Managing Hyperthyroidism: Medication Challenges and Allergic Reactions
Thyroid issues = Hyperthyroidism medication, urticaria, and medication-related problems? I was diagnosed with hyperthyroidism in mid-October last year (taking only one pill a day). I started with the first medication, Methimazole, but after three days I felt extremely uncomfortab...
Dr. Lin Jianliang Reply:
There are generally two to three types of medications used to treat hyperthyroidism, and typically, treatment lasts for one to two years. If medication is not suitable, surgical intervention or radioactive iodine therapy may be considered. Antihistamines commonly have side effect...[Read More] Managing Hyperthyroidism: Medication Challenges and Allergic Reactions
Could I Be at Risk for Lupus? Understanding Symptoms and Prevention
Could it be systemic lupus erythematosus? Hello Doctor, I recently caught a cold, which has lowered my immune system, and I started developing small red spots on my body, about a third the size of a mung bean. I have two on the side of my nose, one on my knee, one on my calf, and...
Dr. Hong Yuanbin Reply:
Hello, the typical rash associated with systemic lupus erythematosus (SLE) is indeed the butterfly rash. Based on your description of the small red spots, it is more likely to be folliculitis. However, skin issues usually require a visual examination for accurate diagnosis, so I ...[Read More] Could I Be at Risk for Lupus? Understanding Symptoms and Prevention
Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
A postprandial blood glucose level of 201 mg/dL is considered elevated. It is important to evaluate this result in the context of the individual's overall health, medical history, and potential symptoms. Here are some considerations and actions to take: 1? Hello, doctor. Th...
Dr. Lin Jianliang Reply:
1. Generally speaking, a random blood glucose level of 201 mg/dL increases the likelihood of diabetes compared to normal individuals. However, at that time, you also had a cold, which could affect blood glucose levels. It is recommended to visit the endocrinology clinic after rec...[Read More] Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
Understanding Flu and Cold Symptoms: Insights from Taiwan's Experience
Influenza Issues Hello, I would like to ask you about the issues related to influenza and the common cold. I am from Taichung and have just moved to Keelung two months ago, working in Taipei. I don't know if I was just lucky before, but I have never had influenza and only ca...
Dr. Hong Yuanbin Reply:
Hello, the symptoms you described, such as body aches, weakness, sore throat, nasal congestion, and diarrhea, are all indicative of cold symptoms. There are many causes for these symptoms, including influenza virus, parainfluenza virus, adenovirus, and various other types. Accord...[Read More] Understanding Flu and Cold Symptoms: Insights from Taiwan's Experience
Allergies and Excessive Sleepiness: Understanding Your Symptoms
Allergy + Drowsiness Recently, I have been experiencing multiple physical abnormalities, including dry mouth, dry eyes, and itchy dry skin (I have a history of urticaria, but this sensation feels different. Only specific areas of my hands and feet are dry and itchy, and there are...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here is the response to your question: 1. You have noticeable symptoms of dryness, which may be related to issues with your immune system, particularly Sjögren's syndrome or related autoimmune diseases. 2. It is recommended that you first c...[Read More] Allergies and Excessive Sleepiness: Understanding Your Symptoms
Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?
I would like to ask which department I should visit? I have been taking weight loss pills for a long time, but when I'm not taking them, my face really gets swollen, looking like a pig's head when I wake up. I often feel fatigued and can sleep up to 18 hours a day for s...
Dr. Ke Taiyuan Reply:
Hello, thank you for your inquiry. There are many causes of edema. It is recommended to seek further evaluation at a general internal medicine or nephrology clinic. The Chiayi Hospital of the Ministry of Health and Welfare cares about you![Read More] Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?
Can You Contract HIV from Rubbing Against Contaminated Bedding?
HIV infection Hello, doctor. Recently, I slept naked in a hotel and rubbed my genitals against the blanket while sleeping. I am concerned about the possibility of contracting HIV, especially if the previous person was a carrier and there was semen on the blanket. Additionally, si...
