Understanding Abdominal Distension: Causes and Concerns for Women
The abdomen feels bloated, and there is discomfort when pressure is applied? Recently, I have noticed a sudden increase in the size of my lower abdomen. As a naturally slim woman, my abdomen used to be completely flat, but now it appears more protruded than before. When I have a ...
Dr. Xiao Yongxun Reply:
Dear Lulu: 1. There are many causes of abdominal discomfort, which are often difficult to diagnose. However, symptoms that physicians tend to pay more attention to include fever and chills, nausea and vomiting, belching and bloating, dry mouth, diarrhea, hematemesis, melena, we...[Read More] Understanding Abdominal Distension: Causes and Concerns for Women
Is a Soft Lump Above My Testicle a Cause for Concern?
There is a foreign object above the testicle? I have an oval-shaped lump about one centimeter in size located above my left testicle, near the epididymis. It has been there for a long time, possibly 4 to 5 years or even longer. It does not hurt, feels slightly soft, and does not ...
Dr. Wu Jiyu Reply:
Such conditions are mostly semen cysts or simple cysts, with a small number being benign leiomyomas. It is recommended to consult a urologist for a scrotal ultrasound for differentiation before making a decision. Thank you for your inquiry, and the Nephrology Department of Changh...[Read More] Is a Soft Lump Above My Testicle a Cause for Concern?
Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
If you are experiencing discomfort in various parts of your body, you should consider visiting a primary care physician or a general practitioner. They can evaluate your symptoms and refer you to the appropriate specialist if needed? I have been experiencing persistent pain in my...
Dr. Wu Jiyu Reply:
In response to your inquiry, it seems you may have some medical background. 1. "Persistent left lower abdominal pain for several days, especially at night, to the point of being unable to sleep, with increased nocturia. Recently (for about a month), daytime urinary frequen...[Read More] Which Specialist to See for Persistent Abdominal and Urinary Discomfort?
Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Urinary tract infection (UTI) Dear Dr. Wu, my grandmother is 92 years old and frequently suffers from urinary tract infections. She was previously hospitalized due to an infection that caused a fever, and the bacteria entered her bloodstream (bacteremia). After being hospitalized...
Dr. Wu Jiyu Reply:
Based on your inquiry, theoretically, the bacteremia caused by the urinary tract infection should have been resolved; otherwise, your grandmother would continue to have a fever. Regarding the urine test results from the second hospital indicating an infection index of 26-50, ther...[Read More] Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Could These Symptoms Indicate Type 1 Diabetes at 24?
Is it Type 1 Diabetes? Hello Doctor: I am currently 24 years old, 156 cm tall, and six months ago my fasting blood glucose was measured at 79 mg/dL, with a blood pressure of 94/57 mmHg. My weight has historically ranged between 40 to 44 kg, and I experience polyphagia, polyuria (...
Dr. Gao Jiankai Reply:
Hello Ms. Lin, the diagnosis of diabetes requires not only the classic symptoms of polyphagia, polydipsia, and polyuria but also the evaluation of fasting blood glucose or hemoglobin A1c levels. Your fasting blood glucose is only 79 mg/dL, which should not indicate diabetes. Addi...[Read More] Could These Symptoms Indicate Type 1 Diabetes at 24?
Understanding Frequent Urination: Possible Causes and Solutions
Frequent urination issues? Hello, I would like to inquire! My father has been urinating very frequently in the past few months—about once every hour. This happens almost all day long! He went to the hospital for a check-up, and his prostate is normal, with no inflammation. What c...
