Stroke, Internal Medicine FAQ - Page 2

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Understanding Winter Blood Pressure Changes in the Elderly

Winter Blood Pressure Issues in the Elderly Hello, doctor. I would like to ask about blood pressure issues in the elderly. I found some information online stating that it is normal for blood pressure to be higher in winter. Since I work in a nursing facility, there has been signi...


Dr. Xiao Yongxun Reply:
Dear Ms. Zhen: V = I × R (Voltage = Current × Resistance) Similarly: BP (Blood Pressure) = CO (Cardiac Output) × TPR (Total Peripheral Resistance) = (SV (Stroke Volume) × HR (Heart Rate)) × TPR R = 8ηL/πr^4 Where R: Resistance; η: Viscosity; L: Length; π: Pi; r: Radius of th...

[Read More] Understanding Winter Blood Pressure Changes in the Elderly


Managing High Nighttime Blood Sugar Levels in Diabetes Patients

Diabetes and Blood Sugar Issues (Elevated Blood Sugar Levels Before Bedtime) Hello Doctor, my father is about 58 years old and had a stroke two years ago. Hospital examinations indicated that diabetes led to hypertension. After rehabilitation, he was able to live independently an...


Dr. Xiao Yongxun Reply:
Dear Mr. A-Hsiang, Before bed, the blood glucose level was 200 mg/dL, and the fasting blood glucose level in the morning was 105 mg/dL. Clinically, for diabetic patients who manage their condition solely through diet and exercise, these levels are acceptable. Normal postprandial...

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Managing Diabetes: Should My Father Be Hospitalized or Treated at Home?

Diabetes issues My father, 46 years old, male, has no family history of diabetes. He was recently diagnosed with diabetes and diabetic ketoacidosis (DKA) after a hospital visit where his blood glucose level was measured at 486 mg/dl. Due to a lack of available beds in the hospita...


Dr. Xiao Yongxun Reply:
Dear Ms. Chen, Diabetic ketoacidosis (DKA) is classified as a hyperglycemic emergency. Key diagnostic points include hyperglycemia, the presence of ketones in urine or blood, and a significant acidotic blood pH. The symptoms can vary widely and may include dehydration, abdominal...

[Read More] Managing Diabetes: Should My Father Be Hospitalized or Treated at Home?


Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients

Urinary protein and blood glucose? A few days ago, my father went to the clinic for a blood test, and the results are as follows: Urine protein 1+, fasting blood glucose 125 mg/dL (after fasting for just over 7 hours), total cholesterol 127 mg/dL, triglycerides 229 mg/dL, HDL 39....


Dr. Hong Yuanbin Reply:
Hello, In response to your father's concerns, here are my replies: First, regarding the protein in urine, the clinic report indicates a preliminary positive result. It is recommended to visit a larger hospital for a quantitative urine protein test, and possibly a 24-hour ...

[Read More] Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients


Managing Water Intake for Patients with Chronic Kidney Disease

Water Intake Issues in Patients with Chronic Kidney Failure Hello Dr. Wu, My mother has a history of mild stroke, along with mild diabetes, hypertension, hyperlipidemia, high uric acid, proteinuria, and hematuria. Her estimated glomerular filtration rate (eGFR) is currently arou...


Dr. Wu Jiyu Reply:
Hello: Regarding your question, we will discuss it in two parts: (1) Based on the information you provided, your mother's estimated glomerular filtration rate (eGFR) of 50 indicates that she is approximately in stage 3 of chronic kidney disease (CKD), which has a total of fi...

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Understanding Persistent Dizziness and Body Heat: Causes and Solutions

Dizziness and a feeling of warmth in the body? Hello, Doctor. I often experience dizziness and have undergone numerous examinations at major hospitals, but nothing has been found. Recently, the frequency of my dizziness has increased, occurring 3-4 days a week, and I also feel a ...


Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The differential diagnosis of dizziness generally begins with distinguishing between central and peripheral causes. If the dizziness is due to a central lesion, it is often associated with more serious issues such as tumors, strokes, epilepsy, meningitis, or enc...

