Understanding Hypothyroidism: Symptoms, Risks, and When to Seek Help
Hypothyroidism I am a patient with hypothyroidism and have not taken thyroid hormone for a year. I have not had regular follow-ups for a year, and recently I have experienced symptoms of chest pain and shortness of breath, along with slightly elevated blood pressure and a slightl...
Dr. Li Zhiyao Reply:
Hello: It is recommended to return for a follow-up appointment and inform the physician about your recent medical situation, including information about medications and tests.[Read More] Understanding Hypothyroidism: Symptoms, Risks, and When to Seek Help
Managing Hyperthyroidism: Pregnancy Risks and Treatment Options Explained
Hyperthyroidism issues? Hello Doctor: I would like to ask about my condition. I have had hyperthyroidism for over a decade, and although my levels were very high in the past, they have been stable and normal for the past two years. My most recent lab results show T3 at 153.35, T4...
Dr. Xiao Yongxun Reply:
Your question involves issues related to endocrinology and obstetrics; it is advisable to discuss this with your attending physician. 1. There are many causes of hyperthyroidism, with Graves' disease being the most common, likely due to an autoimmune response. Once well-co...[Read More] Managing Hyperthyroidism: Pregnancy Risks and Treatment Options Explained
Understanding HIV Transmission: Debunking Myths About White Blood Cells
Regarding white blood cells? Hello, doctor. I would like to ask you about the information I found online regarding HIV infection. It states that the virus can directly invade human cells, which significantly increases the risk of infection. However, when I asked the school doctor...
Dr. Zeng Guosen Reply:
Hello, internet user: HIV is transmitted through intimate contact with bodily fluids or blood. The main routes of transmission are sexual intercourse, blood transfusions, and sharing drug injection needles. The risk of infection from folliculitis fluid on a shaved head is relativ...[Read More] Understanding HIV Transmission: Debunking Myths About White Blood Cells
Understanding Abnormal Anti-Thrombin III Levels After Abortion: What You Need to Know
Abnormalities in blood test immune markers? Hello Doctor, I underwent a surgical abortion on November 6th (the embryo's heartbeat stopped at eight weeks), and on November 7th, I had blood drawn for immune testing. The abnormal result highlighted in red is: anti-thrombin III,...
Dr. Zeng Guosen Reply:
Hello, user: The issue regarding anti-thrombin III generally falls within the field of hematology in clinical practice. To ensure a complete and accurate response to your question, I recommend consulting a hematology specialist. Thank you.[Read More] Understanding Abnormal Anti-Thrombin III Levels After Abortion: What You Need to Know
Understanding Chest Pain: Causes and When to Seek Help
Pain near the heart area? Hello, I would like to ask about something. Yesterday, while playing with someone, I was squeezed around the chest with their legs. After that, I took a deep breath, got up quickly from lying down, and made some large arm movements, which caused pain nea...
Dr. Xie Rongyuan Reply:
Hello: If the symptoms persist, please visit a hospital to check for any other underlying causes. Thank you for your message![Read More] Understanding Chest Pain: Causes and When to Seek Help
Understanding Post-Spin Bike Discomfort: Causes and Concerns
Discomfort after cycling on a stationary bike during fitness training? Hello Dr. Hsiao, on October 23rd (Friday), after finishing my meal, I did a sprint cycling workout for about 3-5 minutes at the fitness center in the basement of my school. After that, I felt unwell, my face t...
Dr. Xiao Yongxun Reply:
1. Engaging in any form of exercise must be gradual to allow the body's various systems to make appropriate adjustments and adaptations. Implementing high-intensity physical training abruptly can be quite dangerous from a medical standpoint. On the other hand, aspects such a...[Read More] Understanding Post-Spin Bike Discomfort: Causes and Concerns
Understanding Low Blood Pressure: Symptoms, Causes, and Solutions
Blood pressure issues? I consulted with my family doctor previously, and during a blood pressure check, I was told that I have low blood pressure. Recently, due to academic stress, I have been experiencing dizziness, chest tightness, and difficulty breathing. I also have severe h...
