Understanding Discomfort from Skipping Meals: Causes and Solutions
Discomfort caused by excessive hunger? Hello Doctor: I have experienced 2 to 3 episodes of extreme hunger leading to discomfort over the past year (for example, only having breakfast, skipping lunch, and eating dinner). The symptoms I experience include intense hunger, trembling ...
Dr. Li Zhiyao Reply:
Hello, Xiao Kai: Based on your description, your symptoms of discomfort seem to be more like those caused by "hypoglycemia." I recommend the following: 1. Limit your intake of sugary beverages. 2. Maintain regular and balanced meals. 3. Consult an endocrinologist.[Read More] Understanding Discomfort from Skipping Meals: Causes and Solutions
Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits
Pneumonia Hello, doctor... My mother is 60 years old! She initially sought treatment at a clinic for a urinary tract infection but only received injections and medication without improvement for about ten days. She then started experiencing high fevers around 39 to 40 degrees Cel...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your mother's condition may have worsened. If she is feeling very unwell, it is advisable to seek emergency care. Regarding her lung condition, it appears to be quite complex and may involve atypical pathogens or inflammation c...[Read More] Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits
Struggling to Lose Weight: Why Diet and Exercise Aren't Working
No matter how I eat and exercise, I still can't lose weight? I am currently 171 cm tall and weigh 90 kg, and I have been obese for nearly six years. My weight has been gradually increasing. My diet is normal, and I rarely snack. I have consistently engaged in both aerobic an...
Dr. Li Zhiyao Reply:
Hello Aya, Coincidentally, I have also been working on weight loss recently, and I would like to share my experience for your reference. There is an abundance of knowledge regarding weight loss that cannot be detailed here, so I recommend consulting an endocrinologist and a nut...[Read More] Struggling to Lose Weight: Why Diet and Exercise Aren't Working
Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Urinary protein and blood glucose? A few days ago, my father went to the clinic for a blood test, and the results are as follows: Urine protein 1+, fasting blood glucose 125 mg/dL (after fasting for just over 7 hours), total cholesterol 127 mg/dL, triglycerides 229 mg/dL, HDL 39....
Dr. Hong Yuanbin Reply:
Hello, In response to your father's concerns, here are my replies: First, regarding the protein in urine, the clinic report indicates a preliminary positive result. It is recommended to visit a larger hospital for a quantitative urine protein test, and possibly a 24-hour ...[Read More] Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Should You See a Doctor for Thalassemia Concerns?
Should individuals with thalassemia see a doctor? Hello doctor, there is a history of thalassemia in my family, and I suspect I might have it as well. During high school, I was diagnosed during a health check-up. I have previously experienced palpitations, and a cardiology examin...
Dr. Xiao Yongxun Reply:
Dear Miss Wenwen: 1. Thalassemia, known in Chinese as "海洋性貧血" or "地中海型貧血," is an autosomal recessive genetic disorder. It is primarily classified into two types: α-thalassemia and β-thalassemia, similar to what is taught in middle school regarding Mendelian i...[Read More] Should You See a Doctor for Thalassemia Concerns?
Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health
Thyroid issues? Hello, doctor! I have undergone a total thyroidectomy due to papillary thyroid carcinoma. Currently, I am taking Eltroxin 0.1 mg, averaging 1.5 tablets per day. During my follow-up visits, my doctor has mentioned that my reports are normal. However, recently I hav...
Dr. Xiao Yongxun Reply:
Dear Ms. Liang: 1. After undergoing a total thyroidectomy due to papillary thyroid carcinoma, secondary hypothyroidism often occurs, necessitating long-term thyroid hormone replacement therapy. Levothyroxine (T4) is typically used for this treatment; due to its long half-life, i...[Read More] Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health
Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms
Hyperthyroidism? Panic? Anxiety? I would like to ask about hyperthyroidism. My heart rate has been consistently high. Recently, during the day, my heart rate is quite fast, sometimes reaching 80-90 beats per minute while sitting, but at night when I sleep, it drops to about 50 be...
