Which Medical Specialty Should You See for Swelling in the Legs?
If you have edema, you should consult a specialist in internal medicine or a nephrologist, as they can evaluate the underlying causes and provide appropriate treatment? Hello... My grandfather is 82 years old and generally in good health, but recently he has been experiencing swe...
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. When experiencing swelling in both legs, it is important to consider potential issues with the liver, kidneys, or heart. Other causes should also be taken into account, such as hypothyroidism, pregnancy (in female patients), spontaneous cau...[Read More] Which Medical Specialty Should You See for Swelling in the Legs?
Managing Thyroid and Heart Medications: What You Need to Know
Thyroid medication and cardiac medication (hypothyroidism)? After my mother visited the doctor, she was prescribed two medications: one is a thyroid hormone replacement, Eltroxin 0.1 mg (white round tablet), and the other is a cardiovascular medication, Concor 5 (yellow heart-sha...
Dr. Yang Hongzhi Reply:
Hello, sister: Patients with hypothyroidism who experience palpitations and tremors after using Eltroxin should consider dosage issues. Many individuals require lifelong use of Eltroxin. After treatment for hypothyroidism, patients can undergo surgery for other medical conditions...[Read More] Managing Thyroid and Heart Medications: What You Need to Know
Feeling of a Foreign Body When Swallowing: Causes and Solutions
Feeling of a foreign body sensation when swallowing saliva? Hello Dr. Zhong, I started having gastroscopies about three years ago, and the results showed chronic gastritis and esophagitis. The doctor mentioned that my esophagitis was due to excessive gastric acid reflux. After ...
Dr. Zhong Weisheng Reply:
Kelly: Hello, regarding the sensation of a foreign body when swallowing saliva, it is recommended to consult an "Otolaryngologist" to examine the nasopharynx and oropharynx for any abnormalities. If there are no issues, you may then see a Gastroenterologist for an esoph...[Read More] Feeling of a Foreign Body When Swallowing: Causes and Solutions
Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice
Thyroid issues Hello Doctor: My family member previously went to the hospital for a thyroid function test, which showed T3: 136, T4: 8.27, TSH: 13.3. Later, during a follow-up test, the TSH level increased to over 51. I have a few questions: 1. What could have caused this? 2. My ...
Dr. Yang Hongzhi Reply:
Normal T3 and T4 levels with a slight increase in TSH are referred to as subclinical hypothyroidism, indicating that the thyroid gland is showing a tendency towards dysfunction. However, due to compensatory mechanisms, thyroid function remains normal. If TSH rises to 51, it is ne...[Read More] Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice
Understanding Potassium-Deficient Muscle Disorders in Hyperthyroidism
Hypokalemic myopathy caused by hyperthyroidism? Hello Doctor. I had a question on October 14, 2006, which you kindly answered, helping my mother and me feel less anxious about her condition. For the past four months, my mother has been consistently taking her medications (Methima...
Dr. Yang Hongzhi Reply:
It is quite common in clinical practice for patients to exhibit a tendency towards hypothyroidism while on the same dosage of medication. Management may involve temporarily discontinuing the medication or reducing the dosage, but it is essential to monitor thyroid function to adj...[Read More] Understanding Potassium-Deficient Muscle Disorders in Hyperthyroidism
Understanding Hypothyroidism: Should You Supplement Iodine or Avoid It?
excuse me? Hypothyroidism is indeed often caused by iodine deficiency. I have been under the care of a physician at Chang Gung Memorial Hospital for the past five years, and the doctor has advised me to consume more seaweed and nori. The doctor also prescribed Thyroxine sodium fo...
Dr. Yang Hongzhi Reply:
Hello: In Taiwan, hypothyroidism is rarely caused by iodine deficiency; rather, excessive iodine intake can lead to thyroid dysfunction. The medication you are taking is thyroid hormone, which directly supplements the deficiency in thyroid function. Thank you.[Read More] Understanding Hypothyroidism: Should You Supplement Iodine or Avoid It?
