Sleep, Internal Medicine FAQ

Understanding Hormonal Imbalance: Signs and Concerns in Development

Endocrine disorder? Hello doctor, according to common understanding, I have already completed my development (I have had my period for about 4 or 5 years), but I have the following concerns: 1. My breasts seem to have not developed much; they are not just not full, but are trul...

Dr. Wang Zhihui Reply:
1. The size of breast development may not necessarily indicate endocrine disorders and should be further evaluated in detail. 2. The amount of sleep does not have an absolute relationship with height; whether there is insufficient growth hormone secretion must be assessed by dete...

Understanding Sleep Temperature and Sodium Thiosulfate: Your Health Questions Answered

The class leader said? Hello Dr. Ke: I have a few questions I would like to ask you, and I hope you can kindly respond. Thank you. 1. My squad leader once mentioned during my military service that it's best to remove your jacket while sleeping, as the human body can self-r...

Dr. Ke Zhengchang Reply:
1. Each individual's ability to regulate and adapt to body temperature varies. As long as there are no symptoms of infection such as fever or chills, adding or removing clothing is not a concern. The amount of clothing worn during sleep also varies according to personal pref...

Why Am I Thirsty at Night? Understanding Nighttime Thirst Issues

Liver Consulting a doctor: I feel thirsty every night while I sleep. What should I do? Drinking water doesn't help. What can I do?

Dr. Wang Fangli Reply:
Hello Carrie: I recommend that you visit the hospital to see a specialist in Internal Medicine or Family Medicine for an examination. Internal Medicine, Dr. Wang Fangli.

Understanding Essential Hypertension: Symptoms, Management, and Recovery Potential

Hypertension I have essential hypertension, and my blood pressure is usually around 155/85 without medication. I discovered my hypertension about a year and a half ago after my military service. My lifestyle is quite irregular; I often stay up until 3 or 4 AM and smoke, as I have...

Dr. Ke Zhengchang Reply:
1. In addition to medication management, hypertension requires regular exercise, smoking cessation, and a reduction in dietary fats and high-sodium foods. Increasing the intake of fruits and vegetables and maintaining a normal lifestyle are essential for keeping blood pressure wi...

Struggling with Sleep: A 38-Year-Old's Battle with Insomnia

Unable to sleep at night and unable to sit still during the day? Dear Dr. Chen, I have a wonderful sister who is 38 years old this year. She has been unable to fall asleep on her own at night and relies on medication to sleep for only two or three hours. During the day, while ot...

Dr. Chen Guifeng Reply:
Insomnia has many causes, most of which are psychological or mental factors. If it is severe, it must be treated with psychotherapy by a psychiatrist.

Managing Allergies and Cold Constitution: Tips for Better Health

Allergic constitution Hello, if a person has a body constitution that is prone to allergies and is classified as having a "cold" constitution in Traditional Chinese Medicine, what should they pay attention to in their daily life or how can they improve to strengthen the...

Dr. Wang Fangli Reply:
Hello Mr. You: Individuals with allergic tendencies should generally avoid seafood, eggs, peanuts, mushrooms, and corn. It is important to monitor which foods trigger allergic reactions. Additionally, maintaining a dry home environment and reducing dust accumulation is crucial. R...

Understanding Potassium Imbalance: Causes, Symptoms, and Prevention

Potassium ion abnormalities Hello, I am 17 years old and have been diagnosed with hyperthyroidism (on medication for about two years). Currently, my resting heart rate is around 100 beats per minute. Recently, I woke up in the middle of the night needing to urinate but found that...

Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. Common symptoms of hyperthyroidism include palpitations, rapid heartbeat, tremors, fast speech, increased appetite, weight loss, exophthalmos, diarrhea, anxiety, and emotional instability. A minority may present with skin itching and hyp...

Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions

Incomplete right bundle branch block Hello Doctor: I am thirty years old, and occasionally when I feel very fatigued or have stayed up late, I experience a sensation of tightness in my chest, which is quite uncomfortable. However, this discomfort disappears after a good night...

Dr. Liu Hongxiang Reply:
In the left ventricle of the heart, there are left and right bundle branches that conduct electrical signals simultaneously. If the conduction through the right bundle branch slows down but does not completely block, it is referred to as "incomplete right bundle branch block...

Chronic Fatigue and Digestive Issues: Seeking Medical Guidance

Still feeling fatigued..? I would like to ask: I have the following conditions: 1. I feel very tired every day, even though I sleep for 8 hours, I still feel exhausted. 2. I have chronic bad breath and dry mouth (very little saliva production). 3. My bowel movements are irregular...

Dr. Yang Hongzhi Reply:
Hello, due to the presence of various non-specific symptoms, the likelihood of having a specific medical condition that explains all the symptoms is not very high. You have also undergone some tests that did not reveal any issues. It may be necessary to consult a physician again ...

Understanding Low Blood Pressure: Symptoms and Possible Health Issues

Hypotension I have been experiencing low blood pressure lately, with occasional rapid heartbeats and cold sweats. Whenever I have cold sweats, I tend to eat a lot, and I've noticed some weight loss. However, I don't have a loss of appetite, but I feel very tired and hav...

Dr. Yang Hongzhi Reply:
Rapid heartbeat, excessive sweating, and nervousness, along with increased appetite and weight loss, may indicate hyperthyroidism. Thyroid function tests can be conducted to make a diagnosis.

