Understanding Hyponatremia: Causes, Symptoms, and Risks for Seniors
Hyponatremia Hyponatremia, or low sodium levels in the blood, can be caused by various factors, including excessive fluid intake, certain medications (such as diuretics), hormonal imbalances (like adrenal insufficiency), and underlying medical conditions (such as heart failure, l...
Dr. Xie Yonghui Reply:
Hyponatremia (1) Definition: A state of low osmolarity, with serum sodium concentration below 135 mmol/L. (2) Clinical Manifestations: In normal individuals, serum sodium levels are approximately 135-145 mmol/L. If hyponatremia is chronic or the decline in sodium levels is grad...[Read More] Understanding Hyponatremia: Causes, Symptoms, and Risks for Seniors
Understanding Chest Tightness: Causes and Solutions for Persistent Symptoms
Chest tightness? Hello, Doctor: Recently, I have been suffering from a prolonged cold that hasn't improved. My symptoms include sore throat, cough, phlegm, occasional headaches, and nasal congestion. The most distressing symptom is a heavy feeling in my chest. I have visited...
Dr. Xie Weiming Reply:
Hello: Based on the description above, it seems to be an allergic cough, possibly indicating asthma, which could explain the persistent cough and chest tightness. Some asthma medications may cause an increased heart rate. It is recommended to consult a pulmonologist for further e...[Read More] Understanding Chest Tightness: Causes and Solutions for Persistent Symptoms
Understanding Gray-White Lung X-Ray: Causes of Breathing Difficulties and Edema
The X-ray of the lungs shows a grayish-white appearance? Hello: My grandfather has fainted due to difficulty breathing and is currently in the intensive care unit. He was discharged last week after the TB bacterial load reached a non-infectious level, but why did he suddenly expe...
Dr. Zhao Chongliang Reply:
Hello! Based on your description, your grandfather's chest X-ray appears to show signs of either cardiogenic pulmonary edema or non-cardiogenic pulmonary edema, such as renal-related pulmonary edema or acute respiratory distress syndrome (ARDS). Cardiogenic or renal-related ...[Read More] Understanding Gray-White Lung X-Ray: Causes of Breathing Difficulties and Edema
Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs
What symptoms may occur if the thyroid gland is affected? I recently caught a cold and went to see a doctor. I have a headache, a slight sore throat, and feel very weak and lethargic. The doctor said my blood pressure is high (in the 150s) and my heart rate is elevated. They pres...
Dr. Yang Hongzhi Reply:
Hello: Common symptoms of hyperthyroidism include goiter, palpitations, tremors, anxiety, sweating, and weight loss. If there is a goiter, especially with nodular enlargement, medical attention should be sought regardless of the presence of other symptoms.[Read More] Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun Reply:
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects
Blood Sugar Issues Related to Diabetes Symptoms: Blood sugar before sleep is 105, but fasting blood sugar is 121, which is higher. Duration: Daily. Additional information: I asked for my father, who is a diabetes patient. Does drinking water at night affect fasting blood sugar le...
Dr. Chen Jingwen Reply:
Your blood sugar levels are 105 before bedtime and 121 when fasting. In the ideal range for diabetics, which is 90-120, this indicates good control. It would be even better if you could monitor your HbA1c (glycated hemoglobin) every 3 to 4 months to maintain it below 6.5%. Drinki...[Read More] Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects
Understanding Unexplained Abdominal and Chest Pain: Causes and Concerns
Unexplained pain Hello, doctor. I have a question. I often experience stomach pain, and recently it has been quite severe. It hurts when I eat, it hurts when I don't eat, and it also hurts when I press on it. What could be the cause? Additionally, sometimes I feel pain in my...
