Steroids, Internal Medicine FAQ - Page 10

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Managing Steroid-Induced Weight Gain: Solutions and Alternatives

About steroids? My girlfriend previously suffered from a skin condition that could not be cured despite consulting various doctors. Eventually, a physician from Chang Gung Memorial Hospital prescribed a medication that helped control her symptoms. However, she gained weight as a ...


Dr. Ke Zhengchang Reply:
Hello: General corticosteroids can increase fat deposition, leading to symptoms such as moon facies and buffalo hump. After discontinuing the medication, these symptoms typically resolve gradually within one to two months with regular exercise, and there is no need to rely on tra...

[Read More] Managing Steroid-Induced Weight Gain: Solutions and Alternatives


Weight Gain Concerns: The Impact of Laxatives and Ovarian Cysts

A netizen continues to ask, "I gained 20 kilograms after taking laxatives." I visited a family medicine doctor and also consulted with a gynecologist, who informed me that I have an ovarian fibroma. They advised me to lose weight quickly. I had blood tests done in Janua...


Dr. Li Huixiong Reply:
Please go see an endocrinologist as soon as possible.

[Read More] Weight Gain Concerns: The Impact of Laxatives and Ovarian Cysts


Weight Gain After Overusing Laxatives: Health Risks and Solutions

Taking excessive laxatives has resulted in a weight gain of 20 kg over the past year? Hello Doctor: A year ago, I used an enema for constipation, but it didn't work. Later, I bought laxatives from a pharmacy, which did help me have bowel movements, and I became dependent on ...


Dr. Li Huixiong Reply:
I wonder what kind of laxatives you are taking that allows you to consume more than five a day. Laxatives should not contain steroids. As for the 20 kilograms you gained over the past year, that is indeed a concern. May I ask your height? We can calculate your BMI (Body Mass Inde...

[Read More] Weight Gain After Overusing Laxatives: Health Risks and Solutions


Persistent Chest Discomfort: Understanding Causes and Treatment Options

Chest tightness with a strong sensation of obstruction? Hello Dr. Kuo, I have been experiencing long-term discomfort that began after I underwent gynecological surgery in March 1998, during which I had anesthesia and intubation. Following the surgery, I coughed up blood for sev...


Dr. Guo Conghuai Reply:
Hello Miss Green: Based on your description, it seems that you have been troubled for quite a long time. You may be a patient who becomes anxious and has difficulty sleeping over minor issues (Mitral Valve Prolapse Syndrome). If your lung function indicates that you truly have br...

[Read More] Persistent Chest Discomfort: Understanding Causes and Treatment Options


Understanding Lupus Flare-Ups During Pregnancy: Risks and Treatment Options

Systemic lupus erythematosus (SLE) Hello Dr. Ke: I would like to ask you a question. During pregnancy, the recurrence of lupus erythematosus causing atrophy on one side of the hip is it due to the use of corticosteroids? The doctor suggested that I need to have a joint replacemen...


Dr. Ke Zhengchang Reply:
Hello, sister: Long-term use of corticosteroids in patients with systemic lupus erythematosus can lead to avascular necrosis of the hip (femoral head), and in severe cases, joint replacement may be necessary. A detailed evaluation and discussion with an orthopedic surgeon is esse...

[Read More] Understanding Lupus Flare-Ups During Pregnancy: Risks and Treatment Options


Understanding Persistent Dizziness and Nausea in Elderly Patients

Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of thyroid hormone and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hypertensio...


Dr. Ke Zhengchang Reply:
Hello Kany: Based on your description, your mother has hypertension, dizziness, and suspected intestinal adhesions. It is recommended to schedule an appointment with a neurologist to adjust her antihypertensive and dizziness medications. Additionally, for the issue of intestinal ...

[Read More] Understanding Persistent Dizziness and Nausea in Elderly Patients


Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor mentioned a deficiency in thyroid hormones and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hyperten...


Dr. Li Huixiong Reply:
Seeing you write extensively indeed leaves you, as children, unsure of what to do. In fact, simplifying matters and focusing on the key points is essential. The most common situation in outpatient clinics is that after prolonged illness, patients often lose sight of the main issu...

[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers


Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has be...


Dr. Hong Hongchang Reply:
The patient has hypertension, endocrine disorders, electrolyte imbalances, and postoperative enteritis, which may clinically present with elevated white blood cell counts associated with bacterial infection. Additionally, the patient's use of corticosteroids may lead to decr...

