Addressing Health Concerns: Emergency Discharge and Symptoms in Young Patients
Questions Regarding Physical Condition and Hospital Admission/Discharge Hello, Director Li: I have a 19-year-old female friend with some questions I would like to ask you. 1. If the parents disregard the patient's signed AAD (Against Medical Advice) voluntary discharge conse...
Dr. Li Zhiyao Reply:
Hello: 1. Patients can choose which hospital to visit, but once they have received care, they must respect the expertise of the medical team. 2. I am unable to provide a diagnosis; please seek medical attention at a hospital, and if you encounter difficulties, you may seek suppor...[Read More] Addressing Health Concerns: Emergency Discharge and Symptoms in Young Patients
Understanding Sudden Dizziness: Possible Heart Issues and Anemia
Sudden dizziness? Hello Doctor: On Tuesday, while I was taking a bus back to school from Taichung, I fainted at the station. Before fainting, I experienced symptoms such as cold sweats, tinnitus, nausea, blurred vision, and rapid heartbeat, after which I lost consciousness. Accor...
Dr. Li Zhiyao Reply:
Hello: 1. A lack of family history of heart disease does not mean that you are personally free from heart disease. 2. Whether you have anemia can be determined through a blood test; however, having anemia does not necessarily mean that your symptoms are solely due to anemia witho...[Read More] Understanding Sudden Dizziness: Possible Heart Issues and Anemia
Understanding Cholesterol: Debunking Myths for Diabetics
Cholesterol issues Hello Dr. Hsiao: I have diabetes, and my total cholesterol, LDL cholesterol, and triglycerides are all elevated. Both my doctor and diabetes health literature suggest that I should not consume too many high-cholesterol foods. However, I came across an article o...
Dr. Xiao Yongxun Reply:
1. Essentially, there are many articles online with a diverse theoretical foundation; although they have their sources and basis, I prefer not to comment on them personally. 2. According to current research reports, the sources of cholesterol indeed include dietary intake and e...[Read More] Understanding Cholesterol: Debunking Myths for Diabetics
Understanding Chest Pain and Shortness of Breath in Teens
Chest pain sometimes accompanied by unexplained shortness of breath? Hello, I am a middle school student. After about a month of starting middle school, I occasionally feel a slight pain on the left side of my chest when taking deep breaths. This has continued until now, and even...
Dr. Li Zhiyao Reply:
Hello, Yujing: I recommend that you first see a pulmonologist, who can then determine whether you need to consult a cardiologist.[Read More] Understanding Chest Pain and Shortness of Breath in Teens
Waking Up with Arm Weakness: Causes and Stroke Concerns
Numbness and weakness in the arm upon waking up? Hello! Every day when I wake up, my entire hand and arm feel numb and weak, primarily in my right hand, and sometimes in both hands. After a few minutes, it returns to normal. For the past few months, while sitting on the bed befor...
Dr. Li Zhiyao Reply:
Hello: Your symptoms are likely caused by nerve compression. It is recommended that you consult a neurologist. Wishing you health and safety![Read More] Waking Up with Arm Weakness: Causes and Stroke Concerns
Why Do I Feel Sleepy After Eating? Understanding Post-Meal Drowsiness
Feeling very sleepy after eating? Hello Doctor, I have a question that has been bothering me, and I'm not sure if I should ask you. I usually eat home-cooked meals three times a day, primarily consisting of rice and noodles. About an hour after eating, I feel very sleepy, to...
Dr. Li Zhiyao Reply:
Hello: 1. If there is a suspicion of blood sugar issues, fasting blood glucose, postprandial blood glucose, and glycated hemoglobin (HbA1c) tests can be performed. 2. It is recommended to consult a sleep medicine specialist.[Read More] Why Do I Feel Sleepy After Eating? Understanding Post-Meal Drowsiness
Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
If you are experiencing discomfort in various parts of your body, you should consider visiting a primary care physician or a general practitioner. They can evaluate your symptoms and refer you to the appropriate specialist if needed? I have been experiencing persistent pain in my...