Dr. Li Huixiong Reply:
Based on your age and the symptoms you described, it is possible that you have a peptic ulcer. I recommend that you undergo an upper gastrointestinal endoscopy.[Read More] Understanding Unexplained Abdominal and Chest Pain: Causes and Concerns
Understanding Subacute Thyroiditis: Causes, Effects, and Concerns
Thyroiditis Hello Doctor: A few days ago, I experienced pain when swallowing saliva near my throat (on the left side of my neck). I visited an ENT specialist, and the doctor diagnosed me with subacute thyroiditis. However, I do not seem to have the symptoms he mentioned (nervousn...
Dr. Yang Hongzhi Reply:
<ol><li>The etiology of subacute thyroiditis is not yet fully understood, but it is generally believed to be related to viral infections or autoimmune responses.</li><li>Due to the destruction of the thyroid gland, thyroid hormones are released, which may ...[Read More] Understanding Subacute Thyroiditis: Causes, Effects, and Concerns
Understanding Leg Indentation: Causes and When to Seek Medical Help
It will indent when pressed? Hello, doctor. My mother is 41 years old, weighs 60 kg, and is 165 cm tall. She has a history of chronic gastritis and allergic rhinitis, and she often suffers from migraines. In recent months, she has noticed that when she presses down on her calves,...
Dr. Chen Fuquan Reply:
Dear Mr. Ku, As you mentioned, your aunt has been experiencing noticeable edema in her lower legs and feelings of fatigue over the past few months. I have a few questions regarding her condition: 1. **Liver Issues**: Has your aunt been a carrier of Hepatitis B or C for many yea...[Read More] Understanding Leg Indentation: Causes and When to Seek Medical Help
Understanding Unusual Symptoms: Weakness and Rapid Heartbeat When Hungry
I'm not sure if it's an illness? Hello Dr. Yang: In recent years, I've been experiencing a strange condition where I feel weak in my limbs, my heart races, and I shake when I'm hungry. However, these symptoms resolve within ten minutes after eating. I also fee...
Dr. Yang Hongzhi Reply:
Your symptoms resemble those of hypoglycemia. You should visit the endocrinology department for an evaluation. It is important to confirm whether hypoglycemia is present during the time you are experiencing symptoms.[Read More] Understanding Unusual Symptoms: Weakness and Rapid Heartbeat When Hungry
Understanding Thyroid Issues: Symptoms, Diagnosis, and Next Steps
Very painful? I would like to ask about my mother, who has a thyroid condition but has undergone surgery and is now healed. Recently, I experienced palpitations, dizziness, and a rapid heartbeat, which led me to seek medical attention. However, after examinations including an ele...
Dr. Yang Hongzhi Reply:
Hello: Thyroid diseases have a genetic component. If your mother has a thyroid condition, your risk of developing a thyroid disease is higher than that of the general population. However, thyroid testing is quite definitive. If your thyroid tests have come back normal, it indicat...[Read More] Understanding Thyroid Issues: Symptoms, Diagnosis, and Next Steps
Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Is it hypertension? Hello, Doctor: I often feel inexplicably anxious, with a rapid heartbeat and a sensation of shortness of breath. Whenever this happens, my blood pressure tends to rise, with a recorded high of 140/105. I previously had an electrocardiogram, and the report was ...
Dr. Li Dong'an Reply:
Hello Chris: 1. Hypertension is defined as a systolic blood pressure of ≥140 mmHg or a diastolic blood pressure of ≥90 mmHg. However, it must be measured at least three times within two weeks, and the measurements should be taken under conditions of no stress (such as tension, an...[Read More] Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Unresolved Heartache: Coping with the Loss of a Loved One
Unresolvable Heartache Hello, Doctor: My mother passed away several years ago, and the cause of her death remains unclear, which has led to my ongoing regret over her passing. I clearly remember that two days before the Dragon Boat Festival seven years ago, my mother felt unwell ...
