Others, Internal Medicine FAQ - Page 19

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Understanding Headaches: Causes and Solutions for Sleep-Related Pain

Headache Hello, doctor! When I sleep without protecting my forehead, such as covering it with a blanket or shielding it with my hand, I wake up with a headache. Sometimes it goes away after a few hours, but other times it doesn't subside until the next day. This is quite bot...


Dr. Lin Mingfeng Reply:
During sleep, it may be difficult for you to determine whether you are covered with a blanket or if you are using your hand to shield your forehead. Therefore, your headache should be evaluated separately. It is recommended that you visit a neurology clinic for further examinatio...

[Read More] Understanding Headaches: Causes and Solutions for Sleep-Related Pain


Understanding Low Blood Pressure: When to Seek Medical Help

Hypotension Hello Doctor: I experience fainting spells about 2 to 3 times a year, accompanied by cold sweats and body aches. Each time, I feel better after lying down for about 30 minutes. Blood tests have always come back normal, with only low blood pressure noted. However, in r...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Syncope refers to a sudden, temporary loss of consciousness and inability to maintain posture, with complete recovery of consciousness typically occurring within a few minutes. It is important to differentiate it from conditions such as diz...

[Read More] Understanding Low Blood Pressure: When to Seek Medical Help


Why Is My Mother Gaining Weight Despite Diabetes Management?

Why do I keep gaining weight? Hello: My mother has been a diabetic for over ten years. In the past year, her weight has increased significantly (currently weighing 60.5 kg; height approximately 150 cm). Are there any other health issues that could be causing this? By the way, my ...


Dr. Xiao Yongxun Reply:
Hello, in response to your question: 1. The reasons for weight gain include dietary habits, patterns of physical activity, and differences in energy metabolism. It is essential to first consider and evaluate the impact of diet, exercise, lifestyle, and environmental factors bef...

[Read More] Why Is My Mother Gaining Weight Despite Diabetes Management?


Understanding Thigh and Hip Pain: Possible Causes and When to Seek Help

There is a feeling of soreness from the left thigh to the hip area? I often experience the symptoms mentioned above, and I frequently have the sensation of needing to urinate for a long time before I actually do. This feeling could be a symptom of frequent urination, right? I...


Dr. Yang Jun Reply:
Hello: In response to your question, frequent urination refers to the increased frequency of urination, which typically does not cause pain unless there is a urinary tract infection, in which case there may be discomfort in the urethra or bladder during urination. As for the sore...

[Read More] Understanding Thigh and Hip Pain: Possible Causes and When to Seek Help


How to Lower Elevated Liver Function Tests: Expert Advice

Liver function Doctor, my liver function levels keep rising. What should I do? Please advise me on how to lower my liver function indices.


Dr. Xiao Jingqin Reply:
First, it is essential to differentiate the types of hepatitis; hepatitis is primarily classified into viral hepatitis, drug-induced hepatitis, alcoholic hepatitis, and fatty liver disease, among others. The first step is to confirm whether there is viral hepatitis, as hepatitis ...

[Read More] How to Lower Elevated Liver Function Tests: Expert Advice


Understanding Gallium-67 Scans: Risks and Differences from CT Imaging

excuse me? 1. Will undergoing a Gallium-67 whole body tumor scan have any adverse effects on the body in the future? Additionally, what are the differences between a Ga-67 tumor scan and a CT scan? 2. I have been experiencing persistent lymphadenopathy in the head and neck regio...


Dr. Zhao Chongliang Reply:
Gallium-67 (Ga-67) binds to transferrin in the blood and accumulates in areas of inflammation, infection, or tumors. The radiation dose used for detecting inflammation or infection is 3-5 mCi (millicuries, where 1 mCi = 1000 microcuries), while the dose for tumor detection is 5-1...

