Sleep, Internal Medicine FAQ - Page 22

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Understanding Low Morning Urine Output and Swelling: Causes and Concerns

Decreased urine output upon waking? Hello doctor, I would like to ask, if I sleep for a longer duration of 8 to 9 hours, sometimes I wake up with very little urine, and my face is puffy and my hands feel tight. The swelling goes down after about 1 to 2 hours. Could this be relate...


Dr. Wu Jiyu Reply:
Dear Mary: 1. Based on your description, it is possible that during prolonged sleep, urine formation naturally becomes concentrated (which is why you do not frequently need to use the restroom), leading to a perception of oliguria. This is not indicative of urinary reflux and ty...

[Read More] Understanding Low Morning Urine Output and Swelling: Causes and Concerns


Understanding Sudden Anuria and Swelling: Causes and Concerns

Sudden anuria? Hello, I usually exercise very little and spend most of my time indoors. Previously, when the temperature was high at 38 degrees Celsius, my feet suddenly swelled while walking outside. Both of my feet became edematous, and when I pressed on them, they would indent...


Dr. Wu Jiyu Reply:
Hello, Xiaoyu: Based on the information you provided, the acute kidney injury you experienced may be suspected to be caused by heat exhaustion or heat stroke due to walking outside in high temperatures of 38 degrees Celsius. However, since you adequately replenished fluids and re...

[Read More] Understanding Sudden Anuria and Swelling: Causes and Concerns


Identifying Cold Symptoms: Treatment Options and Medication Guide

What type of cold is it? How should it be treated and what medications should be used? Hello doctor, I would like to ask: I have received the flu vaccine and I have rheumatoid arthritis. On the first day, I experienced a sore throat, discomfort, fever, headache, nasal discomfort,...


Dr. Liao Zhongxin Reply:
Dear readers: 1. The currently administered influenza vaccine includes three components: A-type influenza (H1N1, H3N2) and B-type influenza. The reference virus components for the vaccine are based on the recommendations from the World Health Organization (WHO). 2. Since the ...

[Read More] Identifying Cold Symptoms: Treatment Options and Medication Guide


Chronic Facial Redness and Heat: Understanding the Symptoms and Solutions

Severe facial redness and heat for several months? Hello Dr. Park, I apologize for the lengthy message, but I sincerely hope you can read through it. My mother is 49 years old. She began experiencing unexplained facial flushing and heat in May of last year (2011). Initially, th...


Dr. Li Zhiyao Reply:
Hello: There are many reasons for facial redness, with more common causes including skin allergies, eczema, seborrheic dermatitis, rosacea, menopause in women, emotional changes, alcohol, medications, seasonings, and spicy foods. However, some less common causes may be overlooked...

[Read More] Chronic Facial Redness and Heat: Understanding the Symptoms and Solutions


Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?

Generalized muscle soreness? Recently, I have been experiencing muscle soreness throughout my body, even without engaging in any intense exercise. When I wake up the next day, I sometimes feel muscle soreness while walking. My shoulders and latissimus dorsi feel particularly sore...


Dr. Zeng Guosen Reply:
Dear online friend, The symptoms of polymyositis primarily manifest as muscle weakness, and it is rare for them to present as generalized muscle soreness. Generalized muscle soreness can have many potential causes, including infections, rheumatic diseases, medication side effec...

[Read More] Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?


Persistent Abdominal Pain: Seeking Further Diagnosis and Relief

Abdominal pain for 2 weeks? Hello, after my last inquiry, I went to see a doctor. However, after consulting two doctors and taking medication, there has been no significant improvement. The second doctor performed an ultrasound and stated that there were no visible issues with my...


Dr. Liao Zhongxin Reply:
Dear readers: 1. If you frequently experience discomfort in the larynx and an unusual smell in the nasal cavity, it is recommended to visit an otolaryngologist for a thorough examination. 2. Patients who do not frequently use medications should inquire about the side effects and ...

