Managing Diabetes Complications: Infections, Insulin Reactions, and Alcohol Risks
Diabetic complications Hello Dr. Liao, 1. I have diabetes and am undergoing treatment, but I still frequently experience fungal infections. What should I do? 2. I develop allergic reactions with redness and rashes after insulin injections. What should I do? What are the side e...
Dr. Liao Zhongxin Reply:
Dear readers: 1. For questions related to diabetes, you can visit the metabolic clinic to consult with a physician and a diabetes educator for clarification. 2. Fungal infections may occur in individuals who are obese, female, or have chronic diseases. It is important to manage b...[Read More] Managing Diabetes Complications: Infections, Insulin Reactions, and Alcohol Risks
Understanding Heart Issues in Premature Infants: Risks and Care Tips
Cardiac issues in premature infants? Hello Dr. Lee, My sister-in-law gave birth to two new lives half a month ago. Due to premature birth, the weights of the two baby girls are 1100 and 1200 grams, and it seems that both of their hearts are underdeveloped. So far, they have rec...
Dr. Li Huixiong Reply:
There are many reasons for congenital heart defects in premature infants, with the most common being patent ductus arteriosus. Some cases may require medication or surgical intervention. Other types of developmental abnormalities will be managed based on the specific circumstance...[Read More] Understanding Heart Issues in Premature Infants: Risks and Care Tips
Understanding Swollen Fingertips: Gout and Treatment Options
Swelling at the fingertip of the index finger? Dear Doctor: My father has symptoms of gout, and the swelling at the tip of his right index finger has persisted for one to two years. When he experiences gout symptoms, injections or medications can alleviate the symptoms, but the s...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. If gouty arthritis occurs multiple times, it is recommended to regularly take urate-lowering medication; otherwise, continuous use of pain relief injections may lead to gastrointestinal or kidney issues. Additionally, prolonged gout can result i...[Read More] Understanding Swollen Fingertips: Gout and Treatment Options
Unexplained Weight Loss in Middle-Aged Women: Causes and Concerns
Unexplained weight loss? My mother is 50 years old this year and is a homemaker. She has a balanced diet without significant deviations in the quantity and variety of food. She frequently takes pain relievers or receives pain injections. Over the past month, her weight has decrea...
Dr. Xiao Yongxun Reply:
Hello, in response to your question: 1. Weight loss is a symptom rather than a disease, and there is no definitive definition. Generally, unintentional weight loss is considered to be a decrease of more than 5% of body weight (or 4.5 kg) within six months, without any specific i...[Read More] Unexplained Weight Loss in Middle-Aged Women: Causes and Concerns
Understanding Recurring Urticaria: Causes and Treatment Options
Recurrent urticaria? Hello Dr. Tseng, since I started eating canned mackerel in tomato sauce last September, I have experienced a resurgence of urticaria that I hadn't had for many years. I have been intermittently taking medications prescribed by the school doctor or small ...
Dr. Zeng Guosen Reply:
Dear online friend, urticaria is a condition that is not easily cured completely. It is best to keep a record of what you ate before the rash appeared, where you have been, and what you have come into contact with, in order to gradually identify related issues. You can also under...[Read More] Understanding Recurring Urticaria: Causes and Treatment Options
Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Lipid malnutrition syndrome Lipid Nutritional Deficiency (272.6) - which specialty should I consult for examination and treatment, and how can I obtain a catastrophic illness card? Ms. Lin, phone number 0932658379. Onset date: Late March 2007. Course of illness: After a car...
Dr. Chen Qingbin Reply:
Hello Miss Lin: In clinical practice, lipid malnutrition is very rare, and it is best to go to a medical center for a detailed examination and treatment.[Read More] Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Dealing with Excessive Sweating: Solutions and Risks Explained
Hyperhidrosis I have severe sweating in my hands, feet, and armpits... it's really very serious and I don't know what to do to stop sweating. Can I have the sweat glands removed? Are there any side effects? I'm not sure if I've made the right choice! I think i...
