Sleep, Internal Medicine FAQ - Page 24

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Understanding Sleep Disorders in Type 1 Diabetes: Causes and Diagnosis

Are these symptoms caused by diabetes? Hello, I would like to ask about a 25-year-old female with insulin-dependent diabetes who frequently experiences recurring sleep disturbances, night sweats, and often has unpleasant dreams that feel very vivid. I would like to understand the...


Dr. Shi Guangzhong Reply:
Recurrent sleep disturbances, night sweats, and unpleasant dreams may indicate that the woman is experiencing nocturnal hypoglycemia. It is recommended to measure blood glucose levels between 2-3 AM to determine if hypoglycemia is occurring. If hypoglycemia is confirmed, a reduct...

[Read More] Understanding Sleep Disorders in Type 1 Diabetes: Causes and Diagnosis


How to Relieve Dry Throat and Cough at Night: Tips and Remedies

Throat Hello, doctor. Recently, I've been experiencing a very dry throat at night while sleeping, which causes me to cough quite a bit (it's somewhat severe). However, during the day, although I do cough, it's not as severe. I do not have a fever, headache, or runn...


Dr. Chen Junwei Reply:
Hello: Based on the analysis of clinical symptoms, the cough may be caused by pharyngitis, which could be triggered by factors such as gastroesophageal reflux, postnasal drip at night, mouth breathing during sleep, or viral upper respiratory infections, among others. It is recomm...

[Read More] How to Relieve Dry Throat and Cough at Night: Tips and Remedies


Is Drinking Red Wine Before Bed Safe for Seniors with Health Issues?

Is drinking a little red wine before bed harmful? Dear Doctor: My mother is 60 years old and has been having difficulty sleeping for the past two years. When necessary, she takes sleeping pills to help her sleep. Recently, she has been drinking a small glass of red wine (about 20...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, insomnia combined with arrhythmia is not well managed by using alcohol as a sleep aid. It is recommended to consult both a cardiologist and a psychiatrist, as a physician can adjust medications and treatments more safely. Thank you!

[Read More] Is Drinking Red Wine Before Bed Safe for Seniors with Health Issues?


Understanding Nighttime Stomach Pain: Causes and Solutions

Regarding the recent issue of experiencing abdominal pain before bedtime? I would like to ask the doctor about my father. Recently, he has been experiencing a sharp pain in his stomach while sleeping. He used to take antacids regularly, but he has reduced that habit. Additionally...


Dr. Hong Hongchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following advice: The combination of stomach pain and a burning sensation in the chest may indicate a gastrointestinal condition associated with gastroesophageal reflux disease (GERD), ...

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


Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained

Thyroid disorders Hello Dr. Yang, My mother was diagnosed with hyperthyroidism 20 years ago and underwent surgery to remove her thyroid. However, in recent years, she has started to experience discomfort again, with primary symptoms including chronic insomnia, dizziness, excess...


Dr. Yang Hongzhi Reply:
The results of the thyroid function tests are very clear; if the thyroid function is normal, it rules out the possibility that the symptoms at that time are caused by thyroid factors.

[Read More] Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained


Managing Chronic Kidney Issues and Associated Symptoms: A Guide

Physical weakness Hello doctor, since last week I've been experiencing a dull pain on the right side of my lower back. Due to my history of kidney disease, I've been particularly attentive to my urination, and there haven't been any abnormalities. However, in the p...


Dr. Wang Weijie Reply:
Dear Xueqing, Hello. The symptoms of acute pyelonephritis include fever, flank pain, frequent urination, and a burning sensation during urination, and these symptoms may vary from person to person. An ultrasound has revealed the presence of kidney stones; what is the size of the...

[Read More] Managing Chronic Kidney Issues and Associated Symptoms: A Guide


Understanding Blood Sugar Levels: Impact of Illness and Sleep on Results

Elevated blood sugar levels? I previously had a health check-up where my fasting blood sugar was 100, and I was advised to undergo a glucose tolerance test. The results showed a fasting blood sugar of 105 (which the doctor said is normal) and a postprandial blood sugar of 136 (wi...


Dr. Xiao Yongxun Reply:
Hello, I would like to respond as follows: 1. A fasting plasma glucose level between 100-125 mg/dL is referred to as impaired fasting glucose; a two-hour plasma glucose level between 140-199 mg/dL during an oral glucose tolerance test is referred to as impaired glucose toleranc...

