Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Uric acid and metabolism issues? Hello Dr. Hsiao, Question 1: Around the age of 20, I was diagnosed with high uric acid levels, approximately double the normal range, which led to gout (in my toe). The doctor mentioned it might be hereditary, but my family members do not exhibit...
Dr. Xiao Yongxun Reply:
Question 1: The definition of hyperuricemia is a serum uric acid concentration greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. Uric acid is a risk factor for the development of gout; however, the relationship between hyperuricemia and acute gout remains unclear...[Read More] Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Joint pain, edema, pityriasis rosea? Hello Dr. Tseng, A while ago, I accidentally bumped my left middle finger joint lightly against a table, which started to hurt slightly. At first, I thought it was just a bruise, but it has been over two months now, and it has developed into ...
Dr. Zeng Guosen Reply:
Hello, based on the definition, symptoms such as pain in the joints, muscles, fascia, and bones can all be referred to as rheumatism. Some rheumatic conditions can be diagnosed as specific diseases through symptoms, blood tests, and X-rays, while others may still remain undiagnos...[Read More] Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
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
Understanding Abdominal Pain, Nausea, and Dizziness: Causes and Concerns
Abdominal cramps with nausea and dizziness? Hello, doctor! I have a question... This morning, I suddenly experienced severe abdominal cramps and felt the urge to have a bowel movement. During the process, I suddenly felt nauseous and wanted to vomit. After finishing, I tried to g...
Dr. Hong Hongchang Reply:
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: During bowel movements, reflexive changes in blood pressure can occur, which may sometimes lead to dizziness. Additionally, gastroenteritis could also be a factor. Card...[Read More] Understanding Abdominal Pain, Nausea, and Dizziness: Causes and Concerns
Managing Diabetes and Cirrhosis: Foods and Juices for Better Health
Diabetes and Liver Cirrhosis Your father has liver cirrhosis and diabetes, and he is currently using insulin. He experiences frequent hunger, so what foods can he eat that won't raise his blood sugar levels? Additionally, what juices are suitable for people with diabetes? Ho...
Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. The management of diabetes and blood sugar control must focus on diet, exercise, and medication. This includes dietary content, form, caloric intake, types of exercise, timing, and intensity. The use of medications, their interactions, a...[Read More] Managing Diabetes and Cirrhosis: Foods and Juices for Better Health
Understanding Infection Risks During Health Checkups: What You Need to Know
Risk of Infection during Health Check-ups Hello, doctor. I recently had a health check-up. 1. Due to my own oversight, I only noticed after the check-up that I had a skin abrasion on my toe. During the examination, there were several procedures where I had to lie down (gastroscop...
Dr. Lin Mingfeng Reply:
1. If the bed sheets are not clean, there is a possibility that viruses or bacteria could enter the body through wounds. However, the HIV virus is extremely fragile and dies within a few hours outside the human body, making transmission through this route unlikely. In accredited ...[Read More] Understanding Infection Risks During Health Checkups: What You Need to Know
Unexplained Symptoms in an 81-Year-Old: Seeking Diagnosis and Solutions
Uncertain etiology? My grandmother is 81 years old and has a history of gastric ulcers. She has been using sleeping pills for a long time and occasionally experiences palpitations, for which she takes medication for heart disease. She also has bone spurs, osteoporosis, and hypert...
Dr. Yang Hongzhi Reply:
Many symptoms cannot be definitively diagnosed; however, it may be worth considering the possibility of peripheral neuropathy. If you have not seen a neurologist, it is advisable to seek medical attention.[Read More] Unexplained Symptoms in an 81-Year-Old: Seeking Diagnosis and Solutions
Understanding Bruising and Menstrual Changes: Health Insights
Bruising and m.c? Hello Doctor: Last December, I wore shoes that were too small, which caused significant pain in my big toe, and the tissue under the nail became bruised. Now, my big toes no longer hurt, but the bruising has not resolved. Previously, the blood donation center in...
