Understanding Kidney Pain: Common Causes and Concerns
Kidney pain Doctor Wang, why does my mother often experience kidney pain?
Dr. Wang Weijie Reply:
Hello, the kidneys are located in the retroperitoneal space, and approximately 97% of the causes of pain in most individuals are due to mechanical factors (including muscle strains, sprains, and spinal issues). Among these, over 70% are attributed to lumbar strains, while 4% are ...[Read More] Understanding Kidney Pain: Common Causes and Concerns
Understanding Left Upper Abdominal Pain: Causes and When to Seek Help
Left abdominal pain? After researching various materials and sharing experiences online, I have realized that I am experiencing discomfort in the upper left abdomen, approximately near the bottom left rib. The pain is not very severe (it feels more like a dull ache), but it has p...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Abdominal ultrasound primarily serves to diagnose the liver, gallbladder, spleen, kidneys, head of the pancreas, portal vein, superior mesenteric artery, and the biliary system, among other visceral organs and circulatory structures. 2. Upper gastrointestina...[Read More] Understanding Left Upper Abdominal Pain: Causes and When to Seek Help
How to Manage Post-Meal Blood Sugar Levels Effectively
How to improve postprandial blood sugar levels? Dear Dr. Hsiao, I recently had a physical examination, and the results are as follows: a. Fasting plasma glucose level after more than 8 hours is 89 mg/dL, b. Postprandial glucose level after 2 hours is 162 mg/dL, c. HbA1c (glycate...
Dr. Xiao Yongxun Reply:
Dear Mr. Chubby: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for more than 8 hours, b. 2-hour plasma glucose level ≥ 200 mg/dL during an Oral Glucose Tolerance Test (OGTT), c...[Read More] How to Manage Post-Meal Blood Sugar Levels Effectively
Is It Irritable Bowel Syndrome? Understanding Your Digestive Symptoms
Is it irritable bowel syndrome? Hello, Dr. Hsiao! I would like to ask you some questions... For the past few months (over 3 months), I have been experiencing some unusual bowel habits. I have been having bowel movements 4-5 times a day, and about 10 minutes after eating, I feel t...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. The diagnosis of Irritable Bowel Syndrome (IBS) lacks effective physical examination or biochemical blood markers. It is generally accepted that abdominal pain lasting more than three months, occurring more than three days per month, along with any two of the f...[Read More] Is It Irritable Bowel Syndrome? Understanding Your Digestive Symptoms
Chronic Headaches: Seeking Relief and Solutions for Persistent Pain
Persistent headache I have been experiencing headaches for over a week, from the moment I wake up until I go to sleep, and the pain is increasing throughout the day. The pain is mostly concentrated in the left temple, radiating to my eyes and the back of my head. A few years ago,...
Dr. Xiao Yongxun Reply:
Dear Ms. Evelyn: 1. Your condition may be classified as a tension-type headache, although there could be other causes as well. Common scenarios include migraines, cluster headaches, ophthalmic disorders, colds, and headaches induced by medications or foods. A physical examinatio...[Read More] Chronic Headaches: Seeking Relief and Solutions for Persistent Pain
Understanding Mucous Blood in Diarrhea: When to Seek Medical Attention
After experiencing diarrhea, the discharge is thick, foul-smelling, and contains blood? I would like to ask the doctor, I started experiencing abdominal pain and diarrhea one or two days ago. However, I don't have to run to the bathroom constantly; it improves after resting....
Dr. Xiao Yongxun Reply:
1. [Passing thick, foul-smelling, bloody stool after diarrhea] may occur following an episode of acute gastroenteritis, which could be due to bacterial gastroenteritis or possibly viral gastroenteritis. Of course, there are many other conditions that need to be considered in the ...[Read More] Understanding Mucous Blood in Diarrhea: When to Seek Medical Attention
Pain in Left Foot's Middle Toe: Causes and Treatment Options
The middle toe of the left foot is bent, and there is a pain sensation in the sole of the foot? Hello, doctor. On my way home tonight, I noticed a pain in the front part of my left foot while walking. After getting home and paying closer attention, I found that the pain originate...
