Understanding Unexplained Weight Loss: A Case Study in Mental Health and Lifestyle
Weight loss Hello Doctor: Since April of this year, I have been working full-time collecting scrap metal. I am a person with a mental disability, and finding a job is not easy; therefore, I resorted to recycling. Initially, it was just a hobby, and I would only collect occasional...
Dr. Xiao Yongxun Reply:
1. Generally, the most common causes of weight loss include diabetes, hyperthyroidism, chronic illnesses, cancer, and others; it also encompasses physical exertion, depression, anorexia, and so on. Since you have already been evaluated by a physician who ruled out the possibility...[Read More] Understanding Unexplained Weight Loss: A Case Study in Mental Health and Lifestyle
Understanding Basophil Counts: What Do Your Blood Test Results Mean?
Eosinophilia typically indicates? (The first part was sent prematurely and is incomplete.) Hello, Doctor. I apologize for sending the previous message before I finished typing. I would like to ask: The results of my health check-up at Taichung City Hospital at the end of 2012 sho...
Dr. Xiao Yongxun Reply:
1. Regarding your white blood cell differential count, the total white blood cell count is normal, with a slightly elevated percentage of basophils and a slightly decreased hemoglobin level in red blood cells, which should be considered normal variations. There is no evidence of ...[Read More] Understanding Basophil Counts: What Do Your Blood Test Results Mean?
Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing
Dr. Hsiao, is it possible to test for lead levels on my own? Frequent urination at night with bubbles can be concerning.
Dr. Xiao Yongxun Reply:
The assessment of nocturia requires a comprehensive medical history and physical examination, and may even necessitate laboratory tests, urodynamic studies, or imaging examinations. The differential diagnosis must consider many factors, including overactive bladder, heart failure...[Read More] Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing
Understanding Gonorrhea: Symptoms, Diagnosis, and Treatment Options
About Gonorrhea Hello Doctor, I accidentally encountered a risky situation before, and afterwards I experienced painful urination. The pain during urination has resolved, but I have been experiencing persistent pain in my inner thigh and groin area for two months, and I have not ...
Dr. Liao Zhongxin Reply:
Dear readers, 1. First, let’s introduce gonorrhea based on information from the Centers for Disease Control: (A) Transmission: The primary mode of transmission for gonorrhea is through sexual intercourse. It can also be transmitted if an open wound comes into direct contact wi...[Read More] Understanding Gonorrhea: Symptoms, Diagnosis, and Treatment Options
Understanding Membranous Glomerulonephritis: Treatment, Prognosis, and Emotional Impact
Glomerulonephritis The biopsy report indicates membranous glomerulonephritis. Prior to the biopsy, the proteinuria was 1.25 grams, which increased to 2 grams after the biopsy. Following one month of steroid treatment, the proteinuria decreased to 1.3 grams. Due to significant sid...
Dr. Wu Jiyu Reply:
Membranous nephropathy is the most common cause of nephrotic syndrome in adults, with the majority of cases being of unknown origin, while a minority are associated with medications or infections (such as hepatitis B). Treatment and prognosis can be categorized into three types: ...[Read More] Understanding Membranous Glomerulonephritis: Treatment, Prognosis, and Emotional Impact
Understanding the Differences in Treatment for RA, Osteoarthritis, and SLE
Treatment of Rheumatoid Arthritis and Osteoarthritis Hello, Doctor. I have been diagnosed and treated for rheumatoid arthritis (RA) and asthma for over six months now, but my joint pain still fluctuates. My systemic lupus erythematosus (SLE) is still being monitored. Since I am n...
Dr. Gao Jiankai Reply:
Hello, Xiaomi. Thank you for your question. First, it would be helpful to organize your concerns into a list, as this will make your outpatient visit more efficient and reduce your anxiety. The treatments for rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and oste...[Read More] Understanding the Differences in Treatment for RA, Osteoarthritis, and SLE
Understanding Wrist Swelling: Could It Be Rheumatoid Arthritis?
The bones in both wrists are swollen? Dear Doctor, Hello. For the past two months, I have been experiencing discomfort in my left shoulder, feeling stiff and painful in certain positions, making it difficult to lift my arm. In the last two weeks, I have noticed swelling between ...
