Understanding High Thyroid Antibodies: Implications and Monitoring Guidelines
Thyroid antibodies Due to a slight enlargement in the neck, I went to the hospital for a blood test. The doctor said that all the indices are within the normal range, but my antibody levels are quite high. I would like to ask: (1) If antibody levels are high, what issues could ar...
Dr. Yang Hongzhi Reply:
If thyroid antibodies are present, there is a higher likelihood of developing thyroid dysfunction in the future. If the previous thyroid function test was normal, blood tests can be repeated in about six months. Blood tests can also be conducted at any time if there are symptoms ...[Read More] Understanding High Thyroid Antibodies: Implications and Monitoring Guidelines
Should You Consider MRI for Unexplained Symptoms in Your Mother?
Should an MRI scan be performed? My mother is sixty years old and has been experiencing some symptoms, but the cause has not been identified. She sweats easily, feels cold, has weakness in her limbs, experiences fatigue, has a poor appetite, and also suffers from tinnitus, which ...
Dr. Yang Hongzhi Reply:
Thyroid computed tomography or magnetic resonance imaging may not be very helpful in this situation, but it ultimately depends on the judgment of the patient's attending physician.[Read More] Should You Consider MRI for Unexplained Symptoms in Your Mother?
Request for Online Consultation: Unable to Attend Scheduled Appointment
I have an appointment scheduled for 970830 but am unable to attend the follow-up in person. Is it possible to receive a response online? I had a follow-up appointment on August 16, 1997, and I scheduled another appointment for the morning of August 30, 1997, under number 95. Howe...
Dr. Yang Hongzhi Reply:
Thyroid function tests conducted on August 16 were normal; current management can continue as is.[Read More] Request for Online Consultation: Unable to Attend Scheduled Appointment
Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained
Thyroid disorders Hello Dr. Yang, My mother was diagnosed with hyperthyroidism 20 years ago and underwent surgery to remove her thyroid. However, in recent years, she has started to experience discomfort again, with primary symptoms including chronic insomnia, dizziness, excess...
Dr. Yang Hongzhi Reply:
The results of the thyroid function tests are very clear; if the thyroid function is normal, it rules out the possibility that the symptoms at that time are caused by thyroid factors.[Read More] Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained
Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments
Hyperthyroidism Hello Doctor, I have been taking two anti-thyroid medications in the morning and evening, along with one medication to control my heart rate for about two months. On April 12, I had a blood test, and the results (which I will review on May 10) showed free T4 = 0.9...
Dr. Yang Hongzhi Reply:
Hello: Sometimes, thyroid function tests may return to normal, but there are still some symptoms of palpitations. In this case, you can resume taking the medication that initially controlled the sympathetic nervous system. Adjustments to thyroid medication should primarily be bas...[Read More] Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments
Understanding Thyroid Enlargement: Concerns and Next Steps for Patients
Goiter Hello Dr. Yang: I consulted with Dr. Dong Jin-jia at Taoyuan General Hospital's Internal Medicine Department. The examination revealed that I have an enlarged thyroid gland. I have been taking a medication called Antithyroid for 9 months. For the first 6 months, the s...
Dr. Yang Hongzhi Reply:
Hello: 1. Thyroid enlargement needs to be differentiated as either diffuse goiter (where the entire thyroid gland is enlarged) or thyroid nodules (which may consist of one or more nodules), so the ultrasound results will determine which type it is. 2. Some thyroid enlargements ca...[Read More] Understanding Thyroid Enlargement: Concerns and Next Steps for Patients
Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice
Thyroid issues Hello Doctor: My family member previously went to the hospital for a thyroid function test, which showed T3: 136, T4: 8.27, TSH: 13.3. Later, during a follow-up test, the TSH level increased to over 51. I have a few questions: 1. What could have caused this? 2. My ...
Dr. Yang Hongzhi Reply:
Normal T3 and T4 levels with a slight increase in TSH are referred to as subclinical hypothyroidism, indicating that the thyroid gland is showing a tendency towards dysfunction. However, due to compensatory mechanisms, thyroid function remains normal. If TSH rises to 51, it is ne...[Read More] Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice
Understanding Severe Palpitations: Causes and Diagnostic Approaches
Severe palpitations? I apologize! Recently, I often feel a strong heartbeat, and there is a sharp pain in the lower left side of my heart. The back of my head also experiences sharp pain that is truly unbearable. It has been occurring more frequently. In previous health check-ups...
Dr. Chen Qingbin Reply:
You need to go to the hospital for an electrocardiogram (ECG) and thyroid function tests.[Read More] Understanding Severe Palpitations: Causes and Diagnostic Approaches
Understanding Palpitations and Dizziness: Should You See a Doctor?
Palpitations, dizziness? Experiencing dizziness, palpitations, a feeling of shortness of breath that requires deep breathing, and slight weakness or trembling in the hands every afternoon may indicate a thyroid issue. It is advisable to consult a doctor for an evaluation and nece...
Dr. Yang Hongzhi Reply:
Thyroid function tests can be conducted to determine if there are any thyroid function issues. Based on the description of the symptoms, the possibility of hyperthyroidism exists, but it is not very high.[Read More] Understanding Palpitations and Dizziness: Should You See a Doctor?
Understanding Thyroid Enlargement: Causes and Treatment Options
Thyroid enlargement? I previously visited a small clinic due to a cold and learned that I have an enlarged thyroid gland. I have also been to a provincial hospital's endocrinology department for examination, and my mother reviewed the doctor's report, which she said was...
Dr. Yang Hongzhi Reply:
Obvious thyroid enlargement can cause a protrusion in the lower neck, which can be confirmed through visual inspection or palpation. If the enlargement is not very pronounced, an ultrasound examination can be used for confirmation. Patients with thyroid enlargement may not necess...[Read More] Understanding Thyroid Enlargement: Causes and Treatment Options
Is There a Link Between Hyperhidrosis and Endocrine Disorders?
Is there a relationship between hyperhidrosis and the endocrine system? Hello, I have a problem with generalized hyperhidrosis. I previously consulted with Dr. Ding from the neurosurgery department, and according to his response, I am indeed an irritable person with elevated bloo...
Dr. Yang Hongzhi Reply:
Excessive sweating, nervousness, and eating a lot without gaining weight may indicate hyperthyroidism. Other symptoms of hyperthyroidism include palpitations, tremors, and increased bowel movements. If these symptoms are present, thyroid function tests should be considered.[Read More] Is There a Link Between Hyperhidrosis and Endocrine Disorders?
Understanding Thyroid Function Issues: Seeking Answers After Normal Test Results
Thyroid dysfunction issues? Hello: Previously, I had a cold and visited a small clinic where the doctor suspected I might have a thyroid issue. I then went to a larger hospital for testing, but when the blood test results came back, the doctor said everything was normal. However,...
Dr. Yang Hongzhi Reply:
Thyroid diseases have a hereditary tendency. When you visit a clinic, the physician may suspect a thyroid issue, which could indicate thyroid enlargement. Individuals with an enlarged thyroid may have normal thyroid function tests. If you experience symptoms such as palpitations,...[Read More] Understanding Thyroid Function Issues: Seeking Answers After Normal Test Results
Understanding Hypertension: Causes, Mechanisms, and Diagnosis Challenges
Regarding hypertension? Hello, Dr. Yang. I would like to ask the following questions: 1. Is hypertension caused by "poor blood circulation"? Of course, I understand that it is related to diet, lifestyle, and other factors, but I mainly want to know the actual "me...
