Understanding Steroid Use for Asthma: Dosage, Side Effects, and Diagnosis
Corticosteroids Doctor, I had a check-up at the hospital a year ago due to chest tightness and asthma symptoms. The bronchial provocation test was positive (with a 26% decrease in FEV1). The doctor mentioned that I have suspected asthma. However, since I did not have any episodes...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, your symptoms and lung function suggest asthma. The standard treatment during an acute exacerbation is to take oral steroids for one week (6 tablets per day). Once your symptoms improve, you can switch to inhaled corticosteroids. Rinsing your mou...[Read More] Understanding Steroid Use for Asthma: Dosage, Side Effects, and Diagnosis
Understanding Drug Allergies: Managing Symptoms After Steroid Treatment
Drug allergy Hello Doctor: I have a drug allergy to Lamictal (an anticonvulsant medication) and was hospitalized for six days receiving high-dose steroid treatment. After discharge, I switched to oral steroids, but I felt very uncomfortable after taking the medication (dizziness ...
Dr. Zeng Guosen Reply:
Hello: Steroids can have gastrointestinal side effects, which may worsen gastric ulcers or cause gastrointestinal discomfort. If symptoms persist, please consult a gastroenterologist. Sincerely, Dr. Tseng Kuo-Sen, Department of Internal Medicine, Taoyuan Hospital, Ministry of Hea...[Read More] Understanding Drug Allergies: Managing Symptoms After Steroid Treatment
Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
I'm sorry, but I need specific content to translate. Please Hello: I would like to ask about the pathological mechanism of gout, what medications are used for treatment, and what symptoms it has?
Dr. Ke Zhengchang Reply:
Gout is formed due to prolonged elevated levels of uric acid in the blood, leading to the formation of urate crystals in the joint cavity, which causes acute attacks characterized by redness, swelling, heat, and pain in the joints. Over time, this can result in joint deformities ...[Read More] Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
Long-Term Effects of Medications for Sjögren's Syndrome: What to Know
Sjögren's syndrome Hello, Doctor. Last year, I was diagnosed with Sjögren's syndrome by a rheumatologist. I am currently taking Hydroxychloroquine once a day, Aspirin once a day, Prednisolone twice a day, and Methotrexate twice a week. I have been on these four medicati...
Dr. Zeng Guosen Reply:
Hello! Long-term use of Bokey, prednisolone, MTX (methotrexate), and hydroxychloroquine for Sjögren's syndrome can lead to side effects, especially with corticosteroids, MTX, and Plaquenil (hydroxychloroquine). If the condition allows, unnecessary medications should be disco...[Read More] Long-Term Effects of Medications for Sjögren's Syndrome: What to Know
Understanding Thyroid Nodules and High Triglycerides: What You Need to Know
There are 0.7 cm cysts on both sides of the thyroid gland? Hello, my husband recently received his health check report indicating that his triglyceride levels are elevated. Additionally, there are small nodules approximately 0.5 and 0.7 cm on both sides of his neck's thyroid...
Dr. Zhao Chongliang Reply:
The causes of thyroid cysts include poor blood circulation leading to degenerative changes within the gland, bacterial or viral infections, inflammation (such as chronic thyroiditis), or suppuration. The contents are typically colorless and clear. If there is a rupture of blood v...[Read More] Understanding Thyroid Nodules and High Triglycerides: What You Need to Know
Sudden Weight Gain in Seniors: Causes and Concerns to Consider
Sudden weight gain..? Hello: My father is 60 years old, and his weight has usually been around 54 to 55 kilograms. However, in the past few days, his weight suddenly increased to 57 kilograms. Additionally, in the last couple of days, he has noticed some swelling under his eyes, ...
Dr. Zheng Shuxing Reply:
Hello! Weight gain and edema may have the following possibilities: 1. Kidney disease and proteinuria 2. Hyperaldosteronism 3. Side effects of steroids. Please advise him to go to a major hospital for examination. Best wishes for health, Dr. Cheng Shu-Hsiang, Infectious Disease De...[Read More] Sudden Weight Gain in Seniors: Causes and Concerns to Consider
Understanding Metabolism: Can Hormonal Imbalance Cause Weight Gain in Men?
Metabolism Hello Dr. Hsiao: I would like to ask if men can also experience obesity due to hormonal imbalances? I am 27 years old and have been very careful with my diet (and I do not have constipation), yet I continue to gain weight (my BMI is 30.5, which is considered obese). I ...
