Insomnia, Internal Medicine FAQ - Page 2

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Understanding Insomnia After Hyperthyroidism Treatment: What to Expect

Hyperthyroidism and insomnia? I have been treated for hyperthyroidism for four months. Last week, my test results were normal. Since the onset of hyperthyroidism, I have been experiencing insomnia. I would like to ask the doctor, if my levels are normal, shouldn't my sleep a...


Dr. Li Jian Reply:
Based on my experience with outpatient patients, after successful treatment of hyperthyroidism, insomnia tends to gradually improve. If insomnia persists, it may be advisable to consult a physician specializing in psychosomatic medicine.

[Read More] Understanding Insomnia After Hyperthyroidism Treatment: What to Expect


Daily High Fever and Weight Loss in a 70-Year-Old with Lupus

Persistent high fever every morning accompanied by weight loss? Hello, Doctor. Thank you for taking the time to read this amidst your busy schedule. My father, who is 70 years old, has been diagnosed with systemic lupus erythematosus and chronic obstructive pulmonary disease. He ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You can return for a follow-up appointment anytime you feel unwell, especially if you have a fever, without worrying about the physician's opinion. 2. If you have had a persistent fever for over a month, that is...

[Read More] Daily High Fever and Weight Loss in a 70-Year-Old with Lupus


Persistent Low-Grade Fever: When to Seek Further Medical Evaluation?

Low-grade fever for four consecutive days? Hello, For the past four days, my axillary temperature has been between 36.4°C and 36.6°C (previously, it was mostly between 35.6°C and 35.9°C, and during my menstrual period, it peaked at 36.1°C). However, when measuring my ear temper...


Dr. Zeng Guosen Reply:
Hello, your body temperature is slightly elevated but not significantly high. Due to the combined factor of a white blood cell count below the standard range, it is recommended that you first visit an infectious disease specialist. The physician will evaluate the results of your ...

[Read More] Persistent Low-Grade Fever: When to Seek Further Medical Evaluation?


Is My Hormonal Imbalance Causing Skin Issues and Irregular Periods?

Could you please tell me if I am experiencing endocrine dysfunction? Hello Doctor: Since last summer, due to my internship, I have been sitting in the office handling tasks, which led to a uterine fungal infection and abnormal bleeding that took two months to seek treatment. My s...


Dr. Lin Jianliang Reply:
Based on your description, both endocrinology and obstetrics/gynecology should be consulted.

[Read More] Is My Hormonal Imbalance Causing Skin Issues and Irregular Periods?


Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies

A postprandial blood glucose level of 201 mg/dL is considered elevated. It is important to evaluate this result in the context of the individual's overall health, medical history, and potential symptoms. Here are some considerations and actions to take: 1? Hello, doctor. Th...


Dr. Lin Jianliang Reply:
1. Generally speaking, a random blood glucose level of 201 mg/dL increases the likelihood of diabetes compared to normal individuals. However, at that time, you also had a cold, which could affect blood glucose levels. It is recommended to visit the endocrinology clinic after rec...

[Read More] Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies


Managing SLE: Understanding Pain and Treatment Options for Patients

Regarding SLE (Systemic Lupus Erythematosus) Hello, doctor. I am a patient with systemic lupus erythematosus (SLE). I was diagnosed at the age of 22, and it has been 18 years since then. Over the years, I have been taking steroids and quinine, without adding any other medications...


Dr. Gao Jiankai Reply:
Hello Julia, in assessing the disease activity of Systemic Lupus Erythematosus (SLE), in addition to evaluating blood test results, it is also important to consider the patient's symptoms. Joint pain and swelling are common in SLE but are generally considered mild manifestat...

[Read More] Managing SLE: Understanding Pain and Treatment Options for Patients


Unexplained Bruises and Swelling on Feet: Seeking Solutions

Unexplained bruising on the foot, recurring? I have had a wound on my foot since a cut at the swimming pool a year ago, which has formed a scab that has not fallen off for a long time. I have started to experience unexplained bruising and swelling, which has been increasing. It i...


Dr. Ke Taiyuan Reply:
However, based on the current description, a definitive diagnosis cannot be established. It is recommended to visit the internal medicine outpatient department at a hospital. If there are frequent unexplained bruises, a blood test to check for coagulation function issues may be w...

[Read More] Unexplained Bruises and Swelling on Feet: Seeking Solutions


Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes

Blood sugar issues? Hello Doctor: I will be regularly having blood tests to check my blood sugar every one to three months, self-paying at the clinic for both fasting and postprandial tests. My blood sugar was 87 during the health check when I just entered my freshman year of col...


Dr. Chen Jianyu Reply:
Blood sugar levels are influenced by many factors; it is advisable to engage in regular exercise. If you have any questions, please visit a nearby medical facility's metabolic department for consultation.

[Read More] Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes


Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions

Endocrine disorder Hello, for the past six months, it seems that I have been experiencing hormonal imbalance. I have been under a lot of stress and suddenly gained 20 kilograms, going from 44 kilograms to 64 kilograms. Previously, I would feel full after eating a little, but now ...


Dr. Lin Jianliang Reply:
Based on your description, if you have already consulted with obstetrics and gynecology, dermatology, and psychosomatic medicine, and after undergoing examinations, it is also recommended to consider seeing an endocrinology and metabolism specialist for further evaluation. Thank ...

[Read More] Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions


Can You Get Parasitic Infections from Handling Water Plants?

