Understanding Adrenal Tumors: When to Seek Treatment
Adrenal gland A year ago, an adrenal tumor measuring 3 centimeters was unexpectedly discovered during an examination. I switched to a urologist who conducted blood tests and 24-hour and 12-hour urine tests. The lab results indicated elevated cortisol levels. The doctor mentioned ...
Dr. Hong Yuanbin Reply:
Hello, generally speaking, there is concern about pheochromocytoma, which can secrete norepinephrine and cause high blood pressure. If your blood pressure is normal, the likelihood of this condition is indeed low. As for cortisol levels, they can fluctuate due to daily activities...[Read More] Understanding Adrenal Tumors: When to Seek Treatment
Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension
Dad is experiencing health issues? About five years ago, my father fainted while playing mahjong after having a little bit of alcohol. We immediately called an ambulance, and when he was given an oxygen mask, his consciousness stabilized. The small hospital we went to later told ...
Dr. Chen Shunfu Reply:
Individuals with hypertension and obesity are at high risk for cardiovascular diseases. It is recommended that you bring your father to the hospital's cardiology department for a thorough examination.[Read More] Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension
Managing High Blood Pressure: Tips for Relief and Better Health
Hypertension issues Hello, Doctor: I would like to ask a question that has been bothering me. Whenever my blood pressure spikes to 130-140, I experience headaches at night. As soon as I close my eyes, it feels like I'm on a roller coaster. For the past two years, my head CT,...
Dr. Lin Wuxuan Reply:
Hello: Based on your symptoms, I would recommend that you regularly measure your blood pressure at home in the morning and evening. Additionally, it is advisable to record your response to the antihypertensive medication and inform your physician during your follow-up visit, as t...[Read More] Managing High Blood Pressure: Tips for Relief and Better Health
Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...
Dr. Lin Wuxuan Reply:
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Managing Blood Sugar Levels: A Guide for Overweight Individuals
Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...
Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.[Read More] Managing Blood Sugar Levels: A Guide for Overweight Individuals
Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns
Kidney problems Doctor, I have a blood sugar level of 113, urine protein, creatinine level of 1.35, and a glomerular filtration rate of 56.7. Is this considered serious, and is there a possibility of recovery? Additionally, I have high blood pressure of 198/86. What should I be a...
Dr. Lin Wuxuan Reply:
Hello: Based on the information you provided, your kidney function is classified as stage 3 chronic kidney disease, and your blood pressure is significantly elevated. Additionally, it is unclear whether you have other chronic health issues. It is recommended that you visit a neph...[Read More] Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns
Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?
Hypertension and aldosterone issues? Hello Doctor: I have been dealing with high blood pressure and have visited both nephrology and endocrinology departments. Blood tests conducted at both places, approximately a month apart, showed normal aldosterone levels, around 4. The endoc...
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The nephrologists or endocrinologists you encounter are very competent; please cooperate as soon as possible. 2. Hypertension is generally classified into primary hypertension and secondary hypertension. The former primarily occurs in middle-aged and eld...[Read More] Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?
Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Kidney problems Hello Doctor, My family member (female, 29 years old) has long-term chronic health issues. She has been diagnosed with refractory epilepsy for 23 years and is currently taking the following medications: Depakote 700mg, Vimpat 100mg, Keppra 1000mg, and Lamictal 30...
Dr. Wu Hongjie Reply:
Hello: Currently, your family member's creatinine levels have returned to normal range. The recent decline in kidney function is likely due to acute kidney injury, but regular monitoring is still necessary. Dietary restrictions are not required at this time. The exact causes...[Read More] Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Understanding Creatinine Levels and Kidney Function in Health Checkups
Creatinine, Glomerular Filtration Rate, Health Checkup Issues? Hello, doctor. I apologize for bothering you, but I would like to ask a question. About two months ago, I went to a health check-up at a clinic. The doctor reviewed my report and said that my liver and kidney function...
Dr. Wu Jiyu Reply:
Hello Mr. Yang: "Creatinine 1.10, Glomerular Filtration Rate (GFR) 86.69" is only a single data point, making it difficult to assess the overall kidney function. Changes in kidney function need to be evaluated through multiple blood tests over time to understand the con...[Read More] Understanding Creatinine Levels and Kidney Function in Health Checkups
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 Right Kidney Pain: Causes and Concerns for Patients
Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...
Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients
Understanding Chest Pain: A Guide to Diagnosis and Management
Chest issues Hello doctor, last year I experienced pain in my left chest rib and first went to a small hospital to see a pulmonologist. After an X-ray, the doctor said there were no issues and referred me to the cardiology department at Kaohsiung Chang Gung Memorial Hospital. Upo...