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. According to the Ministry of Health and Welfare in Taiwan, a BMI of 27 or higher is classified as obesity; a BMI between 24.0 and 26.9 is considered overweight; and a BMI between 18.5 and 23.9 is regarded as ideal. Your BMI of 30.5 is indee...[Read More] Understanding Metabolism: Can Hormonal Imbalance Cause Weight Gain in Men?
Can I Use Welirex with Lupus? Safety and Availability Concerns
Systemic Lupus E Hello Dr. Tseng: I am a patient with systemic lupus erythematosus (SLE), and I have been diagnosed for two years. My condition is currently stable, and I am taking 7.5 mg of steroids and 50 mg of Neoral daily. However, I have a question: Can I use Wellbutrin? Wil...
Dr. Zeng Guosen Reply:
Hello! Willow herb is a topical medication that is often used occasionally and does not affect SLE (Systemic Lupus Erythematosus). However, since patients with SLE often take corticosteroids or immunomodulators, it is important to use it correctly and maintain local hygiene to pr...[Read More] Can I Use Welirex with Lupus? Safety and Availability Concerns
Understanding Edema: Causes, Symptoms, and When to Seek Help
Edema Forwarding a question from a netizen to the Director: I saw on TV that Director Tu helped a homeless person with a medical consultation... It seemed like there were issues with their gastrointestinal health that might cause edema... I think I might have edema too... Is ther...
Dr. Xiao Yongxun Reply:
Hello: In response to your inquiry regarding edema, it refers to a condition characterized by an increase in extracellular fluid. Clinically, it presents differently based on the location and underlying pathology, with numerous related diseases that cannot all be listed. However,...[Read More] Understanding Edema: Causes, Symptoms, and When to Seek Help
Understanding Dermographism: Causes, Treatments, and Management Options
Dermographism Hello Doctor: A friend of mine was diagnosed with dermographism in the United States two to three years ago. He experiences redness and swelling in multiple areas on his back. Since he had difficulty understanding the doctor's explanations in the U.S., he would...
Dr. Zeng Guosen Reply:
Hello! Dermographism refers to the phenomenon where mechanical stimulation of the skin results in the appearance of red lines, followed by erythema and subsequently wheals. The etiology is sometimes related to immune responses to antigens, such as reactions to inhalants, foods, i...[Read More] Understanding Dermographism: Causes, Treatments, and Management Options
Understanding How Steroids Work in the Body: A Comprehensive Guide
What are steroids? Could you explain the mechanism of how steroids work in the body?
Dr. Xie Weiming Reply:
Hello Mr. Zeng: Steroids, commonly known as American magic pills, are very effective medications but can lead to side effects if used improperly. Their primary function is to suppress the immune response in the body, including the actions of neutrophils, cytokines, and immunoglob...[Read More] Understanding How Steroids Work in the Body: A Comprehensive Guide
Understanding Berodual: Uses, Side Effects, and Proper Administration for Asthma in Children
Exercise-induced bronchoconstriction The child is currently eight years old and has asthma, often experiencing persistent coughing. The doctor prescribed a medication called Berodual. I would like to ask what type of medication this is, whether it has strong side effects, and if ...
Dr. Zhao Chongliang Reply:
Hello! Berotec is the English name for a short-acting beta-2 adrenergic agonist used for asthma. Common side effects of this type of medication include palpitations and tremors, although these are more pronounced with oral formulations. However, even with tremors, it should not a...[Read More] Understanding Berodual: Uses, Side Effects, and Proper Administration for Asthma in Children
Understanding Cushing's Syndrome: Diagnosis and Treatment Options
Cushing's syndrome I have been experiencing continuous weight gain, facial swelling, and the development of acne and buffalo hump over the past four to five months. After visiting the hospital for examination, it seems that I may have Cushing's syndrome and a tumor in t...
Dr. Yang Hongzhi Reply:
Cushing's syndrome is caused by excessive secretion of adrenal corticosteroids. To diagnose this condition, it is essential to confirm that there is indeed an overproduction of adrenal corticosteroids. Typically, a high dose of dexamethasone is administered to assess whether...[Read More] Understanding Cushing's Syndrome: Diagnosis and Treatment Options
Understanding Acne: Is Hormonal Imbalance the Root Cause?
