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
Understanding the Causes of Metallic Taste and Associated Symptoms
Metallic taste In the past month, I have frequently experienced a strong metallic taste in my throat and the center of my mouth, which resembles a bloody taste. I am certain it is not due to gum bleeding, and there is no blood when I pick my nose. Each episode is accompanied by d...
Dr. Yang Jun Reply:
Hello: In response to your question, the symptoms described in the article are not specific to any particular disease, making it difficult to determine a diagnosis based solely on symptoms. Since the internal medicine department has already examined the gastrointestinal tract and...[Read More] Understanding the Causes of Metallic Taste and Associated Symptoms
Can Hyperthyroidism and Hypothyroidism Medications Be Taken Together?
Can medications for hyperthyroidism and hypothyroidism be taken simultaneously? This year, I experienced a relapse of hyperthyroidism. After three months of medication, I had a blood test, and the results showed that only one item was outside the standard range. I forgot the name...
Dr. Yang Hongzhi Reply:
Reply to Chen Minhua: Tapazole is used to reduce thyroid function, and sometimes thyroid function may drop too low. At this point, there are two methods to adjust: one is to lower the dose of Tapazole, and the other is to keep the Tapazole dose the same while adding Eltroxin to s...[Read More] Can Hyperthyroidism and Hypothyroidism Medications Be Taken Together?
Understanding Weight Fluctuations: Stress, Metabolism, and Mental Health
Fluctuating weight? I wonder if it's related to my personality, but whenever I experience high work stress, I have a strong urge to eat and find it hard to control my appetite. Last year, during the busy season (about 3 to 4 months), I gained 10 kilograms, but I managed to l...
Dr. Wang Fangli Reply:
Hello, Miss: The principles of weight control are proper diet and appropriate exercise. In terms of diet, it is important to maintain nutritional balance and avoid high-sugar and high-fat foods. An ideal weight loss rate is about 2 kilograms per month, so losing 10 kilograms in t...[Read More] Understanding Weight Fluctuations: Stress, Metabolism, and Mental Health
Understanding Thyroid Tumors: Genetics and Symptoms Explained
Thyroid gland 1. Is thyroid tumor hereditary? There is someone in my family who has a thyroid tumor and has undergone surgery. 2. I feel like my neck is swollen, and it seems like there is something inside. Sometimes, it feels like something is coming out from inside, resembling ...
Dr. Yang Hongzhi Reply:
Dear Ms. Hsu, Thyroid diseases do indeed have a genetic component, and it is common to find multiple family members affected by thyroid disorders. If there is suspicion of a goiter, a physician can diagnose it through physical examination. If there is uncertainty, a thyroid ult...[Read More] Understanding Thyroid Tumors: Genetics and Symptoms Explained
Understanding Frequent Fever and Sore Throat: Causes and Concerns
Some questions about fever? I experienced fever more than a dozen times last year, but it rarely exceeded 39 degrees Celsius. Before I noticed the fever, I would first experience a sore throat, which made me realize I was running a fever. Why do I frequently have fevers, and why ...
Dr. Zhao Chongliang Reply:
Long-term low-grade intermittent fever should raise considerations for chronic inflammation, lymphoproliferative disorders, and collagen vascular diseases. The former, particularly in Taiwan, should include the possibility of tuberculosis. The second category may also apply to yo...[Read More] Understanding Frequent Fever and Sore Throat: Causes and Concerns
Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips
I would like to consult a doctor? Hello, doctor. I would like to ask you some questions and hope for your guidance. 1. What are the symptoms of hypertension and hypotension? How can they be prevented? 2. What are the methods for maintaining kidney health?
Dr. Ke Zhengchang Reply:
Mild hypertension and mild hypotension generally do not present symptoms. However, if blood pressure rises to malignant hypertension (systolic pressure approaching 200 mmHg), symptoms may include headache, neck tightness, dizziness, and blurred vision. Hypotension is commonly obs...[Read More] Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips
Understanding Swollen Lymph Nodes: Causes and Related Symptoms
Cervical lymph nodes There is swelling above the clavicle in the area of the lymph nodes in my neck, which is slightly painful when pressed. What could be the cause of this? Additionally, I have been experiencing frequent hair loss, acne, and easy fatigue. Are these symptoms rela...