[Read More] Understanding Persistent Dizziness and Body Heat: Causes and Solutions


Understanding Tingling Sensations in the Head: Causes and Concerns

The head often feels tingly and prickly, as if blood is rushing to it? Dr. Lee, I usually experience a tingling sensation in my head. I measured my blood pressure and it was 143/86. By noon, I still felt a bit of tingling. I would like to ask you about my current medications: I a...


Dr. Li Zhiyao Reply:
Hello: Based on your description, I recommend that you consult a neurologist.

[Read More] Understanding Tingling Sensations in the Head: Causes and Concerns


Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?

Measuring blood glucose? In stroke patients, which hand is more accurate for measuring blood glucose levels? Since the affected side has poorer blood circulation, will this impact the values? Thank you.


Dr. Li Zhiyao Reply:
Hello: Both hands can be tested.

[Read More] Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?


Understanding Cholesterol: Debunking Myths for Diabetics

Cholesterol issues Hello Dr. Hsiao: I have diabetes, and my total cholesterol, LDL cholesterol, and triglycerides are all elevated. Both my doctor and diabetes health literature suggest that I should not consume too many high-cholesterol foods. However, I came across an article o...


Dr. Xiao Yongxun Reply:
1. Essentially, there are many articles online with a diverse theoretical foundation; although they have their sources and basis, I prefer not to comment on them personally. 2. According to current research reports, the sources of cholesterol indeed include dietary intake and e...

[Read More] Understanding Cholesterol: Debunking Myths for Diabetics


Waking Up with Arm Weakness: Causes and Stroke Concerns

Numbness and weakness in the arm upon waking up? Hello! Every day when I wake up, my entire hand and arm feel numb and weak, primarily in my right hand, and sometimes in both hands. After a few minutes, it returns to normal. For the past few months, while sitting on the bed befor...


Dr. Li Zhiyao Reply:
Hello: Your symptoms are likely caused by nerve compression. It is recommended that you consult a neurologist. Wishing you health and safety!

[Read More] Waking Up with Arm Weakness: Causes and Stroke Concerns


Understanding Upper Chest Discomfort: Causes and Solutions

Chest tightness in the upper part? This morning, shortly after arriving at the office, I suddenly felt a tightness in the upper part of my chest, accompanied by a slight numbness. After taking a deep breath and relaxing for about 10 minutes, it improved significantly. Since this ...


Dr. Xiao Yongxun Reply:
Your weight is 110 kilograms, and your height is 185 centimeters. Your body mass index (BMI) is 32.1 kg/m². According to the standards published by the Ministry of Health and Welfare, this falls into the category of obesity (BMI ≥ 27 kg/m²). Additionally, if your waist circumfere...

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Is Numbness in Your Fingers a Sign of Stroke? Understanding the Symptoms

Numbness in the fingertips? There have been several instances where I woke up in the morning with a tingling sensation in my fingertips. Could this be a symptom of a stroke?


Dr. Li Zhiyao Reply:
Hello: This is not a symptom of a stroke.

[Read More] Is Numbness in Your Fingers a Sign of Stroke? Understanding the Symptoms


Managing Cellulitis in Diabetic Patients: Effective Strategies and Care

Cellulitis Hello Doctor, I would like to ask about my boyfriend's mother, who is 59 years old and a diabetic patient. She was diagnosed with cellulitis on September 27 and has been hospitalized for two weeks. The doctors have indicated that her blood circulation has not im...


Dr. Xiao Yongxun Reply:
1. Long-term diabetes patients require a combination of diet, exercise, and medication to prevent macrovascular complications (including stroke, myocardial infarction, and peripheral artery disease) and microvascular complications (including retinopathy, nephropathy, and neuropat...

[Read More] Managing Cellulitis in Diabetic Patients: Effective Strategies and Care


Managing Pulmonary Edema and Skin Swelling in Elderly Patients

Pulmonary edema in the elderly? I would like to ask you, if an elderly person has a history of stroke and diabetes, and is currently experiencing symptoms such as skin edema and pulmonary edema, should we force them to cough up phlegm if they express that they have chest and abdo...