Dr. Hong Yuanbin Reply:
Based on your description and the examination data, it does not appear to be a case of hyperthyroidism. In a normal individual, the heart rate should be between 50 and 100 beats per minute, so your heart rate should still be within the normal range. As for the palpitations, there...[Read More] Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms
Chest Tightness and Mid-Back Pain: Understanding Symptoms and Causes
Chest tightness and mid-back pain? Symptoms: Chest tightness and pain, mid-back pain, which is relieved for about 2 hours after running, but then the pain returns. Duration: Six months or even longer. Examination: 1. Chest X-ray normal, compared with last year's film from Au...
Dr. Hong Yuanbin Reply:
Based on your description, it seems less likely to be caused by a tumor. If the rheumatology and immunology department has already evaluated you, there is a higher chance of inflammation in the bones or muscles. It is recommended that you consult an orthopedic specialist or a fam...[Read More] Chest Tightness and Mid-Back Pain: Understanding Symptoms and Causes
Understanding Persistent Edema: Seeking Answers Beyond Normal Test Results
Edema issues Hello Doctor: I previously inquired about edema and have since visited the Metabolism Department at Shuanghe Hospital. My hormone levels and thyroid function are normal. (I had my heart, liver, and kidney blood tests done at the Family Medicine Department last August...
Dr. Wu Jiyu Reply:
Hello! Based on the information you provided, I can sense your concerns about your current physical condition. However, there are many causes of edema, and clinical judgment is necessary; written communication may not accurately address your concerns. If you have previously consu...[Read More] Understanding Persistent Edema: Seeking Answers Beyond Normal Test Results
Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Fever every afternoon? Hello doctor, I have been experiencing a fever for over a month now, with temperatures gradually rising in the afternoon, ranging from 37.5 to 38.5 degrees Celsius. Two months ago, I had symptoms such as coughing and a runny nose, with occasional fevers aro...
Dr. Liao Zhongxin Reply:
Dear readers, regarding the above issue, here is my response. Hello, doctor. I have been experiencing a fever for over a month, with temperatures gradually rising in the afternoon, ranging between 37.5°C and 38.5°C. Two months ago, I had symptoms of cough and runny nose, with o...[Read More] Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Understanding Elevated Blood Urea Nitrogen Levels: Causes and Implications
Elevated blood urea nitrogen (BUN) levels? Hello, doctor. I recently had a health check-up and found that my blood urea nitrogen (BUN) level is elevated at 24.9 mg/dL (normal range is 10-20 mg/dL), while my creatinine level is within the normal range. I am currently waiting for t...
Dr. Wu Hongjie Reply:
Hello: Based on your situation, the most likely cause of elevated BUN with normal creatinine is diarrhea and dehydration. It is recommended to wait for the diarrhea to improve and ensure adequate hydration before retesting. Other possible conditions include heart failure, effects...[Read More] Understanding Elevated Blood Urea Nitrogen Levels: Causes and Implications
Understanding Chest Pain: Causes and Concerns for Students
Chest tightness or pain? Hello Doctor: I am a high school student. Today, I did not engage in any strenuous activities or exercise at school, but starting in the morning, I experienced severe chest tightness, difficulty breathing, and persistent coughing. When I take deep breaths...
Dr. Hong Yuanbin Reply:
Hello, based on your symptoms, there are a few possibilities. First, I'm not sure if you've had a cold recently. Typically, a cold can be associated with pleuritis, which may lead to the symptoms you've described. If this is the case, resting more should gradually ...[Read More] Understanding Chest Pain: Causes and Concerns for Students
Struggling with Bloating and Constipation: Seeking Effective Solutions
Abdominal bloating and constipation? Hello doctor, I have been experiencing constipation since I was young, and it has not improved as I grew up. I have tried various methods without much effect. When I visited a gastroenterologist, they only prescribed medication for me. However...
Dr. Hong Yuanbin Reply:
Constipation is indeed a common concern for many women. Medications may only provide temporary relief, addressing the symptoms rather than the root cause. Here are several recommendations: 1. It is essential to consume a large amount of vegetables. Try to avoid replacing vegeta...[Read More] Struggling with Bloating and Constipation: Seeking Effective Solutions
Understanding IV Line Infections: Risks and Best Practices for Pediatric Care
Infection issues related to intravenous (IV) catheters? Dear Doctor, I have a question regarding my 1-year and 1-month-old child. Recently, my child was hospitalized and received intravenous therapy. During the hospitalization, the IV tubing connector became loose and fell to th...