[Read More] Persistent Abdominal Pain: Seeking Further Diagnosis and Relief


Understanding Nighttime Chest Pain: Causes and Solutions

Chest pain at night? Hello Dr. Lee, I have been experiencing chest pain for the past five nights since February 1st. I cannot determine if the pain is superficial or internal; it feels like being punched or having a heavy weight pressing down. During the day, after I get up, th...


Dr. Li Huixiong Reply:
Since there are no issues with your cardiology consultation, you can at least be relieved about heart-related problems. In my opinion, your issue may not be easily identified through blood tests, X-rays, or electrocardiograms. I recommend that you visit a trusted internal medicin...

[Read More] Understanding Nighttime Chest Pain: Causes and Solutions


Understanding Abdominal Pain, Nausea, and Dizziness: Causes and Concerns

Abdominal cramps with nausea and dizziness? Hello, doctor! I have a question... This morning, I suddenly experienced severe abdominal cramps and felt the urge to have a bowel movement. During the process, I suddenly felt nauseous and wanted to vomit. After finishing, I tried to g...


Dr. Hong Hongchang Reply:
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: During bowel movements, reflexive changes in blood pressure can occur, which may sometimes lead to dizziness. Additionally, gastroenteritis could also be a factor. Card...

[Read More] Understanding Abdominal Pain, Nausea, and Dizziness: Causes and Concerns


Understanding the Dynamic Nature of Human Immune Status Throughout the Day

The immune status is dynamic and variable? The statement "The immune status of the human body is dynamic and variable" means that the immune system is not static; it changes in response to various factors throughout the day and in different situations. The immune status...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. I'm not sure where this statement comes from, but the functioning of the immune system differs from hormones in that it doesn't have a clear distinction between morning and evening. However, regular exercise and stable emotions can in...

[Read More] Understanding the Dynamic Nature of Human Immune Status Throughout the Day


Can Soy Isoflavones Benefit Menopausal Women and Improve Immunity?

Soy isoflavones Hello doctor, my mother is going through menopause and has been taking products containing soy isoflavones, which have improved her condition significantly. My father, who is 53 years old, also has trouble sleeping and has experienced a decline in physical strengt...


Dr. Chen Qingbin Reply:
If you are experiencing discomfort and poor sleep, it is not advisable to take soy isoflavones. It is best to visit a hospital for an examination so that appropriate treatment can be administered without delaying your condition.

[Read More] Can Soy Isoflavones Benefit Menopausal Women and Improve Immunity?


Breathing Difficulties During Sleep: Possible Causes and Solutions

Experiencing shortness of breath while sleeping in the early morning? Hello, doctor. My mother is 77 years old and often experiences shortness of breath at night until morning, but she does not have this issue during the day. She has previously seen a cardiologist and a pulmonolo...


Dr. Li Huixiong Reply:
Could it be due to poor kidney function causing fluid retention, or could it be other factors, such as dust allergies? It might be helpful to clean the bed and vacuum once a week.

[Read More] Breathing Difficulties During Sleep: Possible Causes and Solutions


How to Increase Height at 18: Tips for Young Adults

Regarding height issues? I am currently 18 years old and preparing to enter college. My height is around 162 cm, and my parents' heights are 170 cm and 161 cm, respectively. I regularly do pull-ups, practice martial arts, and stretch, so my activity level is sufficient. Howe...


Dr. Wang Fangli Reply:
It is important to get enough sleep, maintain regular meals, and continue with your current exercise routine.

[Read More] How to Increase Height at 18: Tips for Young Adults


Managing Osteoporosis in Patients with Chronic Kidney Disease

Treatment of Osteoporosis in Kidney Disease Dear Dr. Huang, In March, I inquired about joint pain, and further examinations revealed severe osteoporosis with a T-score of approximately -3.5. My kidney function tests show creatinine at 1 and BUN at 11, which are within normal lim...


Dr. Huang Yaoxuan Reply:
1. Regarding renal function: When the creatinine (Cr) level is 1, the estimated clearance rate indicates that the renal function score should be greater than 60. Changes in urine output are not reliable indicators of renal function changes due to numerous confounding factors; the...