Dr. Lin Shunfa Reply:
Hello, TO Han: Elderly patients suffering from pulmonary edema, edema, and multiple chronic diseases should seek further evaluation and treatment from a cardiologist or pulmonologist at a hospital. If necessary, hospitalization for treatment would be appropriate.

[Read More] Managing Pulmonary Edema and Skin Swelling in Elderly Patients


Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options

Polyarthritis 1. I have an ASLO index of 247 (or 274?). Is this caused by genetics or an infection? My family has a history of almost all hereditary diseases, including lupus erythematosus, ankylosing spondylitis, gout, rheumatoid arthritis, kidney stones, kidney disease, stroke,...


Dr. Gao Jiankai Reply:
Hello Ms. Yang, I hope this message finds you well. Your questions are somewhat complex, and since I haven't actually seen you, many of my thoughts are merely speculation. It is best for you to discuss these matters with a physician who has examined you in person. Here are m...

[Read More] Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options


Managing High Nighttime Blood Sugar with Normal Morning Levels

High blood sugar before bedtime and normal blood sugar upon waking? Hello Dr. Hsiao, my mother is seventy years old. She takes insulin during the day and controls her diet for three meals, but her blood sugar levels are consistently over 300 before bedtime. In the morning, her le...


Dr. Xiao Yongxun Reply:
1. There are many types of insulin, primarily including ultra-rapid acting, rapid acting, intermediate acting, and long acting. The timing of their peak effect and duration of action varies. Clinically, it is possible to mix rapid acting and intermediate acting insulins for injec...

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Understanding Thyroid Function in Patients with Atrial Fibrillation and Stroke

Thyroid-related issues? Hello, Director Hsiao. My mother is 64 years old and experienced a mild stroke in early March 2014. She is currently showing stable and improving recovery. Due to her atrial fibrillation, her attending physician prescribed Dronedarone for treatment, and sh...


Dr. Xiao Yongxun Reply:
1. Amiodarone is a commonly used medication for the treatment of arrhythmias, and it is quite effective. However, it can affect iodine metabolism, leading to either hyperthyroidism or hypothyroidism; therefore, regular monitoring of thyroid function is necessary. If such conditio...

[Read More] Understanding Thyroid Function in Patients with Atrial Fibrillation and Stroke


Understanding Acute Pyelonephritis: Risks, Recovery, and Monitoring

Urinary tract infection (pyelonephritis) Hello Director Wu, my mother is 64 years old and experienced a mild stroke in early March 2014. She is currently making stable progress in her recovery. In March of this year, during her hospitalization for stroke treatment, she had a urin...


Dr. Wu Jiyu Reply:
Hello KK: First, let me explain some medical terms; "urinary tract infection" refers to an infection of the urinary tract system caused by pathogens (usually bacteria). The urinary tract system includes the kidneys, ureters, bladder, urethra, and in males, the prostate....

[Read More] Understanding Acute Pyelonephritis: Risks, Recovery, and Monitoring


Dehydration and Heat Illness: When to Seek Medical Attention

After feeling unwell due to hot weather? Hello doctor, I would like to ask: A week ago, I drank too much beer one night, and the next day I vomited while on a boat. The weather was hot, and I didn't drink much water. After some activity in the afternoon, I vomited again. I t...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, hot weather combined with a lack of hydration and electrolyte replenishment can indeed lead to heat-related illnesses such as heat exhaustion, heat cramps, or heat stroke. The symptoms you described cannot completely rule out these conditions....

[Read More] Dehydration and Heat Illness: When to Seek Medical Attention


Understanding Sudden Anuria and Swelling: Causes and Concerns

Sudden anuria? Hello, I usually exercise very little and spend most of my time indoors. Previously, when the temperature was high at 38 degrees Celsius, my feet suddenly swelled while walking outside. Both of my feet became edematous, and when I pressed on them, they would indent...


Dr. Wu Jiyu Reply:
Hello, Xiaoyu: Based on the information you provided, the acute kidney injury you experienced may be suspected to be caused by heat exhaustion or heat stroke due to walking outside in high temperatures of 38 degrees Celsius. However, since you adequately replenished fluids and re...

[Read More] Understanding Sudden Anuria and Swelling: Causes and Concerns


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