Dr. Li Zhiyao Reply:
Hello: 1. It is recommended that you see a cardiologist for a personal evaluation to determine if there are any cardiovascular issues. If no cardiovascular problems are found, regular exercise can improve cardiopulmonary function, which may help with your concerns. 2. SYS refers ...[Read More] Understanding Low Blood Pressure: Symptoms, Causes, and Solutions
Understanding Right Upper Abdomen Pain: Causes and Concerns
There is localized pain in the right upper abdomen that sometimes hurts when pressed with a finger? Hello, I have pain in my upper right abdomen, specifically in the area near my heart on the right side, about four fingerbreadths below my right chest. It hurts when I press with o...
Dr. Li Zhiyao Reply:
Hello Ms. Hsiao: Based on your description, it is difficult to provide any speculation or diagnosis. I recommend that you consult a hepatobiliary and gastroenterology specialist, as the right upper abdomen corresponds to the liver and gallbladder area, for a proper physical exami...[Read More] Understanding Right Upper Abdomen Pain: Causes and Concerns
Managing Cellulitis in Diabetic Patients: Effective Strategies and Care
Cellulitis Hello Doctor, I would like to ask about my boyfriend's mother, who is 59 years old and a diabetic patient. She was diagnosed with cellulitis on September 27 and has been hospitalized for two weeks. The doctors have indicated that her blood circulation has not im...
Dr. Xiao Yongxun Reply:
1. Long-term diabetes patients require a combination of diet, exercise, and medication to prevent macrovascular complications (including stroke, myocardial infarction, and peripheral artery disease) and microvascular complications (including retinopathy, nephropathy, and neuropat...[Read More] Managing Cellulitis in Diabetic Patients: Effective Strategies and Care
Understanding Diabetic Foot vs. Post-Thrombotic Syndrome: Key Differences
What is diabetic foot? Dear Doctor, I had a deep vein thrombosis in my calf two months ago. A month ago, an ultrasound showed no signs of a clot. However, every day after I wake up, my calf gradually becomes hard and swollen for about two hours. When I lie down for an hour in the...
Dr. Xiao Yongxun Reply:
1. Common clinical causes of edema include heart failure, cirrhosis, nephrotic syndrome, venous obstruction, lymphatic disorders, and medication side effects. Other causes may include hypoalbuminemia, parasitic infections, thyroid diseases, pregnancy, and venous insufficiency, am...[Read More] Understanding Diabetic Foot vs. Post-Thrombotic Syndrome: Key Differences
Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Polyarthritis 1. I have an ASLO index of 247 (or 274?). Is this caused by genetics or an infection? My family has a history of almost all hereditary diseases, including lupus erythematosus, ankylosing spondylitis, gout, rheumatoid arthritis, kidney stones, kidney disease, stroke,...
Dr. Gao Jiankai Reply:
Hello Ms. Yang, I hope this message finds you well. Your questions are somewhat complex, and since I haven't actually seen you, many of my thoughts are merely speculation. It is best for you to discuss these matters with a physician who has examined you in person. Here are m...[Read More] Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Understanding Limb Swelling: Causes and Solutions for Office Workers
Swelling of the limbs? I have to sit for long periods at work, and after each shift, I notice that my entire foot is much more swollen than in the morning. When I press on it, it doesn't take long to rebound, but it's clearly different from how my foot looked in the mor...
Dr. Xie Rongyuan Reply:
Hello: If this continues, it would be safer to go to the hospital for a detailed examination. For example, low albumin levels can also cause lower extremity edema and low blood pressure. Thank you for your message![Read More] Understanding Limb Swelling: Causes and Solutions for Office Workers
Understanding Abdominal Pain and Symptoms After Influenza A Infection
Influenza type A and right lower abdominal pain with right-sided genital symptoms? Hello doctor, on the first day I felt slightly weak in the morning and had soreness in my lower limbs. In the afternoon, I experienced extreme discomfort and fever. On the second day, after being d...