[Read More] Managing Osteoporosis in Patients with Chronic Kidney Disease


Thyroid Issues and Poor Sleep Quality: Understanding the Connection

Thyroid issues and poor sleep quality? Hello doctor, I had a thyroid check-up in March this year, and my report showed values approximately ten times higher than normal. Since then, I have been taking medication regularly, at the highest dosage, three times a day. I have experien...


Dr. Yang Hongzhi Reply:
After treatment for hyperthyroidism with medication, it is generally necessary to monitor thyroid function. It is important to consider the possibility of developing hypothyroidism, as well as any potential drug-induced reactions.

[Read More] Thyroid Issues and Poor Sleep Quality: Understanding the Connection


Sudden Nausea, Mild Fever, and Blurred Vision: What Could It Mean?

Sudden onset of nausea, mild fever, and blurred vision? This morning, I went to school without having breakfast, and as soon as I arrived, it was time for the flag-raising ceremony. The weather was cool and there wasn't much sunlight. At first, standing there felt normal, bu...


Dr. Xiao Yongxun Reply:
Hello: In response to your concerns, based on your symptoms of nausea, blurred vision, darkness in your vision, and cold sweats, it is possible that these are related to low blood sugar due to skipping breakfast and having irregular sleep patterns. If similar situations persist, ...

[Read More] Sudden Nausea, Mild Fever, and Blurred Vision: What Could It Mean?


Which Medical Specialty Should You Consult After Abnormal Health Check Results?

Which medical specialty should you consult after a health check-up? Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin le...


Dr. Zeng Guosen Reply:
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...

[Read More] Which Medical Specialty Should You Consult After Abnormal Health Check Results?


Why Am I Suddenly Snoring? Exploring Possible Causes and Solutions

Sudden onset of snoring? Hello Dr. Chen, I used to never snore, but recently, over the past month, my family has mentioned that I sometimes snore while sleeping. What could be the possible reasons for this? I read online that weight gain can increase the likelihood of snoring, an...


Dr. Chen Junwei Reply:
Hello: If you have only been snoring this month, it may be due to nasal congestion at night (due to the colder weather). However, if you experience significant daytime fatigue and are prone to drowsiness, it is advisable to undergo a sleep apnea evaluation at a medical center. Th...

[Read More] Why Am I Suddenly Snoring? Exploring Possible Causes and Solutions


Struggling with Sleeplessness and Body Heat After Medication

Unable to sleep and feeling hot all over? Yesterday around 8 PM, I went to see a doctor who sprayed something in my throat (I don't know what it was) and prescribed medication. My symptoms include coughing and nasal congestion. After returning home, I took a dose of the medi...


Dr. Chen Junwei Reply:
Most throat spray medications are local anesthetics, analgesics, or anti-inflammatory drugs, and they should not cause increased heart rate or excitement leading to insomnia. However, sometimes doctors may prescribe bronchodilators or vasoconstrictors (to reduce nasal congestion)...

[Read More] Struggling with Sleeplessness and Body Heat After Medication


Understanding Mediterranean Anemia: Headaches and Health Concerns

Regarding Mediterranean anemia? Hello Doctor: Several years ago, I was diagnosed with Mediterranean anemia, and the doctor told me it was not serious, only at a level of seven. However, in the past year or two, I have been experiencing severe headaches that prevent me from sleepi...


Dr. Wang Fangli Reply:
Mediterranean anemia does not cause headaches. If headaches are severe, both internal medicine and ophthalmology should be consulted for examination.

[Read More] Understanding Mediterranean Anemia: Headaches and Health Concerns


Where to Seek Help for Chronic Fatigue Syndrome in Taiwan?

If you suspect you have chronic fatigue syndrome, you can consult a primary care physician or a specialist in internal medicine. Additionally, you may consider seeing a rheumatologist or an infectious disease specialist, as they often have experience in diagnosing and managing th...


Dr. Gao Jiankai Reply:
Hello, based on your symptoms, here are a few suggestions. 1. Hepatitis B requires close monitoring, with liver function tests every three months and abdominal ultrasounds every six months. Liver issues can also cause fatigue, so please do not take this lightly. Therefore, cons...

[Read More] Where to Seek Help for Chronic Fatigue Syndrome in Taiwan?


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