Understanding Numbness in the Left Hand: Causes and Concerns
Numbness in the hands? Hello Doctor: In the past few days, I have been experiencing frequent numbness in my left hand, similar to the sensation of pressure for too long, leading to poor circulation. I am a bit concerned that I might be having a stroke (or have already had one). R...
Dr. Liu Hongxiang Reply:
The most common cause of hand numbness is "carpal tunnel syndrome," which occurs when the median nerve is compressed as it passes through the carpal tunnel. This condition is often seen in pregnant women, typists, workers who frequently twist their wrists, computer user...[Read More] Understanding Numbness in the Left Hand: Causes and Concerns
Understanding Stroke Risks and Blood Sugar Monitoring for Diabetic Patients
Medical Knowledge (Forwarded from the Director's Mailbox) Dear Director: 1. For long-term diabetes patients, does poor blood sugar control increase the risk of stroke? 2. For long-term diabetes patients currently experiencing a second stroke (under treatment), is daily bl...
Dr. Yang Hongzhi Reply:
Diabetes increases the risk of stroke, and poor diabetes control further elevates this risk. Whether daily monitoring is necessary depends on the treatment method and blood glucose control status. If insulin injections are used and blood glucose is poorly controlled, daily monito...[Read More] Understanding Stroke Risks and Blood Sugar Monitoring for Diabetic Patients
Caring for Patients with Rhabdomyolysis: Essential Tips and Recommendations
Rhabdomyolysis For a patient with rhabdomyolysis, proper care is crucial, especially when resources are limited. Here are some recommendations: 1. **Hydration**: Continue to encourage the patient to drink plenty of fluids, preferably water or electrolyte solutions, to help flush...
Dr. Yang Jun Reply:
Hello: In response to your question, the causes of rhabdomyolysis may include heat stroke, severe trauma, prolonged local tissue compression, or drug-induced factors. It is essential to first eliminate the underlying cause and provide ample hydration along with diuretics to preve...[Read More] Caring for Patients with Rhabdomyolysis: Essential Tips and Recommendations
Understanding Asymptomatic Diabetes: Risks and Management in Older Adults
There are no noticeable symptoms of diabetes? My father is 74 years old. Six years ago, he underwent surgery due to an accident and was found to have high blood sugar levels. He started taking antidiabetic medications. Initially, he was taking one pill, but now he has increased t...
Dr. Shi Guangzhong Reply:
The symptoms of diabetes are often subtle, so many people with diabetes are unaware of their condition, just like your father who discovered his diabetes by chance. High or low blood sugar levels are not the main concern; what is critical are the chronic complications that arise ...[Read More] Understanding Asymptomatic Diabetes: Risks and Management in Older Adults
Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...
Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Is Fiberglass Insulation Dangerous? Concerns About Heart Attack Risks
Will fiberglass cause myocardial infarction? Hello Doctor, today I was installing wall outlets, and the wall is a lightweight partition filled with soundproofing fiberglass insulation. After finishing, my hands were covered in fiberglass dust and shards. I seem to recall my chemi...
Dr. Ke Zhengchang Reply:
Hello: It can be said that glass wool cannot penetrate the stratum corneum of the skin to enter the bloodstream and cause myocardial infarction leading to a stroke. There is no need for concern, and there are no reported cases in the literature, unless there is a large wound and ...[Read More] Is Fiberglass Insulation Dangerous? Concerns About Heart Attack Risks
Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Is it hypertension? Hello, Doctor: I often feel inexplicably anxious, with a rapid heartbeat and a sensation of shortness of breath. Whenever this happens, my blood pressure tends to rise, with a recorded high of 140/105. I previously had an electrocardiogram, and the report was ...