[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers


Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has been ta...


Dr. Zeng Fenyu Reply:
There are many causes of dizziness, including brain diseases, vestibular nerve disorders, cardiopulmonary diseases leading to insufficient cerebral blood flow, psychogenic factors, and postmenopausal syndrome in women. Regarding the condition you mentioned, if the patient already...

[Read More] Understanding Persistent Dizziness and Nausea: A Guide for Caregivers


Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options

What is Shy-Drager syndrome? My mother has been experiencing gastrointestinal discomfort for over ten years, with frequent abdominal pain and diarrhea. Doctors believe she has colonic dysmotility and have also mentioned irritable bowel syndrome. In recent years, she has been diag...


Dr. Ke Zhengchang Reply:
Hello Ms. Tsai: Sjögren's syndrome is an autoimmune disease characterized by symptoms such as chronic dry eyes, dry mouth, keratoconjunctivitis, and difficulty swallowing (due to reduced saliva), as well as bilateral parotid gland enlargement. It often coexists with other au...

[Read More] Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options


Understanding Allergic Hepatitis: Causes and Treatment Options

What is allergic hepatitis? What is allergic hepatitis, doctor? I’ve heard that the causes are quite complex; how is it treated?


Dr. Li Huixiong Reply:
The correct term should be "autoimmune hepatitis." Its etiology is relatively complex and is often considered only after excluding various types of hepatitis, such as viral and drug-induced hepatitis. The incidence is approximately 3 to 5 cases per 10,000 individuals. C...

[Read More] Understanding Allergic Hepatitis: Causes and Treatment Options


Can Fish Oil Help Reduce Fatty Liver? Tips and Recommendations

Fatty liver disease My mother has been diagnosed with fatty liver and has blisters on it after examination. I heard that deep-sea fish oil can help reduce fat; is this true? What are some good recommendations? Besides dietary control, are there other options to lower fatty liver ...


Dr. Chen Shidian Reply:
Hello, internet user; fatty liver is often caused by excessive caloric intake, and it is important to rule out factors such as diabetes, hyperlipidemia, inappropriate medication (such as steroids), and alcohol consumption. Exercise and dietary control are the fundamental approach...

[Read More] Can Fish Oil Help Reduce Fatty Liver? Tips and Recommendations


Understanding Gallbladder Polyps and Fatty Liver: Health Implications and Dietary Tips

Polyp in the gallbladder Recently, during a health check-up, an abdominal ultrasound revealed (1) a polyp in the gallbladder and (2) fatty liver. Are these issues a concern for health, and do they require further treatment? How should I adjust my daily diet accordingly?


Dr. Hong Hongchang Reply:
1. For gallbladder polyps, it is recommended to follow up in the outpatient clinic every three to six months if the size does not exceed 1 centimeter; if it exceeds 1 centimeter, surgical resection is advised due to the potential for malignancy. 2. The causes of fatty liver inclu...

[Read More] Understanding Gallbladder Polyps and Fatty Liver: Health Implications and Dietary Tips


Dietary Tips for Managing Fatty Liver Disease: Causes and Precautions

Fatty liver disease What dietary considerations should be taken into account for someone diagnosed with fatty liver disease? How is fatty liver disease formed?


Dr. Yang Guojun Reply:
Fatty liver, in simple terms, means that the liver is "oily." This indicates that there is an accumulation of fat within liver cells. In Taiwan, approximately one-third of adults have fatty liver. Common causes of fatty liver include obesity, hyperlipidemia, diabetes, e...

[Read More] Dietary Tips for Managing Fatty Liver Disease: Causes and Precautions


Effective Strategies to Gain Weight and Improve Nutrient Absorption

How to gain weight? I am very thin, weighing only 50 kilograms. Even though I eat a lot, it seems like there is not much change. How can I gain weight? Are there any medications that can enhance intestinal absorption? Some bodybuilders take anabolic steroids to increase muscle ma...


Dr. Chen Shidian Reply:
If there is rapid weight loss, it is important to consider the possibility of underlying medical conditions. If this has been ongoing for a long time and physical strength is normal, it is likely due to genetics or poor dietary habits. It may be beneficial to discuss this with a ...

[Read More] Effective Strategies to Gain Weight and Improve Nutrient Absorption


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