Dr. Xiao Yongxun Reply:
1. [Sudden pain in the left third toe, especially painful during dorsiflexion.] Medically speaking, inflammation refers to the presence of redness, swelling, heat, and pain in tissues. Your complaint may indicate some form of inflammation. However, I recommend that you consult yo...[Read More] Pain in Left Foot's Middle Toe: Causes and Treatment Options
Understanding Elevated White Blood Cell Count: When to Seek Treatment
Elevated white blood cell count? During middle school, a blood test revealed elevated white blood cell counts. Now, in my senior year of high school, a physical examination showed a white blood cell count as high as 18,000. After a follow-up blood test, the count decreased to 10,...
Dr. Xiao Yongxun Reply:
1. Leukocytosis generally refers to a total white blood cell count exceeding 10,000/mm³. Most cases are due to inflammatory responses, while a smaller portion is caused by leukemia. 2. The clinical steps to diagnose leukocytosis begin with a blood test to examine peripheral blo...[Read More] Understanding Elevated White Blood Cell Count: When to Seek Treatment
Understanding Complete Right Bundle Branch Block: Symptoms and Risks
Complete right bundle branch block? Two days ago, I went for a military physical examination, and the doctor said I have complete right bundle branch block. What is this condition, and does it require treatment? What symptoms might I experience? Is there a risk to my life?
Dr. Li Zhiyao Reply:
Hello: Please consult a cardiologist for an explanation from a heart specialist.[Read More] Understanding Complete Right Bundle Branch Block: Symptoms and Risks
Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Blood test The blood test results show four abnormalities: WBC 17.3, EOS 0.5, GLUCOSE 61, and CREA 1.5. Possible causes for these abnormalities could include: 1. **Elevated White Blood Cell Count (WBC 17.3)**: This may indicate an infection, inflammation, stress, or a hematologi...
Dr. Li Zhiyao Reply:
Hello: Diagnosis requires correlation with medical history, clinical symptoms, and physical examination.[Read More] Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Should I Seek Further Tests for My Abdominal Pain?
Do I need to undergo any additional tests? Doctor, I have a lump-like area under my right rib, close to my stomach, that feels swollen when I touch it. It hurts when I press on it, and sometimes it hurts even without pressure. I have already had X-rays, an endoscopy, and an ultra...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult a general surgeon for a physical examination, after which the physician will determine if further tests are necessary.[Read More] Should I Seek Further Tests for My Abdominal Pain?
Understanding Right Upper Abdomen Pain: Causes and Concerns
There is localized pain in the right upper abdomen that sometimes hurts when pressed with a finger? Hello, I have pain in my upper right abdomen, specifically in the area near my heart on the right side, about four fingerbreadths below my right chest. It hurts when I press with o...
Dr. Li Zhiyao Reply:
Hello Ms. Hsiao: Based on your description, it is difficult to provide any speculation or diagnosis. I recommend that you consult a hepatobiliary and gastroenterology specialist, as the right upper abdomen corresponds to the liver and gallbladder area, for a proper physical exami...[Read More] Understanding Right Upper Abdomen Pain: Causes and Concerns
Understanding Hormonal Development Issues: A Guide for Young Adults
Hormones (previous question inquiry) Last time I had a question... Since I am 20 years old, my voice hasn't changed like a girl's, and I feel that my genitalia hasn't developed. Yesterday, I visited a urologist and initially asked the doctor about my "voice&qu...
Dr. Wu Jiyu Reply:
1. Regarding your inquiry, it is recommended to consult a urologist or an endocrinologist. Since you have already seen a urologist, please wait for the blood test results and listen to the explanation from your physician. 2. If your questions remain unanswered at that time, reque...[Read More] Understanding Hormonal Development Issues: A Guide for Young Adults
Understanding Right Upper Abdominal Pain: Causes and Next Steps
Right upper quadrant pain? Hello Doctor: I have been experiencing pain in the upper right abdomen for the past 2 to 3 months. I underwent an ultrasound examination, and the results were normal. However, I occasionally feel sharp pain in the upper right abdomen. What should I do?
