Sleep, Internal Medicine FAQ - Page 7

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Concerns About Diabetes: Symptoms and When to Seek Medical Advice

Suspected diabetes mellitus? Hello Doctor: I recently discovered that I have a problem with excessive drinking, but I don't urinate often. I also feel sleepy after eating. A few weeks ago, I had blood tests and a urinalysis to check my blood sugar, but only the fasting blood...


Dr. Lin Jianliang Reply:
Hello: It is advisable to consult a physician again and provide them with detailed information about your condition.

[Read More] Concerns About Diabetes: Symptoms and When to Seek Medical Advice


Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions

Kidney and fatty liver issues? Hello Doctor, yesterday I had an abdominal ultrasound (conducted by Dr. Wang Wenming at Kaohsiung Medical University). Dr. Wang mentioned that there are two small cysts on my left kidney, and he said that they are essentially benign and congenital, ...


Dr. Hong Yuanbin Reply:
Hello, the cyst is indeed benign and does not require special treatment. 1. Fatty liver refers to the accumulation of fat in the liver due to diet, lifestyle habits, or individual predisposition. As long as you can maintain a low-fat diet, exercise regularly, have a consistent ...

[Read More] Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions


Understanding Chest Discomfort: Causes and When to Seek Help

Mild discomfort in the chest? Hello, doctor. About two days ago, I took anti-inflammatory medication and antibiotics at the clinic due to a cold. However, the next day, I started feeling a slight, vague pain in the middle of my chest, which is particularly noticeable around meal ...


Dr. Hong Yuanbin Reply:
Hello, the esophagus is quite long, extending from the throat to the chest. Based on your description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or a gastric ulcer. However, the exact cause can only be determined through an endoscopy. As for ...

[Read More] Understanding Chest Discomfort: Causes and When to Seek Help


Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects

Blood report Hello Dr. Hong, about a month ago I had a blood test at the hospital. The results showed total cholesterol at 210, LDL cholesterol at 144, blood glucose at 105, hemoglobin A1c at 5.3, and potassium at 5.3. I checked the standard values online and found that they are ...


Dr. Hong Yuanbin Reply:
Hello, although your blood sugar is slightly elevated, your glycated hemoglobin is normal, so there should be no issue with diabetes. Your potassium level is slightly high, but if your kidney function is normal, it may be due to constipation or decreased excretion, which usually ...

[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects


Can Autonomic Nervous System Disorders Cause Candidal Cheilitis?

Can autonomic nervous system dysfunction cause candidal cheilitis? I have visited the dermatology clinic three times and am currently taking antibiotics and applying Clobetasol (a corticosteroid). The doctor believes it is caused by a bacterial infection, but it has not improved ...


Dr. Hong Yuanbin Reply:
Hello, 1. Some ointments may appear white after being applied overnight, which does not necessarily indicate dead skin. 2. The use of antibiotics and corticosteroids can indeed lead to a decrease in local immunity, potentially resulting in a Candida albicans infection. However...

[Read More] Can Autonomic Nervous System Disorders Cause Candidal Cheilitis?


Understanding Sleep Issues: The Impact of Neck Pain and Medications

Sleep issues In the past few days, I have been waking up every few hours during the night and feeling sleepy throughout the day, but this sleepiness tends to diminish after noon. Recently, I have been undergoing treatment for cervical spine issues and taking anti-inflammatory med...


Dr. Hong Yuanbin Reply:
Hello, based on your description, both anti-inflammatory medications and muscle relaxants can indeed cause side effects such as dizziness and drowsiness, particularly with muscle relaxants. If you are feeling uncomfortable, you might consider temporarily discontinuing the oral me...

[Read More] Understanding Sleep Issues: The Impact of Neck Pain and Medications


Understanding Sleep Issues: Concerns for Your Aging Parent's Health

Sleep issues Hello Dr. Hong, I am inquiring on behalf of my mother, who is currently 58 years old and works a regular job from Monday to Friday. I am quite worried that she is overexerting herself. While she doesn't seem to have issues at work, during her off hours, she ofte...