Dr. Wang Fangli Reply:
If the bruising has not resolved after four months, you should visit a hospital for evaluation. For menstrual issues, it is also advisable to consult a gynecologist for examination.[Read More] Understanding Bruising and Menstrual Changes: Health Insights
Understanding Gout: Causes, Symptoms, and Long-Term Management Options
Dr. Tseng: Hello! I experience gout attacks every year in June, July, and August (in my big toe). Why does this happen? When it flares up, the pain is so intense that I can't sleep, and my toe becomes red and swollen! I have to rely on medication and injections to alleviate ...
Dr. Zeng Guosen Reply:
Hello, internet user: Gout is caused by elevated levels of uric acid in the blood. It can be categorized into two main types: those with identifiable causes and those without. If the cause of your high uric acid levels cannot be determined and you continue to experience frequent ...[Read More] Understanding Gout: Causes, Symptoms, and Long-Term Management Options
Exploring Non-Amputation Treatments for Diabetic Foot Ulcers
Diabetic foot Hello, Doctor. My mother is 87 years old and has diabetes. She previously had a heel injury that improved with hyperbaric oxygen therapy. In February of this year, her heel cracked again, and she has also developed wounds on her toes. We have conducted cardiovascula...
Dr. Shi Guangzhong Reply:
The causes of amputation are often not due to a single factor, but rather the combined effects of multiple factors, including neuropathy, ischemic disease, ulcers, poor wound healing, and infections. Your mother has already undergone cardiovascular examinations; I am unsure of th...[Read More] Exploring Non-Amputation Treatments for Diabetic Foot Ulcers
Does Eating Sweet Potatoes Raise Blood Sugar Levels and Risk Diabetes?
Does eating sweet potatoes frequently cause an increase in blood sugar levels? Currently, if your fasting blood sugar is 119, regularly consuming sweet potatoes may lead to increased blood sugar levels, potentially contributing to the development of diabetes.
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many causes of diabetes, generally classified into Type 1 and Type 2. The former accounts for 5-10% and is primarily due to the destruction of pancreatic β-cells by autoimmune antibodies or other factors; the latter accounts for ...[Read More] Does Eating Sweet Potatoes Raise Blood Sugar Levels and Risk Diabetes?
Understanding Joint Pain: Possible Causes and Treatment Options
Joint issues Doctor: Hello. My left knee cartilage has been worn down due to work for the past ten years. Recently, I've been experiencing pain in the area between my knees and my tailbone. After walking a distance or squatting for a while, both of my heels feel warm, but it...
Dr. Zeng Guosen Reply:
Dear Aa: Hello, based on the described situation, it seems to be related to the tendons and joints. The symptoms alone cannot determine if it is rheumatoid arthritis. I recommend visiting an orthopedic or rehabilitation specialist to identify the specific issue and then provide a...[Read More] Understanding Joint Pain: Possible Causes and Treatment Options
Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips
Regarding the issue of high uric acid levels? I would like to consult a doctor. I have a condition of elevated uric acid levels, with values between 11 and 12. Is the normal value 7? I discovered this issue three years ago when I suddenly experienced severe lower back pain and wa...
Dr. Wang Weijie Reply:
Hello, Ayou: The uric acid level should be maintained below 7.0 mg/dL. The most common sites affected by gout are the joints, particularly the interphalangeal and metatarsophalangeal joints (especially the big toe). During an acute attack, colchicine is typically administered alo...[Read More] Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips
Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?
The patient has experienced significant weight loss over the past six months, but despite eating a lot, they do not feel full? Patients with hypertension and diabetes who are currently on medication should pay attention to the following dietary considerations: 1. **Limit Sodium ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many reasons for weight loss, with common causes including diabetes, hyperthyroidism, cancer, and other diseases. Among these, cancer predominantly involves gastrointestinal disorders. 2. The dietary management for hypertensi...[Read More] Managing Diet for Hypertension and Diabetes: Can You Eat Sweet Potatoes and Corn?
Understanding Diabetes: Insulin Use, Nail Care, and Blood Sugar Control
Confused Diabetes 1. The insulin syringe is traditional; should it be discarded after one use or can it be used for a day with multiple doses? 2. Is it better to trim toenails in a rounded or straight shape, and what are the differences? 3. How much can one unit of insulin lo...
Dr. Guo Qinghui Reply:
1) Insulin syringes should ideally be disposed of after a single use, but this poses significant waste management issues. Therefore, as long as they are kept clean, they can be reused to benefit the environment. 2) Diabetic patients should avoid trimming their toenails themselves...[Read More] Understanding Diabetes: Insulin Use, Nail Care, and Blood Sugar Control
Understanding Peripheral Vascular Examination: Risks and Insights
What is a peripheral vascular examination? Dr. Hsiao: 1. What is a peripheral vascular examination? 2. Is there any risk involved? Thank you.
Dr. Xiao Yongxun Reply:
Hello: In response to your question, peripheral vascular examination generally refers to various tests for diagnosing peripheral vascular diseases, primarily related to arterial stenosis or occlusion caused by atherosclerosis in the lower extremities. These tests include: 1. Ankl...[Read More] Understanding Peripheral Vascular Examination: Risks and Insights
Understanding Leg Swelling and Heel Pain: Causes and Treatments
Lower limb lymphadenopathy Hello Dr. Yao, I have two symptoms: 1. There is a hard lump about the size of a half peanut near the left leg at the popliteal fossa; I have noticed it for about three weeks, and sometimes it seems to be smaller. 2. After getting out of bed, I exp...
Dr. Yao Quan Reply:
Dear Mr. Yao, Hello. The hard lump at the acupoint "Shu Xi" may be considered as lymphadenopathy, which could be caused by inflammation, tumors, or other factors. I recommend that you visit our general surgery outpatient department, where the physician will assess the ...[Read More] Understanding Leg Swelling and Heel Pain: Causes and Treatments
Maintaining Weight Loss: Tips to Avoid Yo-Yo Dieting and Hair Loss
Weight loss Hello, doctor. About 5-6 months ago, I lost 20 kilograms, going from 70 to 50 kg, through dieting. My method was to have a normal breakfast, but I often ate Kellogg's Fruit Granola with fresh milk. For lunch, I had various steamed vegetables and boiled pork, and ...
Dr. Wang Fangli Reply:
For breakfast, you can continue eating as you did six months ago. For lunch and dinner, you should add one bowl of rice (filled to 80%). Avoid consuming too much sweet fruit. In addition to dietary control, it's important to maintain regular exercise.[Read More] Maintaining Weight Loss: Tips to Avoid Yo-Yo Dieting and Hair Loss
Understanding Leg Cramps in Growing Teenagers: Causes and Solutions
Cramps in Growing Adolescents Hello, my son is 15 years old, with a height of 172 cm and a weight of 47 kg. Recently, he often complains of cramps in his toes and the second toe. What could be the reason for this? Should we see a doctor (which specialty)? Does he need to suppleme...
Dr. Wang Fangli Reply:
If you are slightly underweight and experiencing muscle cramps, it is advisable to visit a hospital and consult either an internal medicine specialist or a family medicine physician for evaluation.[Read More] Understanding Leg Cramps in Growing Teenagers: Causes and Solutions
Dietary Tips for Diabetics with Hypertension: Sweet Potato Impact Explained
Diabetes mellitus Patients with hypertension and diabetes who are currently on prescribed medication should pay attention to the following dietary considerations: 1. **Limit Sodium Intake**: Reducing salt consumption can help manage blood pressure. Aim for less than 2,300 mg of ...
Dr. Xie Yonghui Reply:
Hello Mr. Ahua, 1. Patients with hypertension and diabetes should consume low-sugar and low-sodium foods. Dietary control is crucial for blood sugar management in diabetes patients. 2. The dietary principles for diabetes are as follows: * Follow a meal plan developed in cons...[Read More] Dietary Tips for Diabetics with Hypertension: Sweet Potato Impact Explained