Dr. Li Dong'an Reply:
Hello Chris: 1. Hypertension is defined as a systolic blood pressure of ≥140 mmHg or a diastolic blood pressure of ≥90 mmHg. However, it must be measured at least three times within two weeks, and the measurements should be taken under conditions of no stress (such as tension, an...[Read More] Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Post-Surgery Complications: Understanding Kidney Issues After Hip Surgery
Post-surgery My mother-in-law is 70 years old and has had diabetes for 8 years, with poor kidney function. Recently, she underwent orthopedic surgery for a hip fracture, but after the surgery, the doctor informed us that she would need dialysis. She underwent dialysis three days ...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the coverage of medical insurance is related to the determination of causality, the regulations of the insurance, and relevant measures. Based solely on your brief statement, it is not possible to provide a definitive explanation. However, the...[Read More] Post-Surgery Complications: Understanding Kidney Issues After Hip Surgery
Understanding the Risks of Hyperhidrosis Surgery: A Call for Patient Satisfaction Surveys
Severe complications of palmar hyperhidrosis should undergo a postoperative satisfaction survey (as per the Department of Health's correspondence)? Currently, the methods for treating palmar hyperhidrosis, such as cauterizing or cutting the second or third sympathetic nerve ...
Dr. Yang Hongzhi Reply:
Hello: 1. A second or third thoracic sympathetic nerve ablation surgery will not cause anhidrosis of the head, unless the first thoracic sympathetic nerve is affected during the procedure, which could lead to such a complication. 2. Compensatory hyperhidrosis occurs in about ...[Read More] Understanding the Risks of Hyperhidrosis Surgery: A Call for Patient Satisfaction Surveys
Comprehensive Stroke Evaluation: Essential Tests and Their Purposes
Stroke Hello, I would like to inquire about the various tests related to stroke and their purposes. Besides the commonly known tests such as electroencephalogram (EEG) and computed tomography (CT) scan, what other tests are there? Thank you.
Dr. Zeng Guosen Reply:
Hello! Stroke can be classified into two types: ischemic (due to vessel blockage) and hemorrhagic (due to bleeding). In addition to the commonly known tests such as electroencephalography (EEG) and computed tomography (CT), there are also imaging studies like magnetic resonance i...[Read More] Comprehensive Stroke Evaluation: Essential Tests and Their Purposes
Supporting a Young Friend with Type 1 Diabetes: Essential Care Tips
A 20-year-old patient with diabetes!? Hello Doctor: I am truly at a loss and would like to seek your advice. I have a female friend who has informed me that she has a hereditary form of diabetes, diagnosed as Type 1 diabetes. She must inject insulin daily to maintain her blood su...
Dr. Yang Hongzhi Reply:
1. If there are abnormalities in foot sensation, the risk of foot ulcers increases. It is important to regularly inspect the feet. If there are sensory abnormalities or a history of foot ulcers, custom footwear may be considered. 2. For young women with reasonably controlled bl...[Read More] Supporting a Young Friend with Type 1 Diabetes: Essential Care Tips
Diabetes Diet: What Foods to Eat and Avoid for Better Health
Diabetic Diet Hello Dr. Hsiao: I know you have extensive research on diabetes. I would like to ask you: My father was recently diagnosed with diabetes. Should he avoid all foods that contain sugar? Are foods high in starch, such as steamed buns, also not advisable? Could you reco...
Dr. Xiao Yongxun Reply:
Dear Miss Sasa, In response to your question, many people believe that individuals with diabetes should avoid carbohydrates such as rice and bread, but this is incorrect. The key to managing diabetes lies in a balanced diet and weight control. Patients should consume an appropri...[Read More] Diabetes Diet: What Foods to Eat and Avoid for Better Health
Understanding the Risks of High and Low Blood Pressure in Young Adults
Is high or low blood pressure dangerous? Dr. Chen: Hello! I previously underwent a physical examination for military service at Taipei Provincial Hospital, and later they notified me to go for a re-examination! The department for my re-examination is (blood pressure xx), and the ...
Dr. Zhao Chongliang Reply:
The initial consultation is the first medical visit, and typically, we do not treat abnormal blood pressure during this visit, as there are many factors that can influence blood pressure, such as time zone changes (lower in the morning, higher in the evening), eating, exercise, a...[Read More] Understanding the Risks of High and Low Blood Pressure in Young Adults
Understanding Mitral Valve Prolapse: Genetic Risks and Family History
I have mitral valve prolapse? I am 15 years old and during my health check-up in my first year of high school, some issues were found in my electrocardiogram. Later, after experiencing severe chest pain, I went to the hospital for more detailed examinations, and it was discovered...
