Insomnia, Internal Medicine FAQ - Page 3

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Persistent Bad Breath: Causes and Solutions for Oral Odor

Oral malodor? Bad breath may be due to a previous oral sexual encounter. Although I brushed my teeth afterward, the odor persists, especially in the morning when it is more intense. It's strange that the smell returns within minutes after brushing. Recently, I suspect it mig...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Bad Breath> A: The causes of bad breath may include periodontal disease, insomnia, liver disease, or many other reasons. It is advisable to consult various specialists based on the symptoms. Thank you!

[Read More] Persistent Bad Breath: Causes and Solutions for Oral Odor


Chronic Leg Pain at Night: Causes and Solutions for Better Sleep

When relaxing or preparing to sleep, my left calf becomes so sore that I can't fall asleep, leading to long-term insomnia? Hello: I have been experiencing cramps in my left calf since childhood, which prevent me from sleeping. Now at 42 years old, it still occurs whenever I ...


Dr. Gao Jiankai Reply:
Hello JoJo, a leg length discrepancy of more than 2 centimeters can potentially lead to symptoms, especially in the shorter leg. I'm not certain if your symptoms are caused by the leg length discrepancy, but there are various methods to assess whether the pain is due to the ...

[Read More] Chronic Leg Pain at Night: Causes and Solutions for Better Sleep


Can Steroids Cause Permanent Immune Imbalance and Pituitary Damage?

Can steroids cause permanent immune system imbalance and damage to the pituitary gland? Hello, due to the doctor's suspicion of asthma exacerbation, I was prescribed a potent corticosteroid, Methylprednisolone, to be taken 4 times a day at 16 mg. However, due to time constra...


Dr. Gao Jiankai Reply:
Dear Yan Yan, Thank you for your message. The side effects of steroids primarily affect normal hormone function and immune response. The hormones influenced by steroids are typically secreted more in the morning and less in the evening, so it is best to take steroids in alignmen...

[Read More] Can Steroids Cause Permanent Immune Imbalance and Pituitary Damage?


Understanding the Cancer Risks and Benefits of Baked Foods and Coffee

Food-related Hello Dr. Hsiao, I often come across many articles stating that baked foods can cause cancer. However, baked items like coffee are commonly consumed by humans, and there are numerous studies suggesting that coffee has anti-cancer properties and is beneficial in many ...


Dr. Xiao Yongxun Reply:
1. According to the current medical literature, the consumption of coffee is neither recommended nor discouraged. There are reports indicating that drinking coffee may reduce the risk of Parkinson's disease, Alzheimer's disease, alcoholic liver cirrhosis, gout, and diab...

[Read More] Understanding the Cancer Risks and Benefits of Baked Foods and Coffee


Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained

Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?


Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...

[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained


Struggling with Sleeplessness and Body Heat After Medication

Unable to sleep and feeling hot all over? Yesterday around 8 PM, I went to see a doctor who sprayed something in my throat (I don't know what it was) and prescribed medication. My symptoms include coughing and nasal congestion. After returning home, I took a dose of the medi...


Dr. Chen Junwei Reply:
Most throat spray medications are local anesthetics, analgesics, or anti-inflammatory drugs, and they should not cause increased heart rate or excitement leading to insomnia. However, sometimes doctors may prescribe bronchodilators or vasoconstrictors (to reduce nasal congestion)...

[Read More] Struggling with Sleeplessness and Body Heat After Medication


Fast Heart Rate and Cold Extremities: What Could Be the Cause?

What disease is characterized by a rapid heartbeat and cold extremities? Hello doctor, my father had surgery for hyperthyroidism several decades ago. He does not smoke or drink, and his blood pressure is considered normal, but his cholesterol levels are slightly elevated. His BMI...


Dr. Yang Hongzhi Reply:
After thyroid hyperactivity surgery, there is a possibility of recurrence or developing hypothyroidism. The symptoms you described do not clearly align with manifestations of thyroid dysfunction; however, it is advisable to undergo an examination. You may consider consulting with...

[Read More] Fast Heart Rate and Cold Extremities: What Could Be the Cause?


Understanding Hyperthyroidism: Key Questions and Concerns

Is it hyperthyroidism? Hello Dr. Yang, I have been concerned about potential thyroid issues, so I underwent testing. A month ago, I had my first test, and recently I followed up to check my thyroid levels. At the end of October (10.26), my results were as follows: Serum TSH Level...


Dr. Yang Hongzhi Reply:
If TSH is low and free T4 is normal, it can be classified as subclinical hyperthyroidism, indicating a tendency towards hyperthyroidism. There is no immediate need for urgent testing or treatment, and clinical manifestations are unlikely. This condition is not a contraindication ...

[Read More] Understanding Hyperthyroidism: Key Questions and Concerns


Understanding Hyperthyroidism: Symptoms Beyond a Swollen Neck

Hyperthyroidism I previously often sought medical attention for gastrointestinal issues, but later my doctor suspected it might be related to endocrine or metabolic problems. Aside from my gastrointestinal issues, I occasionally experience insomnia, anxiety, hand tremors, elevate...


Dr. Lü Jing Reply:
Hello: Some individuals with hyperthyroidism may not have a noticeable goiter. It is recommended to have a blood test to check thyroid function. Additionally, your symptoms may also be related to anxiety, adrenal pheochromocytoma, or excessive caffeine intake; however, the likeli...

[Read More] Understanding Hyperthyroidism: Symptoms Beyond a Swollen Neck


Is Drinking Red Wine Before Bed Safe for Seniors with Health Issues?

