Which Medical Specialty Should You Consult for Diabetic Foot Issues?
Which department should be consulted for a diabetic foot examination? Hello Doctor: Diabetes can lead to foot complications, and which department should one consult for a foot examination? Should it be the Department of Metabolism, Internal Medicine, Surgery, Neurosurgery, Dermat...
Dr. Shi Guangzhong Reply:
1. Regarding which department to consult for foot examinations: Foot lesions can be identified through some simple assessments. Medical institutions within the diabetes care network typically include foot examinations as part of their services. The assessment of small nerve funct...[Read More] Which Medical Specialty Should You Consult for Diabetic Foot Issues?
Can a 15-Year-Old Still Grow Taller? Insights for Parents
Can a 15-year-old still grow taller? Hello Dr. Yang, I would like to ask you about my son who is currently 14 years and 7 months old. He has mild cerebral palsy affecting his motor neurons, which prevents him from running and jumping like other children. He has a slight tendency ...
Dr. Yang Hongzhi Reply:
Hello: If you have hypothyroidism, you should prioritize treatment for this issue. Hospitals with a metabolism department should be able to handle it.[Read More] Can a 15-Year-Old Still Grow Taller? Insights for Parents
Diabetic Foot Care: Are Sandals Safe and Beneficial?
Diabetic foot problems Foot Issues: Are diabetic patients suitable for wearing sandals? Is it better to have cushioning? There are diabetic-specific shoes available on the market (with more options in sandals), are they beneficial for patients? Is it often recommended to massage ...
Dr. Guo Qinghui Reply:
Diabetic foot is a common complication among individuals with diabetes, and in severe cases, amputation may be necessary. Choosing the right footwear is a crucial step in preventing diabetic foot complications and amputations, as diabetes can lead to peripheral neuropathy, result...[Read More] Diabetic Foot Care: Are Sandals Safe and Beneficial?
Managing Multiple Chronic Conditions: Risks and Treatments for Your Mother
Multiple chronic diseases Hello Dr. Chen, My mother is 56 years old and has elevated uric acid levels, hypertension, and an allergic constitution. She has been experiencing long-term bone pain, which has now evolved into pain and stiffness in the joints of her hands. She is a he...
Dr. Chen Baoli Reply:
Hello, Xiaoyu: From your description, I would like to highlight a few points: 1. Soy isoflavones, a type of phytoestrogen, serve as an alternative to traditional hormone therapy for the prevention of osteoporosis. However, the actual safe dosage has not been established. There...[Read More] Managing Multiple Chronic Conditions: Risks and Treatments for Your Mother
Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments
Is it diabetes? Hello Doctor: Since November, I have been experiencing hematuria. X-rays and ultrasounds showed no stones and were normal. Urinalysis results indicated the presence of white blood cells and red blood cells. The doctor mentioned it might be urethritis. Additionally...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the diagnostic criteria for diabetes are generally as follows: 1. A fasting plasma glucose level of greater than or equal to 126 mg/dL after fasting for at least 8 hours. 2. The presence of clinical symptoms of diabetes such as polyuria, polyd...[Read More] Could My Symptoms Indicate Diabetes? Understanding Causes and Treatments
Understanding Joint Aspiration for Gout: Key Questions Answered
Questions about joint aspiration? Symptoms: Hello, doctor. I have a history of gout! I would like to ask if joint aspiration for crystal examination can only detect crystals during an acute gout attack (redness and swelling), or is there no chance of detecting them when I am asym...