Dr. Gao Jiankai Reply:
Dear Mr. Haihai, Thank you for your letter. Complications caused by Influenza A are primarily related to the lower respiratory tract or can affect the heart and central nervous system. There seem to be fewer reported cases of pain in the right lower abdomen and on the right side...[Read More] Understanding Abdominal Pain and Symptoms After Influenza A Infection
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
Essential Health Checkup Items for Post-Heart Surgery Patients
Health checkup items Hello Dr. Li, my father-in-law underwent two balloon angioplasty procedures for his heart 5 or 6 years ago, and last year he had his gallbladder removed due to gallstones. If he wants to have a physical examination this year, what tests would be suitable for ...
Dr. Li Zhiyao Reply:
Hello Ms. Cheng: The patient has a history of heart disease and gallbladder surgery. It is recommended that the patient follow up with the cardiology and hepatobiliary gastroenterology outpatient clinics at the original treating hospital. The physician will arrange necessary tail...[Read More] Essential Health Checkup Items for Post-Heart Surgery Patients
Chest Impact from Dodgeball: When to Seek Medical Attention?
Hit in the chest by a dodgeball..? Two days ago, I was hit in the sternum and the area between my chest and abdomen while playing dodgeball with my classmates. Now I have a feeling of fullness in my stomach, poor appetite, fatigue, and excessive sleepiness. Will this condition im...
Dr. Xiao Yongxun Reply:
Generally, the area between the sternum and the navel is referred to as the epigastric region. An external force impacting this area can not only directly affect the stomach but may also transmit force to surrounding structures and the posterior abdominal cavity. Therefore, organ...[Read More] Chest Impact from Dodgeball: When to Seek Medical Attention?
Understanding the Risks of Discontinuing Antithyroid Medication
Medication discontinuation issues? Hello Doctor: I would like to inquire about the side effects of long-term discontinuation of Anastrozole. Since I have had a total thyroidectomy, what are the potential consequences of stopping Anastrozole without medical supervision? Thank you!
Dr. Xiao Yongxun Reply:
Dear Ms. Huang, 1. After a total thyroidectomy, the body can no longer produce thyroid hormones necessary for maintaining normal metabolic functions, which can lead to hypothyroidism. This condition affects various systems, including cardiovascular, hematologic, digestive, integ...[Read More] Understanding the Risks of Discontinuing Antithyroid Medication
Understanding Elevated Postprandial Blood Sugar: Insights and Solutions
Glycated hemoglobin is normal, fasting blood glucose is normal, but postprandial blood glucose is elevated? I undergo a comprehensive health check-up every two years, and my previous blood sugar levels have always been normal. During my recent check-up last month, my fasting bloo...
Dr. Zeng Guosen Reply:
Hello, netizen: Blood glucose levels are a crucial indicator for diagnosing diabetes. In healthy individuals, fasting blood glucose levels after an 8-hour fast should be below 100 mg/dL, and blood glucose levels two hours after a meal should be below 140 mg/dL. If fasting blood g...[Read More] Understanding Elevated Postprandial Blood Sugar: Insights and Solutions
Understanding Hunger-Induced Dizziness and Sleepiness: Blood Sugar Issues?
Feeling hungry, dizzy, and experiencing mood swings, followed by sleepiness after eating, could indicate several issues. These symptoms may suggest fluctuations in blood sugar levels, possibly related to conditions such as hypoglycemia or insulin resistance. It could also be rela...
Dr. Xiao Yongxun Reply:
1. According to the conclusions and recommendations of the American Diabetes Association in 2010, a fasting plasma glucose level between 100 and 125 mg/dl is classified as impaired fasting glucose, indicating an increased risk of diabetes. Therefore, if your blood glucose level i...[Read More] Understanding Hunger-Induced Dizziness and Sleepiness: Blood Sugar Issues?
Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing
Dr. Hsiao, is it possible to test for lead levels on my own? Frequent urination at night with bubbles can be concerning.
Dr. Xiao Yongxun Reply:
The assessment of nocturia requires a comprehensive medical history and physical examination, and may even necessitate laboratory tests, urodynamic studies, or imaging examinations. The differential diagnosis must consider many factors, including overactive bladder, heart failure...[Read More] Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing