Sleep, Internal Medicine FAQ - Page 33

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What is the Golden Sleep Period and When Does It Occur?

The "golden sleep period" refers to the optimal time for sleep that is most beneficial for health and well-being? The golden sleep period refers to the optimal time for sleep that is most beneficial for health and well-being, typically occurring during the night when th...


Dr. Zeng Fenyu Reply:
Healthy sleep is defined as sleep that can eliminate fatigue and maintain normal physiological functions, with the duration and timing varying from person to person, and there is no specific "golden sleep period." Our hospital's psychiatrists have professional expe...

[Read More] What is the Golden Sleep Period and When Does It Occur?


Understanding Your Symptoms: Is It Nasopharyngeal Cancer or Something Else?

Unknown symptoms? January 21, 2001 DEAR DR. KOH, HOW ARE YOU? AND HAPPY CHINESE LUNAR NEW YEAR. REF: Nasopharyngeal Carcinoma or Another Health Problem? I have a question I would like to ask Dr. Koh. My blood tests showed: EBV IgA <32x (-) which is normal, but EBV IgG <...


Dr. Ke Zhengchang Reply:
Hello Lai Chun Shi: It is recommended that you visit an otolaryngologist for a detailed examination, as blood tests for viral antibodies are not very meaningful.

[Read More] Understanding Your Symptoms: Is It Nasopharyngeal Cancer or Something Else?


Impact of Altering Sleep Schedule on Health and Growth

I want to change my daily routine, but I'm not sure if it will have any effects? I want to change my sleep schedule to 9:30 PM to 2:00 AM, wake up at 2:00 AM to study until 3:00 AM, and then continue sleeping. I'm unsure if this will affect my body and growth. People sa...


Dr. Zeng Fenyu Reply:
You have asked multiple questions regarding height; please try not to worry too much. Height is influenced not only by genetics but also by postnatal care, which should include a balanced diet, regular exercise, and the establishment of consistent lifestyle habits. Individual phy...

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Will Staying Up Late Affect My Growth at 16?

Will I not grow taller? Dear Doctor, I am 16 years old and feel that I study more efficiently after midnight. I want to sleep from 7 PM until 12 AM and then wake up to study. I'm concerned whether this will affect my growth and height. Could you please provide some guidance?...


Dr. Zeng Fenyu Reply:
No, as long as you maintain a regular lifestyle, a balanced diet, and engage in regular exercise, it should not have an impact on height.

[Read More] Will Staying Up Late Affect My Growth at 16?


Severe Back Pain: Understanding Nighttime Discomfort and Possible Causes

Excruciating back pain? I would like to inquire about back pain (approximately located at the back, between the ribs) that is very painful (to the point of being unbearable) and occurs mainly at night. The individual has a history of ovarian tumor removal, and I wonder if this is...


Dr. Yang Guojun Reply:
There are many causes of back pain, ranging from the simplest and most common, which is muscular and nerve pain, to more serious conditions such as stones or tumors (for example, chronic back pain could be a sign of colon cancer with bone metastasis) or severe back pain due to ao...

[Read More] Severe Back Pain: Understanding Nighttime Discomfort and Possible Causes


Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes

Questions regarding diaphragmatic hernia? Hello, I recently underwent a health check-up and the report indicated that I have gastritis, as well as a hiatal hernia. I also experience food reflux when I overeat or consume greasy foods, and I tend to vomit whenever I overeat and lie...


Dr. Ke Zhengchang Reply:
Hello Ms. Wu Pei-Rong: A diaphragmatic hernia must be diagnosed through an upper gastrointestinal series. For gastroesophageal reflux, it is advisable to eat small, frequent meals and to stop eating when feeling about 70% full. Avoid lying down immediately after meals. Additional...

[Read More] Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes


Understanding Palpitations: Is It Ventricular Premature Contraction?

Palpitations Hello Dr. Lee: I previously consulted you about my palpitations and took your advice to record the occurrence times and seek medical attention. Thank you for your guidance. I have been experiencing irregular heartbeats for about a year, and in the past couple of mont...


Dr. Li Huixiong Reply:
If your palpitations are clearly reflected as abnormalities on the electrocardiogram (ECG), and the frequency can reach over 2000 times a day, along with associated discomfort symptoms, this indicates a condition that requires treatment. Since I cannot see your ECG records, I can...