Dr. Zeng Guosen Reply:
Hello: 1. Hyperuricemia can lead to the formation of joint crystals, and during acute episodes, white blood cells can be seen phagocytizing these crystals. The two are different. 2. The larger the joint, the easier it is to aspirate; however, the soles of the feet cannot be aspir...[Read More] Understanding Joint Aspiration for Gout: Key Questions Answered
Is It Just Sweating or Body Odor? Understanding Your Symptoms
I'm not sure if it's body odor or just excessive sweating! I have a constitution that tends to sweat a lot. Every summer, when I start sweating, my body odor resembles that of a boy. Do I need to use an endoscope to eliminate the odor? Also, after wearing clothes for a ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The human skin is composed of the epidermis, dermis, and subcutaneous tissue, with its appendages including sweat glands (which consist of apocrine and eccrine glands), sebaceous glands, hair, and nails (fingernails and toenails). The apoc...[Read More] Is It Just Sweating or Body Odor? Understanding Your Symptoms
Can You Stop Taking Uric Acid Medications After Treatment?
Can uric acid-lowering medications be discontinued? Hello Doctor, I experienced a gout attack in my right big toe several years ago. At that time, I took uric acid-lowering medication for about a year and a half, and since my uric acid levels were not high, I stopped the medicati...
Dr. Liu Hongxiang Reply:
The reference values for each test may vary depending on the initial settings of the instrument or the reagents used. After taking uric acid-lowering medication for a period of time, if the uric acid level can be reduced to below 6 or 7 (depending on the instrument), the medicati...[Read More] Can You Stop Taking Uric Acid Medications After Treatment?
Understanding Redness and Swelling in Toes: Gout or Uric Acid?
Redness and swelling? I experience redness and swelling in my toes every winter. Could this be caused by gout or uric acid?
Dr. Chen Jingwen Reply:
Hello! When we consume protein-rich foods, they are metabolized into uric acid in the body. Elevated blood uric acid levels can lead to the deposition of urate crystals in soft tissues, joint capsules, or organs such as the kidneys, causing inflammation in the joints, which resul...[Read More] Understanding Redness and Swelling in Toes: Gout or Uric Acid?
Understanding Rheumatoid Arthritis: Symptoms, Diagnosis, and Next Steps
Pain in the four limbs? I have severe pain in my left hand and stiffness, and my toes and the area where my toes connect to my feet are very painful. This has been going on for two months. My mother has rheumatoid arthritis, and I am currently taking pain medication for it, but i...
Dr. Zeng Guosen Reply:
Hello, 1. The diagnosis of rheumatoid arthritis is not solely based on blood tests (rheumatoid factor). About 20-25% of patients with rheumatoid arthritis may have normal blood test results. It is recommended to consult a rheumatologist for evaluation. 2. Rheumatoid arthritis...[Read More] Understanding Rheumatoid Arthritis: Symptoms, Diagnosis, and Next Steps
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun Reply:
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Navigating Diabetes Complications: A Daughter's Plea for Guidance
I'm sorry, but I need specific content to translate. Please provide the text you would My father, who has always had a strong personality, has been suffering from diabetes for the past three years without letting any of his friends or family know. It wasn't until Decemb...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, I am deeply sorry to hear about your father's condition. The complications of diabetes include macrovascular diseases such as heart and cerebrovascular disorders, as well as microvascular diseases like retinopathy, nephropathy, and periphe...[Read More] Navigating Diabetes Complications: A Daughter's Plea for Guidance
Understanding Chronic Constipation: Causes, Treatments, and When to Seek Help
Constipation Hello, I am 16 years old and have been suffering from constipation for about 5 to 6 years since I can remember. Initially, I didn't pay much attention to it, but over the past year, I started traditional Chinese medicine treatment. It worked for the first one to...
Dr. Chen Qingbin Reply:
Your condition does not seem to be a simple case of constipation; it is best to visit a hospital and consult a gastroenterologist for examination and treatment.[Read More] Understanding Chronic Constipation: Causes, Treatments, and When to Seek Help
Which Specialist Should You See for Your Child's Hand Symptoms?
Which specialty clinic should I visit? Dear Dr. Tseng, My daughter’s right ring finger suddenly became red, swollen, and numb about half a month ago. After about two days, all her other fingers also became red and swollen, and sometimes they would go completely numb, but then it...