Dr. Hong Yuanbin Reply:
Based on your description, it seems that your mother may have sleep apnea, likely of mild to moderate severity. It is recommended to wait until the pandemic situation stabilizes before scheduling a sleep study at a major hospital's sleep clinic to identify the underlying cau...

[Read More] Understanding Sleep Issues: Concerns for Your Aging Parent's Health


Muscle Twitches: Are They a Sign of Brain Issues or Just Fatigue?

Brain issues Hello, I have recently noticed that my muscles twitch intermittently, similar to sleep myoclonus, but it also occurs while I am awake. Could this be a sign of a brain issue, or would it be sufficient to just get more rest and replenish my calcium levels? My sleep sch...


Dr. Hong Yuanbin Reply:
Hello, irregular routines, high stress, or muscle strains can lead to the symptoms you mentioned. I recommend maintaining a regular schedule, getting plenty of rest, and staying hydrated, which should help improve your condition. If the symptoms persist afterward, then medical tr...

[Read More] Muscle Twitches: Are They a Sign of Brain Issues or Just Fatigue?


Yawning and Jaw Dislocation: Understanding Symptoms and Concerns

Yawning and Muscle Issues Hello, doctor. I just yawned and was about to sleep, and I'm worried that I might have dislocated my jaw. Although I didn't hear any cracking sound and when I looked in the mirror, my mouth can close properly and isn't misaligned. There&#x...


Dr. Hong Yuanbin Reply:
Hello, it is normal for a person's face to have slight asymmetry on both sides. As for whether there is a dislocation, you can determine this by checking if it affects the occlusal function, meaning if the mouth can close properly. If there is no issue with closing the mouth...

[Read More] Yawning and Jaw Dislocation: Understanding Symptoms and Concerns


Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms

Hello, doctor? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I visited a gastroenterologist and underwent an endoscopy, which revealed only mild gastritis. I also ha...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I noticed that you have experienced symptoms of dysphagia along with multiple areas of muscle pain, which may be related to rheumatology. If you have seen many specialists without a clear diagnosis, I recommend that you visit a rheumatologist fo...

[Read More] Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms


Understanding Drug Reactions: When to Seek Medical Attention

Drug reactions Hello Dr. Wu, last night at 9:30 PM, I took one tablet of Pei Nian (a light orange round tablet) because my face was a bit allergic. After taking it, I felt very drowsy one hour later and slept for 8 hours. Upon waking up, I felt dizzy and unsteady while walking. A...


Dr. Wu Jiyu Reply:
Pyrilamine is an antihistamine, and one of its most common side effects is drowsiness. The duration of this drowsiness can vary from person to person; some individuals may experience it for an entire day. Therefore, it is not advisable to engage in activities that require mental ...

[Read More] Understanding Drug Reactions: When to Seek Medical Attention


Evening Headaches: Understanding Nighttime Pain and Its Causes

I experience headaches every evening? Hello doctor, my partner has been experiencing headaches that start after 10 PM for the past two to three nights. Sometimes, there is also a tingling sensation in the face. However, after getting some sleep, there are no symptoms during the d...


Dr. Hong Yuanbin Reply:
Hello, the causes of headaches are often multifactorial, including medication, irregular sleep patterns, lack of exercise, stress, and coffee consumption habits, among others. Based on the situation you mentioned, the potential contributing factors could be: 1. Irregular sleep pa...

[Read More] Evening Headaches: Understanding Nighttime Pain and Its Causes


Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?

Health issues I woke up in the morning feeling very sore, so I lay back down thinking I could get up later. After a while, I felt uncomfortable again, with body aches, and I lay down for a bit before finally getting up. I have a history of allergic rhinitis, severe sleep apnea, a...


Dr. Hong Yuanbin Reply:
Hello, do you have any other symptoms? For example, fever, cough, shortness of breath, sore throat, etc.? If you do, it may be a sign of a cold or another illness. If not, it could be due to irregular sleep patterns, high stress, or poor posture. These factors should not affect y...

[Read More] Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?


Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups

Immune system dysfunction in adults with Still's disease? Hello Doctor: I have an immune system disorder (the doctor has diagnosed me with suspected "Adult Still's Disease" on the medical certificate). Due to the recent pandemic, I haven't been able to at...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. The inflammation index you mentioned, which is over ten thousand, could possibly refer to the ferritin level, which is an indicator of adult Still's disease and also serves as a reference for disease stability. Given that your levels were o...

[Read More] Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups


Managing Lower Back Pain: Tips Beyond Exercise for Relief

Back problems I have been experiencing soreness in my lower back, which I believe is related to not exercising my back muscles and spending long periods lying in bed. 1. Could it be that the prolonged bed rest and lack of back exercises have led to muscle weakening, resulting in ...


Dr. Zeng Guosen Reply:
Hello, there are many reasons for back pain. It's important to identify the underlying issue before addressing it. I recommend visiting a rehabilitation or orthopedic specialist for an evaluation. After the assessment, further steps can be determined. Thank you for your ques...

[Read More] Managing Lower Back Pain: Tips Beyond Exercise for Relief


Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?

Palpitations after receiving the Moderna vaccine? I received the Moderna vaccine this morning. On the same day, I experienced only arm soreness and a mild fever. However, at night, while lying flat, I felt a noticeable heartbeat. I measured my heart rate multiple times, and it ra...


Dr. Hong Yuanbin Reply:
Hello, the discomfort you described is indeed a common side effect of the Moderna vaccine, typically occurring within 48 hours. Most symptoms improve within this timeframe. If you still feel unwell after 48 hours or experience chest pain, it is advisable to seek medical attention...

[Read More] Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?


Struggling with Hypothyroidism: Seeking Effective Treatment Solutions

Hypothyroidism Treatment Issues Hello Doctor, I am a patient with hypothyroidism. I have been undergoing treatment for about three years and have been taking thyroid hormone, but there has been little improvement in my lab values or physical condition. Dietary changes and exercis...


Dr. Lin Jianliang Reply:
Hello: Generally speaking, patients with hypothyroidism who regularly take their medication to keep thyroid hormone levels within the normal range are less likely to experience symptoms of hypothyroidism. Based on your description, it is recommended to first consult with an endoc...

[Read More] Struggling with Hypothyroidism: Seeking Effective Treatment Solutions


Health Concerns After Prolonged Exposure to Industrial Hexane

Medical Consultation: Exposure to n-Hexane Hello Doctor, I would like to ask about my recent work experience. My boss required us to use industrial heptane for product cleaning for about 8 hours. During this time, I wore latex gloves, but they kept becoming brittle and tearing, s...


Dr. Hong Yuanbin Reply:
Hello, long-term exposure to heptane can indeed cause skin irritation and inflammation, leading to redness, swelling, and warmth. However, other environmental factors, including contact with skincare products, pollen, and dust mites, can also trigger similar inflammatory response...

[Read More] Health Concerns After Prolonged Exposure to Industrial Hexane


Understanding Dizziness: Is It Just Fatigue or Something More?

Please ask your question? Hello, doctor. I would like to ask you about a heavy feeling in my head. I've been staying up late playing games for the past few days, sometimes until around 4:45 AM, and then I sleep until 9 or 10 AM. For the past two days, I've noticed that ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the main issue is discomfort caused by staying up late. The only solution is to maintain a regular sleep schedule and avoid staying up late. Additionally, regular exercise can also be helpful. These symptoms are not indicative of Meniere's d...

[Read More] Understanding Dizziness: Is It Just Fatigue or Something More?


Understanding Dizziness After Late Nights: Causes and Recovery Time

Please provide the content you would like me to translate? Thank you for your response, doctor. I went to bed earlier yesterday and felt a bit better, but I still occasionally feel dizzy when using my phone. However, pressing on the back of my neck alleviates the dizziness. I wou...


Dr. Hong Yuanbin Reply:
Hello, it is indeed a matter of the body not being properly adjusted, and the instability you mentioned is certainly a negative reaction to staying up late. It should improve after a few days of regular sleep patterns. These are all normal physiological phenomena. Thank you for y...

[Read More] Understanding Dizziness After Late Nights: Causes and Recovery Time


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