High blood pressure, Internal Medicine FAQ - Page 4

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Understanding Elevated Creatinine Levels: Causes and Solutions for Young Women

Elevated creatinine levels in the kidneys? I went for a health check-up. I'm a 24-year-old woman, and my creatinine level is elevated at 2.10. My urea and uric acid levels are normal. I don't have high blood pressure or diabetes. What should I do? Are there any methods ...


Dr. Wu Jiyu Reply:
1. Recheck to confirm if elevated. 2. If elevated, first check for proteinuria in the urine. 3. If proteinuria is present, collect a 24-hour urine sample. 4. Arrange for a renal ultrasound. 5. If the above findings are confirmed, a kidney biopsy may be necessary.

[Read More] Understanding Elevated Creatinine Levels: Causes and Solutions for Young Women


Does Hypertension Medication Increase Diabetes Risk in Seniors?

Do antihypertensive medications cause diabetes? Hello! I am 72 years old and have been on antihypertensive medication for over a decade. Recently, I had a check-up, and my blood sugar was 198, with the presence of glucose in my urine. Is this diabetes caused by high blood pressur...


Dr. Shi Guangzhong Reply:
There are many causes of diabetes, and it cannot be definitively determined whether hypertension or medication is the cause. In any case, a blood sugar level of 198 needs to be controlled. Regarding whether dental inflammation on the day of testing affects blood sugar levels, for...

[Read More] Does Hypertension Medication Increase Diabetes Risk in Seniors?


Unusual Sweating: What Sticky Sweat Could Mean for Your Health

Recently, my sweating has been abnormal, and when I do sweat, it feels sticky? My mother has high blood pressure and experiences dizziness. Recently, she has noticed that her sweating is different than usual and feels stickier. Is this a symptom? Please help answer! Thank you!


Dr. Yang Hongzhi Reply:
Sweat that is stickier does not indicate a specific disease.

[Read More] Unusual Sweating: What Sticky Sweat Could Mean for Your Health


Understanding Asymptomatic Diabetes: Risks and Management in Older Adults

There are no noticeable symptoms of diabetes? My father is 74 years old. Six years ago, he underwent surgery due to an accident and was found to have high blood sugar levels. He started taking antidiabetic medications. Initially, he was taking one pill, but now he has increased t...


Dr. Shi Guangzhong Reply:
The symptoms of diabetes are often subtle, so many people with diabetes are unaware of their condition, just like your father who discovered his diabetes by chance. High or low blood sugar levels are not the main concern; what is critical are the chronic complications that arise ...

[Read More] Understanding Asymptomatic Diabetes: Risks and Management in Older Adults


Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues

Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...


Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...

[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues


Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure

What are the dialysis methods for renal failure? For patients with high blood pressure and low hematocrit and hemoglobin levels, which method is better: hemodialysis or peritoneal dialysis? (Assuming that the schedule, family support, and home environment can accommodate both met...


Dr. Yang Jun Reply:
Hello: In response to your question, there are two types of dialysis: hemodialysis and peritoneal dialysis. Peritoneal dialysis is performed continuously over 24 hours for the removal of uremic toxins, resulting in less fluctuation in body fluid status, and patients typically hav...

[Read More] Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure


Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?

Do you recommend whether medication is necessary? Dr. Kuo, my mother is 64 years old, obese, and has a postprandial blood sugar level of 142. Recently, her cholesterol was checked at 266 and triglycerides at 198. Do you recommend that she needs medication? Thank you! Sincerely, Y...


Dr. Guo Qinghui Reply:
Is medication necessary? To answer this question, it is important to understand your mother's health status, such as whether she has heart disease or high blood pressure. Therefore, please have your mother visit a nearby healthcare facility for a comprehensive assessment of ...

[Read More] Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?


Understanding Kidney Function: Key Concerns and Management Strategies

Renal function index Hello Dr. Yang, Due to having urinary tract stones in my youth, I have not noticed for a long time that my left kidney has become swollen. My creatinine level is currently 1.5, and my urine protein level is about 190, for which I am taking medication for co...


Dr. Yang Jun Reply:
Hello: In response to your question, the presence of protein in urine and a creatinine level greater than 1.4 are indicators of impaired kidney function, which must be managed under the guidance of a nephrologist regarding medication and dietary treatment. Kidney function may dec...

[Read More] Understanding Kidney Function: Key Concerns and Management Strategies


Long-Term Effects of Medications for Sjögren's Syndrome: What to Know

Sjögren's syndrome Hello, Doctor. Last year, I was diagnosed with Sjögren's syndrome by a rheumatologist. I am currently taking Hydroxychloroquine once a day, Aspirin once a day, Prednisolone twice a day, and Methotrexate twice a week. I have been on these four medicati...