Dr. Lin Wufu Reply:
Hello: Actually, there is no need to worry, as there is no risk of transmitting HIV in this manner. The HIV virus has difficulty surviving once it leaves the human body (even without exposure to air). Therefore, there has been no documented case of someone contracting HIV indirec...[Read More] Can You Contract HIV from Rubbing Against Contaminated Bedding?
Understanding Chest Pain: Causes and When to Seek Medical Help
Chest pain in the center? Hello Doctor: I have been experiencing pain in the middle of my chest recently. Given that my family has a history of ankylosing spondylitis, I am concerned that this might be related. I work in a sedentary office job, and the pain is intermittent (it ha...
Dr. Zeng Guosen Reply:
Hello, some cases of ankylosing spondylitis may present with pain in the middle of the chest. However, chest pain can have other causes, so differential diagnosis is necessary to rule out other possibilities. It is recommended to consult a rheumatologist first. Thank you for your...[Read More] Understanding Chest Pain: Causes and When to Seek Medical Help
Understanding Adrenal Tumors: Symptoms, Diagnosis, and Management
Adrenal tumor Right abdominal pain with many similar bruises on the thigh and right abdomen. However, upon examination at the hospital, an incidental finding of a 3 cm adrenal tumor was discovered. The urologist conducted blood and urine tests for the adrenal gland, and the resul...
Dr. Hong Yuanbin Reply:
Hello, 1. I'm not sure what you mean by "abnormal findings in the examination report." Generally, adrenal tumors are initially classified as benign or malignant based on imaging reports, particularly computed tomography (CT) scans. If the tumor is malignant, it c...[Read More] Understanding Adrenal Tumors: Symptoms, Diagnosis, and Management
Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes
Blood sugar issues? Hello Doctor: I will be regularly having blood tests to check my blood sugar every one to three months, self-paying at the clinic for both fasting and postprandial tests. My blood sugar was 87 during the health check when I just entered my freshman year of col...
Dr. Chen Jianyu Reply:
Blood sugar levels are influenced by many factors; it is advisable to engage in regular exercise. If you have any questions, please visit a nearby medical facility's metabolic department for consultation.[Read More] Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes
Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension
Dad is experiencing health issues? About five years ago, my father fainted while playing mahjong after having a little bit of alcohol. We immediately called an ambulance, and when he was given an oxygen mask, his consciousness stabilized. The small hospital we went to later told ...
Dr. Chen Shunfu Reply:
Individuals with hypertension and obesity are at high risk for cardiovascular diseases. It is recommended that you bring your father to the hospital's cardiology department for a thorough examination.[Read More] Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension
Post-Surgery Complications: Understanding Abdominal Pain and Recovery
Postoperative issues? On June 20, I underwent surgery for a ruptured appendix that led to peritonitis (laparoscopic surgery). Since I have been feeling unwell, I had an upper gastrointestinal endoscopy on July 18, which revealed gastritis/esophagitis. I returned to work in August...
Dr. Chen Jianyu Reply:
1.2. It cannot be ruled out that the symptoms are complications from surgery or other internal medical issues; a follow-up visit to a gastroenterologist is necessary to address this dilemma. 3.4. Since no scars are visible, it is suspected that there may be a keloid formation fro...[Read More] Post-Surgery Complications: Understanding Abdominal Pain and Recovery
Feeling Hot Without a Fever: Understanding Your Symptoms
Feeling hot but not having a fever? Hello, I have been experiencing a sensation of heat in my body for quite some time, but my temperature readings do not indicate a fever. A noticeable symptom is that my eye sockets feel even hotter when my body feels warm. Which specialty shoul...