Dr. Wu Jiyu Reply:
In response to your inquiry, it seems you may have some medical background. 1. "Persistent left lower abdominal pain for several days, especially at night, to the point of being unable to sleep, with increased nocturia. Recently (for about a month), daytime urinary frequen...[Read More] Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
Chronic Leg Pain at Night: Causes and Solutions for Better Sleep
When relaxing or preparing to sleep, my left calf becomes so sore that I can't fall asleep, leading to long-term insomnia? Hello: I have been experiencing cramps in my left calf since childhood, which prevent me from sleeping. Now at 42 years old, it still occurs whenever I ...
Dr. Gao Jiankai Reply:
Hello JoJo, a leg length discrepancy of more than 2 centimeters can potentially lead to symptoms, especially in the shorter leg. I'm not certain if your symptoms are caused by the leg length discrepancy, but there are various methods to assess whether the pain is due to the ...[Read More] Chronic Leg Pain at Night: Causes and Solutions for Better Sleep
Post-Cold Symptoms: Managing Stomach Pain and Dizziness
After recovering from a cold, I developed stomach pain and dizziness? Hello, doctor. Last week I had a severe cold combined with bronchitis. The cold symptoms have improved, but over the past few days, I've started experiencing stomach pain and dizziness. It's been 10 d...
Dr. Lin Shunfa Reply:
TO: Yikun, please consult a gastroenterologist to determine if there are any gastrointestinal diseases or related issues with medications.[Read More] Post-Cold Symptoms: Managing Stomach Pain and Dizziness
Understanding Sudden Hypoglycemia: Causes and Concerns for Patients
Why does sudden hypoglycemia feel very uncomfortable? Hello, doctor. Today at 8:30 AM, I had breakfast consisting of sweet potatoes and whole grain bread, along with green tea. At 12:30 PM, I started experiencing symptoms of hypoglycemia: cold sweats, trembling, weakness, rapid h...
Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, it is not possible to determine whether your symptoms are caused by hypoglycemia. In addition to low blood sugar, there are many other conditions that can present with similar symptoms. Typically, undiagnosed and untreated diabetes pr...[Read More] Understanding Sudden Hypoglycemia: Causes and Concerns for Patients
Optimal Timing for Fasting Blood Sugar Measurement: Key Insights
The timing for measuring fasting blood glucose? Hello, doctor. Without having diabetes, I would like to measure my fasting blood sugar. What is the most accurate time to measure fasting blood sugar? If I have dinner at 7 PM the night before and then sleep until 10 AM the next mor...
Dr. Li Zhiyao Reply:
Hello: It is recommended to conduct the test in the morning after fasting for 8-10 hours.[Read More] Optimal Timing for Fasting Blood Sugar Measurement: Key Insights
Understanding Inflammatory Spine Conditions: Assessing Severity in Ankylosing Spondylitis
Questions regarding the diagnosis of ankylosing spondylitis? Hello, I recently visited a large hospital to check on a long-standing pain condition. Most of the time, I experience numbness and pain on the right side of my body, and I cannot lie flat while sleeping due to back pain...
Dr. Zeng Guosen Reply:
Hello, internet user: 1. The so-called inflammation grade refers to the degree of inflammation observed in the sacroiliac joints on standard X-rays (you are referring to nuclear medicine scans), which is classified into four levels. 2. An accurate diagnosis of ankylosing spondyli...[Read More] Understanding Inflammatory Spine Conditions: Assessing Severity in Ankylosing Spondylitis
How Eating Fruits Affects Post-Meal Blood Sugar Levels
Timing for Blood Sugar Measurement Hello doctor, I would like to measure my mother's postprandial blood sugar. After she ate dinner, she had two pieces of cantaloupe half an hour later (she started eating at 18:20 and measured her blood sugar at 20:20, which was 181; however...
