Feeling Hungry Soon After Eating: Stress or Endocrine Issues?
Feeling hungry shortly after eating? About one to two weeks ago, I started feeling hungry again about 1-2 hours after eating, to the point where my stomach growls. However, sometimes I don't really feel like eating psychologically, even though physiologically I feel hungry. ...
Dr. Li Jian Reply:
We recommend that you visit the Metabolism Department. Thank you for your inquiry.[Read More] Feeling Hungry Soon After Eating: Stress or Endocrine Issues?
Managing Lupus: Weight Loss, Muscle Cramps, and Tattoo Safety
Systemic lupus erythematosus (SLE) Hello Doctor: 1. I am a patient with Systemic Lupus Erythematosus (SLE). I would like to ask if it is normal for me to feel very hungry and eat four to five meals a day, despite having a light diet, while still losing weight after being diagnos...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. I am an SLE (Systemic Lupus Erythematosus) patient. I would like to ask if it is normal for me to feel very hungry and eat four to five meals a day, even though I have been eating a light diet and have been on medica...[Read More] Managing Lupus: Weight Loss, Muscle Cramps, and Tattoo Safety
Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Hypoglycemia Report [Radioimmunoassay Nuclear Medicine Test] Hypoglycemia Report Date: 01/08/2021 [Thyroglobulin] 25.51 ng/ml [hGH] 11.13 ng/ml [C-Peptide] 1.01 ng/ml [Insulin] 2.52 uIU/ml [Cortisol] 15.35 (17:39) µg/dl [Free T4] 1.06 ng/ml [TSH] 2.44 uIU/ml [Ab-T...
Dr. Lin Jianliang Reply:
Hello: 1. The above report cannot determine whether it is hypoglycemia or type 1 diabetes; it seems to be looking for causes of hypoglycemia. 2. In the early or pre-stage of diabetes, due to abnormal insulin secretion in the body, postprandial hypoglycemia may occur. The assessme...[Read More] Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Weight loss On December 25, 2023, my weight was 134 pounds, and by January 7, 2024, it had dropped to 129 pounds. Is this rapid weight loss? I started exercising to lose weight on December 25, and initially, the weight dropped quickly. After that, I was losing about 1-2 kilograms...
Dr. Lin Jianliang Reply:
Hello: If you are eating normally without any special restrictions, losing 1-3 kilograms in a week is not very common. However, it does not necessarily indicate a problem. It is still advisable to consult a physician, especially since you have noticed blood in your stool. Please ...[Read More] Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Weight loss On December 25, 2023, my weight was 134 pounds, and by January 7, 2024, it had dropped to 129 pounds. Is this rapid weight loss? I started exercising to lose weight on December 25, and initially, the weight dropped quickly. After that, I was losing about 1-2 kilograms...
Dr. Lin Jianliang Reply:
Hello: If you are eating normally without any special restrictions, losing 1-3 kilograms in a week is not very common. However, it doesn't necessarily indicate a problem. It is still advisable to consult a physician, especially since you have noticed blood in your stool. Ple...[Read More] Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
From Sprained Ankle to High Uric Acid: Understanding Your Symptoms
Visiting an orthopedic specialist for a sprain turned out to be primarily due to high uric acid levels? Hello, Doctor. I am 175 cm tall and weigh 99 kg, with a history of hypertension but no other health issues. I am currently on a weight loss program and have lost 5 kg in the fi...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. For now, I recommend applying ice for one day and suggest that you consult a rheumatologist. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital, Ministry of Health and Welfare, is here to assist you.[Read More] From Sprained Ankle to High Uric Acid: Understanding Your Symptoms
Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Systemic lupus erythematosus complicated by class IV lupus nephritis? My husband was diagnosed with systemic lupus erythematosus (SLE) and developed class IV lupus nephritis after a biopsy last October. The rheumatologist recommended hospitalization for treatment. Initially, he h...
Dr. Lin Wuxuan Reply:
Please follow the medical advice provided. If new symptoms or other concerns arise, please return for consultation with the attending physician in the Rheumatology and Immunology department. Thank you.[Read More] Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Understanding the Implications of Thyroid Disorders in Medical Diagnoses
The diagnosis of "thyroid disorders" signifies a range of medical conditions that affect the thyroid gland, which is responsible for regulating metabolism, growth, and development through the production of hormones. These disorders can include hypothyroidism, hyperthyro...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. "Thyroid disorders" were hypothesized based on the symptoms you presented during your initial consultation, which is why a thyroid function test was arranged. If the thyroid function is normal, there will be no diagnosis of hyperthyroi...[Read More] Understanding the Implications of Thyroid Disorders in Medical Diagnoses
Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia
Glycated hemoglobin (HbA1c) Hello Doctor, I have some questions I would like to ask you: I had a blood test done in December. Since both of my parents have diabetes and my weight has decreased from 64 kg in mid-August to only 59 kg recently, I am very anxious about my blood sugar...
Dr. Lin Jianliang Reply:
Hello, glycated hemoglobin (HbA1c) is an indicator of the average blood glucose levels over the past three months. The most significant factor affecting it is the blood glucose level itself. The primary influences on blood glucose are diet and lifestyle. Mild anemia does not have...[Read More] Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia
Is Syphilis Invisible? Understanding Symptoms and Recurrences
Is syphilis invisible? Last February, I suddenly woke up with a fever, a type of fever I had never experienced before. A few days later, I discovered a half-spherical mass the size of a ping pong ball on my cervix. Initially, I thought I had cancer. After a month, the ulcerous sm...
