Sleep, Internal Medicine FAQ - Page 13

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Understanding Persistent Fatigue and Heat Sensation After Napping

Feeling hot in the head? Hello, doctor... A week ago, after waking up from a nap, I started feeling a warm sensation in my head and overall weakness, feeling very fatigued. These symptoms have persisted until now, and I feel like I have a fever, but my body temperature is normal ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you were completely normal until a week ago when you started experiencing fatigue and a feeling of fever. It is highly suspected that you may have an infection, especially since the flu is currently prevalent. The common symptoms of the flu inclu...

[Read More] Understanding Persistent Fatigue and Heat Sensation After Napping


Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery

Gastrointestinal discomfort In the early hours of Saturday, around 2-4 AM, I vomited five times (stomach acid) and had two bowel movements (one normal and one small but somewhat loose). Early Sunday morning, around 8:30 AM, I saw a doctor and received an injection. The doctor adv...


Dr. Lin Wufu Reply:
Hello! As you mentioned, the symptoms you are experiencing are indeed common manifestations of gastroenteritis. Typically, discomfort lasts about three days to a week, depending on the severity. If you felt improvement on Saturday along with a reduction in fever, it is likely tha...

[Read More] Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery


Understanding Discomfort in Dialysis Patients: Heat Sensation and More

Body heat or feeling hot? Dear Doctor, My elder family member is 70 years old and has been undergoing dialysis three times a week for over three years. Recently, we have noticed that if he misses a dialysis session or goes two days without it, he experiences several uncomfortab...


Dr. Lin Wuxuan Reply:
Hello: Based on your description, these symptoms may be caused by uremia. Hemodialysis treatment (commonly referred to as dialysis) is not a panacea and cannot be compared to the natural functions of healthy kidneys. It can only assist the body in eliminating some water-soluble t...

[Read More] Understanding Discomfort in Dialysis Patients: Heat Sensation and More


Why Do I Feel Hungry but Experience Nausea After Eating?

Feeling hungry, but as soon as I eat, I feel nauseous and want to vomit? Hello Dr. Hong, I would like to ask you about an issue I've been experiencing since Tuesday night. I have been feeling very hungry and can feel my stomach constantly churning and making noises. Howeve...


Dr. Hong Yuanbin Reply:
Based on your description, the most likely conditions are gastroesophageal reflux disease (GERD) or a peptic ulcer. These conditions are typically confirmed and diagnosed through an upper gastrointestinal endoscopy. Your physician has already prescribed medication for peptic ulce...

[Read More] Why Do I Feel Hungry but Experience Nausea After Eating?


Understanding Mild Anemia: Symptoms, Causes, and Recovery Tips

Mild anemia? Recently, I suspect that I have mild anemia (experiencing shortness of breath, fatigue, etc.). My gums and conjunctiva also appear somewhat pale, but I am not anemic by birth (I believe I have been tested for this). I often drink tea, usually one bottle a day, and so...


Dr. Lin Wuxuan Reply:
Hello: First of all, it is recommended to visit a medical facility for a blood test to confirm whether there is an issue with anemia. The treatment for anemia depends on establishing a diagnosis and identifying the underlying cause before appropriate treatment can be administered...

[Read More] Understanding Mild Anemia: Symptoms, Causes, and Recovery Tips


Struggling with Weight Loss: Overcoming Challenges and Finding Solutions

Weight loss and related issues? Hello, (1) I was diagnosed with Mediterranean anemia during a health check-up, but my doctor said it is not severe and does not require treatment. My BMI is 27, which classifies me as overweight. I do not have a specific plan for weight loss and ...


Dr. Ke Taiyuan Reply:
1. The fundamentals of weight loss are still dietary control and regular exercise. Dietary principles include low calories, high protein (meat, fish, beans, eggs, dairy), high fiber, low salt, low oil, and low sugar. Reduce calorie intake outside of main meals, and if you feel hu...