Managing Hypothyroidism: Medication, Side Effects, and Dietary Tips
Hypothyroidism As a patient with hypothyroidism, do I have to rely solely on medication (Thyroxine sodium) for management? Are there any long-term side effects of taking this medication? What dietary considerations should I be aware of? Thank you, Dr. Yang!
Dr. Yang Hongzhi Reply:
Hello: Hypothyroidism can be a permanent condition, requiring lifelong medication. If the dosage is appropriate, there should be minimal side effects. In principle, it is advisable to avoid high-iodine foods (such as kelp and nori), as they may exacerbate hypothyroidism.[Read More] Managing Hypothyroidism: Medication, Side Effects, and Dietary Tips
Understanding Elevated TSH Levels: Causes, Treatment, and Precautions
Elevated TSH levels? Hello Doctor: My T3 and T4 levels are normal, but my TSH level is elevated. Does this indicate hypothyroidism or hyperthyroidism, and how should it be treated? What precautions should I take? Thank you.
Dr. Yang Hongzhi Reply:
There is a tendency towards hypothyroidism, and treatment is not currently necessary. It is advised to avoid high-iodine foods (such as nori and kelp) and to monitor thyroid function at regular intervals.[Read More] Understanding Elevated TSH Levels: Causes, Treatment, and Precautions
Do I Need Medical Attention? Understanding BMI, Pain, and Irregular Cycles
Do I need to seek medical attention? Hello Doctor, I have a few questions I would like to ask: I am currently 30 years old, 158 cm tall, and weigh between 62 to 65 kg, giving me a BMI of 34. Over six months ago, I started a raw food diet, cooking with minimal oil, salt, and meat...
Dr. Chen Baoli Reply:
Dear Xiao Zhu, Regarding your question, I suggest you first consult an endocrinologist to check for any metabolic issues, such as hypothyroidism. As for the currently popular raw food diet, the medical community generally holds a skeptical view on whether it is suitable for ever...[Read More] Do I Need Medical Attention? Understanding BMI, Pain, and Irregular Cycles
Understanding Thyroid Dysfunction and Tumors: Key Differences Explained
Thyroid dysfunction and thyroid tumors? Hello, doctor! I would like to ask if there is a difference between thyroid antibodies and thyroid tumors. A family member of mine had surgery due to a thyroid tumor, and I noticed that thyroid issues can cause hair loss. Additionally, duri...
Dr. Yang Hongzhi Reply:
Both hyperthyroidism and hypothyroidism can be associated with hair loss; however, most cases will present with other symptoms. The thyroid gland does not always exhibit noticeable enlargement. If you do not have other signs suggestive of thyroid disease, it may be advisable to f...[Read More] Understanding Thyroid Dysfunction and Tumors: Key Differences Explained
Can a 15-Year-Old Still Grow Taller? Insights for Parents
Can a 15-year-old still grow taller? Hello Dr. Yang, I would like to ask you about my son who is currently 14 years and 7 months old. He has mild cerebral palsy affecting his motor neurons, which prevents him from running and jumping like other children. He has a slight tendency ...
Dr. Yang Hongzhi Reply:
Hello: If you have hypothyroidism, you should prioritize treatment for this issue. Hospitals with a metabolism department should be able to handle it.[Read More] Can a 15-Year-Old Still Grow Taller? Insights for Parents
Managing Chronic Thyroiditis: Symptoms, Treatment, and Lifestyle Impact
Chronic thyroiditis Hello: I was diagnosed with hyperthyroidism two years ago, and after treatment, I was found to have chronic thyroiditis with hypothyroidism in February of this year. After treatment, my TSH level has decreased to 7, but I still experience symptoms such as edem...
Dr. Yang Hongzhi Reply:
It is not uncommon for hyperthyroidism to transition to hypothyroidism after a period of time. Theoretically, treating hypothyroidism should not be difficult, and normal thyroid function can be restored in a short period. Generally, daily activities are not affected.[Read More] Managing Chronic Thyroiditis: Symptoms, Treatment, and Lifestyle Impact
Managing Thyroid-Related Eye Issues After Surgery: What You Need to Know
Thyroid eye disease? Hello: In 1997, I underwent surgery for hyperthyroidism at a women's and children's hospital in Kaohsiung. Prior to that, I had been on medication for a year to manage the condition. I have been undergoing follow-up checks every six months. In Febru...