[Read More] Understanding Palpitations: Is It Ventricular Premature Contraction?


Understanding Unexplained Foot Edema: Causes and Treatment Options

Foot edema I have undergone a full-body health check at Chang Gung Memorial Hospital and have consulted with specialists in cardiology, nephrology, and metabolism, but no underlying cause has been identified. Some doctors have mentioned that it is idiopathic edema, which cannot b...


Dr. Hong Hongchang Reply:
1. Edema of unknown origin; consume low-sodium foods. 2. Elevate your legs while sleeping. 3. If symptoms persist, please follow up at the internal medicine outpatient clinic. For obesity, increase metabolic function: exercise more and reduce intake of high-calorie foods. If ...

[Read More] Understanding Unexplained Foot Edema: Causes and Treatment Options


Understanding Hepatitis B: Symptoms, Treatment, and Liver Health Concerns

Hepatitis B I am a carrier of hepatitis B, but I have never experienced any symptoms of hepatitis. I have always had a poor appearance and high levels of irritability. In recent years, I have felt pressure in the area near my liver, and I feel discomfort when sleeping on my left ...


Dr. Yang Guojun Reply:
After taking Lamivudine for three months, if your GOT and GPT levels are still so high, please consider other causes of your hepatitis. You should visit our clinic for further investigation, as you may not need to continue taking liver protection medication.

[Read More] Understanding Hepatitis B: Symptoms, Treatment, and Liver Health Concerns


Managing Hormone Use and Liver Function in Menopausal Women

Hormone Use and Liver Function Dear Dr. Yang, My mother is 58 years old and has a history of diabetes, fatty liver disease, and impaired liver function. Recently, due to her liver issues, her doctor recommended discontinuing hormone therapy, which has left her struggling with me...


Dr. Yang Guojun Reply:
It is recommended to continue hormone therapy. As for fatty liver and hepatitis, treatment should be sought at our clinic.

[Read More] Managing Hormone Use and Liver Function in Menopausal Women


Understanding Muscle Pain: Insights on Myalgia and Related Conditions

Muscle pain Dear Dr. Yang, My father was diagnosed with a malignant tumor of the thyroid gland in June 1999 and underwent surgical resection at Kaohsiung Chang Gung Memorial Hospital. The doctors informed us that it was a type of papillary thyroid carcinoma. It has been over a y...


Dr. Yang Guojun Reply:
Papillary thyroid carcinoma is one of the more common types of thyroid cancer, and it has a good treatment outcome. The situation you described suggests that the physician suspects there may be a neck issue that needs to be investigated for possible causes.

[Read More] Understanding Muscle Pain: Insights on Myalgia and Related Conditions


Understanding Chest Discomfort: Is It a Heart Issue?

Heart I often feel a tightness in my chest, as if I can't catch my breath. When I pat my chest, it feels like a cough, and releasing a breath makes me feel somewhat better. It gets worse at night, and I can only sleep on my side. Could this indicate a heart problem? Can an e...


Dr. Yang Guojun Reply:
You have autonomic nervous system dysfunction, and after improving your living environment and using medication, you can see improvement in 3 to 4 days.

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Managing Low Blood Pressure: Tips for Thyroid Disease Patients

Hypotension I have thyroid disease and am currently on medication for management. I experience leg cramps while sleeping, my blood pressure is in the 50s, and I often feel dizzy. I'm unsure if low blood pressure requires treatment and how to prevent it. What should I pay att...


Dr. Zeng Fenyu Reply:
If blood pressure is low, dietary salt intake can be increased. If the blood pressure is significantly low and accompanied by symptoms, certain vasopressor medications may be considered. However, it is essential to first investigate any underlying causes of hypotension. It is rec...

[Read More] Managing Low Blood Pressure: Tips for Thyroid Disease Patients


Understanding Dizziness and Vomiting: Possible Thyroid Connection

Vomiting Hello, I am 52 years old. In recent years, I have been feeling more fatigued. I often experience dizziness, which feels like a spinning sensation. I also have nausea, but after a good night's sleep, I feel fine the next day. I have had this issue 2 to 3 times a year...