Dr. Wu Jiyu Reply:
Regarding your inquiry, it does not mention the total daily urine volume. From an internal medicine perspective, we would first check for diabetes or diabetes insipidus. If those are ruled out, it is advisable to consult a urologist. If prostate issues have been excluded, then co...[Read More] Understanding Frequent Urination: Possible Causes and Solutions
Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results
Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Elevated blood sugar levels in health checkup? The fasting blood glucose level from the health check was measured at 107 mg/dL, and the glycated hemoglobin (HbA1c) is normal. I recently consumed more sweets than usual over the past two weeks. Could this have an impact, or is it u...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting plasma glucose level is less than 100 mg/dL. If it falls between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the postprandial blood glucose is greater than or equal to 126 mg/dL, diabetes s...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Understanding Complications in Patients with Past Medical History
Please help me, doctor? Hello, doctor. I am a patient with psoriasis, and recently I have noticed localized redness and swelling on my face and scalp, which is itchy and seems to be spreading. Additionally, the glans of my penis has started to develop sores. Initially, I experien...
Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the statement: "I am a patient with PAS (presumably referring to a specific condition), and recently I have developed localized redness and swelling on my face and scalp, which is itchy and seems to be spreading. Additionally, the glans of my peni...[Read More] Understanding Complications in Patients with Past Medical History
Understanding Frequent Urination and Gas: Kidney Health Concerns
Incontinence with gas leakage? Dear Dr. Chen: I currently have only one kidney, and I often experience bloating, which leads to frequent urination and urinary incontinence. I have to use overnight sanitary pads before bed to sleep peacefully. Sometimes, I also experience proteinu...
Dr. Chen Jianyu Reply:
Please visit the nephrology outpatient clinic.[Read More] Understanding Frequent Urination and Gas: Kidney Health Concerns
Understanding Blood in Urine: Causes, Symptoms, and Treatment Options
Hematuria, with pain occurring towards the end of urination? Hello, doctor. At the beginning of September, I had sexual intercourse and started experiencing dark-colored urine with a strong odor. After that, I had hematuria, increased urinary frequency, and pain at the end of uri...
Dr. Chen Jianyu Reply:
Please visit the urology outpatient clinic.[Read More] Understanding Blood in Urine: Causes, Symptoms, and Treatment Options
Understanding Blood Sugar Levels: Signs of Potential Diabetes
Unsure if diabetes has already developed? Hello, Doctor. Recently, I measured my fasting blood glucose at home using a glucometer, and it was 91 mg/dL (after fasting for about 10-12 hours). After eating curry rice (starting the timer from the first bite), my blood glucose one hou...
Dr. Xiao Yongxun Reply:
1. If your weight is 92 kg and your height is 160 cm, your Body Mass Index (BMI) is 35.9 kg/m². According to the classification by Taiwan's Ministry of Health and Welfare, since it exceeds 27 kg/m² and is over 35 kg/m², it falls into the category of severe obesity. Additiona...[Read More] Understanding Blood Sugar Levels: Signs of Potential Diabetes
Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Cloudy tea-colored urine? Hello Doctor, I have a hereditary issue that causes my uric acid levels to be consistently high, and I have experienced multiple gout attacks. I have been taking Benzobromarone 50 mg once daily for four months to manage this condition. This morning, I no...
Dr. Wu Jiyu Reply:
Based on your inquiry (this morning's first urine was found to be cloudy and tea-colored, while the second urine returned to clear), it is not possible to determine whether Benzobromarone has caused hepatotoxicity. Generally, the first urine in the morning is darker because ...[Read More] Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Understanding Kidney Health: GFR at 84.1 with No Proteinuria Concerns
The glomerular filtration rate (GFR) is measured at 84.1, and the urinalysis shows no proteinuria? Hello Dr. Wu: This year's health check report shows a creatinine level of 1.0, and the estimated glomerular filtration rate (eGFR) is approximately 84.1. I have a history of ch...
Dr. Wu Jiyu Reply:
Based on your inquiry, your creatinine level is 1.0, and your estimated glomerular filtration rate (eGFR) is 84.1. Given your age, this indicates a slight decrease in kidney function (normal eGFR > 90). However, you are currently being treated for benign prostatic hyperplasia,...[Read More] Understanding Kidney Health: GFR at 84.1 with No Proteinuria Concerns
Which Medical Specialist Should You See for Severe Abdominal Pain?