Dr. Xiao Yongxun Reply:
Hello: 1. Generally, for patients requiring laparoscopic surgery to ablate the sympathetic ganglia, those with both palmar and plantar hyperhidrosis may experience improvement in foot sweating even if only the hand sweating is treated. The surgery typically lasts about 30 minutes...[Read More] Dealing with Excessive Sweating: Solutions and Risks Explained
Understanding Vasculitis Treatment: Key Questions and Insights
Treatment of vasculitis My father underwent cataract surgery on his left eye on April 9, and since then, his vision has been blurry. During a follow-up appointment two days ago, the doctor mentioned that he has vascular occlusion and dilation of the optic nerve. Since November of...
Dr. Qiu Zhengbin Reply:
Hello, I am a physician in the Department of Metabolism at Changhua Hospital. Regarding your concerns, I would like to address them from two aspects. First, you mentioned that your father has experienced a weight loss of 11 kilograms over the past few months, along with fatigue...[Read More] Understanding Vasculitis Treatment: Key Questions and Insights
Understanding Hormonal Imbalance: Acne and Its Underlying Causes
Endocrine disorder? Hello, doctor. I've been struggling with acne since high school and have seen many dermatologists and traditional Chinese medicine practitioners, using countless topical treatments. Recently, since September of last year, my condition has worsened (staphy...
Dr. Sun Yizhen Reply:
Hello, Xiao Shi: Please visit the dermatology outpatient clinic for evaluation and treatment. Hepatitis B is not necessarily related to acne, but you should still follow your gastroenterologist's advice for regular follow-up and examinations.[Read More] Understanding Hormonal Imbalance: Acne and Its Underlying Causes
Managing High Blood Sugar Levels in Diabetes: Tips and Insights
High blood sugar? Hello Dr. Lee, I would like to ask how to handle high blood sugar levels? My mother has been a diabetic for about 15 years. She was previously controlled with oral medications, but for the past three years, she has started using insulin injections, which have no...
Dr. Li Zhiyao Reply:
Hello Amin, Your question can be summarized as "how to effectively manage diabetes." In addition to the patient and their family, a team consisting of physicians, dietitians, and diabetes educators should be involved in managing diabetes. Currently, health bureaus in v...[Read More] Managing High Blood Sugar Levels in Diabetes: Tips and Insights
Effective Treatments for Leg Edema Caused by Prolonged Standing
Regarding foot edema? If your mother is experiencing calf edema due to prolonged standing at work, it is important to address the issue appropriately. She should consider consulting a specialist in vascular medicine or a phlebologist, as they focus on conditions related to veins,...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, edema is the swelling of soft tissues due to an abnormal increase in interstitial fluid. Common diagnoses include localized venous obstruction, lymphedema, as well as systemic conditions such as heart failure, nephrotic syndrome, hypoalbuminem...[Read More] Effective Treatments for Leg Edema Caused by Prolonged Standing
Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns
excuse me? What is the true cause of Behçet's disease and how significantly does it affect the body? Is there a correlation between having gastric ulcers and hypothyroidism occurring simultaneously? I am currently receiving weekly steroid injections; are there any side effec...
Dr. Yang Hongzhi Reply:
Behçet's disease is generally considered to be caused by an autoimmune response leading to vasculitis. Gastric ulcers may occasionally occur in this condition, and hypothyroidism can also be classified as an autoimmune disease, which may occur concurrently, although it is no...[Read More] Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns
Can You Get HIV or Hepatitis from a Barber's Razor?
Will this lead to an HIV infection? Dear Doctor, when I went to get a haircut, the barber used a razor to shave the sideburns after cutting my hair. Although I did not see any visible bleeding, I am worried about the possibility of infection if the previous customer had HIV or he...
Dr. Xiao Yongxun Reply:
Hello: According to past statistics in our country, prior to the initiation of hepatitis B vaccination, the rate of exposure to hepatitis B infection was approximately 25% to 30% in preschool-aged children; about 50% to 60% in individuals aged 10 to 20 years; around 80% in those ...[Read More] Can You Get HIV or Hepatitis from a Barber's Razor?
Understanding Gout: Causes, Symptoms, and Long-Term Management Options
Dr. Tseng: Hello! I experience gout attacks every year in June, July, and August (in my big toe). Why does this happen? When it flares up, the pain is so intense that I can't sleep, and my toe becomes red and swollen! I have to rely on medication and injections to alleviate ...