Dr. Zeng Guosen Reply:
Hello! Long-term use of Bokey, prednisolone, MTX (methotrexate), and hydroxychloroquine for Sjögren's syndrome can lead to side effects, especially with corticosteroids, MTX, and Plaquenil (hydroxychloroquine). If the condition allows, unnecessary medications should be disco...

[Read More] Long-Term Effects of Medications for Sjögren's Syndrome: What to Know


Understanding Cough Side Effects from Diabetes and Hypertension Medications

Diabetes... Hypertension My father is taking medication for diabetes and has previously taken medication due to a bacterial infection from a prostate examination. Recently, he has been coughing frequently (he has quit smoking). A while ago, I read in the newspaper that there is a...


Dr. Ke Zhengchang Reply:
A class of antihypertensive medications is known to commonly cause cough; these medications are angiotensin-converting enzyme (ACE) inhibitors. Common examples include Capoten, Renitec, Zestril, Tritace, and Acertil.

[Read More] Understanding Cough Side Effects from Diabetes and Hypertension Medications


Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Exercise Tips

Heart valve Thank you for your response, Director. In 1995, I experienced palpitations, arrhythmia, and high blood pressure, which led me to see a cardiologist. I was diagnosed with mild mitral valve prolapse with regurgitation and tricuspid regurgitation. Since then, I have been...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. Mitral valve prolapse with regurgitation is mostly asymptomatic; however, it can occasionally cause chest pain, palpitations, fatigue, or shortness of breath. In severe cases, these symptoms may be more pronounced. The conditions of your m...

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Exercise Tips


Long-Term Medication Side Effects for High Uric Acid Levels?

What are the side effects of long-term medication for hyperuricemia? Hello, I would like to ask a few questions. My father is seventy-two years old and has been experiencing severe uric acid issues over the past year or two, which has led to arthritis and mobility difficulties. H...


Dr. Guo Conghuai Reply:
Hello Ms. Li: Your father has elevated uric acid levels and hypertension, which can easily lead to urate nephropathy. Therefore, both uric acid and blood pressure need to be strictly controlled to prevent or delay the onset of this condition. Certain sedatives or sleeping medicat...

[Read More] Long-Term Medication Side Effects for High Uric Acid Levels?


Understanding Blood Pressure Discrepancies Between Arms: Key Insights

The difference in blood pressure between the two arms is too significant? Yesterday, I measured my blood pressure on my left arm and got 130/80, while on my right arm it was 160/95. I measured twice and got the same results. Today, I measured my left arm three times and got readi...


Dr. Ke Zhengchang Reply:
Hello Mingxin: Normal blood pressure at rest should be below 140/90 mmHg, with a difference between both arms of 10-15 mmHg. Electronic blood pressure monitors can be affected by interference and movement, so it is advisable to take multiple readings. Ensure that both arms are st...

[Read More] Understanding Blood Pressure Discrepancies Between Arms: Key Insights


Understanding High Blood Pressure: Effective Treatment and Recovery Tips

How to treat hypertension? I recently had a basic health check-up, and the nurse informed me that I have high blood pressure. However, I am unclear about why I have this condition. How can I return to a healthy blood pressure level? Additionally, what steps can I take to restore ...


Dr. Zeng Fenyu Reply:
Blood pressure is the force exerted by circulating blood on the walls of blood vessels. There are many potential causes of high blood pressure, and it is advisable to visit an internal medicine clinic for a physician to determine the underlying cause of your hypertension. General...

[Read More] Understanding High Blood Pressure: Effective Treatment and Recovery Tips


Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor mentioned a deficiency in thyroid hormones and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hyperten...


Dr. Li Huixiong Reply:
Seeing you write extensively indeed leaves you, as children, unsure of what to do. In fact, simplifying matters and focusing on the key points is essential. The most common situation in outpatient clinics is that after prolonged illness, patients often lose sight of the main issu...

[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers


Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has been ta...


Dr. Zeng Fenyu Reply:
There are many causes of dizziness, including brain diseases, vestibular nerve disorders, cardiopulmonary diseases leading to insufficient cerebral blood flow, psychogenic factors, and postmenopausal syndrome in women. Regarding the condition you mentioned, if the patient already...

[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers


Unusual Symptoms of Hypertension: Understanding Your Health Concerns

Unusual Symptoms of Hypertension Hello, I have a question regarding hypertension. My mother is 60 years old and started showing symptoms of high blood pressure last year. It recurred again before the Lunar New Year this year. She had been controlling it with Western medication, b...


Dr. Zeng Fenyu Reply:
1. The three situations mentioned above are unrelated to chronic hypertension. 2. The primary cause has not been identified; what you mentioned could also be a vascular disease that requires further examination. 3. In terms of diagnosis, there are two conditions present, but on...

[Read More] Unusual Symptoms of Hypertension: Understanding Your Health Concerns


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