Dr. Liao Zhongxin Reply:
A. Your description is quite vivid; however, the Treponema pallidum is not that miraculous. It can be cured with a course of penicillin. B. According to the Centers for Disease Control and Prevention (CDC), the modes of transmission are as follows: 1. Close contact during sexual ...[Read More] Is Syphilis Invisible? Understanding Symptoms and Recurrences
Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...
Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
Understanding Fluctuations in Glycated Hemoglobin Over One Month
Fluctuations in glycated hemoglobin (HbA1c) levels within one month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, besides my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I am particularl...
Dr. Li Jian Reply:
Weight loss can also be evaluated by testing thyroid function. Currently, there are no significant abnormalities in blood glucose levels, so testing once every 1-2 years is sufficient. Thank you for your inquiry.[Read More] Understanding Fluctuations in Glycated Hemoglobin Over One Month
Managing Hypocomplement Urticarial Vasculitis: Treatment Options and Guidance
Hypocomplementemic urticarial vasculitis syndrome (HUVS) I have been diagnosed with low complement urticarial vasculitis for about six months. My symptoms include skin rashes, weight loss, lower extremity vascular pain, and gum pain, along with peripheral neuropathy and dizziness...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. How to treat hypocomplementemic urticarial vasculitis? --> Treatment will be arranged based on the severity of the condition. If you only have skin manifestations, antihistamines may be effective; if there is asso...[Read More] Managing Hypocomplement Urticarial Vasculitis: Treatment Options and Guidance
Understanding Hashimoto's Thyroiditis: Weight Loss and Treatment Insights
Hashimoto's thyroiditis In April of this year, when I had my cholesterol checked, my doctor also tested my thyroid function. The results showed T4 at 1.15, TSH at 1.554, and anti-TPO at 5.57, indicating the presence of antibodies consistent with Hashimoto's thyroiditis....
Dr. Li Jian Reply:
You may consider discontinuing the medication, and at least monitor thyroid function annually. Thank you for your inquiry.[Read More] Understanding Hashimoto's Thyroiditis: Weight Loss and Treatment Insights
Understanding the Link Between Creatinine Levels and Hypertension Management
Hypertension and Elevated Creatinine Levels Dear Dr. Lin, Last December, my serum creatinine level was 0.78 mg/dL, with a glomerular filtration rate (GFR) of 122.6 mL/min. I weighed 64 kg and was 170 cm tall. This October, my serum creatinine increased to 0.9 mg/dL, and my micro...
Dr. Lin Wuxuan Reply:
Please take the medication as prescribed and follow up regularly. If you have any concerns, it is advisable to schedule an earlier consultation. Thank you.[Read More] Understanding the Link Between Creatinine Levels and Hypertension Management
Understanding Weight Fluctuations: When to Worry About Gastrointestinal Issues
I'm sorry, but I cannot provide a translation without the specific content you want Hello Doctor, I previously mentioned that I am currently working on weight loss, primarily through dietary control and incorporating walking exercises. I weigh myself about every 2-3 days, or...
Dr. Li Jian Reply:
There is only a slight difference in weight, so there is no need to be overly concerned. Thank you for your inquiry.[Read More] Understanding Weight Fluctuations: When to Worry About Gastrointestinal Issues
Understanding Weight Fluctuations: When to Worry About Your Health
Weight issues Hello Doctor, I have recently been controlling my diet and brisk walking for weight loss. I weigh myself approximately every 2-3 days. Last Thursday (9/14), I weighed 91.3 kg, and I didn't weigh myself on Friday, Saturday, or Sunday. Yesterday (9/18), I weighed...
Dr. Li Jian Reply:
If there is a need for weight loss, it doesn't have to be rapid; losing weight gradually is more sustainable. Thank you for your inquiry.[Read More] Understanding Weight Fluctuations: When to Worry About Your Health
Does Taking Ezetimibe Cause Weight Loss in Heart Patients?
Will taking (Eito tablets) lead to weight loss? Hello doctor, my father is 81 years old and is a heart failure patient. He has a stent implanted in his heart. The doctor hopes to lower his cholesterol, so he prescribed 40 mg of Lipitor (atorvastatin) once daily. This summer, an a...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. This issue is more related to cardiology, so I recommend consulting a cardiologist. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is concerned about you.[Read More] Does Taking Ezetimibe Cause Weight Loss in Heart Patients?
Exploring Alternative Diagnoses Beyond SLE: A Patient's Journey
Systemic lupus erythematosus (SLE) Four months ago, the patient developed a rash on the skin and underwent numerous immunological tests. The results showed C1q 24.2, C1c 24.2, C3 73, PL-12 (++), WBC 3600, platelet count 129,000, and urine tests were negative. ANA, dsDNA, pANCA, a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The examination data you provided is insufficient, so I cannot offer any recommendations based on these results. However, I believe that a negative ANA (antinuclear antibody) test reduces the likelihood of systemic lupus erythematosus and increa...[Read More] Exploring Alternative Diagnoses Beyond SLE: A Patient's Journey
Understanding Nausea and Vomiting: Insights on Esophageal Ulcers and Treatment
Nausea and vomiting? Hello Doctor, I would like to inquire about my gastroscopy performed in April this year. Previous gastro-camera or fiberoptic findings: Premedication: Buscopan 20 mg intramuscularly and local use of 10% Xylocaine spray. Esophagus: 1. ONE CORD OF LINEAR ULCER....
Dr. Zheng Weijun Reply:
Hello, based on the results of your gastroscopy, you have a history of esophageal ulcers and mild gastritis. The symptoms of nausea and regurgitation you mentioned may indeed be related to autonomic nervous system dysfunction. Symptoms that can arise from autonomic nervous system...[Read More] Understanding Nausea and Vomiting: Insights on Esophageal Ulcers and Treatment