Dr. Zeng Fenyu Reply:
Hello Ms. Chen: If you have undergone thyroid surgery, it is advisable to regularly monitor thyroid function to check for any abnormalities. Other potential causes of headaches include central nervous system disorders, inner ear conditions, or anemia. Please consult with an inter...

[Read More] Understanding Dizziness and Vomiting: Possible Thyroid Connection


Managing Bloating After Duodenal Ulcer: Long-Term Solutions and Concerns

Duodenal ulcer Three years ago, I suffered from a duodenal ulcer and bleeding, and tested positive for Helicobacter pylori, which has since been eradicated. My daily diet is very bland, but I still often experience abdominal bloating and gas, which is quite distressing. Sometimes...


Dr. Hong Hongchang Reply:
60-90% of duodenal ulcers are associated with Helicobacter pylori (HP), and only about 10% have a chance of recurrence after triple therapy eradication. Currently, there is a condition known as Non-Ulcer Dyspepsia (NUD) or recurrent peptic ulcers. It is recommended to perform HP ...

[Read More] Managing Bloating After Duodenal Ulcer: Long-Term Solutions and Concerns


Understanding Palpitations: Causes, Symptoms, and When to Seek Help

What is palpitations? Hello Dr. Lee, I have read some reports about palpitations in the newspaper, but they weren't very in-depth, so I'm not quite sure if my situation qualifies as palpitations. Recently, I often feel discomfort in my heart, seemingly due to sudden inc...


Dr. Li Huixiong Reply:
What you are describing is known as "palpitations." Generally speaking, our heartbeats are a natural occurrence, so unless you consciously pay attention to it, you typically won't feel your heart beating. However, when a person becomes aware of their heartbeat, it ...

[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help


Understanding Neck Artery Pain: Causes and Connections to Heart Health

Carotid artery pain? Recently, I have been experiencing pain in the arteries of my neck, which feels similar to muscle cramps—very painful but only lasts for a moment, and it occurs suddenly and unpredictably on both sides of my neck. I am unsure what might be causing this. I hav...


Dr. Hong Hongchang Reply:
According to your description, primary hypertension accounts for approximately 85-90% of hypertension cases; however, it is essential to rule out causes such as congenital renal artery stenosis, adrenal tumors, or other endocrine disorders. Therefore, spontaneous hypertension sho...

[Read More] Understanding Neck Artery Pain: Causes and Connections to Heart Health


Managing Mitral Valve Prolapse: Symptoms and Next Steps

Could you please provide more details about the heart-related issues you would like to discuss with Dr. Lee? Hello Dr. Lee: I have a problem with mitral valve prolapse. Since October 3rd, I have been feeling unwell, experiencing dizziness that persists. When I feel dizzy, I often...


Dr. Li Huixiong Reply:
There have been other individuals who have experienced mitral valve prolapse similar to yours (though not necessarily to the same degree) who have asked related questions. Most patients do not have bothersome symptoms, but some, like you, may experience discomfort that interferes...

[Read More] Managing Mitral Valve Prolapse: Symptoms and Next Steps


Managing Migraines with Diabetes: Essential Lifestyle Tips to Consider

Migraine In addition to taking pain relievers and antidiabetic medications, individuals with migraines and diabetes should pay attention to the following daily considerations, especially regarding migraines: 1. **Dietary Management**: Maintain a balanced diet that helps regulate...


Dr. Ke Zhengchang Reply:
Hello Mr. Li: It is essential to maintain a regular daily routine, ensure adequate sleep, avoid coffee and tea, and have regular follow-up appointments at the neurology clinic for treatment.

[Read More] Managing Migraines with Diabetes: Essential Lifestyle Tips to Consider


Understanding Upper Abdominal Pain: Causes and When to Seek Help

Upper abdominal pain In the past six months, I have frequently experienced sleep disturbances until the early morning, particularly with pain that encircles my upper abdomen to my upper back, making it difficult to turn over. Sometimes the pain is so intense that it feels like my...


Dr. Zeng Fenyu Reply:
Please see Internal Medicine.

[Read More] Understanding Upper Abdominal Pain: Causes and When to Seek Help


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