[Read More] Struggling with Weight Loss: Overcoming Challenges and Finding Solutions


Could Your Symptoms Indicate Ankylosing Spondylitis?

What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....

[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?


Understanding Inconsistent Symptoms in Juvenile Rheumatoid Arthritis

I'm sorry, but I need more context or specific information to provide an accurate translation or response? Hello Doctor, I was diagnosed with juvenile rheumatoid arthritis about three years ago when I was around 14 years old. It started with pain in my left knee, and then mo...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Juvenile rheumatoid arthritis (JRA) or juvenile idiopathic arthritis (JIA) is different from adult rheumatoid arthritis, so juvenile rheumatoid arthritis does not directly transition into rheumatoid arthritis in adulthood. Therefore, some patie...

[Read More] Understanding Inconsistent Symptoms in Juvenile Rheumatoid Arthritis


Understanding Kidney Health: Tests, Concerns, and Dietary Advice

Examination, health, and other related issues concerning having one less kidney? Doctor Wu: Hello, over the past ten years, I have undergone abdominal ultrasounds three times due to gastrointestinal issues, and three different physicians have been unable to locate my right kidney...


Dr. Wu Hongjie Reply:
1. The diagnostic rate of ultrasound has already reached a high level, and computed tomography (CT) can enhance diagnostic accuracy. However, it is recommended that if the results of a non-contrast scan indicate a single kidney, it should be classified as a Class A diagnosis. The...

[Read More] Understanding Kidney Health: Tests, Concerns, and Dietary Advice


Understanding HIV Testing: Rapid Tests vs. Blood Draws Explained

HIV rapid test and blood draw? Hello, doctor. I had unprotected sexual intercourse at the beginning of September last year. Although I know there is a low risk of transmission, I still felt very anxious and had trouble sleeping. Around late December, I went to a health center for...


Dr. Liao Zhongxin Reply:
Dear readers: If you are still concerned, you may consider having another check-up around six months later; if everything is still normal at that time, you can feel reassured. Thank you!

[Read More] Understanding HIV Testing: Rapid Tests vs. Blood Draws Explained


Understanding Dizziness: Causes and Solutions After a Cold

Dizziness issues? Hello, doctor... Since I caught a cold and had a fever on the 23rd of last month, I've been feeling dizzy, heavy-headed, and lethargic, constantly wanting to sleep. After more than two weeks, the cold symptoms and dizziness improved, but shortly after the d...


Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Dizziness can generally be categorized into four types: vertigo, presyncope, disequilibrium, and lightheadedness. Research statistics indicate that the most common diagnosis among these is vertigo. 2. The causes of dizziness are numerous. For example: ort...

[Read More] Understanding Dizziness: Causes and Solutions After a Cold


Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?

Hypertension and aldosterone issues? Hello Doctor: I have been dealing with high blood pressure and have visited both nephrology and endocrinology departments. Blood tests conducted at both places, approximately a month apart, showed normal aldosterone levels, around 4. The endoc...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The nephrologists or endocrinologists you encounter are very competent; please cooperate as soon as possible. 2. Hypertension is generally classified into primary hypertension and secondary hypertension. The former primarily occurs in middle-aged and eld...

[Read More] Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?


Managing Blood Pressure and Edema in a 76-Year-Old Patient

Blood pressure, edema, uric acid? Hello Dr. Wu: My mother is 76 years old and has been taking Adalat 30 mg for many years. Recently, she has experienced edema in her lower extremities. We switched her to one Zanidip (Lercanidipine) 10 mg at bedtime and one Fluitran (Furosemide) 2...


Dr. Xiao Yongxun Reply:
Dear Miss Hsiao-Fen: 1. Your mother is taking Adalat® (30mg; generic name Nifedipine), which is a calcium channel blocker. Long-term use can lead to sodium and fluid retention, resulting in edema. It is recommended to switch to Zanidip® (10mg; generic name Lercanidipine) and Flu...