Parasitic infection issues? Due to the need for fish farming, I manually pulled aquatic plants from a field ditch. After pulling them out, I washed my hands, and once they were dry, I ate some mint candy. Later, I discovered some worms in the aquarium that seem to be schistosomes...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Parasites...> the response is as follows: A: You can refer to the CDC website at http://www.cdc.gov.tw/diseaseinfo.aspx? 1. Overview of Common Intestinal Parasitic Diseases: Intestinal parasitic diseases are prevalent in tropical and subtropical ...

[Read More] Can You Get Parasitic Infections from Handling Water Plants?


Can Steroids Cause Dizziness? Understanding Side Effects and Concerns

Can steroids cause dizziness? Hello, Doctor. I have had SLE for 15 years, and I was recently discharged from the hospital due to vasculitis. I have been resting at home for ten days now and am currently taking eight corticosteroids. I feel about 90% recovered, but I am troubled b...


Dr. Gao Jiankai Reply:
Hello Julia, thank you for your question. Here is my response summarized as follows: 1. The dosage of 8 steroid pills is not considered high, and it should not be used for a long duration; you can always consult your physician about this. 2. Steroids are unlikely to cause dizz...

[Read More] Can Steroids Cause Dizziness? Understanding Side Effects and Concerns


Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss

Could this indicate the possibility of diabetes? Hello, Doctor. In mid-May of this year, I had a blood test that showed a hemoglobin A1c of 5.0 and a fasting blood glucose level of 86. From the end of May until today, my height and weight changed from 160 cm/55 kg to 160 cm/52 kg...


Dr. Xiao Yongxun Reply:
Dear Ms. NN: 1. Zoloft® (Sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI) because it specifically inhibits the reuptake of serotonin, exhibiting a selectivity for serotonin transporters that is 300 to 3000 times greater compared to norepinephrine tran...

[Read More] Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss


Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms

Hyperthyroidism? Panic? Anxiety? I would like to ask about hyperthyroidism. My heart rate has been consistently high. Recently, during the day, my heart rate is quite fast, sometimes reaching 80-90 beats per minute while sitting, but at night when I sleep, it drops to about 50 be...


Dr. Hong Yuanbin Reply:
Based on your description and the examination data, it does not appear to be a case of hyperthyroidism. In a normal individual, the heart rate should be between 50 and 100 beats per minute, so your heart rate should still be within the normal range. As for the palpitations, there...

[Read More] Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms


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


Managing Insomnia While Taking Medication for Ankylosing Spondylitis

Medications for Ankylosing Spondylitis and Sleep Issues Hello Doctor: I was recently diagnosed with AS, and five days ago I started taking Planequil once in the morning and once in the evening. I have noticed that after taking the medication, my mood becomes unusually elevated, a...


Dr. Zeng Guosen Reply:
Generally, patients with AS (Ankylosing Spondylitis) do not take Plaquenil; they are more likely to be prescribed Prednisolone, as the latter has more side effects that can affect sleep. If medication causes side effects, it is advisable to return to the doctor for a discussion r...

[Read More] Managing Insomnia While Taking Medication for Ankylosing Spondylitis


How to Address Multiple Symptoms After Urological Issues?

How should a series of symptoms be evaluated? Today, I have been experiencing a series of symptoms that started after I developed a urological condition. Initially, I had testicular pain due to frequent erections without proper relief during that time. After consulting a urologis...


Dr. Hong Yuanbin Reply:
1 & 2: Based on your symptom description, it is indeed most likely chronic prostatitis. However, there is concern about the possibility of complications such as prostatic abscess or urinary tract infection. You may want to consult an infectious disease specialist, urologist, ...

[Read More] How to Address Multiple Symptoms After Urological Issues?


Breathing Issues, Abdominal Pain, and Insomnia: Seeking Medical Guidance

Difficulty breathing, sensation of a foreign body in the throat, dull pain in the right abdomen, chest tightness, and insomnia? Hello doctor, I have been experiencing long-term sleep deprivation due to staying up late. Since January of last year, I have had difficulty with my exh...


Dr. Xiao Yongxun Reply:
Dear Mr. Tu, 1. Difficulty in breathing and a sensation of a foreign body in the throat may lead clinicians to consider issues related to otolaryngology and thoracic conditions. Pain and discomfort in the right upper abdomen and rib area may raise concerns about liver, gallbladd...

[Read More] Breathing Issues, Abdominal Pain, and Insomnia: Seeking Medical Guidance


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


Understanding Hypothyroidism Management in Patients with Atrial Fibrillation

Hypothyroidism Consultation Hello Dr. Hsiao, my mother is 65 years old and has a history of atrial fibrillation. From March 2014 to July 2015, she was treated with Dronedarone (Multaq). During the treatment, she developed hypothyroidism, and her attending physician prescribed Lev...


Dr. Xiao Yongxun Reply:
Dear JJ, Based on the information you provided, the medications and units may be as follows: Cordarone® 200 mg (Amiodarone), Eltroxin® Tablets 100 mcg (synthetic Thyroxine), Rytmonorm® 150 mg Film-coated tablets. The lab results are as follows: T3: 0.8 ng/ml (reference range: 0....

[Read More] Understanding Hypothyroidism Management in Patients with Atrial Fibrillation


Understanding Fatigue: Causes and Solutions for Persistent Weakness

Generalized weakness? Hello, Dr. Hsiao! I am 19 years old and have a normal sleep schedule of about 8 hours. I wake up feeling well-rested, but after a while, I start to feel fatigued again. Taking a nap in the afternoon helps somewhat, but I still feel tired shortly after. Recen...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. Fatigue is something that almost everyone experiences at some point in their lives, and most diseases can cause fatigue. Typically, fatigue is temporary, self-limiting, and the primary cause can often be identified. Based on the nature of the causes, fati...

[Read More] Understanding Fatigue: Causes and Solutions for Persistent Weakness


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