Dr. Gao Jiankai Reply:
Hello, Nanxi, thank you for your questions. Here are the answers to your inquiries: 1. Is it possible to have rheumatoid arthritis? Answer: Rheumatoid arthritis is a chronic form of arthritis, and since your pain has lasted a maximum of only two months, with wrist pain for only ...[Read More] Understanding Wrist Swelling: Could It Be Rheumatoid Arthritis?
Should You Get Further Blood Tests for Low WBC Count?
The white blood cell count (WBC) is 3510, and further detailed blood tests are needed? Hello Doctor, I am a carrier of hepatitis B and have blood tests and abdominal ultrasounds every six months. Previously, my white blood cell (WBC) count was always above 4,300. However, in my l...
Dr. Zeng Guosen Reply:
Hello, Lany: A count of less than 4000 is considered low. For some individuals, this may be a normal variation, while others may require further evaluation. There are many potential causes, and you can consult a hematology clinic for assessment. Thank you for your question.[Read More] Should You Get Further Blood Tests for Low WBC Count?
Understanding Proteinuria in Teenagers: Causes and Concerns
Dear Doctor, why do I easily have proteinuria? Hello, I am a 17-year-old male. I have been experiencing proteinuria (+~++) for about a year. During this time, I have visited three major hospitals for diagnosis. I have undergone blood tests to assess kidney function and a 24-hour ...
Dr. Huang Yaoxuan Reply:
Hello, I am a nephrologist who relies on "tests (blood and urine tests, X-rays)" and "machines (dialysis machines)" to make a living... This is purely a joke (any resemblance is coincidental), but it does highlight the concerns of nephrologists and patients wi...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Managing Elevated Fasting Blood Sugar: Next Steps and Dietary Tips
Fasting blood glucose levels are elevated during health check-up? Hello Dr. Lee, I had a health check-up last month and my fasting blood sugar was 101, as the standard value is 100. What further tests should I undergo? Also, what dietary precautions should I take since my grandfa...
Dr. Li Zhiyao Reply:
Hello: A single pre-meal blood glucose level can be influenced by many factors, such as the duration of fasting, among others. Since you only had one pre-meal blood glucose reading of 101, there is no need to be overly concerned at this time. I recommend that you focus on dietary...[Read More] Managing Elevated Fasting Blood Sugar: Next Steps and Dietary Tips
Why Is My Urine Colorless After Eating Red Dragon Fruit?
Colorless urine? Hello Dr. Wu, As we all know, consuming red dragon fruit can cause urine to appear more reddish. I experienced this normal phenomenon when I previously ate red dragon fruit. However, recently, after eating red dragon fruit, my urine seems to be nearly colorless...
Dr. Wu Jiyu Reply:
The color of urine can indeed vary based on hydration levels and diet. For example, when water intake is low, urine tends to be darker (concentrated), while higher water intake results in lighter urine (diluted). However, this can differ from person to person. Regarding your ques...[Read More] Why Is My Urine Colorless After Eating Red Dragon Fruit?
Dehydration and Heat Illness: When to Seek Medical Attention
After feeling unwell due to hot weather? Hello doctor, I would like to ask: A week ago, I drank too much beer one night, and the next day I vomited while on a boat. The weather was hot, and I didn't drink much water. After some activity in the afternoon, I vomited again. I t...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, hot weather combined with a lack of hydration and electrolyte replenishment can indeed lead to heat-related illnesses such as heat exhaustion, heat cramps, or heat stroke. The symptoms you described cannot completely rule out these conditions....[Read More] Dehydration and Heat Illness: When to Seek Medical Attention
Understanding Abdominal Pain: Causes Around the Belly Button
Is it stomach pain, abdominal pain, or something else...? Hello, I would like to ask about occasional pain on either side of the navel, and sometimes in the upper part of the abdomen. What could be the cause of this? Sometimes the pain is around the navel as well. Thank you.