[Read More] Managing Blood Pressure and Edema in a 76-Year-Old Patient


Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results

How to improve blood sugar levels? Last Friday, I suddenly experienced itching all over my body, and I was worried it might be diabetes. I felt very low and anxious for three consecutive days—Friday, Saturday, and Sunday—resulting in insufficient sleep. On Monday, I went to the h...


Dr. Xiao Yongxun Reply:
Dear Mr. Cc: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dl after fasting for more than 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dl during an oral glucose toleranc...

[Read More] Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results


Should You Be Concerned About Your Blood Sugar Levels?

Is there a concern for diabetes? I had a company health check-up and my fasting blood glucose level was 101 after fasting for more than 12 hours. According to online standards, it should be below 100. Should I start dietary control and see a doctor for follow-up? I am 180 cm tall...


Dr. Xiao Yongxun Reply:
1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after 8 hours or more of fasting, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test, c. An HbA1c of ≥6...

[Read More] Should You Be Concerned About Your Blood Sugar Levels?


Persistent Headache: Understanding Causes and Relief Strategies

Headache for several days? Hello doctor, I have been experiencing a painful and pressure-like sensation in my head for the past four days. At first, I thought it was a cold because I had nasal congestion and a runny nose. However, the next day, the runny nose stopped, but the hea...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have caught a cold, and you are experiencing headaches. If you also have irregular sleep patterns or are under stress, the headaches may become more pronounced. I recommend getting plenty of rest; your symptoms should improve. If...

[Read More] Persistent Headache: Understanding Causes and Relief Strategies


Persistent Headache: Understanding Causes and Relief Strategies

Headache for several days? Hello doctor, I have been experiencing a feeling of pain and pressure in my head for the past four days. At first, I thought it was a cold because I had nasal congestion and a runny nose. However, the next day the runny nose stopped, but the headache pe...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have caught a cold, and you are experiencing headaches. If you also have irregular sleep patterns or are under stress, the headaches may become more pronounced. I recommend getting plenty of rest, as your symptoms should improve....

[Read More] Persistent Headache: Understanding Causes and Relief Strategies


Understanding Metabolic Issues: Low Urine Output and Digestive Concerns

Metabolic issues Hello, doctor. Recently, I've noticed that my metabolism seems to be off. I've been experiencing a decrease in bowel movements; they are infrequent and difficult to pass. Additionally, regardless of how much water I drink, my urine output is very low. F...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The body's sources of hydration primarily come from drinking water, beverages, food and ingredients, as well as metabolic processes. Fluid loss mainly occurs through urine, feces, evaporation from the skin, respiratory water vapor, and sweating. For ...

[Read More] Understanding Metabolic Issues: Low Urine Output and Digestive Concerns


Managing Hashimoto's Thyroiditis: Essential Tips for New Mothers

Hashimoto's thyroiditis Dear Dr. Tseng, 1. After giving birth, I discovered that I have hypothyroidism (TSH: 29), which is associated with Hashimoto's thyroiditis. My baby underwent a thyroid screening at birth, and the results were normal. How often should my baby hav...


Dr. Zeng Guosen Reply:
Hello, I am a rheumatology and immunology specialist. Regarding thyroid diseases, I recommend consulting an endocrinologist for the most up-to-date and accurate medical information. Thank you for your question.

[Read More] Managing Hashimoto's Thyroiditis: Essential Tips for New Mothers


Understanding Facial Swelling After Facial Nerve Paralysis: What to Do Next?

During the recovery phase of facial nerve paralysis, swelling of the eyes and face may occur? Hello Doctor, I experienced facial nerve paralysis on the right side of my face on August 3, 2017. At that time, my right eye's vision, hearing, and taste were all affected. Althoug...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. The unilateral lower limb swelling and pain (right leg) should not be related to the facial nerve paralysis on the same side, nor should it be associated with renal dysfunction (as renal dysfunction typically leads to...

[Read More] Understanding Facial Swelling After Facial Nerve Paralysis: What to Do Next?


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