Others, Internal Medicine FAQ

Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria

Please provide the content you would like Hello, I would like to ask you: Besides glycosuria, what other diseases could cause a sudden increase in blood glucose levels? A month ago, my fasting blood glucose levels after 8 hours were between 90 and 106, but in the past week, they ...

Dr. Xiao Yongxun Reply:
Hello: The causes of elevated blood sugar include Type 1 diabetes, Type 2 diabetes, congenital disorders, chronic pancreatitis, hemochromatosis, acromegaly, Cushing's syndrome, metabolic tumors, hypothyroidism, pregnancy, and drug-induced factors, among others. Your fasting ...

Understanding Neck Discomfort: Which Specialist to Consult?

excuse me? If you are experiencing a sensation of tightness or a foreign body feeling in the neck, you should consult an otolaryngologist (ENT specialist).

Dr. Chen Junwei Reply:
Most cases of foreign body sensation or infection in the throat are caused by chronic pharyngitis. If there is no smoking, alcohol consumption, or betel nut chewing, the incidence of tumors is low. However, there are many causes of chronic pharyngitis, such as gastroesophageal re...

Preventing Dialysis: Key Causes and Health Tips for Kidney Care

How to prevent dialysis? 1. What are the causes of dialysis? 2. How can one maintain health to avoid the need for dialysis? 3. I have been using a nasal spray containing Oxymetazoline Hydrochloride for over two years. The pharmacist advised me to use it for six days and then ...

Dr. Yang Weishun Reply:
1. The most common chronic diseases include diabetes and hypertension, along with chronic glomerulonephritis, kidney stones, and urinary tract obstruction, among others. 2. It is important to monitor for hypertension or hyperglycemia, as well as the presence of proteinuria. Avo...

Excessive Saliva Production: Causes and Solutions for Your Concerns

It seems Hello Dr. Chen, I have a bit of a problem... I have a higher saliva secretion than others; even when I'm not talking to anyone, I can produce about 5cc of saliva in my mouth. I have visited an ENT specialist, a gastroenterologist, and a psychiatrist, but the medicat...

Dr. Chen Qingbin Reply:
Your condition may be due to excessive saliva production. It is advisable to visit a major hospital's otolaryngology department for a thorough examination to identify the cause and provide targeted treatment. This is likely unrelated to sexual factors.

Urgent Medical Advice Needed for 63-Year-Old with Unusual Symptoms

Request for consultation advice? My father is 63 years old and was previously in good health without any chronic illnesses. About a month ago, he sought medical attention for sudden hearing loss, which was diagnosed as a viral infection likely caused by a cold. He was treated wit...

Dr. Chen Junwei Reply:
Hello: The main symptoms currently are poor mental state, lack of appetite, and general weakness. However, many internal medical conditions can present with similar symptoms, such as electrolyte imbalance, dehydration, adrenal insufficiency, hyperglycemia or hypoglycemia, and liv...

How to Relieve Dry Throat and Cough at Night: Tips and Remedies

Throat Hello, doctor. Recently, I've been experiencing a very dry throat at night while sleeping, which causes me to cough quite a bit (it's somewhat severe). However, during the day, although I do cough, it's not as severe. I do not have a fever, headache, or runn...

Dr. Chen Junwei Reply:
Hello: Based on the analysis of clinical symptoms, the cough may be caused by pharyngitis, which could be triggered by factors such as gastroesophageal reflux, postnasal drip at night, mouth breathing during sleep, or viral upper respiratory infections, among others. It is recomm...

Understanding Intermittent Body Cramps: Causes and Solutions

Body aches? Dear Doctor, I reside in Kaohsiung City, and for the past six months, I have been experiencing severe intermittent pain in various parts of my body (not fixed to any specific location). The pain typically spans about three fingers in width. While I feel a slight disc...

Dr. Xiao Yongxun Reply:
Hello: I would like to respond as follows: "Intermittent and severe pain in various parts of the body indicates abnormal electrical activity and contraction of local muscles. Any factors that trigger this abnormal electrical activity may lead to similar symptoms. These can i...

Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?

A diet that is free of sugar, oil, and starch may not necessarily harm the kidneys, but it is important to ensure that it is well-balanced and provides all essential nutrients. Extreme dietary restrictions can lead to deficiencies that may affect kidney function over time. It is ...

Dr. Wang Weijie Reply:
Hello: A diet that is free of sugar, oil, and starch falls under the category of an unhealthy "ketogenic" diet in nutritional science. This can lead to abnormal fat metabolism in the body, resulting in ketoacidosis. When the body has no caloric sources to utilize, and c...

Understanding Thyroid Disorders: Concerns for Nursing Mothers

Thyroid-related disorders? Hello Dr. Yang, I have been diagnosed with hyperthyroidism for about fifteen years. Ten years ago, I underwent radioactive iodine treatment twice, but there was no improvement. Since then, I have been taking antithyroid medication (the doctor mentioned ...

Dr. Yang Hongzhi Reply:
Hello: Polupi can still be present in breast milk, but the concentration is very low, and the dosage taken is also low, so the actual impact may be minimal. Vitiligo is related to autoimmune conditions, but it is not directly associated with thyroid-related antibodies, so there a...

Understanding Recurring Headaches: Causes and When to Seek Help

Headache Hello Dr. Chen, Around the evening of February 12th, I suddenly experienced dizziness and headaches. I took some acetaminophen on my own, and I felt much better the next day. However, on February 15th or 16th, similar symptoms reappeared, and I took acetaminophen again,...

Dr. Chen Changxun Reply:
To my friend DRAGON: Headaches have become bothersome in your daily life over the past two days. Various diseases can induce headaches, with upper respiratory infections, fever, and diarrhea being frequent causes. However, if the symptoms persist for more than a month, you should...