Dr. Ke Zhengchang Reply:
Hello Jojo: 1. Common causes of lymphadenopathy in the head include tuberculosis and lymphoma, and a biopsy is necessary for confirmation (please consult an otolaryngologist). 2. Hepatitis B carriers may experience fatigue; it is recommended to undergo liver function tests for mo...[Read More] Understanding Swollen Lymph Nodes: Causes and Related Symptoms
Understanding Hard Lumps on the Left Side of the Neck: Causes and Solutions
There are sometimes lumps on the left side of the neck? Hello: I'm not sure where to ask this, so I'm reaching out to you. Sometimes when I eat, I suddenly feel that the left side of my neck, near the jawline, starts to harden. If I stop eating at that moment, the lump ...
Dr. Zeng Fenyu Reply:
It could be related to the neck muscles, but please visit the outpatient clinic for a thorough diagnosis by a physician to confirm that the lump is benign.[Read More] Understanding Hard Lumps on the Left Side of the Neck: Causes and Solutions
Understanding Thyroid Issues: Symptoms, Diagnosis, and Dietary Impact
Thyroid issues Dear Dr. Tseng, Over the past month, I have been experiencing a tight, pressure-like sensation in my neck. I consulted an endocrinologist who ordered blood tests and an ultrasound. The results indicated a slight enlargement of the thyroid gland, and my blood test ...
Dr. Zeng Fenyu Reply:
Please go to the endocrinology department for another blood test to check thyroid function.[Read More] Understanding Thyroid Issues: Symptoms, Diagnosis, and Dietary Impact
Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips
Thyroid tumor Dear Dr. Tseng, (1) What are the differences between hyperthyroidism, thyroid tumors, and thyroid nodules? Why do thyroid tumors occur? (Currently, I work during the day and attend classes at night, often going to bed around 1 or 2 AM, and I frequently feel a lot o...
Dr. Zeng Fenyu Reply:
Hello, Miss Yajin: For benign thyroid tumors, doctors may prescribe thyroid hormones to provide feedback inhibition to help reduce the size of the tumor. Generally, tumors smaller than 1 cm have a higher chance of disappearing. If the patient does not take the medication or if th...[Read More] Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips
Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns
Thyroid nodule Hello Dr. Tseng, I have been experiencing symptoms such as hand tremors, palpitations, and a sensation of pressure in my neck. Sometimes, I also have difficulty breathing and wheezing. I previously consulted a doctor, who performed blood tests and an ultrasound, ...
Dr. Zeng Fenyu Reply:
Dear Miss Yi-Jun, Thank you very much for your letter. Regarding your questions, my responses are as follows: 1. The indications for surgery on thyroid nodules are as follows: (1) When the nodule is too large and compresses the trachea. (2) When there is suspicion of mali...[Read More] Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns
Understanding Chinese Restaurant Syndrome: Symptoms and Management
Chinese Restaurant Syndrome? Hello, I have been experiencing migraine symptoms for over ten years, accompanied by vomiting, muscle soreness, and general weakness. Recently, the symptoms have become more severe. A friend pointed out that I might have what is known as Chinese Resta...
Dr. Ke Zhengchang Reply:
Reply to Alice: The symptoms of Chinese Restaurant Syndrome include transient burning sensations in the neck and upper arms, chest tightness, and headaches. Your symptoms are more severe and include vomiting, muscle soreness, and generalized weakness, which are less characteristi...[Read More] Understanding Chinese Restaurant Syndrome: Symptoms and Management
Understanding Hypoxia: Symptoms and Potential Causes in Adults
Cerebral hypoxia I have the following symptoms: there are two cords under both ears that run down along my neck, and I often feel a tightness in my throat. Additionally, the muscles in the back of my neck feel very tense, and pressing on them causes soreness. These symptoms frequ...