Dr. Xiao Yongxun Reply:
1. Measuring blood glucose levels two hours after a meal is certainly influenced by all the food consumed during those two hours. However, it seems that there are no clinical guidelines specifying whether or not one can eat fruit after a meal before measuring blood glucose levels...[Read More] How Eating Fruits Affects Post-Meal Blood Sugar Levels
Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Elevated blood sugar levels in health checkup? The fasting blood glucose level from the health check was measured at 107 mg/dL, and the glycated hemoglobin (HbA1c) is normal. I recently consumed more sweets than usual over the past two weeks. Could this have an impact, or is it u...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting plasma glucose level is less than 100 mg/dL. If it falls between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the postprandial blood glucose is greater than or equal to 126 mg/dL, diabetes s...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Understanding Glucose Intolerance: Causes, Effects, and Management Strategies
Impaired glucose tolerance 1. If eating a bowl of white rice results in a blood sugar level of around 169 two hours after the meal, while consuming steamed vegetables and wonton soup leads to a blood sugar level of 131 two hours later, does this indicate impaired glucose toleranc...
Dr. Xiao Yongxun Reply:
1. Generally, normal postprandial blood glucose levels are less than 140 mg/dL. If the levels are between 140 mg/dL and 200 mg/dL, it is referred to as impaired glucose tolerance. Of course, if postprandial blood glucose is greater than or equal to 200 mg/dL, diabetes mellitus sh...[Read More] Understanding Glucose Intolerance: Causes, Effects, and Management Strategies
Understanding Upper Back Pain After a Cold: Causes and Solutions
I have a severe pain in the upper left back due to a cold? I caught a cold yesterday, and when I woke up from my nap at noon, I noticed that my upper back hurts a lot. What could be the cause? When I turn my head to the right and look up, it doesn't hurt, but when I turn my ...
Dr. Li Zhiyao Reply:
Hello: Since you mentioned that deep breathing also causes pain, to rule out any issues with the lungs and pleura, I recommend that you consult a pulmonologist for an examination.[Read More] Understanding Upper Back Pain After a Cold: Causes and Solutions
Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Is it related to endocrinology? Hello, Doctor. The patient has been experiencing long-term fatigue, excessive daytime sleepiness, and difficulty concentrating. After being diagnosed with sleep apnea and undergoing surgery, the sleep oxygen levels have improved significantly. Fati...
Dr. Zeng Guosen Reply:
Hello, online user: The endocrine system has many functions, and its glands are located from the pituitary gland to various parts of the body. If you need further examination, it is recommended to visit an endocrinology specialty clinic for a resolution. Thank you for your questi...[Read More] Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Understanding Bloating: Causes, Symptoms, and Solutions
The issue of bloating? Hello Dr. Lin: I have been suffering from bloating for a long time. I was born with only one kidney, which is functioning normally. The bloating usually lasts for 3-4 days, but it is accompanied by the issue of urinary incontinence, which affects my sleep. ...
Dr. Lin Peifeng Reply:
Hello, have you been to the hospital for an examination? I recommend that you go to the hospital for a detailed check-up to determine the correct cause of your condition.[Read More] Understanding Bloating: Causes, Symptoms, and Solutions
Understanding Height Growth: Factors and Tips for Teens
Regarding height increase? I just graduated from junior high school and I'm about 150 cm tall. The secondary sexual characteristics just started to appear during the summer break between 8th and 9th grade, and they are still not very pronounced. My mom is 152 cm, my dad is 1...
Dr. Xie Rongyuan Reply:
Hello: Height is related to genetics and nutrition. If you have concerns, you may seek assistance from an endocrinologist. Thank you for your message![Read More] Understanding Height Growth: Factors and Tips for Teens
Understanding Fasting Blood Sugar Levels: Are You at Risk for Diabetes?
Fasting blood glucose level Dear Doctor: I measured my fasting blood glucose levels at the end of September, early October, and yesterday, with values of 120, 103, and 129, respectively, all after fasting for 8 hours. Additionally, I had my hemoglobin A1c tested yesterday, which ...
Dr. Li Zhiyao Reply:
Hello: 1. Based on your blood glucose levels, you are currently classified as "prediabetic." It is recommended that you control your diet, engage in regular exercise, and maintain a healthy weight. 2. Blood glucose levels can fluctuate at any time, and the situations yo...[Read More] Understanding Fasting Blood Sugar Levels: Are You at Risk for Diabetes?