Which department should I go to for medical treatment? If you experience severe lower abdominal pain during your menstrual period, and have already consulted a gynecologist for examination and treatment, but have recently started experiencing lower abdominal pain even outside of ...
Dr. Chen Qingbin Reply:
Hello: If you are experiencing discomfort while urinating, it is recommended that you consult a urologist.[Read More] Which Medical Specialist Should You See for Severe Abdominal Pain?
Understanding Blood Sugar Levels: Interpreting Your Test Results
Inquiry about blood sugar issues? Hello, Doctor: I would like to ask you a question. During my company's health check-up this year, the HR department informed me that fasting was not required. Therefore, I had breakfast on the day of the check-up and had my blood drawn about...
Dr. Zeng Guosen Reply:
Hello, if any of the following three criteria are met (at least twice), a diagnosis of diabetes can be made: a. Fasting plasma glucose level equal to or greater than 126 mg/dL. b. Presence of classic diabetes symptoms (such as excessive thirst, frequent urination, increased h...[Read More] Understanding Blood Sugar Levels: Interpreting Your Test Results
Understanding Symptoms: Breathing Issues, Weight Loss, and Diabetes Concerns
Could you please provide more details about the symptoms? I would like to ask the doctor a few questions. 1. I have experienced occasional shortness of breath and difficulty breathing since middle school. Sometimes these symptoms disappear for a while, but recently they have be...
Dr. Chen Qingbin Reply:
Hello: It is recommended that you visit a hospital for further examination of hyperthyroidism and other related conditions, which require blood tests. Additionally, issues related to sexual dysfunction should be evaluated by a urologist for proper diagnosis. Thank you.[Read More] Understanding Symptoms: Breathing Issues, Weight Loss, and Diabetes Concerns
Understanding Anal Fissures: Symptoms, Causes, and Recovery Tips
Anal fissure issues? Today, I tried anal intercourse for the first time with my boyfriend. He penetrated me, and it was very painful at first. After we finished, I went to the bathroom and noticed some bleeding, and it hurts a lot. Is this an anal fissure? Will it heal on its own...
Dr. Xiao Yongxun Reply:
Anal fissure is a condition that falls under the realm of colorectal surgery, and I am not a subspecialist in that field. The following explanation is based on the general clinical understanding of a physician: An anal fissure refers to a tear that occurs within the anal canal. I...[Read More] Understanding Anal Fissures: Symptoms, Causes, and Recovery Tips
Understanding Frequent Urination: Causes and Concerns for Teens
Urinary problems Hello doctor, I am a high school senior weighing 66 kg and standing 174 cm tall. I often feel the need to urinate at school, about once every hour. I drink a normal amount of water, and my urine output is neither too much nor too little. After exercising (working...
Dr. Wu Jiyu Reply:
Based on your inquiry, urinating 6-10 times a day with each instance being over 200cc should not be a concern. As for experiencing frequent urination at school, it may be related to stress. If you are still worried, it is advisable to consult a urologist for further evaluation to...[Read More] Understanding Frequent Urination: Causes and Concerns for Teens
Understanding HbA1c Results: Do I Have Diabetes?
What are the issues related to diabetes? Hello, Doctor! I recently had my hemoglobin A1c tested, and the report showed 6.5% (I did not test fasting and postprandial blood glucose). I would like to ask if I have officially been diagnosed with diabetes. Previously, my hemoglobin A1...
Dr. Xiao Yongxun Reply:
1. Generally, the onset of type 2 diabetes is gradual and is associated with factors such as genetics, weight, lack of exercise, overeating, alcohol abuse, and medication. Your weight of 113 kilograms is indeed a risk factor for developing the disease; moreover, the longer one is...[Read More] Understanding HbA1c Results: Do I Have Diabetes?