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding <right upper quadrant pain> with no identifiable cause, it is essential to start with a thorough medical history and physical examination. 2. Complement this with relevant laboratory tests to align with the clinical physician's considerations...[Read More] Understanding Right Upper Abdominal Pain: Causes and Next Steps
Understanding Thyroid Enlargement: Concerns and Solutions
Goiter Hello, doctor! I have had an enlarged thyroid for a long time... since kindergarten or elementary school, and it is still enlarged now! I don't feel any discomfort. However, many people keep saying that this is abnormal and that I should see a doctor! I have seen doct...
Dr. Xiao Yongxun Reply:
In general, there are many causes of goiter, commonly including hyperthyroidism, hypothyroidism, thyroiditis, thyroid nodules, and a small percentage of thyroid tumors. Clinically, in addition to symptoms and physical examination, blood tests, ultrasound examinations, or other im...[Read More] Understanding Thyroid Enlargement: Concerns and Solutions
Essential Health Checkup Items for Post-Heart Surgery Patients
Health checkup items Hello Dr. Li, my father-in-law underwent two balloon angioplasty procedures for his heart 5 or 6 years ago, and last year he had his gallbladder removed due to gallstones. If he wants to have a physical examination this year, what tests would be suitable for ...
Dr. Li Zhiyao Reply:
Hello Ms. Cheng: The patient has a history of heart disease and gallbladder surgery. It is recommended that the patient follow up with the cardiology and hepatobiliary gastroenterology outpatient clinics at the original treating hospital. The physician will arrange necessary tail...[Read More] Essential Health Checkup Items for Post-Heart Surgery Patients
Feeling Weighed Down: Managing Fatigue and Weight Concerns
Feeling very heavy? I weigh 103 kilograms and have recently been feeling fatigued or a bit tired when brushing my teeth or taking a shower. Currently, I walk for 30 minutes every day. I would like to hear a doctor's advice.
Dr. Chen Qingbin Reply:
If you haven't already, I recommend visiting a hospital for a physical examination or related tests. The physician should provide you with advice on aspects such as exercise and diet. Thank you.[Read More] Feeling Weighed Down: Managing Fatigue and Weight Concerns
Understanding Congenital Single Kidney: Military Service Implications
Congenital solitary kidney? Hello, Dr. Hsiao. During the abdominal ultrasound, the right kidney could not be visualized. Later, I went to the nephrology department for a kidney ultrasound, and it was confirmed that I only have one kidney. The doctor mentioned that some people are...
Dr. Xiao Yongxun Reply:
According to the Ministry of National Defense's Order No. 1010000568 issued on July 5, 2012, and the Ministry of the Interior's Order No. 1010830391 regarding the revised standards for classification of physical conditions, individuals who have undergone unilateral neph...[Read More] Understanding Congenital Single Kidney: Military Service Implications
Understanding Behçet's Disease: Symptoms, Diagnosis, and Treatment Options
Behçet's disease Hello, Doctor: I have an elder (male, 45 years old) who has been experiencing recurrent oral ulcers for a long time, and recently has developed sores on his body. Could these symptoms possibly indicate Behçet's disease? Additionally, how is the diagnosi...
Dr. Gao Jiankai Reply:
Hello, the diagnosis of Behçet's disease primarily involves the presence of oral ulcers. In addition, it is important to check for other associated symptoms, including genital ulcers, iritis, erythema nodosum or pustules on the skin, simple skin irritation tests, and joint s...[Read More] Understanding Behçet's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Microscopic Hematuria, Glucose, and Protein in Urine
Microscopic hematuria, glucose, and protein in the urine? Dr. Lee: Hello! I had a pre-employment physical examination on May 20, and on May 29, the report indicated that I had microscopic hematuria at 3+. I went for another urinalysis on May 31, and today, June 6, I received the ...
Dr. Li Zhiyao Reply:
Hello Yu-Yan: If your tests were not conducted during your menstrual period, based on the report results, there is indeed a need to suspect the possibility of kidney disease (urinary tract disorders) and diabetes. However, further examinations are necessary; the diagnosis of diab...[Read More] Understanding Microscopic Hematuria, Glucose, and Protein in Urine