prevention
Understanding Vasculitis: Symptoms, Treatments, and Concerns
Vasculitis Hello Doctor: I believe the information I provided last time was not clear enough. I had a biopsy last year that confirmed vasculitis, and I am currently receiving treatment. When the condition occurs, I develop red spots on my lower extremities (from the dorsum of the...
Dr. Zeng Guosen Reply:
Hello: 1. Steroids are a very important medication in clinical practice, often referred to as a "magic bullet" in the United States, and are generally safe when used by specialists. 2. Tightness in the heel may indicate Achilles tendinitis, which can lead to swelling af...[Read More] Understanding Vasculitis: Symptoms, Treatments, and Concerns
Is OPC Supplement Safe for Patients with Reduced Kidney Function?
Hyperkalemia Hello, I would like to ask if patients with approximately 50% kidney function remaining are suitable for consuming OPC health supplements. The OPC product contains antioxidant components such as grape seed extract at about 25 mg and red wine extract at about 25 mg pe...
Dr. Wu Jiyu Reply:
Hello Ms. Lin, 1. Regarding your question about the health supplement OPC, I apologize that I am not familiar with it. As you mentioned, if kidney function is reduced to half, aside from collaborating with a physician (such as controlling blood pressure, blood sugar, and reducin...[Read More] Is OPC Supplement Safe for Patients with Reduced Kidney Function?
Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
The calculation of creatinine clearance (CCR) can be done using the following formula: \[ \text{CCR} = \ Hello Dr. Yang: I am a patient with Systemic Lupus Erythematosus (SLE) and currently suffering from nephrotic syndrome. My albumin levels have been around 2.8 to 3, and my ch...
Dr. Yang Jun Reply:
Hello: In response to your question, Systemic Lupus Erythematosus (SLE) is one of the causes of nephrotic syndrome. Treatment must focus on controlling the underlying disease (SLE) and reducing kidney function damage. A low-salt and low-protein diet is a method to slow down prote...[Read More] Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
How to Lower Elevated Liver Function Tests: Expert Advice
Liver function Doctor, my liver function levels keep rising. What should I do? Please advise me on how to lower my liver function indices.
Dr. Xiao Jingqin Reply:
First, it is essential to differentiate the types of hepatitis; hepatitis is primarily classified into viral hepatitis, drug-induced hepatitis, alcoholic hepatitis, and fatty liver disease, among others. The first step is to confirm whether there is viral hepatitis, as hepatitis ...[Read More] How to Lower Elevated Liver Function Tests: Expert Advice