Dr. Li Zhiyao Reply:
Hello, Xiao Ju: Based on the symptoms you described, they seem to lean towards gastrointestinal issues, which can have many causes, such as irregular bowel movements, abnormal diet, or other conditions like peptic ulcers, among others. If you are female, gynecological issues shou...[Read More] Understanding Abdominal Pain: Causes Around the Belly Button
Managing Wound Healing Challenges in Diabetic Patients After Surgery
Foot injuries in diabetic patients? Hello Doctor, my mother is 55 years old and has diabetes and hypertension. After an accident in early September, she underwent surgery for injuries to her right knee and calf, which resulted in three wounds. She was discharged after six days, b...
Dr. Chen Qingbin Reply:
Hello Xiaowen: Your mother's condition is quite complex. She has issues with diabetes, a wound infection, and nutritional problems, among others. It would be best to discuss with the attending physician before deciding whether a transfer to another hospital is necessary.[Read More] Managing Wound Healing Challenges in Diabetic Patients After Surgery
Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Joint pain, edema, pityriasis rosea? Hello Dr. Tseng, A while ago, I accidentally bumped my left middle finger joint lightly against a table, which started to hurt slightly. At first, I thought it was just a bruise, but it has been over two months now, and it has developed into ...
Dr. Zeng Guosen Reply:
Hello, based on the definition, symptoms such as pain in the joints, muscles, fascia, and bones can all be referred to as rheumatism. Some rheumatic conditions can be diagnosed as specific diseases through symptoms, blood tests, and X-rays, while others may still remain undiagnos...[Read More] Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Understanding Hypertension Management: Questions About Diagnosis and Treatment
Hypertension screening I started experiencing daily blood pressure readings around 140/98 and symptoms of dizziness and headaches at the end of February, so I went to see a cardiologist. The doctor prescribed antihypertensive medication before waiting for the test results. A week...
Dr. Zhang Guoji Reply:
1. If you have concerns about the original physician's management, you should discuss it with the physician during the outpatient visit to understand their perspective and resolve your issues, as each physician may have different thoughts and approaches. Asking other physici...[Read More] Understanding Hypertension Management: Questions About Diagnosis and Treatment
Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
The internet is circulating information about dialysis therapy? Hello Dr. Wu, I came across a post online regarding a treatment for kidney disease that could allow patients to avoid dialysis. The original link is: https://www.facebook.com/photo.php?fbid=355286714492436&set=a....
Dr. Wu Jiyu Reply:
Dear Lawren: Regarding this widely circulated information, Dr. Wu has also received inquiries about the five principles of medication promotion by the Department of Health: 1. Do not listen to radio recommendations 2. Do not believe in miraculous effects 3. Do not buy from street...[Read More] Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?
Generalized muscle soreness? Recently, I have been experiencing muscle soreness throughout my body, even without engaging in any intense exercise. When I wake up the next day, I sometimes feel muscle soreness while walking. My shoulders and latissimus dorsi feel particularly sore...
Dr. Zeng Guosen Reply:
Dear online friend, The symptoms of polymyositis primarily manifest as muscle weakness, and it is rare for them to present as generalized muscle soreness. Generalized muscle soreness can have many potential causes, including infections, rheumatic diseases, medication side effec...[Read More] Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?
When to Seek Emergency Care for Influenza B Symptoms
Under what circumstances should one go to a large hospital for influenza type B? A 31-year-old female family member was diagnosed with influenza B at a clinic two days ago and is currently taking antiviral medication as prescribed by the doctor for five days. She is still experie...
Dr. Li Zhiyao Reply:
Hello Mr. Lin: Most influenza patients recover in about a week, but it is important to pay special attention to any warning signs of severe influenza (such as shortness of breath, difficulty breathing, cyanosis, blood or thick sputum, chest pain, altered consciousness, low blood ...[Read More] When to Seek Emergency Care for Influenza B Symptoms
Proper Mask Usage: Should Sick Individuals Wear the Colored Side In?
How to properly use a mask? Dr. Lee: I apologize for following up on the previous question. So, do you recommend that if I am sick, I should wear the colored side of the mask facing inward to avoid transmitting my cold to others? Or should both sick and healthy individuals simply...
Dr. Li Huixiong Reply:
No, the correct way to wear it is: whether the person is sick or healthy, the colored side should always face outward.[Read More] Proper Mask Usage: Should Sick Individuals Wear the Colored Side In?