Dr. Liao Zhongxin Reply:
Dear readers: <Is there a risk of infection from intravenous infusion lines?> A: 1. Two articles are provided for reference. 2. Administering intravenous or intraosseous infusions to patients, especially infants and young children, is an invasive procedure. Throughout ...[Read More] Understanding IV Line Infections: Risks and Best Practices for Pediatric Care
Effective Strategies to Manage Persistent Edema: A Patient's Guide
How can edema be improved? Hello, doctor... I have asked a question recently. I previously visited a family medicine doctor who ruled out issues with my liver, kidneys, and heart. My blood tests have been normal for several years. I inherited my father's genetic tendency to ...
Dr. Wu Jiyu Reply:
1. First of all, I would like to express that everyone has a different definition of edema. Since I have not seen you in person and you did not mention your current weight, I cannot assess the degree of your edema. 2. You mentioned that you have seen a family physician, who has ...[Read More] Effective Strategies to Manage Persistent Edema: A Patient's Guide
Understanding Shortness of Breath: When Forceful Exhalation Helps
It feels better to exhale forcefully? I have been feeling shortness of breath lately, and I have to exert effort to exhale in order to feel comfortable. Sometimes, my heart feels like it's beating faster, and I also feel bloated after eating.
Dr. Hong Yuanbin Reply:
Hello, based on your symptom description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or gastric bloating. These conditions are often caused by lifestyle factors, including sleep patterns, diet, and habits. I recommend maintaining a regular sch...[Read More] Understanding Shortness of Breath: When Forceful Exhalation Helps
Understanding Gastroesophageal Reflux: Symptoms and Management Tips
Gastroesophageal reflux disease (GERD) Before the consultation, I experienced severe bloating that did not improve with burping, and I was unable to have a bowel movement. I also had no appetite. For about three months, I had recurrent gastrointestinal issues approximately three ...
Dr. Hong Yuanbin Reply:
Based on your symptom description, there are several possible conditions to consider. First, the most likely cause is chronic constipation, especially if your intake of vegetables is low and you have little time for exercise. This can easily lead to the symptoms you described. ...[Read More] Understanding Gastroesophageal Reflux: Symptoms and Management Tips
Understanding HIV Risks: Oral Sex and Symptoms Explained
HIV issues Hello, doctor. On March 6th of this year, I had unprotected oral sex with a sex worker. About 20 seconds later, she rinsed her mouth and then continued to provide service for another 20 seconds. Because I was concerned, I stopped the activity immediately. In the end, m...
Dr. Hong Yuanbin Reply:
Hello, from your question, I can sense your concern and fear regarding oral sex without a condom. Indeed, if there is no blood contact and only saliva is involved, the risk of transmission is very low. As for your symptoms, they are likely caused by a cold or gastroenteritis. Alt...[Read More] Understanding HIV Risks: Oral Sex and Symptoms Explained
Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Hyperthyroidism Hello Doctor: Recently, during a routine health check at my company, I found that my Thyroid Stimulating Hormone (TSH) level was 0.01, Free Thyroxine (Free T4) was 3.07, fasting blood glucose was 100, heart rate was approximately 100 beats per minute, and my white...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. In our country, most testing laboratories are certified, and to maintain their reputation, the likelihood of significant errors in test results is low. Additionally, Free T4 and TSH levels do not fluctuate rapidly under normal physiological conditions. This mean...[Read More] Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Understanding Persistent Edema: Causes and Solutions for Long-Term Swelling
I have been experiencing edema for six years, and it hasn't resolved? Hello doctor, my edema started in 2012. However, my diet is light, and I have been vegetarian since childhood. I am 34 years old this year and drink about 3000 ml of water daily. I have seen a family physi...
Dr. Wu Jiyu Reply:
General systemic edema should first rule out systemic issues related to the heart, liver, kidneys, and thyroid. If it is confirmed that there are no problems with these organs, it can then be classified as idiopathic edema. As for the dietary fluid intake you mentioned, it is lik...[Read More] Understanding Persistent Edema: Causes and Solutions for Long-Term Swelling