[Read More] Understanding Gallium-67 Scans: Risks and Differences from CT Imaging


Understanding Your Hepatitis B Test Results: What It Means to Be a Carrier

Hepatitis B Test Report Hello, Dr. Tsai. Two years ago, I had a blood test for hepatitis B, and the report indicated that I had surface antibodies for hepatitis B. Recently, I had another blood test at a different hospital, and for hepatitis B, they only tested HBsAg (-), HBeAg (...


Dr. Cai Zonglong Reply:
Hello, generally speaking, a positive HBsAg indicates the presence of hepatitis B, while a negative result indicates the opposite. A positive HBsAb means that hepatitis B has resolved; however, in a small number of patients, both markers may be present, which could indicate a spe...

[Read More] Understanding Your Hepatitis B Test Results: What It Means to Be a Carrier


Unexplained Fever: When to Seek Medical Attention for Your Symptoms

Fever of unknown origin (FUO) Hello, I would like to ask a question. Recently, I have been experiencing unexplained heat in my head and a feeling of internal heat in my body. I have researched various related materials, but some indicate that it is not serious, while others sugge...


Dr. Lin Mingfeng Reply:
The symptoms you described involve several organ systems, including the gastrointestinal tract, respiratory system, skin, and eyes. Therefore, it is more likely to be caused by a systemic disease, such as an autoimmune disorder or infection. You should first determine if you have...

[Read More] Unexplained Fever: When to Seek Medical Attention for Your Symptoms


Which Doctor Should You See for Anemia Concerns?

Which specialist should I make an appointment with? I looked online for a hematologist, but I couldn't find any outpatient clinics specifically for hematologic oncology. I'm unsure which doctor I should consult regarding anemia. I apologize for any inconvenience.


Dr. Xiao Yongxun Reply:
Hello: In response to your question. Anemia is commonly encountered in clinical practice and generally refers to a decrease in the number of red blood cells or hemoglobin in the blood. For hemoglobin levels, the normal range for males is 14-18 gm/dL, and for females, it is 12-16 ...

[Read More] Which Doctor Should You See for Anemia Concerns?


Effective Solutions for Managing Bloating and Abdominal Distension

Abdominal bloating issue? Hello, doctor: I often experience abdominal bloating, which makes my lower abdomen appear quite large. What can I do to resolve this bloating issue?


Dr. Lin Mingfeng Reply:
Bloating in the abdomen can generally be classified as functional or organic. In young individuals without significant past medical history, the former is more likely. Causes may include poor gastrointestinal motility, irritable bowel syndrome, intestinal obstruction, adhesions, ...

[Read More] Effective Solutions for Managing Bloating and Abdominal Distension


Understanding Nighttime Shivers and Cold Sensitivity: When to Seek Help

I have a question? Hello Doctor: I would like to ask, every time I have a fever or gastroenteritis, I experience intense shaking throughout my body in the middle of the night, and it continues without stopping. My heart also races significantly (this happens about 1-2 times every...


Dr. Zeng Guosen Reply:
Hello, experiencing full-body shivering before a fever is a normal physiological response, typically occurring before a high fever. This reaction is due to the body's response to toxins during infection or inflammation. The symptoms you are experiencing could potentially be ...

[Read More] Understanding Nighttime Shivers and Cold Sensitivity: When to Seek Help


How to Prevent Genetic White Hair in Your Future Children

Genetic predisposition to gray hair? Hello, I would like to ask how I can prevent my unborn child from inheriting the genetic trait of white hair, which I have due to hereditary reasons. What steps can I take to ensure this does not happen? Thank you.


Dr. Xiao Yongxun Reply:
Hello: In response to your question... 1. The causes of gray hair can be divided into physiological aging and non-physiological aging. The latter includes various factors, including both genetic and non-genetic causes. Genetic causes include conditions such as progeria and muscul...

[Read More] How to Prevent Genetic White Hair in Your Future Children


Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues

Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...


Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...

[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues


Understanding Low Body Temperature: Tips to Improve Your Health

Hypothermia, with a body temperature of approximately 35.5 degrees Celsius, and sensitivity to cold? I am very sensitive to cold and tend to wear more layers than others in all seasons except summer. My actual measured body temperature is around 35.3 to 35.6 degrees Celsius. This...