Dr. Lin Wufu Reply:
Hello! In medical terms, a fever is defined as a body temperature exceeding 38 degrees Celsius (or 38.3 degrees Celsius). Therefore, if your temperature readings are consistently normal, it is not related to fever. Additionally, during a fever, individuals primarily experience ch...[Read More] Feeling Hot Without a Fever: Understanding Your Symptoms
Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Sjögren's syndrome, articular cartilage Hello, Director Gao! I have several symptoms and I'm unsure if they are related to an autoimmune disease. 1. My dentist informed me that my mouth is very dry. This condition has persisted for at least three years, especially dur...
Dr. Gao Jiankai Reply:
Hello, I apologize for the late response. I believe your symptoms are indeed related to Sjögren's syndrome, including dry eyes, dry mouth, thyroid dysfunction, cough, and generalized body aches, even lower back pain, which may all be associated with Sjögren's syndrome. ...[Read More] Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions
Endocrine disorder Hello, for the past six months, it seems that I have been experiencing hormonal imbalance. I have been under a lot of stress and suddenly gained 20 kilograms, going from 44 kilograms to 64 kilograms. Previously, I would feel full after eating a little, but now ...
Dr. Lin Jianliang Reply:
Based on your description, if you have already consulted with obstetrics and gynecology, dermatology, and psychosomatic medicine, and after undergoing examinations, it is also recommended to consider seeing an endocrinology and metabolism specialist for further evaluation. Thank ...[Read More] Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions
Managing Blood Sugar Levels: A Guide for Overweight Individuals
Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...
Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.[Read More] Managing Blood Sugar Levels: A Guide for Overweight Individuals
Understanding Oral Heat Issues: Causes and Solutions for Discomfort
Oral heat issues? I would like to ask the doctor about my situation. We replaced a broken air conditioner at home, and the new one initially made a buzzing sound. Additionally, I was unsure if the strange smell was from the new unit or from PVC, which caused me to have trouble sl...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that the symptoms are caused by acid reflux due to air conditioning. The most probable causes are neurological issues or stress. I recommend seeing a neurologist for further evaluation. If the neurological examination is normal, it...[Read More] Understanding Oral Heat Issues: Causes and Solutions for Discomfort
Morning Back Pain: Causes and Solutions for a Better Start
Lower back pain upon waking up? I have been experiencing lower back pain after sleeping for a while. It improves somewhat after I stretch upon waking up. The pain radiates from the lumbar spine to the pelvis on both sides in a linear pattern, but it hasn't reached the lower ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the most likely issue is a musculoskeletal problem, possibly a strain or due to long-term poor posture. It is advisable to rest more. If the symptoms persist, it may be necessary to consider spinal issues, such as degenerative arthritis. You migh...[Read More] Morning Back Pain: Causes and Solutions for a Better Start
Post-Thyroid Surgery: Understanding Recent Health Issues and Symptoms
6.7 years post-thyroidectomy, experiencing some recent health issues? I previously had hyperthyroidism and underwent surgery six to seven years ago. I have been taking Antithyroid medication regularly, and recently I have been taking two 50 mg tablets a day. However, I have been ...
Dr. Hong Yuanbin Reply:
Hello, I'm not sure if you have been continuously monitoring your thyroid function. If you are on medication, you should be regularly tracking it. If your thyroid function is normal, based on your described symptoms, the most likely cause is a strain. I wonder if you have re...[Read More] Post-Thyroid Surgery: Understanding Recent Health Issues and Symptoms
Unexplained Nighttime Fever: Causes and When to Seek Help
Fever of unknown origin at night? Hello, Doctor. On July 28th, around 8 PM, I started feeling warmth in my cheeks and experiencing a rapid heartbeat. Even in an air-conditioned room, I was sweating continuously. Later, when I lay down to sleep, I felt my heart racing and continue...
Dr. Hong Yuanbin Reply:
Hello, based on the temperature you measured, there is indeed no fever present. As for the feeling of having a fever that you described, there are many possible causes, including premenstrual syndrome and endocrine issues. I recommend that you first visit an infectious disease sp...[Read More] Unexplained Nighttime Fever: Causes and When to Seek Help