Dr. Zeng Guosen Reply:
Hello, based on your description, it is possible that the pain is caused by myofascial issues. I suggest you consult an orthopedic specialist. Thank you for your question.[Read More] Understanding Chest Pain: A Guide to Diagnosis and Management
Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth
Hypertension often makes me feel unwell, difficult to fall asleep, dry mouth, and fatigue? Hypertension is causing persistent discomfort, difficulty sleeping, dry mouth, and fatigue. The average heart rate is between 90 and 115 beats per minute, and the blood pressure is 162/101 ...
Dr. Li Zhiyao Reply:
Hello: Since you already know you have high blood pressure, you should seek medical attention and not delay treatment.[Read More] Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth
Understanding the Connection Between High Blood Pressure and Dizziness
Blood pressure issues Doctor, my blood pressure is around 140/90, and my ear temperature is about 37.2. Recently, I've been feeling slightly dizzy and heavy-headed. Could these symptoms be related to high blood pressure?
Dr. Li Zhiyao Reply:
Hello: Given your age, a blood pressure reading of 140/90 does require attention. It is recommended that you measure your blood pressure at least twice a day (once in the morning and once in the evening) and keep a record of it. Please consult a cardiologist and provide them with...[Read More] Understanding the Connection Between High Blood Pressure and Dizziness
Waking Up with Arm Weakness: Causes and Stroke Concerns
Numbness and weakness in the arm upon waking up? Hello! Every day when I wake up, my entire hand and arm feel numb and weak, primarily in my right hand, and sometimes in both hands. After a few minutes, it returns to normal. For the past few months, while sitting on the bed befor...
Dr. Li Zhiyao Reply:
Hello: Your symptoms are likely caused by nerve compression. It is recommended that you consult a neurologist. Wishing you health and safety![Read More] Waking Up with Arm Weakness: Causes and Stroke Concerns
Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...
Dr. Wu Jiyu Reply:
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
Managing Kidney Health: Dietary Tips and Donation Concerns
Facing the brink of dialysis? After the blood test, the following levels were elevated: creatinine 4.31, potassium 5.0, and phosphorus 5.5. I have high blood pressure. I have the following three questions: 1. How can I improve these levels through diet? 2. If I face the need fo...
Dr. Li Zhiyao Reply:
Hello: Your creatinine level is 4.31, which indicates that you may be entering or approaching stage five of chronic kidney disease. I must remind you to seek treatment from a nephrologist and to follow the guidance of the healthcare team. Do not trust any alternative remedies, as...[Read More] Managing Kidney Health: Dietary Tips and Donation Concerns
Managing Constipation in Diabetic Patients: Tips and Alternatives
Diabetes and Constipation The doctor would like to ask you, my dad has been experiencing constipation for many days and cannot find a way to relieve it. He has issues with high blood pressure and elevated blood sugar. My dad says that the constipation problem started after taking...
Dr. Li Zhiyao Reply:
Hello: 1. If your father's constipation issue is indeed caused by the blood sugar-lowering medication, please have him inform the prescribing physician so that the doctor is aware. The physician may change the medication or prescribe a stool softener. 2. Hypertension can be ...[Read More] Managing Constipation in Diabetic Patients: Tips and Alternatives
Can Hypertension and Diabetes Medications Be Taken Together?
About medications? My father is taking medication for high blood pressure, and he has recently been diagnosed with high blood sugar. I would like to ask the doctor if it is safe to take medications for high blood pressure and high blood sugar together. Should they be taken separa...
Dr. Zhang Guoji Reply:
Although most medications for hypertension and hyperglycemia can be taken together, there are many different types of blood pressure and blood sugar medications. Only the prescribing physician knows exactly what medications your father is taking, so you should consult the origina...[Read More] Can Hypertension and Diabetes Medications Be Taken Together?
Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained
Foamy urine and kidney issues? Hello Dr. Lee, I have high blood pressure (stopped medication for 3 months, currently 135/82 mmHg). Over the past few months, I have experienced increased urination with foamy urine. I underwent a physical examination, and the results showed no pro...
Dr. Li Zhiyao Reply:
Hello: The normal value for 24-hour urine epinephrine is < 22.4 µg/24hrs; please confirm the test results. As for the foamy urine, the test results showed no proteinuria, but you may consider performing a microalbuminuria quantitative test to confirm the absence of proteinuria...[Read More] Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained