Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment
Issues related to undetectable TSH levels due to medication? Hello, doctor. I have a question I would like your assistance with. 1. I have been diagnosed with hyperthyroidism and have been on medication for 23 days: methimazole 10mg three times a day and propranolol 10mg once a d...
Dr. Chen Shunfu Reply:
This question requires a complete blood test report and a physical assessment to answer. If you would like to consult further, please make an appointment with Dr. Li Jian. If no additional medications or tests are prescribed on that day and only a simple consultation is conducted...[Read More] Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment
Understanding Acute Urticaria and Its Connection to SLE: A Patient's Journey
SLE & urticaria Hello Doctor, my question is regarding an unexplained acute urticaria attack I experienced in early July this year. Since then, I have been taking antihistamines, starting with Xyzal 1 tablet daily and now increasing to 1 tablet twice daily. During this period...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The diagnosis of lupus erythematosus indeed requires a combination of clinical symptoms and laboratory test results for greater accuracy. For suspected cases, we also continue to monitor over a period of time rather than making hasty conclusions...[Read More] Understanding Acute Urticaria and Its Connection to SLE: A Patient's Journey
Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice
Abdominal pain, pulmonary inflammation, and high fever issues? Hello Doctor, I apologize for the interruption. I've been experiencing abdominal pain (cramping) for the past two days, and my bowel movements have been very loose. I also have muscle aches, fever (ranging from 3...
Dr. Hong Yuanbin Reply:
Hello: Based on your description of fever, upper abdominal pain, and diarrhea, it is likely that you are experiencing acute gastroenteritis or a gastrointestinal viral infection, possibly caused by consuming contaminated food. The medications you have been prescribed are aimed at...[Read More] Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice
Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
In the recent health check report, a urine urobilinogen level of "1+" indicates a mild presence of urobilinogen in the urine. Urobilinogen is a byproduct of bilirubin reduction, and its levels can provide insights into liver function and hemolysis. A "1+" resu...
Dr. Lin Wuxuan Reply:
Hello: The normal value for urobilinogen is less than 1.0 E.U/dL, and your test result is 1.0, which is actually not considered high. This is because urine tests are typically conducted using the first morning urine, which can be concentrated and may lead to a higher value. Furth...[Read More] Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
A blood sugar level of 131 mg/dL does not necessarily indicate diabetes. According to the American Diabetes Association, a fasting blood sugar level of 126 mg/dL or higher is considered diagnostic for diabetes? Hello Dr. Lin, My mother is 83 years old and was diagnosed with Park...
Dr. Lin Wufu Reply:
Hello! According to the current diagnostic criteria, since glycated hemoglobin (HbA1c) reflects the average blood glucose levels over the past three months, a value greater than 6.5% on one occasion is sufficient for a diabetes diagnosis. Of course, considering your mother's...[Read More] Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
Understanding Thyroid Dysfunction: Impact on Weight and Ear Issues
Hyperthyroidism? Hello doctor, I have been taking the third pack of oral contraceptives, alternating between YAZ and NINA. I have had issues with ear congestion for several years, which initially did not affect my daily life. Recently, however, I have been experiencing multiple e...
Dr. Hong Yuanbin Reply:
Hello: Based on your description, here are a few points to clarify: 1. Regarding thyroid issues: I'm not sure if you have symptoms of hyperthyroidism, such as sensitivity to cold, weight loss, increased anxiety, or frequent diarrhea. If you do not have these symptoms, an i...[Read More] Understanding Thyroid Dysfunction: Impact on Weight and Ear Issues
Low Hemoglobin Levels with No Clear Cause: What to Do Next?
Low hemoglobin levels with no identifiable issues? Hello Doctor, My father, who is around 60 years old, was recently involved in a car accident. He did not sustain any internal injuries, mostly just some abrasions and contusions. He was hospitalized for a little over a week, but...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the hemoglobin level is indeed abnormal. We usually need to know if your father has had previous hemoglobin tests. If he has, we can compare the current values with the previous ones. If the previous values were low, it indicates that there may b...[Read More] Low Hemoglobin Levels with No Clear Cause: What to Do Next?
Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...
Dr. Lin Wuxuan Reply:
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients
Unexplained Fever: Navigating Persistent High Temperatures and Symptoms
Fever of unknown origin? Hello doctor, since July until now (August 26), my body temperature has been consistently elevated. The lowest temperature in July was 37.2°C, and it intermittently rose to 38°C. After a while, I started experiencing gastrointestinal discomfort, vomiting ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is possible that the fever is caused by some atypical infections or non-infectious conditions. There are indeed many potential reasons for this, and a detailed examination is necessary. If the fever persists, I recommend visiting an infectious...[Read More] Unexplained Fever: Navigating Persistent High Temperatures and Symptoms
Understanding Kidney Health: Addressing Concerns About Urine Changes
Kidney problems Hello Doctor: In mid-April, I started experiencing acne on my face, so I visited a dermatologist and took medication and applied topical treatments for about two months. Later, I noticed that my urine had bubbles, so I went to a nephrologist for a urine test and b...
Dr. Lin Wuxuan Reply:
Hello: Based on the partial report you provided, I believe your kidneys are generally in good condition. However, if you could provide complete blood and urine test reports, it would be more helpful in assessing your health status. Generally speaking, foamy urine often raises con...[Read More] Understanding Kidney Health: Addressing Concerns About Urine Changes
Concerns About HIV and Hepatitis B After Unsafe Sexual Encounters
Concerns regarding HIV and Hepatitis B? I have been staying up late until 3 AM since the beginning of the year. Between late February and mid-April, I had several instances of unprotected sexual intercourse with the same person (I am unaware of his medical history; I only know th...
Dr. Hong Yuanbin Reply:
Hello, theoretically, the average window period for HIV is 3 months. If you have not engaged in sexual activity since April, then you should have surpassed the window period. Testing in August would likely yield a negative result, and the chances of infection should be very low. ...[Read More] Concerns About HIV and Hepatitis B After Unsafe Sexual Encounters
Understanding Thyroid Function Changes During Pregnancy: Key Concerns
Is there a trend for hypothyroidism to progress to hyperthyroidism? Hello Doctor: I am currently 34 weeks pregnant. At the end of May this year, I had my thyroid function tested at the hospital, and the blood test results were as follows: Free T4: 0.79 (normal range: 0.89-1.76), ...
Dr. Lin Jianliang Reply:
There are many factors to consider regarding thyroid diseases, and the complexities increase during pregnancy. It is recommended that you schedule a follow-up appointment to discuss this with your attending physician without delay. This is the most timely and effective way to add...[Read More] Understanding Thyroid Function Changes During Pregnancy: Key Concerns
Understanding Swollen Feet: Causes Beyond Normal Test Results
Swollen feet? Why is it that despite normal results from blood tests, urine tests, and ultrasound, my lower limbs are still swollen? I have hypertension and am taking medication; could this be affecting me?
Dr. Wu Hongjie Reply:
Hello: I'm not sure about the contents of your blood, urine, and ultrasound tests. There are many causes for leg swelling: medication, salt retention, hormonal imbalance, inflammation, vascular embolism, poor blood flow, lymphedema, etc., which can all lead to edema. If your...[Read More] Understanding Swollen Feet: Causes Beyond Normal Test Results
Understanding High Postprandial Insulin Levels: Risks and Recommendations
Postprandial insulin levels are elevated? Hello Doctor, I would like to inquire about my blood test results. On May 1st, after a meal, my glycated hemoglobin (HbA1c) level was 5.3, which is within the normal range. However, on May 7th, due to a gynecological issue related to a de...
Dr. Chen Jianyu Reply:
You can make an appointment to inquire at the outpatient clinic.[Read More] Understanding High Postprandial Insulin Levels: Risks and Recommendations
Understanding Low C-Peptide Levels: Implications for Diabetes and Weight Management
Low C-Peptide Dear Dr. Lin, Thank you for your prompt response. I apologize for needing to ask a few more questions: 1) Is there a difference in fasting C-Peptide levels between 8 hours and 12 hours? 2) Is a low C-Peptide level associated with a lower likelihood of regaining ...
Dr. Lin Jianliang Reply:
1. C-peptide: It is generally recommended to have blood drawn after fasting for about 8 hours, but prolonged fasting is not advised as it may affect the test results. 2. Generally, C-peptide is not commonly used to assess the likelihood of weight regain. 3. Based on your current ...[Read More] Understanding Low C-Peptide Levels: Implications for Diabetes and Weight Management
Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms
Post-PEP Testing Hello Dr. Liao, I engaged in sexual activities on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. There were around 10 thrusts, but the condom was not fitted properly. When I wit...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the topic of body temperature fluctuations and sweating after fever, here is the response: A: 1. If prophylactic treatment (PEP) was initiated within 66 hours and completed a 4-week course on April 16, you should be able to feel reassured. 2. Since the w...[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms
Understanding Post-Exposure Prophylaxis (PEP) Testing and Results
Post-PEP Testing Hello Dr. Hong, I engaged in sexual activity on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. During the intercourse, the condom did not fit well, and upon withdrawal, only the...
Dr. Hong Yuanbin Reply:
Hello, based on your description, you have completed PEP and subsequent tests have returned negative. Unless you have had further relevant exposure, the likelihood of contracting HIV is indeed very low. As for the symptoms you later described, such as fever, night sweats, and dia...[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Results
Understanding Bloodborne Infection Risks in Acupuncture Practices
Hepatitis B/C, HIV, syphilis, bloodborne infections from acupuncture? Hello, doctor. I have a question regarding an incident at an acupuncture clinic. After the acupuncture needles were removed, there was some bleeding. The physician mistakenly used a cotton ball that had been us...
Dr. Hong Yuanbin Reply:
Hello, regarding your questions: First, if your wound has come into contact with another person's blood, there is indeed a risk of bloodborne infection. Second, if the other person is confirmed to be negative for Hepatitis B/C and HIV, then you would not be at risk of in...[Read More] Understanding Bloodborne Infection Risks in Acupuncture Practices
Understanding Memory Loss and Neurological Symptoms in Syphilis
Xiao Mei's response? Hello, doctor. I am 135310, and I have been experiencing some unusual symptoms recently, including slight memory decline, frequent episodes of zoning out, difficulty concentrating, and occasional balance issues. Are these symptoms related to vascular syp...
Dr. Hong Yuanbin Reply:
Hello, it is true that some individuals may not fully return to normal after syphilis treatment, and it is important to continuously monitor symptoms and test results to assess recovery. If the test results remain low and the person experiences no discomfort, it may be considered...[Read More] Understanding Memory Loss and Neurological Symptoms in Syphilis
High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Elevated levels of immunoglobulin Kappa? Hello, I am a 48-year-old male, 166 cm tall and weighing 66 kg, with hereditary Mediterranean anemia. I had a urinary stone in 2012, but it passed naturally. I do not have hypertension (January 2018 readings: 122 mmHg systolic, 77 mmHg dia...
Dr. Wu Jiyu Reply:
Based on your inquiry, I can provide you with some recommendations: 1. The eGFR of 55 is slightly low, and the urine microalbumin/creatinine ratio of 303.4 mg/g is elevated; it is advisable to have long-term follow-up with a nephrologist. 2. Regarding the immunoglobulin levels, K...[Read More] High Kappa Immunoglobulin Levels: Understanding Potential Health Risks