Hypothyroidism, Internal Medicine FAQ - Page 8

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Understanding Diffuse Goiter: Related Diseases and Cancer Risks

Diffuse goiter Hello, doctor. I have diffuse goiter. What related diseases can arise from diffuse goiter? Will this increase my risk of developing cancer? Thank you!


Dr. Yang Hongzhi Reply:
Diffuse goiter is associated with a higher likelihood of thyroid dysfunction compared to the general population, which may manifest as either hyperthyroidism or hypothyroidism; however, the risk of developing cancer does not significantly increase.

[Read More] Understanding Diffuse Goiter: Related Diseases and Cancer Risks


Understanding Low Blood Pressure: Symptoms, Precautions, and Prevention

Symptoms of low blood pressure? Hello, I apologize for bothering you! I would like to ask the doctor about low blood pressure. What are the symptoms associated with it, and what should individuals with low blood pressure be aware of? Additionally, how can it be prevented? I’m sor...


Dr. Chen Fuquan Reply:
Hello! Reason 1: Symptoms of low blood pressure include a tendency to feel dizzy, and the extremities often feel cold, especially more noticeably in winter. Sometimes there may also be palpitations. When lying down or squatting, standing up suddenly can lead to a feeling of diz...

[Read More] Understanding Low Blood Pressure: Symptoms, Precautions, and Prevention


Understanding Low Body Temperature: Tips to Improve Your Health

Hypothermia, with a body temperature of approximately 35.5 degrees Celsius, and sensitivity to cold? I am very sensitive to cold and tend to wear more layers than others in all seasons except summer. My actual measured body temperature is around 35.3 to 35.6 degrees Celsius. This...


Dr. Yang Hongzhi Reply:
Mr. Li, with hypothyroidism, may experience similar symptoms; however, it is usually accompanied by other manifestations. It is advisable to seek medical evaluation from a specialist in metabolism. Dr. Yang Hong-Zhi from the Hsinchu Hospital, Department of Internal Medicine, Mini...

[Read More] Understanding Low Body Temperature: Tips to Improve Your Health


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 Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options

Hypothyroidism? Hello Dr. Yang: Initially, during a physical examination, it was found that the right side of my thyroid was enlarged, but there were no visible abnormalities, and there is no family history of thyroid disease. I have a constitution that makes it difficult for me ...


Dr. Yang Hongzhi Reply:
Your symptoms are likely unrelated to the thyroid. If they are causing distress, medication may be considered to alleviate the symptoms. Using thyroid hormone to reduce the size of the right thyroid lobe may not have a significant effect. If thyroid function is normal and the rig...

[Read More] Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options


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 Thyroid Inflammation: Causes, Symptoms, and Treatment Options

Thyroiditis Doctor: Hello! I would like to ask you a few questions. I am a patient with non-toxic multinodular goiter and take one tablet of Eltroxin daily. Recently, during a hospital check-up, the doctor informed me that I have thyroiditis, which is caused by my immune system a...


Dr. Yang Hongzhi Reply:
This is generally an autoimmune reaction, and the exact cause is still unclear. If thyroiditis leads to hypothyroidism, thyroid hormone replacement (eltroxin) is typically required. If thyroid function is normal, treatment is not necessarily needed, and it should not have any adv...

[Read More] Understanding Thyroid Inflammation: Causes, Symptoms, and Treatment Options


Understanding Thyroid Issues: Treatment Options for Goiter and Cysts

About the thyroid gland? Hello, Dr. Zhao... My sister has an enlarged thyroid due to a cold, but she is afraid of surgery, so she is controlling it with medication. I saw your response indicating that there are methods to aspirate it. What conditions need to be met, or what recom...


Dr. Zhao Chongliang Reply:
Hello! The aspiration method you mentioned in your response refers specifically to thyroid cysts, particularly in cases of recurrent hemorrhagic events, which is different from general goiter. The cause of general goiter was previously attributed to iodine deficiency, but since t...

[Read More] Understanding Thyroid Issues: Treatment Options for Goiter and Cysts


Managing Hashimoto's Thyroiditis During and After Pregnancy

Hashimoto's thyroiditis induced by pregnancy? Hello Dr. Yang, I was diagnosed with hypothyroidism during my pregnancy in 2002, and I have been monitoring it every six months since then. I am continuously taking thyroid hormone replacement. I would like to ask a few questions...


Dr. Yang Hongzhi Reply:
1. During pregnancy, the dosage of thyroid hormones often needs to be increased. If normal thyroid function can be maintained, there should be no significant impact on the fetus. 2. Hypothyroidism is often permanent; however, some cases may improve on their own. The efficacy of...

[Read More] Managing Hashimoto's Thyroiditis During and After Pregnancy


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


Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis

Unexplained pain? The area near the spine on the back (close to the shoulder blade), the lower edge of the ribs on the front chest, the thoracic cavity near the armpit, as well as the arms and fingers (especially the ring and little fingers) have been experiencing unexplained pai...


Dr. Zhao Chongliang Reply:
Due to pain near the lower rib cage and around the temples, it does not seem to originate from the spine or joints. If this has been persistent and there is no fever, it may be indicative of myofascial pain syndrome. A common condition is myofascial rheumatism (also known as fibr...

[Read More] Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis


Managing Hypertension with Hypothyroidism: Which Specialist to See?

Hypertension with hypothyroidism? Which department should a patient with hypertension and hypothyroidism consult? I often need to see two specialists, and sometimes my thyroid medication needs adjustment, which makes frequent hospital visits quite burdensome. Is it possible to se...


Dr. Yang Hongzhi Reply:
If hypertension and hypothyroidism are relatively well-controlled, it should be sufficient to follow up with just one specialty, as the half-life of thyroid hormones in the body is approximately one week. Missing a dose should not lead to immediate symptoms. The interactions of t...

[Read More] Managing Hypertension with Hypothyroidism: Which Specialist to See?


Understanding the Symptoms of Hypothyroidism: A Comprehensive Guide

Hypothyroidism Hello, doctor: What are the symptoms of hypothyroidism?


Dr. Yang Hongzhi Reply:
Mild hypothyroidism may not present any noticeable symptoms, while more severe hypothyroidism can lead to symptoms such as fatigue, weakness, edema, and constipation.

[Read More] Understanding the Symptoms of Hypothyroidism: A Comprehensive Guide


Managing Moon Face: Strategies for Post-Thyroid Surgery Recovery

Moon facies due to edema? Several years ago, I suffered from thyroid dysfunction and underwent a period of medication treatment, initially with traditional Chinese medicine and later seeking help from Western medicine (approximately six years). However, I did not see significant ...


Dr. Yang Hongzhi Reply:
After treatment for hyperthyroidism, there is a tendency to gain weight, which typically stabilizes after a period of time. If there is facial swelling, it is important to consider whether there is a problem with postoperative hypothyroidism.

[Read More] Managing Moon Face: Strategies for Post-Thyroid Surgery Recovery


Understanding Thyroid Issues: Symptoms, Tests, and Next Steps

I have some questions I would like to ask? Hello, I would like to ask about frequently feeling discomfort and pain in my throat, often feeling very fatigued even with normal sleep, and experiencing a significant decrease in menstrual flow over the past three months. Given these i...


Dr. Yang Hongzhi Reply:
Simple goiter does not cause the described issues. If there is hypothyroidism, fatigue may occur, but menstruation generally does not decrease; instead, it may be excessive. If there are still concerns about thyroid disease, a consultation with an endocrinologist is recommended.

[Read More] Understanding Thyroid Issues: Symptoms, Tests, and Next Steps


Understanding Leg Indentation: Signs of Kidney Issues and Other Causes

The calf sinks when pressure is applied? Hello doctor, I have been feeling fatigued lately, and when I press down on my calves, they seem to indent as if it could be a sign of kidney disease. Are there other possible causes for this? Could you please provide some examples and sug...


Dr. Yang Jun Reply:
Hello: In response to your question, the document mentions that there is a pitting edema in the lower extremities, which is a manifestation of edema. There are many causes for lower extremity edema, including (1) kidney diseases - such as proteinuria or nephrotic syndrome. (2) He...

[Read More] Understanding Leg Indentation: Signs of Kidney Issues and Other Causes


Understanding the Causes of Sweet-Tasting Saliva: A Medical Insight

Sweet saliva? The recent sweet taste in your saliva may be related to several factors. It could be a sign of elevated blood sugar levels, which is often associated with diabetes. Other potential causes include certain medications, dietary changes, or even a condition known as ket...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Generally speaking, taste disorders are relatively rare, and their pathogenic mechanisms are less understood. 2. Taste is primarily categorized into sweet, salty, sour, and bitter, with different distributions of taste buds on the tongue. 3...

[Read More] Understanding the Causes of Sweet-Tasting Saliva: A Medical Insight


Understanding Thyroid Hyperactivity: Surgery vs. Radioactive Iodine Treatment

What are the differences between choosing surgery and radioactive iodine treatment for hyperthyroidism? I was diagnosed with hyperthyroidism four years ago, and after taking medication for four years, my condition has remained stable. However, it has recently relapsed. A physicia...


Dr. Yang Hongzhi Reply:
Surgical intervention for recurrent hyperthyroidism is one option; however, the necessity for surgery is generally low unless there is significant thyroid enlargement or the presence of a tumor. Radioactive iodine therapy involves the oral administration of radioactive iodine, wh...

[Read More] Understanding Thyroid Hyperactivity: Surgery vs. Radioactive Iodine Treatment


Effective Supplements for Reducing Edema and Improving Circulation

What should I do about edema? Are there any dietary supplements that can help improve edema and blood circulation? Are edema and poor blood circulation related? Is taking vitamin B or grape seed extract beneficial? Thanks!


Dr. Yang Jun Reply:
Hello: In response to your question, there are many causes of edema, most of which are related to dysfunction of the heart, liver, or kidneys. Nutritional deficiencies, low albumin levels, or hypothyroidism can also lead to edema. Edema caused by poor blood circulation is often d...

[Read More] Effective Supplements for Reducing Edema and Improving Circulation


Understanding Thyroid Tumors: Treatment Options and Dietary Considerations

Thyroid tumor Hello, I recently discovered a slight bulge on the left front of my neck, and an ultrasound revealed a tumor with a diameter of about 3.5 cm. I went to the hospital for blood tests, and the results were within the normal range. I was originally scheduled for surgery...


Dr. Chen Guifeng Reply:
1. If a thyroid tumor has reached 3.5 cm, doctors generally recommend surgical treatment, as medication cannot eliminate it. 2. There are no specific food restrictions in daily life. 3. Due to the lack of information about the medications being taken, it is not possible to prov...

[Read More] Understanding Thyroid Tumors: Treatment Options and Dietary Considerations


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