Persistent Pulsation in the Back of the Head: Causes and Solutions

Pulsating sensation in the back of the head? For the past two to three weeks, I have been feeling my heartbeat and a pulsing sensation in the back of my head while sleeping. I have consulted a cardiologist who mentioned that I have a slight mitral valve prolapse and that I do not...

Dr. Xiao Yongxun Reply:
Hello: In response to your question, "headache" generally refers to pain in the areas above the eyes and ears, as well as the occipital region and the back of the neck. Headaches can be classified into primary headaches and secondary headaches. The former includes migra...

Understanding Hair Loss and Hormonal Imbalances: Your Questions Answered

Some questions..? Hello, doctor! I have some questions to ask! 1. I read online that excessive masturbation can cause hair loss, while others say it does not. Which one is correct? 2. My friend has a lot of facial hair. He mentioned that a doctor told him he has hormonal imba...

Dr. Yao Quan Reply:
Dear Mr. A-Sa, Hello! Western medicine does not consider masturbation to be a cause of baldness. However, neither Western nor Traditional Chinese Medicine has conducted large-scale studies on this issue, so strictly speaking, there is no definitive answer to whether masturbation...

Understanding HIV Transmission Risks in Emergency Situations

Regarding HIV infection? Hello Doctor: My boyfriend recently assisted in handling a car accident on the street. Due to significant bleeding from the injured party, he used tissue paper to help stop the bleeding, which resulted in some of the other person's blood getting on h...

Dr. Lin Mingfeng Reply:
1. If the skin is intact, the chance of contracting HIV from exposure to the blood of an HIV-positive individual is nearly zero. 2. However, most of the time we are uncertain if there are small cuts on our hands, so healthcare workers wear gloves in all situations where there may...

Managing Excessive Thirst in Diabetes: Tips and Alternatives

How to quench thirst? Hello Dr. Kuo, I have had diabetes for 4 years and regularly see my doctor and take medication. My blood sugar levels are 150 before meals and 200 two hours after meals, with a hemoglobin A1c of 7.5. However, I experience constant thirst every day and canno...

Dr. Guo Qinghui Reply:
There are many reasons for thirst, such as diabetes, neuropathy, diabetes insipidus, and the side effects of medications, among others. You should discuss your concerns with your physician and undergo further examination.

Managing Anemia and Cholesterol: Do I Need to Take My Medications?

Please help me with my medication concerns! Thank you? Hello Doctor: I am a housewife and I rarely exercise! I often feel dizzy. Last July and August, I went to a public hospital for an examination, and the doctor prescribed me an iron supplement for anemia, which is Cyanocobalam...

Dr. Chen Qingbin Reply:
Hello Tina: Your cholesterol and uric acid levels are slightly elevated. You can manage this through dietary control and may not necessarily need medication.

Can You Get the Flu Vaccine with a Mild Cold? What You Need to Know

Is it okay to receive the flu vaccine if I have a mild cold? Is it okay to get the flu vaccine if I have a mild cold? I'm concerned about catching the flu since the vaccine is currently free, and I really want to get vaccinated. However, I feel like I might have a slight col...

Dr. Zhong Weisheng Reply:
Is it safe to receive the flu vaccine when having a mild cold? Generally, individuals with fever, egg allergies, or those who have experienced adverse reactions to previous vaccinations should avoid receiving the vaccine. Others may receive the flu vaccine after evaluation by a p...

Allergy Testing in Keelung Hospital: Coverage and Important Considerations

excuse me? Hello Dr. Hsiao, I would like to ask if Keelung Hospital has conducted allergen testing. If so, which department should I visit for consultation? Is this testing covered by health insurance? If it is covered, what specific tests are included? For tests not covered, can...

Dr. Xiao Yongxun Reply:
At Keelung Hospital, various tests indeed include allergen testing. There is no specific department that exclusively conducts these tests; it depends on the physicians from different clinical specialties who order them based on the patient's condition and diagnostic needs. T...

Understanding Thyroid Enlargement: Concerns and Next Steps for Patients

Goiter Hello Dr. Yang: I consulted with Dr. Dong Jin-jia at Taoyuan General Hospital's Internal Medicine Department. The examination revealed that I have an enlarged thyroid gland. I have been taking a medication called Antithyroid for 9 months. For the first 6 months, the s...

Dr. Yang Hongzhi Reply:
Hello: 1. Thyroid enlargement needs to be differentiated as either diffuse goiter (where the entire thyroid gland is enlarged) or thyroid nodules (which may consist of one or more nodules), so the ultrasound results will determine which type it is. 2. Some thyroid enlargements ca...

Understanding Excessive Gas: Causes, Dietary Links, and Solutions

Frequent flatulence? I often pass gas, and I don't know why. Is it related to what I eat, or is it just my body's constitution? Can it be improved?

Dr. Wang Fangli Reply:
A normal person passes gas 14 to 23 times a day. Foods that are more likely to produce gas include legumes, broccoli, cabbage, kale, onions, artichokes, asparagus, apples, pears, peaches, whole grains, fruit juices, dairy products, bread, corn chips, and salad dressings. However,...

Understanding White Sediment in Urine: Causes and Concerns

Urine sediment I would like to ask why there is a white sediment in the urinal after urine has been sitting for a long time, which cannot be scrubbed away. Does this indicate a problem with the body?

Dr. Xiao Yongxun Reply:
Hello: In response to your question, the important components of urine include organic solutes and inorganic solutes. The former includes urea, creatinine, uric acid, hippuric acid, ketone bodies, and indican, among others. The latter includes NaCl, K+, SO4-2, PO4-3, NH4+, Ca2+, ...

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