Is drinking a little red wine before bed harmful? Dear Doctor: My mother is 60 years old and has been having difficulty sleeping for the past two years. When necessary, she takes sleeping pills to help her sleep. Recently, she has been drinking a small glass of red wine (about 20...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, insomnia combined with arrhythmia is not well managed by using alcohol as a sleep aid. It is recommended to consult both a cardiologist and a psychiatrist, as a physician can adjust medications and treatments more safely. Thank you!

[Read More] Is Drinking Red Wine Before Bed Safe for Seniors with Health Issues?


Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained

Thyroid disorders Hello Dr. Yang, My mother was diagnosed with hyperthyroidism 20 years ago and underwent surgery to remove her thyroid. However, in recent years, she has started to experience discomfort again, with primary symptoms including chronic insomnia, dizziness, excess...


Dr. Yang Hongzhi Reply:
The results of the thyroid function tests are very clear; if the thyroid function is normal, it rules out the possibility that the symptoms at that time are caused by thyroid factors.

[Read More] Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained


Understanding Persistent Health Issues: Seeking Answers for Common Symptoms

Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...


Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...

[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms


Understanding the Benefits of Red Sweet Potato Leaf Soup for Hypertension

Dietary Management of Hypertension Dr. Hollo Tsai: 1. My mother's blood pressure has been close to 200 for many years, approximately ten years, and she is currently 53 years old. 2. She recently started taking antihypertensive medication - Prazosin, but she is afraid to meas...


Dr. Cai Yaozhou Reply:
Dr. Andy Sun's Dietary Therapy for Hypertension to Prevent Stroke Hypertension is a common chronic disease in Taiwan, with early symptoms typically including dizziness, headaches, palpitations, insomnia, anxiety, irritability, and fatigue. The appearance of later symptoms d...

[Read More] Understanding the Benefits of Red Sweet Potato Leaf Soup for Hypertension


Understanding Thyroid Nodules: Causes, Monitoring, and Management Tips

Thyroid enlargement Hello, I recently went to the hospital for a thyroid examination. The doctor told me that my blood tests were normal and the biopsy results were also normal. However, I am still unsure about the cause, as the doctor mentioned it might be an autoimmune issue. H...


Dr. Yang Hongzhi Reply:
There are many possible causes of thyroid enlargement, with autoimmune issues being a common reason. In many cases, the cause of thyroid enlargement cannot be identified. General recommendations include avoiding high-iodine foods, monitoring for symptoms of thyroid dysfunction, a...

[Read More] Understanding Thyroid Nodules: Causes, Monitoring, and Management Tips


Understanding Side Effects of Sleeping Pills: When to See a Doctor

Side effects after taking medication? Hello, Doctor: Due to insomnia, I have been taking the sleeping pills prescribed by you every night before bed. However, recently I have been experiencing frequent pain in the left kidney area upon waking up in the morning, along with numbnes...


Dr. Yao Quan Reply:
Hello Mr. Ahong, due to your insomnia, you have been taking the sleeping medication prescribed by your doctor every night. However, recently you have been experiencing frequent pain in the left kidney area upon waking up in the morning, along with numbness in your hands and feet,...

[Read More] Understanding Side Effects of Sleeping Pills: When to See a Doctor


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 Medication Side Effects: When to See a Specialist

Some reactions after medication use? Hello, doctor: Due to insomnia, I have been taking the sleeping pills prescribed by you every night before bed. However, recently I have been experiencing frequent pain in the left kidney area upon waking up in the morning, along with numbness...


Dr. Wu Jiyu Reply:
1. A renal ultrasound can be arranged. 2. A urinalysis can be arranged. General kidney area pain should first rule out issues such as infection or stones before considering other conditions.

[Read More] Understanding Medication Side Effects: When to See a Specialist


Understanding Osteoporosis at 22: Causes and Treatment Options

Osteoporosis at the age of 22? Hello doctor... I was diagnosed with osteoporosis at the age of 18. Recently, I went to the hospital for a check-up, and the orthopedic doctor said my osteoporosis has progressed from stage two to stage three. Although I don't like to exercise,...


Dr. Yang Hongzhi Reply:
Some endocrine issues can lead to osteoporosis. Given your symptoms, hyperthyroidism should be considered, and you may want to consult with an endocrinologist.

[Read More] Understanding Osteoporosis at 22: Causes and Treatment Options


Understanding Thyroid Dysfunction: Symptoms and Dietary Considerations

Thyroid function resistance Hello Dr. Yang, the doctor at Cathay currently believes it is hyperthyroidism and is still waiting for the ultrasound report. No treatment has been initiated yet. My symptoms are: 1) elevated body temperature 2) increased frequency of bowel movements f...


Dr. Yang Hongzhi Reply:
In principle, individuals with hyperthyroidism should avoid consuming foods high in iodine, including seawater fish, shrimp, and crabs.

[Read More] Understanding Thyroid Dysfunction: Symptoms and Dietary Considerations


Can Sea Salt Under Pillow Improve Sleep for Hypertensive Patients?

Benefits of Sea Salt Description of the issue: My mother is 70 years old and has hypertension (no diabetes). Recently, she read a book titled "The Amazing Detox Method," which suggests that individuals with poor sleep can use 50g of natural sea salt wrapped in cloth or ...


Dr. Liu Hongxiang Reply:
Hello, Miss Lin. Common uses of sea salt include making bath salts for bathing purposes, which can help exfoliate and beautify the skin. It is also said to have a sweating effect. However, regarding the effects of its magnetic field and how it interacts with diseases or medicatio...

[Read More] Can Sea Salt Under Pillow Improve Sleep for Hypertensive Patients?


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