Dr. Yang Hongzhi Reply:
Thyroid-related eye disease is not necessarily directly related to the status of hyperthyroidism. Mild eye changes do not require specific treatment, while more severe cases may consider corticosteroids or even radiation therapy. The impact of diet is minimal, but it is advisable...[Read More] Managing Thyroid-Related Eye Issues After Surgery: What You Need to Know
Understanding Hypothyroidism: Symptoms, Leg Swelling, and More
Hypothyroidism What are the symptoms of hypothyroidism? Can it cause lower limb edema? Recently, I have experienced swelling in my lower limbs, and my urine tests came back normal. My blood tests showed only a GTO value of 40, while the rest were normal. My blood pressure is slig...
Dr. Huang Dayao Reply:
Hello, there are many causes of lower limb edema. Generally speaking, if urine output is normal, it is likely not related to the kidneys. Hypothyroidism can also cause edema, but it is different from typical edema; the swelling caused by hypothyroidism does not pit when pressed, ...[Read More] Understanding Hypothyroidism: Symptoms, Leg Swelling, and More
Understanding Skin Pain Associated with Cold Symptoms
Skin pain caused by a cold? Hello Dr. Zhao, I have a question regarding a cold: Over the past year, whenever I catch a cold, in addition to the usual symptoms of runny nose, nasal congestion, mild dizziness, excessive phlegm, and general discomfort, I have been experiencing &qu...
Dr. Zhao Chongliang Reply:
What you are referring to is abnormal sensation, which is known as paresthesia in English. It can be caused by poor blood circulation throughout the body, atherosclerosis due to deposits of cholesterol or thrombosis, vitamin deficiencies, poor nutritional status, diabetes, hypoth...[Read More] Understanding Skin Pain Associated with Cold Symptoms
Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults
Generalized edema, headache (dizziness), insomnia, etc? Hello, my mother is 43 years old and has been feeling unwell lately, experiencing symptoms such as insomnia, headaches (dizziness), and sometimes waking up in the morning with generalized edema. During a previous health chec...
Dr. Zhao Chongliang Reply:
There are many causes of edema, including common kidney diseases (renal failure, nephrotic syndrome), heart diseases (heart failure), liver diseases (cirrhosis), endocrine disorders (hypothyroidism, hyperadrenalism, menstruation), systemic malnutrition, poor blood circulation, an...[Read More] Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults
Managing Weight Gain and Anemia in Patients with Thyroid Issues
Disease 4 I gained 4-5 kilograms over a year ago and have been unable to lose the weight. I had thyroid surgery over 20 years ago and also have a congenital anemia that I cannot seem to improve. How should I diagnose and treat these issues?
Dr. Yang Hongzhi Reply:
After more than 20 years post-thyroid surgery, weight gain and pelvic bleeding should raise the suspicion of post-surgical hypothyroidism, and blood tests should be considered for evaluation.[Read More] Managing Weight Gain and Anemia in Patients with Thyroid Issues
Understanding Hypothyroidism: Can It Cause Heart Rhythm Disorders?
Hypothyroidism Hypothyroidism can indeed lead to symptoms such as arrhythmias.
Dr. Li Huixiong Reply:
Hypothyroidism does not cause arrhythmias.[Read More] Understanding Hypothyroidism: Can It Cause Heart Rhythm Disorders?
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
Understanding High TSH Levels: Causes, Management, and Lifestyle Tips
Thyroid gland Hello, doctor. I just finished my appointment with the endocrinologist, and the doctor said that my test results show an issue with TSH, with a value of 5.26, while the reference range is 0.25-4.0 uIU/ml. What disease could this indicate? Besides medication, how can...
Dr. Yang Hongzhi Reply:
TSH is slightly above the normal upper limit, which suggests subclinical hypothyroidism. This typically does not produce any symptoms and usually does not require treatment; however, there is a significant chance of progressing to overt hypothyroidism. It is advisable to avoid hi...[Read More] Understanding High TSH Levels: Causes, Management, and Lifestyle Tips