Dr. Chen Qingbin Reply:
Hello Vivi: Mitral valve prolapse is not a hereditary condition, so you don't need to worry too much. Director of the Health Education Department, Chen Ching-Pin.[Read More] Understanding Mitral Valve Prolapse: Genetic Risks and Family History
Can Diabetes Cause Nose and Hand Damage Without Treatment?
Can diabetes cause the nose to decay? I've heard that diabetic feet can become ulcerated. If someone has diabetes and doesn't see a doctor, will their hands also become ulcerated? Will their nose also become ulcerated, and will they definitely go blind?
Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. Diabetes is a metabolic disorder primarily caused by defects in the secretion of insulin from the pancreatic β-cells, leading to an insufficient amount of insulin or inadequate action of insulin, resulting in elevated blood glucose levels....[Read More] Can Diabetes Cause Nose and Hand Damage Without Treatment?
Understanding Potassium Imbalance: Causes, Symptoms, and Prevention
Potassium ion abnormalities Hello, I am 17 years old and have been diagnosed with hyperthyroidism (on medication for about two years). Currently, my resting heart rate is around 100 beats per minute. Recently, I woke up in the middle of the night needing to urinate but found that...
Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. Common symptoms of hyperthyroidism include palpitations, rapid heartbeat, tremors, fast speech, increased appetite, weight loss, exophthalmos, diarrhea, anxiety, and emotional instability. A minority may present with skin itching and hyp...[Read More] Understanding Potassium Imbalance: Causes, Symptoms, and Prevention
Understanding Drug Allergies: Risks, Resources, and Common Medications
Not found? I'm looking for information related to deaths caused by drug allergies or strokes induced by medications. Could you recommend comprehensive books or websites for this research? Additionally, what types of medications are most likely to cause allergic reactions in ...
Dr. Zeng Guosen Reply:
Hello: 1. Regarding data on drug allergies that can lead to death or stroke, bookstores or websites may not provide detailed or comprehensive information; only professional textbooks might offer more complete and thorough insights. I recommend a book: "Davies' Textboo...[Read More] Understanding Drug Allergies: Risks, Resources, and Common Medications
Does Falling Increase the Risk of Stroke in Hypertensive Patients?
Can a fall cause a stroke? I have a friend whose father had a history of hypertension. Recently, he fell and suffered a stroke. Could the fall have caused the stroke, or could it be due to another underlying condition? Thank you!
Dr. Xiao Yongxun Reply:
Hello, Zhongren. 1. Stroke can be broadly classified into two main categories: hemorrhagic and ischemic. It can occur suddenly or progress gradually, leading to falls in patients. 2. Traumatic intracranial hemorrhage can result from external force or falls, and sometimes it c...[Read More] Does Falling Increase the Risk of Stroke in Hypertensive Patients?
Can Nuclear Medicine Imaging Alone Confirm Myocardial Infarction?
Can a myocardial infarction be definitively diagnosed solely based on nuclear medicine imaging? Hello, my mother recently went to a hospital for an examination and received the following report: NUCLEAR MEDICINE REPORT TL-201 MYOCARDIAL PERFUSION SCAN A TI-201 myocardial perfus...
Dr. Ke Zhengchang Reply:
Dear Ms. Wang Ziyi, Myocardial infarction refers to the ischemic necrosis of myocardial cells, while myocardial ischemia indicates that the coronary arteries are unable to supply sufficient blood, leading to hypoxia of the myocardial cells without cell death. Therefore, myocardi...[Read More] Can Nuclear Medicine Imaging Alone Confirm Myocardial Infarction?
Understanding Rhabdomyolysis: Causes, Risks, and Prevention Tips
Rhabdomyolysis What are the causes of rhabdomyolysis? I've heard that excessive exercise can lead to it; is it really that serious? How can it be avoided or prevented?
Dr. Ke Zhengchang Reply:
Reply to Kavun: Rhabdomyolysis often occurs due to heat stroke, electrical shock, burns, or drug toxicity. To prevent it during exercise, make sure to stay well-hydrated and avoid prolonged exposure to direct sunlight.[Read More] Understanding Rhabdomyolysis: Causes, Risks, and Prevention Tips