[Read More] Understanding Blood Sugar Levels: Impact of Illness and Sleep on Results


Understanding Lower Back Pain: When to Seek Medical Attention

Pain in the lower back, noticeable when turning over and walking? Two days ago, while I was sleeping, I turned over and felt a sharp pain in my lower back. I initially thought it was due to sitting too long at work during the day. However, the next morning, the pain persisted, an...


Dr. Wang Weijie Reply:
Dear Miss Peggy: Your symptoms appear to be indicative of acute pyelonephritis, which is characterized by fever, flank pain, dysuria, burning sensation, and increased urinary frequency. Symptoms can vary from person to person, and a correct diagnosis requires urine analysis and u...

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


Understanding Left Lower Back Pain: Possible Causes and Insights

Lumbar issues? Hello, doctor. I have pain in the left side of my lower back. Symptoms: Initially, I felt soreness in my lower back upon waking up in the morning. After a few days, there was a day when I woke up with significant pain in my lower back, making it impossible to lie f...


Dr. Zeng Guosen Reply:
Hello: Lower back pain, especially in the morning. Based on the limited symptom description from online users, it is not possible to provide a definitive diagnosis. Myofascial inflammation or ankylosing spondylitis should be evaluated first, followed by assessment of visceral and...

[Read More] Understanding Left Lower Back Pain: Possible Causes and Insights


Managing Heart Medications: Concerns About Deanxit and Arrhythmia

Cardiac medication issues? Hello Dr. Tsai, I have congenital heart disease (valvular insufficiency) and recently discovered an issue with arrhythmia during my check-up. The doctor previously prescribed me Fludiazepam and Propranolol, but aside from side effects like drowsiness ...


Dr. Cai Yaozhou Reply:
Generally, prescribing anxiolytics can alleviate palpitations and stress, which may help resolve issues related to arrhythmia. If you experience side effects such as drowsiness or dizziness, the dosage of Deanxit can be reduced to half. If there is no improvement, please consult ...

[Read More] Managing Heart Medications: Concerns About Deanxit and Arrhythmia


How Much Taller Can Boys Grow After Puberty? Tips for Height Increase

Height Concerns Hello, I am a 17-year-old male, soon to be 18, but my height is only 168 cm. Compared to the boys in my school, I feel quite short, and some middle school students are even taller than me. I am not much taller than my female classmates either. I would like to ask ...


Dr. Wang Fangli Reply:
Boys still have the opportunity to grow taller before the age of 25. It is recommended to engage in regular exercise, ensure adequate sleep, and maintain a balanced diet; with these practices, you are likely to continue growing. Internal Medicine, Dr. Wang Fangli, May 6, 2008.

[Read More] How Much Taller Can Boys Grow After Puberty? Tips for Height Increase


Understanding Recurring Headaches: Causes and When to Seek Help

Headache Hello Dr. Chen, Around the evening of February 12th, I suddenly experienced dizziness and headaches. I took some acetaminophen on my own, and I felt much better the next day. However, on February 15th or 16th, similar symptoms reappeared, and I took acetaminophen again,...


Dr. Chen Changxun Reply:
To my friend DRAGON: Headaches have become bothersome in your daily life over the past two days. Various diseases can induce headaches, with upper respiratory infections, fever, and diarrhea being frequent causes. However, if the symptoms persist for more than a month, you should...

[Read More] Understanding Recurring Headaches: Causes and When to Seek Help


Persistent Pulsation in the Back of the Head: Causes and Solutions

Pulsating sensation in the back of the head? For the past two to three weeks, I have been feeling my heartbeat and a pulsing sensation in the back of my head while sleeping. I have consulted a cardiologist who mentioned that I have a slight mitral valve prolapse and that I do not...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, "headache" generally refers to pain in the areas above the eyes and ears, as well as the occipital region and the back of the neck. Headaches can be classified into primary headaches and secondary headaches. The former includes migra...