Dr. Yang Hongzhi Reply:
Mr. Li, with hypothyroidism, may experience similar symptoms; however, it is usually accompanied by other manifestations. It is advisable to seek medical evaluation from a specialist in metabolism. Dr. Yang Hong-Zhi from the Hsinchu Hospital, Department of Internal Medicine, Mini...

[Read More] Understanding Low Body Temperature: Tips to Improve Your Health


Understanding Calf Cramps: Causes and Connection to Liver or Kidney Health

Calf cramps Hello, doctor. I would like to ask you some questions regarding muscle cramps. I often experience cramps in my calves, particularly in my right calf. This issue had not occurred for some time, but recently, I have been experiencing cramps again. I came across an artic...


Dr. Xiao Yongxun Reply:
Hello: In response to your question... 1. A cramp generally refers to an involuntary muscle contraction that lasts for several seconds to minutes and can cause severe pain, most commonly occurring in the calf or lower limbs. 2. The causes include excessive exercise, poor posture,...

[Read More] Understanding Calf Cramps: Causes and Connection to Liver or Kidney Health


Long-Term Antibiotic Use for Acne: Risks and Alternatives Explained

Symptom consultation Hello Doctor: I have been troubled by acne since puberty. During my student years, I didn't pay much attention to it, and occasionally taking medication worked well, but once I stopped, my face would break out again. Recently, I have been in continuous t...


Dr. Zheng Shuxing Reply:
The causes of acne are mostly related to individual constitution, so it is advisable to consult a dermatologist for improvement. As for the long-term use of tetracycline antibiotics, the side effects may include allergic reactions, dental development abnormalities such as discolo...

[Read More] Long-Term Antibiotic Use for Acne: Risks and Alternatives Explained


Essential Dietary Tips for Diabetes Prevention and Management

Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.


Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...

[Read More] Essential Dietary Tips for Diabetes Prevention and Management


Understanding Alice in Wonderland Syndrome: Nighttime Urination and Visual Disturbances

Alice's Adventures in Wonderland I have a habit of waking up to urinate every night, and for the past two weeks, each time I wake up, I see a dense gray mesh pattern that resembles an army of ants. I've heard people say this is Alice in Wonderland Syndrome. Can you expl...


Dr. Xiao Yongxun Reply:
Hello: In response to your message... 1. The term "Alice in Wonderland syndrome" you mentioned refers to a sleep disorder, where the patient's EEG shows slow-wave sleep, but the individual may get up and walk around while being disoriented and having no recollectio...

[Read More] Understanding Alice in Wonderland Syndrome: Nighttime Urination and Visual Disturbances


Why Are Ants Attracted to My Used Sanitary Pads?

Diabetes issues? Doctor, I found ants on the used sanitary pads in the trash can (I've seen many ants on the pads several times). I have tested my blood and do not have diabetes. What could be the reason for this? Thank you.


Dr. Xiao Yongxun Reply:
Hello: In response to your question... Symptoms of diabetes include increased thirst, frequent urination, excessive drinking, weight loss, slow healing of wounds, and fatigue, among others. A diagnosis of diabetes is considered when two fasting blood glucose levels are greater th...

[Read More] Why Are Ants Attracted to My Used Sanitary Pads?


Is High Uric Acid Level a Definitive Indicator of Gout?

Having high uric acid levels does not necessarily mean that one has gout? Dear Doctor: A few months ago, I sought medical attention because my entire foot was swollen. After a blood test, the doctor informed me that my uric acid level was as high as 9.2. Does this mean I have gou...


Dr. Chen Fuquan Reply:
1. A high uric acid level does not necessarily lead to gout symptoms. 2. The normal range for uric acid in the blood is 2.4 to 7.6 mg/dL. If the uric acid level exceeds 7.6 mg/dL, it is referred to as "hyperuricemia." Typically, men have higher uric acid levels (about s...

[Read More] Is High Uric Acid Level a Definitive Indicator of Gout?


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