Dr. Ke Zhengchang Reply:
Hello Jen: Your symptoms seem to be caused by excessive tightness in the neck muscles, which is often due to lack of sleep or overexertion. You can start with local heat therapy, and if necessary, you may consult a rehabilitation specialist for further evaluation and treatment.[Read More] Understanding Hypoxia: Symptoms and Potential Causes in Adults
Understanding Unexplained Pain: Causes and Insights from Internal Medicine
Unexplained pain Hello, Dr. Ko: I often experience unexplained pain that moves along with my blood vessels. Each time I touch the painful area, I can feel the pulse beating, and with each pulse, there is a corresponding pain. Sometimes it occurs in my neck, and other times in my ...
Dr. Ke Zhengchang Reply:
Hello, you may be experiencing vascular spasms. It is recommended to exercise more and take warm baths. Avoid coffee and strong tea, as these changes may help improve your symptoms.[Read More] Understanding Unexplained Pain: Causes and Insights from Internal Medicine
Understanding Post-Exercise Heart Palpitations and Breathing Issues
Increased heart rate after exercise? Hello Dr. Ke, I would like to ask you about a heart-related issue. I often experience rapid heartbeat and shortness of breath after exercising, which usually resolves with a bit of rest. However, yesterday was more severe; after cycling, I had...
Dr. Ke Zhengchang Reply:
Hello, Antia; it is recommended that you undergo an exercise electrocardiogram (ECG) to check for any arrhythmias and signs of cardiac hypoxia.[Read More] Understanding Post-Exercise Heart Palpitations and Breathing Issues
Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks
Cardiovascular disease Last February, I experienced difficulty breathing and muscle tightness (in my neck), and the doctor diagnosed it as a cold. After taking medication for a few days, the symptoms disappeared. Around June or July of this year, I felt a persistent heaviness in ...
Dr. Zeng Fenyu Reply:
Hello Jane! The information you provided is insufficient to determine whether it is myocarditis. Relying solely on one electrocardiogram for diagnosis and prognosis seems a bit inadequate. It is recommended to seek a differential diagnosis from a cardiologist. Sincerely, Dr. Feng...[Read More] Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks
Understanding Muscle Pain: Insights on Myalgia and Related Conditions
Muscle pain Dear Dr. Yang, My father was diagnosed with a malignant tumor of the thyroid gland in June 1999 and underwent surgical resection at Kaohsiung Chang Gung Memorial Hospital. The doctors informed us that it was a type of papillary thyroid carcinoma. It has been over a y...
Dr. Yang Guojun Reply:
Papillary thyroid carcinoma is one of the more common types of thyroid cancer, and it has a good treatment outcome. The situation you described suggests that the physician suspects there may be a neck issue that needs to be investigated for possible causes.[Read More] Understanding Muscle Pain: Insights on Myalgia and Related Conditions
Understanding Back Pain and Chest Tightness: When to Seek Medical Advice
Back pain and chest tightness? Dr. Ke, I have some questions to ask you: Recently, I have been experiencing symptoms such as nasal allergies, cold, and cough. Even after taking medication, I still feel unwell, with persistent dizziness, tightness in my neck, muscle stiffness and ...
Dr. Ke Zhengchang Reply:
Hello Lisa: Chronic hypertension and hyperlipidemia require long-term adherence to medication and regular outpatient follow-up for blood pressure monitoring and blood tests. If symptoms of an upper respiratory tract infection occur, such as cough, dizziness, runny nose, and muscl...[Read More] Understanding Back Pain and Chest Tightness: When to Seek Medical Advice
Understanding Neck Artery Pain: Causes and Connections to Heart Health
Carotid artery pain? Recently, I have been experiencing pain in the arteries of my neck, which feels similar to muscle cramps—very painful but only lasts for a moment, and it occurs suddenly and unpredictably on both sides of my neck. I am unsure what might be causing this. I hav...
Dr. Hong Hongchang Reply:
According to your description, primary hypertension accounts for approximately 85-90% of hypertension cases; however, it is essential to rule out causes such as congenital renal artery stenosis, adrenal tumors, or other endocrine disorders. Therefore, spontaneous hypertension sho...[Read More] Understanding Neck Artery Pain: Causes and Connections to Heart Health