Sleep, Internal Medicine FAQ - Page 18

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High Creatinine Levels After Dialysis: Causes and Solutions

After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...


Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...

[Read More] High Creatinine Levels After Dialysis: Causes and Solutions


Understanding Digestive Issues: What Your Stool Color and Changes Mean

Gastrointestinal issues Hello Doctor: Two weeks ago, I noticed that the color of my stool was very dark, but it wasn't as black as melena. I also feel that my bowel movements have decreased; sometimes I have one stool, sometimes two. Additionally, I have the urge to defecate...


Dr. Xiao Yongxun Reply:
Dear Mr. Sam: 1. The color of feces is influenced by many factors, including bilirubin pigments, food, enzymes secreted by the intestines, bleeding and its location, medications, and other influencing factors. If there is a presence of black, tarry stools, one should consider up...

[Read More] Understanding Digestive Issues: What Your Stool Color and Changes Mean


Understanding Persistent Dizziness and Body Heat: Causes and Solutions

Dizziness and a feeling of warmth in the body? Hello, Doctor. I often experience dizziness and have undergone numerous examinations at major hospitals, but nothing has been found. Recently, the frequency of my dizziness has increased, occurring 3-4 days a week, and I also feel a ...


Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The differential diagnosis of dizziness generally begins with distinguishing between central and peripheral causes. If the dizziness is due to a central lesion, it is often associated with more serious issues such as tumors, strokes, epilepsy, meningitis, or enc...

[Read More] Understanding Persistent Dizziness and Body Heat: Causes and Solutions


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


Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth

Hypertension often makes me feel unwell, difficult to fall asleep, dry mouth, and fatigue? Hypertension is causing persistent discomfort, difficulty sleeping, dry mouth, and fatigue. The average heart rate is between 90 and 115 beats per minute, and the blood pressure is 162/101 ...


Dr. Li Zhiyao Reply:
Hello: Since you already know you have high blood pressure, you should seek medical attention and not delay treatment.

[Read More] Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth


Managing Sleep Deprivation: Tips for High School Students

Frequent late nights and insufficient sleep? Doctor, I am a high school student and often stay up late due to my studies. I would like to ask if it would be better to change my sleep schedule to go to bed at 11 PM and wake up at 4:30 AM, since I usually sleep after midnight and w...


Dr. Huang Yaoxuan Reply:
1. It is recommended to have 6-8 hours of sleep each night and about half an hour during the day. If circumstances prevent this, then that is the best one can do. 2. Fresh, minimally processed foods (vegetables, fruits, meats, etc.) are better for the internal organs, and maint...

[Read More] Managing Sleep Deprivation: Tips for High School Students


Understanding Weight Loss and Side Effects of Forxiga and Olmetec

Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...


Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...

[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec


Unexplained Pain: Understanding Your Sleep Disruptions and Kidney Issues

Unable to comprehend, unsure of what strange illness it is? I wake up every time, regardless of when I fall asleep, after about 1-2 hours due to the urge to urinate and dull pain in my left lower back. It's not severe pain, but it's enough to prevent me from falling bac...


Dr. Li Zhiyao Reply:
Hello: Please visit the urology department in person, as remote consultations are not possible.

[Read More] Unexplained Pain: Understanding Your Sleep Disruptions and Kidney Issues


Understanding Abdominal Discomfort: Key Signs and Concerns

Abdominal issues? I would like to ask about my boyfriend who is 23 years old. He often drinks Powerade, almost two servings daily. His sleep pattern is irregular, going to bed as late as 4 AM, and he sleeps less than 5 to 6 hours a night, sometimes only 3 to 4 hours. Yesterday, h...


Dr. Wu Jiyu Reply:
Hello, the symptoms you described cannot rule out the possibility of gastrointestinal disorders. It is recommended that you promptly visit a gastroenterology clinic for further examination. Additionally, you should make appropriate adjustments to your daily routine to maintain go...

[Read More] Understanding Abdominal Discomfort: Key Signs and Concerns


Understanding Post-Cold Cough: Causes, Treatments, and When to Seek Help

Post-cold cough rebound? Hello, doctor. I caught a cold around the end of February and recovered after a week, but I have been coughing continuously since then. Around March 10th, the cough became very severe, preventing me from sleeping at night. Following my family's advic...


Dr. Xie Rongyuan Reply:
Hello: If the cough persists and does not improve, a chest X-ray is recommended to determine the cause. If a bacterial infection is not confirmed, the use of antibiotics is not advised. Thank you for your message!

[Read More] Understanding Post-Cold Cough: Causes, Treatments, and When to Seek Help


Understanding Pellet-Like Stool: When to Seek Medical Advice

Pellet-like stools Hello doctor, for the past two to three weeks, my bowel movements have been consistently pellet-like. However, everything else is normal; I don't have abdominal pain or constipation, and my bowel movements are smooth. It's just that the stools come ou...


Dr. Xiao Yongxun Reply:
Dear Anonymous Sir: 1. If you have bowel movements more than three times a week without straining, and your stools are not hard (like pebbles) or causing any blockage at the anal opening, it should be fine. However, it is recommended that you increase your intake of vegetables ...