Dr. Yang Hongzhi Reply:
Hello: Your mother had a persistent fever before being hospitalized, which likely indicates an infection. In diabetic patients, infections can often be more severe than in the general population. Based on your description, it is difficult to determine whether the cause of death w...[Read More] Unresolved Heartache: Coping with the Loss of a Loved One
Is Dialysis Effective for Diabetes? Long-Term Effects and Risks Explained
Dialysis is effective for diabetes? Is dialysis beneficial for diabetes? Will there be any long-term side effects?
Dr. Chen Jingwen Reply:
Diabetes is classified into four main types, with only Type 1 diabetes being caused by an autoimmune response involving autoantibodies. Therefore, "plasmapheresis" can theoretically reduce the immune response by removing these antibodies, potentially alleviating the sym...[Read More] Is Dialysis Effective for Diabetes? Long-Term Effects and Risks Explained
Should I Get a Second Opinion on My Heart and Muscle Pain?
Do I need to have a re-examination? Last Saturday, I experienced pain in the left side of my chest that radiated to my back and the back of my head. I had shortness of breath that was rapid, and prolonged breathing caused pain. Additionally, I had a headache, which left me feelin...
Dr. Zhao Chongliang Reply:
I apologize, but due to typographical errors and omissions in the text, the meaning cannot be fully understood. Common causes of left chest pain include angina, mitral valve prolapse, pneumothorax, and musculoskeletal pain. Mitral valve prolapse often presents with non-specific c...[Read More] Should I Get a Second Opinion on My Heart and Muscle Pain?
Understanding Chest Pain and Discomfort: Causes and Solutions
Chest pain and chest tightness? Hello... I often feel pain and tightness in the upper central part of my chest, and there is phlegm above my trachea. I had an ultrasound, electrocardiogram, and stress echocardiogram last year, all of which were normal. At the same time, I experie...
Dr. Li Huixiong Reply:
Hello: Based on your condition, your body seems to be quite robust. If you are still concerned, I recommend undergoing gastrointestinal examinations, such as an esophagogastroduodenoscopy (EGD) and a colonoscopy.[Read More] Understanding Chest Pain and Discomfort: Causes and Solutions
Navigating Diabetes Complications: A Daughter's Plea for Guidance
I'm sorry, but I need specific content to translate. Please provide the text you would My father, who has always had a strong personality, has been suffering from diabetes for the past three years without letting any of his friends or family know. It wasn't until Decemb...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, I am deeply sorry to hear about your father's condition. The complications of diabetes include macrovascular diseases such as heart and cerebrovascular disorders, as well as microvascular diseases like retinopathy, nephropathy, and periphe...[Read More] Navigating Diabetes Complications: A Daughter's Plea for Guidance
Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...
Dr. Yang Jun Reply:
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Is My Blood Pressure Too Low? Understanding Normal Ranges for Women
Is this considered low blood pressure? Hello, doctor. My blood pressure readings are usually in the 90s over the 60s. Does this count as low blood pressure? I've heard that women generally have lower blood pressure. Is that true? Thank you for your response! ^^
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Generally speaking, the ideal blood pressure for adults is a systolic pressure of less than 120 mmHg and a diastolic pressure of less than 80 mmHg. The main factors affecting blood pressure are cardiac output, heart rate, and peripheral va...[Read More] Is My Blood Pressure Too Low? Understanding Normal Ranges for Women
Understanding Thyroid Function Issues: Seeking Answers After Normal Test Results
Thyroid dysfunction issues? Hello: Previously, I had a cold and visited a small clinic where the doctor suspected I might have a thyroid issue. I then went to a larger hospital for testing, but when the blood test results came back, the doctor said everything was normal. However,...
Dr. Yang Hongzhi Reply:
Thyroid diseases have a hereditary tendency. When you visit a clinic, the physician may suspect a thyroid issue, which could indicate thyroid enlargement. Individuals with an enlarged thyroid may have normal thyroid function tests. If you experience symptoms such as palpitations,...[Read More] Understanding Thyroid Function Issues: Seeking Answers After Normal Test Results