Dr. Zeng Guosen Reply:
Hello, internet user: Gout is caused by elevated levels of uric acid in the blood. It can be categorized into two main types: those with identifiable causes and those without. If the cause of your high uric acid levels cannot be determined and you continue to experience frequent ...[Read More] Understanding Gout: Causes, Symptoms, and Long-Term Management Options
Understanding Recurrent Inflammation in the Groin: Key Considerations
Recurrent inflammation in the groin area? The surgeon did not perform a culture for the drainage of pus and simply stated that there was no inflammation. During the consultation, there was a mention of whether there were any injections or adverse medication habits, but the patien...
Dr. Lin Mingfeng Reply:
Your son's condition is likely to continue progressing, and it is advisable to seek medical attention as soon as possible. During the diagnostic process, obtaining a thorough medical history is crucial. Details about daily life, including any history of animal contact, previ...[Read More] Understanding Recurrent Inflammation in the Groin: Key Considerations
Updated Insulin Injection Techniques: No More Pulling Back the Plunger?
Insulin Injection Techniques - Updated Version Hello Doctor: I am a nursing staff member at a regional hospital. Recently, due to work-related reasons, I heard that there have been changes in the insulin injection technique. Previously, books and materials indicated that it was n...
Dr. Chen Qingbin Reply:
Generally, subcutaneous insulin injections do not require aspiration; however, if injecting into muscle, aspiration is necessary.[Read More] Updated Insulin Injection Techniques: No More Pulling Back the Plunger?
Understanding Diabetic Neuropathy: Concerns and Management Strategies
Diabetic neuropathy issues? Hello Dr. Shi: My mother is a diabetic and she is 65 years old. Last year, she underwent surgery for cervical spondylosis (she initially went for surgery due to numbness in her left hand), but unexpectedly, after the surgery, she experienced weakness i...
Dr. Shi Guangzhong Reply:
From your letter, it is evident that your mother has been struggling with weakness in her limbs for quite some time. There are many potential causes for limb weakness, including blood sugar control issues and cervical spondylosis. It appears that your mother's weakness has s...[Read More] Understanding Diabetic Neuropathy: Concerns and Management Strategies
Understanding Dark Circles: When to See a Specialist
Dark circles Hello doctor, I also have allergic rhinitis and I have very noticeable dark circles around my eyes. I haven't experienced much allergy symptoms in the past year, but the dark circles are still quite severe. Which specialist should I see? Thank you! :)
Dr. Xiao Yongxun Reply:
Hello: In response to your question. Dark circles (also known as periorbital dark circles) are commonly seen in clinical practice and trouble many individuals. There are various causes, including allergic conditions related to asthma or eczema, genetics, certain medications, anem...[Read More] Understanding Dark Circles: When to See a Specialist
Understanding Abdominal Pain After Constipation: When to Seek Medical Help
Abdomen Hello Doctor, I haven't had a bowel movement for a long time, so last Thursday night I took one of my grandfather's medications, which I believe was Dulcolax 5mg, a yellow enteric-coated tablet. Around 10:30 PM, I started experiencing diarrhea, and the next da...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Dulcolax promotes gastrointestinal motility, so a small number of patients who are more sensitive to the medication may experience abdominal pain or diarrhea. This side effect can improve simply by discontinuing the medication. 2. There ar...[Read More] Understanding Abdominal Pain After Constipation: When to Seek Medical Help
Understanding Lantus: 24-Hour Insulin for Type 2 Diabetes Management
The 24-hour long-acting formulation for type 2 diabetes is Lantus (insulin glargine)? In Keelung Municipal Hospital, regarding the long-acting formulation of insulin for type 2 diabetes, Lantus (insulin glargine), the hospital can provide this medication to patients in need. The ...
Dr. Zhong Weisheng Reply:
Delina: Hello, thank you for your message! Regarding the availability of medications, it varies between hospitals. Since your inquiry pertains to the insulin preparations at Keelung Hospital, could you please contact them directly for more accurate information? Thank you, Wei-She...[Read More] Understanding Lantus: 24-Hour Insulin for Type 2 Diabetes Management