[Read More] Persistent Pulsation in the Back of the Head: Causes and Solutions


Understanding Dark Circles: When to See a Specialist

Dark circles Hello doctor, I also have allergic rhinitis and I have very noticeable dark circles around my eyes. I haven't experienced much allergy symptoms in the past year, but the dark circles are still quite severe. Which specialist should I see? Thank you! :)


Dr. Xiao Yongxun Reply:
Hello: In response to your question. Dark circles (also known as periorbital dark circles) are commonly seen in clinical practice and trouble many individuals. There are various causes, including allergic conditions related to asthma or eczema, genetics, certain medications, anem...

[Read More] Understanding Dark Circles: When to See a Specialist


Best Times to Measure Blood Pressure for Accurate Readings

Measuring blood pressure Dear Director: Hello, may I ask when is the most accurate time to measure blood pressure? 1. Measuring while lying in bed right after waking up (regardless of time) 2. Measuring after completing morning routines (washing face, brushing teeth) (regardless ...


Dr. Zhong Weisheng Reply:
Hello: In a normal person, blood pressure fluctuates throughout the 24-hour day. Generally, it is lower during sleep and in the early morning, while it tends to be higher in the afternoon until just before bedtime. Blood pressure measurements should be taken at the same time each...

[Read More] Best Times to Measure Blood Pressure for Accurate Readings


Should You Seek Medical Attention for Hypothyroidism Symptoms?

Should I seek medical attention for hypothyroidism? Hello, doctor. I am currently seeking treatment for mental health issues. Aside from psychological problems, I do not have any major physical illnesses. The psychiatrist mentioned that hypothyroidism might affect emotional issue...


Dr. Yang Hongzhi Reply:
Hello: Your symptoms suggest that you should consider the possibility of hypothyroidism, and it is advisable to see a specialist in metabolic disorders.

[Read More] Should You Seek Medical Attention for Hypothyroidism Symptoms?


Persistent Dizziness After Showering: Causes and Solutions

Dizziness After washing my hair (or after showering), I always feel slightly dizzy (without a headache) and then I feel sleepy. I dry my hair with a towel but I don't use a hairdryer. The shower lasts about 5 to 10 minutes and the temperature is moderate. A few days after ge...


Dr. Yao Quan Reply:
Dear Mr. A-Yong, Hello. You inquired about experiencing mild dizziness after washing your hair (or after showering), and that you feel dizzy for several days after getting a haircut. I am honored that you chose me to respond. However, I am a nephrologist, and dizziness is not my...

[Read More] Persistent Dizziness After Showering: Causes and Solutions


Understanding Increased Appetite: Possible Medical Conditions Explained

Appetite issues I have recently noticed an increase in my appetite. Even after eating a large meal, I find myself wanting to eat again after a while, which wasn't the case before. Could there be any medical conditions associated with these symptoms?


Dr. Li Zhiyao Reply:
Hello: Increased appetite is not necessarily caused by a disease; it can also result from psychological stress or lack of sleep. Additionally, the drop in temperatures during winter and the longer nights may lead to symptoms of Seasonal Affective Disorder (SAD). The reduced sunli...

[Read More] Understanding Increased Appetite: Possible Medical Conditions Explained


Why Am I Still Tired After Sleeping 7-8 Hours?

Feeling tired despite sleeping for a long time and needing to sleep more? Hello, Doctor. I have seen news reports stating that sleeping for at least 7 hours is generally sufficient, so I usually sleep between 7 to 8 hours. However, sometimes I still feel the urge to sleep more. I...


Dr. Cai Yaozhou Reply:
The golden sleep period for humans is from 10 PM to 6 AM. This is when the human circadian rhythm activates at 10 PM, leading to the secretion of growth hormone and melatonin, a slight decrease in body temperature, and a gradual transition of brain waves from high-amplitude alpha...

[Read More] Why Am I Still Tired After Sleeping 7-8 Hours?


Understanding the Connection Between Finger Pain and Stomach Issues

Finger and stomach pain? Dear Dr. Tseng, Over the past year, I have experienced cracking, bleeding, redness, swelling, and itching of the skin on my fingers. I initially thought it was a condition related to "wealthy hands" and sought treatment from both traditional Ch...


Dr. Zeng Guosen Reply:
Dear Angel, 1. Finger deformity, inability to bend the fingers, and cold fingers may be associated with Raynaud's phenomenon. A decrease in complement levels indicates an abnormality in the immune system, which is unrelated to premature infants. It is recommended to consult...

[Read More] Understanding the Connection Between Finger Pain and Stomach Issues


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