[Read More] Understanding Pellet-Like Stool: When to Seek Medical Advice


Balancing Sweet Treats and Health: Tips for Pastry Chefs

Sweets and Body Composition Hello Doctor, I am a chef working as a pastry chef in a French dessert shop. I pay great attention to health, but due to my job, I have to taste every dessert. Of course, I know that sugar should be avoided as much as possible. Could you please advise ...


Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. Generally speaking, one gram of starch produces four kilocalories, one gram of protein also produces four kilocalories, while one gram of fat produces nine kilocalories. Given that you are aware of the ingredients used in the French pastry shop, you should be a...

[Read More] Balancing Sweet Treats and Health: Tips for Pastry Chefs


Understanding Excessive Sleep: Causes, Effects, and Solutions

Hypersomnia Since childhood, I have always been someone who needs a lot of sleep. It is common for me to sleep 10 or even more than 12 hours. However, I always thought it was because I often stayed up late that I felt this way. After the Lunar New Year this year, I started feelin...


Dr. Li Zhiyao Reply:
Hello: There are dozens of causes for sleep disorders, spanning multiple specialties, making diagnosis challenging. Fortunately, many hospitals now have established "sleep clinics" specifically for diagnosing and treating sleep-related issues. It is recommended that you...

[Read More] Understanding Excessive Sleep: Causes, Effects, and Solutions


Understanding Chest Pain: When to Seek Medical Attention

Chest pain Recently, I have experienced occasional chest pain, a condition that hasn't occurred for a long time. The most severe episode happened during my middle school years when I suddenly felt chest pain and difficulty breathing while asleep. I quickly drank some water, ...


Dr. Xiao Yongxun Reply:
Dear Miss Anonymous: 1. There are many causes of chest pain, which can originate from superficial chest wall issues (such as shingles, costochondritis, shoulder arthritis, spinal nerve compression, breast lesions, etc.) or from deeper organ-related pain (such as angina, myocard...

[Read More] Understanding Chest Pain: When to Seek Medical Attention


Understanding Prediabetes Symptoms: Insights from Military Health Exams

Pre-diabetic symptoms in military service medical examinations? Hello Doctor: I have a few questions for you. I am 23 years old, with a BMI of 18.6 and weighing 48 kg. Before my health check, I ate half a lunch box, and the report showed urine glucose converted to 200 mg/dl, indi...


Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. The Oral Glucose Tolerance Test (OGTT) results after a 12-hour fasting show fasting blood glucose: 102 mg/dl, 1 hour: 152 mg/dl, 2 hours: 122 mg/dl, and HbA1c: 5.3%. This result does not meet the criteria for a diabetes diagnosis. It can be classified as i...

[Read More] Understanding Prediabetes Symptoms: Insights from Military Health Exams


Understanding Fatigue: Causes and Solutions for Persistent Weakness

Generalized weakness? Hello, Dr. Hsiao! I am 19 years old and have a normal sleep schedule of about 8 hours. I wake up feeling well-rested, but after a while, I start to feel fatigued again. Taking a nap in the afternoon helps somewhat, but I still feel tired shortly after. Recen...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. Fatigue is something that almost everyone experiences at some point in their lives, and most diseases can cause fatigue. Typically, fatigue is temporary, self-limiting, and the primary cause can often be identified. Based on the nature of the causes, fati...

[Read More] Understanding Fatigue: Causes and Solutions for Persistent Weakness


Understanding Abdominal Distension: Causes and Concerns for Women

The abdomen feels bloated, and there is discomfort when pressure is applied? Recently, I have noticed a sudden increase in the size of my lower abdomen. As a naturally slim woman, my abdomen used to be completely flat, but now it appears more protruded than before. When I have a ...


Dr. Xiao Yongxun Reply:
Dear Lulu: 1. There are many causes of abdominal discomfort, which are often difficult to diagnose. However, symptoms that physicians tend to pay more attention to include fever and chills, nausea and vomiting, belching and bloating, dry mouth, diarrhea, hematemesis, melena, we...

[Read More] Understanding Abdominal Distension: Causes and Concerns for Women


Understanding Body Immunity After Fever: What to Expect?

Body immunity after a fever? Hello Dr. Liao, I would like to ask you a question. Generally, when we get sick, it is due to a weakened immune system that allows viruses or bacteria to invade. After becoming ill, the antibodies in the body fight against the viruses or bacteria, whi...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Body Resistance After Fever> A: 1. Generally, healthy individuals (aged over 15 and under 65) have a more mature immune system, making them less susceptible to infections from external pathogens. Other age groups may be more prone to illness if they...

[Read More] Understanding Body Immunity After Fever: What to Expect?


Understanding Post-Meal Sleepiness: Is It Blood Sugar Related?

Blood sugar issues? Hello Doctor, I seem to have a tendency to feel very sleepy after meals since childhood. It's severe enough that I often feel drowsy during tutoring, classes, and study sessions, even after eating a small amount, like a bowl of rice or a portion of rice f...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you visit a family medicine physician, and a blood test can help assess your blood glucose levels.

[Read More] Understanding Post-Meal Sleepiness: Is It Blood Sugar Related?


Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips

Gastrointestinal discomfort? One time, after having dinner and overeating while drinking soda, I couldn't sleep all night due to bloating. I thought I might vomit from the fish I ate that night, but I didn't. Instead, I experienced diarrhea, burping, and passing gas. Th...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult a gastroenterologist.

[Read More] Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips


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