Dr. Zeng Guosen Reply:
Hello! According to online descriptions, Raynaud's phenomenon should be considered, and it could also be caused by vascular circulation disorders or vasculitis. If symptoms persist, it is advisable to consult a rheumatologist. Currently, the most important measures are to ke...[Read More] Which Specialist Should You See for Your Child's Hand Symptoms?
Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
I'm sorry, but I need specific content to translate. Please Hello: I would like to ask about the pathological mechanism of gout, what medications are used for treatment, and what symptoms it has?
Dr. Ke Zhengchang Reply:
Gout is formed due to prolonged elevated levels of uric acid in the blood, leading to the formation of urate crystals in the joint cavity, which causes acute attacks characterized by redness, swelling, heat, and pain in the joints. Over time, this can result in joint deformities ...[Read More] Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
Understanding Joint Aspiration: Is It Gout and What to Expect?
Joint aspiration Doctor... I went to the hospital yesterday to have joint fluid extracted, but they couldn't get any. The swelling in my left foot has not gone down for 2 to 3 months; sometimes it hurts, and sometimes it doesn't. I used to have swelling in my right inde...
Dr. Ke Zhengchang Reply:
1. If the swelling in your left foot has not resolved after 2 to 3 months, it is important to consider the possibility of other underlying issues, including infections or rheumatoid arthritis. Please discuss this further with your physician. 2. With a uric acid level of 12 and ...[Read More] Understanding Joint Aspiration: Is It Gout and What to Expect?
Understanding Systemic Sclerosis: Care Tips and Survival Rates
Systemic Sclerosis I was recently diagnosed with systemic scleroderma, a rare autoimmune disease. I would like to know how to manage this condition and what precautions I should take. What is the survival rate? Where can I find support groups for patients? I'm feeling quite ...
Dr. Zeng Guosen Reply:
Hello! 1. First, I would like to remind you to confirm whether the diagnosis was made by a rheumatologist. If the diagnosis is accurate, the survival rate will depend on whether it is limited to the skin or if there is involvement of internal organs such as the heart, lungs, or k...[Read More] Understanding Systemic Sclerosis: Care Tips and Survival Rates
Understanding Edema: Symptoms, Causes, and When to Seek Help
Regarding edema? I have recently noticed swelling in my fingers and toes upon waking up for about a month. Additionally, my eyelids are also swollen. These symptoms tend to improve after noon, but recently I have been experiencing pain that extends from my neck to my head, along ...
Dr. Yang Hongzhi Reply:
You can first consult a rheumatologist.[Read More] Understanding Edema: Symptoms, Causes, and When to Seek Help
Understanding Pain at the Base of Fingers and Toes: Causes and Concerns
Pain at the base of the finger? Hello, I have some questions to ask you. About four to five years ago, I suddenly experienced redness, swelling, and pain in my heel. Since then, the pain tends to occur before my menstrual cycle. Recently, I've also noticed pain at the base o...
Dr. Zeng Guosen Reply:
Hello! 1. Sudden redness, swelling, and pain in the heel may indicate abnormalities such as gout, seronegative spondyloarthritis, or Achilles tendonitis. If there is accompanying pain in other toes or fingers, it is advisable to consult a rheumatologist for further differential d...[Read More] Understanding Pain at the Base of Fingers and Toes: Causes and Concerns
Understanding Unexplained Joint Pain and Swelling: Causes and Solutions
Unexplained and non-specific swelling and pain? Hello, Doctor: I have been troubled by a problem for over six years. I often experience unexplained redness, swelling, and pain in the soles of my feet, toes, knees, or joints in my hands, accompanied by a slight fever and fatigue. ...
Dr. Zheng Shuxing Reply:
Hello! Based on your description, it seems like you may have arthritis. I recommend scheduling an appointment with a rheumatologist. Best wishes for your health from Dr. Cheng Shu-Hsing at Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Unexplained Joint Pain and Swelling: Causes and Solutions