Endocrine disorders and acne? I have been dealing with acne for almost three years now. During this time, I have seen many dermatologists, but the acne keeps coming back. I often hear people say that their acne is due to hormonal imbalances. How can I determine if my acne is caus...
Dr. Wang Zhihui Reply:
Endocrine diseases that can cause acne, aside from Cushing's syndrome due to excessive adrenal corticosteroids, include symptoms such as moon facies, buffalo hump, central obesity, and acne. However, such cases are relatively rare, and skin-related issues are more common. Th...[Read More] Understanding Acne: Is Hormonal Imbalance the Root Cause?
Morning Swelling: Possible Causes and Kidney Function Concerns
Upon waking up in the morning, I noticed that my entire body was swollen? My mother-in-law is fifty years old and has a family history of diabetes. She is currently taking medication to manage her condition. Over the past year, she has experienced swelling in her hands, feet, and...
Dr. Xiao Yongxun Reply:
Hello: In response to your question: (1) There are many causes of edema, generally classified as follows: 1. Increased venous pressure: including congestive heart failure, valvular heart disease, pericardial disease, renal disorders, endocrine diseases, vascular disorders, etc. 2...[Read More] Morning Swelling: Possible Causes and Kidney Function Concerns
Managing Lupus: Treatment Options and Dietary Considerations
Systemic lupus erythematosus (SLE) Hello Dr. Tseng: Thank you for your response. My friend is currently hospitalized for treatment of lupus erythematosus, but the high fever has not subsided. Almost all kinds of tests have been conducted, yet the cause remains undetermined. Is st...
Dr. Zeng Guosen Reply:
Patients with systemic lupus erythematosus (SLE) who present with high fever must be evaluated to differentiate whether the fever is due to an infection or an exacerbation of the lupus disease itself. If the fever is caused by the disease, corticosteroids may be used for manageme...[Read More] Managing Lupus: Treatment Options and Dietary Considerations
Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Vasculitis Hello, Doctor: Two years ago, I started experiencing redness, swelling, and warmth in my knees, sometimes in my feet, toes, and heels, and occasionally in my fingers. Most of the symptoms are located around the joints and typically resolve on their own within 2-3 days ...
Dr. Zeng Guosen Reply:
I will start with the second question. Based on the symptoms described by the internet user, it is neither vasculitis nor gout; it is likely recurrent rheumatism, also known as migratory rheumatism or paroxysmal rheumatism. Clinically, it is referred to as "3" arthritis...[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Vasculitis Hello Doctor, I have been experiencing issues with redness, swelling, and heat in my knees for the past two years. Sometimes it affects my feet, toes, and heels, and occasionally my fingers, mostly around the joints. Typically, the symptoms resolve on their own within...
Dr. Liu Hongxiang Reply:
Vasculitis refers to the inflammation of blood vessels, leading to damage and resulting in tissue hypoxia, with no definitive cause of onset. Diagnostic evaluations may include medical history, X-rays, blood tests, biopsies, and angiography. Blood tests typically include complete...[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Why Do Health Supplements and Skincare Products Lose Effectiveness?
Please clarify your question! Hello, Dr. Tang: 1. Why is it that when taking a health supplement, one feels it is effective at first, but after 3 or 4 doses, it seems to lose its effectiveness? 2. Similarly, when using skincare products, why does one feel more beautiful after th...
Dr. Tang Jieru Reply:
Hello Ms. Ru: I am not sure what health supplements you are referring to. What do you mean by "effective"? Are you talking about weight loss pills? Generally, health supplements are meant to provide nutrients, vitamins, and other substances that the body may lack, and a...[Read More] Why Do Health Supplements and Skincare Products Lose Effectiveness?
Can Kidney Disease Patients Drink Green Tea? Protein Intake Guidelines
Can people with kidney disease drink green tea? I was diagnosed with nephrotic syndrome due to edema in my limbs at the end of last year, which resulted in the presence of significant proteinuria. After receiving high doses of corticosteroids, the edema gradually subsided. Could ...
Dr. Chen Qingbin Reply:
Hello Mr. Liu, you can consume about 40 grams of protein per day. For kidney disease, you can drink a little bit of self-brewed green tea or herbal tea; however, it is not advisable to drink too much. You should visit the hospital for follow-up. Wishing you good health, Chen Qing...[Read More] Can Kidney Disease Patients Drink Green Tea? Protein Intake Guidelines