Seeking Medical Advice for Unexplained Weakness and Dizziness

I have a medical condition I would like to inquire about? I have a medical condition that I would like to inquire about. Since March, I have noticed that whenever I stand and do anything, my calves and feet feel unsteady and weak as they touch the ground. If I am sleep-deprived, ...

Dr. Wang Fangli Reply:
Hello Mr. Lin: Based on the symptoms you described, it is possible that you have anemia. I would like to know if your blood tests included red blood cells and hemoglobin levels. I recommend that you visit a major hospital's internal medicine department and inform the physici...

Understanding Chest Pain: Causes, Diagnosis, and When to Seek Help

Chest pain In July, I played basketball (during those days, my sleep quality was poor) and after playing, I felt chest pain and excessive sweating. The next day, I went for an examination, and the ECG and chest X-ray were normal, possibly indicating neuralgia. I was prescribed pa...

Dr. Chen Qingbin Reply:
Hello, Xiaowen: Your symptoms may be caused by gastroesophageal reflux leading to esophagitis. An upper gastrointestinal endoscopy can be performed to determine the cause. Director of the Health Education Department, Chen Qingbin.

Understanding Sudden Sleep Attacks: Causes and Solutions

Sleep issues Hello, I'm not really sure which specialty to consult regarding these symptoms, so I appreciate your help. Initially, I didn't want to overthink things and was avoiding certain issues, which led me to intentionally exhaust myself with a heavy workload, exte...

Dr. Xiao Yongxun Reply:
Hello: In response to your inquiry: (1) Sleep physiology is generally divided into non-rapid eye movement (NREM) sleep and rapid eye movement (REM) sleep, which alternate to form sleep cycles. Each cycle lasts about ninety minutes, with approximately 4-6 cycles occurring in one n...

Why Am I Always Tired? Understanding Sleep Needs in Teens

Mom says I love to sleep? Hello, Dr. Chen! I am a middle school student. I commute to school every day, and during the summer, I have half-day classes. My mom wakes me up before 5:30 AM. After having breakfast and getting ready, I leave for school by 6:30 AM to catch the bus. I u...

Dr. Chen Guifeng Reply:
When a person becomes fatigued, they will naturally feel the urge to sleep in order to recover from that fatigue. As long as one adheres to their circadian rhythm, there is no need to emphasize a specific number of hours of sleep required each day. Generally, for your age, sleepi...

Understanding Sudden Heart Discomfort and Breathing Issues

Regarding heart problems? Sometimes I get startled by loud noises, or when I'm lying in bed trying to sleep, my heart feels a bit uncomfortable, and I experience slight shortness of breath. However, this situation passes quickly and doesn't last long. Doctor, could you ...

Dr. Chen Qingbin Reply:
Hello, Xiangjun: Waking up suddenly during sleep is usually accompanied by palpitations and shortness of breath, but these symptoms typically resolve quickly and do not require special attention. However, if you frequently wake up in the middle of the night, it may indicate a sle...

Managing Low Blood Pressure: Tips for Daily Care and Treatment

Hypotension How can individuals with low blood pressure achieve long-term management and maintain their daily health?

Dr. Wang Fangli Reply:
Hello, Shu Zhen: Normal individuals with low blood pressure do not require treatment. It is sufficient to maintain a balanced diet, regular exercise, and adequate sleep in daily life. Thank you for your question. Internal Medicine, Dr. Wang Fangli.

Can I Still Grow Taller at 23? Tips and Insights for Height Increase

I want to grow taller? I am 23 years old and 173 cm tall. I would like to grow a bit taller. Is there still a chance for me? What methods can I use? Please help me answer this. Thank you.

Dr. Wang Fangli Reply:
At 23 years old and 173 centimeters tall, it's unlikely that you will grow taller. Regular exercise, a balanced diet, and adequate sleep are important for overall health. Wang Fangli.

Long-Term Medication Side Effects for High Uric Acid Levels?

What are the side effects of long-term medication for hyperuricemia? Hello, I would like to ask a few questions. My father is seventy-two years old and has been experiencing severe uric acid issues over the past year or two, which has led to arthritis and mobility difficulties. H...

Dr. Guo Conghuai Reply:
Hello Ms. Li: Your father has elevated uric acid levels and hypertension, which can easily lead to urate nephropathy. Therefore, both uric acid and blood pressure need to be strictly controlled to prevent or delay the onset of this condition. Certain sedatives or sleeping medicat...

Understanding Persistent Sleepiness: Possible Causes and Concerns

Somnolence Hello Dr. Tseng: I would like to ask about my condition. From May 11 to May 13, I experienced prolonged drowsiness and fatigue. The week prior, I had persistent swelling in my legs and elevated uric acid levels, for which I have been taking medication to manage. I have...

Dr. Zeng Guosen Reply:
1. There are many causes for drowsiness and lethargy, which can be psychological or physiological. Physiological causes include medications, infections, organ dysfunction (heart, lungs, kidneys, liver, endocrine), electrolyte imbalances, and abnormalities in blood glucose levels,...

Understanding Dizziness After Straining During Bowel Movements

Question Hello, doctor. I have a question that I hope you can help me with. Thank you! Here’s the situation: One day, I had a difficult time having a bowel movement due to constipation, and afterward, I felt dizzy. Why is that?

Dr. Xiao Yongxun Reply:
1. There are many causes of dizziness, and an accurate diagnosis requires a personal visit to a clinic for examination. 2. Regarding your statement about dizziness after bowel movements, it may be caused by straining during constipation, which can lead to parasympathetic nervou...

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