Dr. Yang Jun Reply:
Hello: In response to your question, 90% of hypertension is primary, related to genetics, and the cause cannot be identified. The remaining 10% of hypertension is secondary, caused by other diseases, and is associated with kidney function, renal artery stenosis, obesity, endocrin...[Read More] Understanding Hypertension: Causes, Mechanisms, and Diagnosis Challenges
Understanding Low Blood Pressure: Symptoms and Possible Health Issues
Hypotension I have been experiencing low blood pressure lately, with occasional rapid heartbeats and cold sweats. Whenever I have cold sweats, I tend to eat a lot, and I've noticed some weight loss. However, I don't have a loss of appetite, but I feel very tired and hav...
Dr. Yang Hongzhi Reply:
Rapid heartbeat, excessive sweating, and nervousness, along with increased appetite and weight loss, may indicate hyperthyroidism. Thyroid function tests can be conducted to make a diagnosis.[Read More] Understanding Low Blood Pressure: Symptoms and Possible Health Issues
Understanding Shortness of Breath: Causes and When to Seek Help
Shortness of breath? Recently, I have been experiencing occasional shortness of breath and difficulty catching my breath. At times, my palms and face feel numb. I consulted a cardiologist who found nothing unusual and prescribed Xanax 0.5 mg, but there has been no improvement. Wh...
Dr. Ke Zhengchang Reply:
Hello Shuna: It is recommended that you undergo examination and treatment in the pulmonology department (such as X-rays, pulmonary function tests, and blood oxygen saturation tests, as well as thyroid function tests). If everything is normal, it may be anxiety disorder or adjustm...[Read More] Understanding Shortness of Breath: Causes and When to Seek Help
Is It a Heart Problem? Understanding Symptoms and Seeking Further Testing
Is this a heart problem? Hello Doctor: I previously had an electrocardiogram (ECG) at the hospital, which lasted only one to two minutes. The doctor diagnosed me with a slight arrhythmia and said it was nothing to worry about. However, I felt that my condition during the ECG was ...
Dr. Ke Zhengchang Reply:
Young males can occasionally experience arrhythmias, but most are benign and transient. Avoiding smoking, alcohol, coffee, and tea, as well as maintaining a regular routine, is crucial. If symptoms persist and cause discomfort, a 24-hour Holter monitor can be arranged. Thyroid fu...[Read More] Is It a Heart Problem? Understanding Symptoms and Seeking Further Testing
Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns
Thyroid nodule Hello Dr. Tseng, I have been experiencing symptoms such as hand tremors, palpitations, and a sensation of pressure in my neck. Sometimes, I also have difficulty breathing and wheezing. I previously consulted a doctor, who performed blood tests and an ultrasound, ...
Dr. Zeng Fenyu Reply:
Dear Miss Yi-Jun, Thank you very much for your letter. Regarding your questions, my responses are as follows: 1. The indications for surgery on thyroid nodules are as follows: (1) When the nodule is too large and compresses the trachea. (2) When there is suspicion of mali...[Read More] Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns
Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Increased heart rate? Hello doctor, last December I went to the emergency room at a large hospital because of a rapid heartbeat. They performed an electrocardiogram (ECG) and said everything was fine, and they also drew arterial and venous blood, which came back normal. After tha...
Dr. Ke Zhengchang Reply:
Hello, Ms. BABY: Please schedule an appointment with a cardiologist for a 24-hour Holter monitor and thyroid function tests to determine if there is hyperthyroidism or arrhythmia, which will allow for effective treatment.[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Understanding Facial Flushing: Causes and Solutions
Easily blush? When I quietly read or work for a while, my face becomes flushed and feels warm. Sometimes, when I go to crowded places, such as attending a wedding or chatting over coffee, my face turns red and feels hot after sitting for a while, and I feel a bit stuffy. What cou...
Dr. Ke Zhengchang Reply:
Hello Julier: Generally, having these symptoms is a normal response (vasodilation). If you experience chest discomfort, please go to the hospital for an electrocardiogram and thyroid function tests.[Read More] Understanding Facial Flushing: Causes and Solutions