Understanding Diabetes: How to Know if You're at Risk
Diabetes mellitus Hello Dr. Chiu: Our family has a history of hereditary diseases. My grandfather has diabetes and has been under your care for management. Other family members are worried about the possibility of having diabetes, but they are unsure how to determine if they have...
Dr. Qiu Zhengbin Reply:
Hello, diabetes has a genetic component. Since your grandfather has diabetes, his children are at risk for the condition. Diabetes is characterized by the three P's: polyphagia (increased hunger), polydipsia (increased thirst), and polyuria (increased urination), along with ...[Read More] Understanding Diabetes: How to Know if You're at Risk
Post-Weight Loss Symptoms: Hair Loss, Rashes, and Lymph Node Swelling
Aftereffects of weight loss? Hello, Doctor: Last year, after taking traditional Chinese medicine for four months, I lost over 20 kilograms, but then I suddenly experienced significant hair loss (my hair was already thin and soft). I also had two episodes of widespread skin rashes...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Rapid weight loss can indeed lead to hair loss; however, if accompanied by rashes and lymphadenopathy, further investigation is necessary. Generally, a physician will examine the scalp to determine whether the hair loss is simply due to alopecia...[Read More] Post-Weight Loss Symptoms: Hair Loss, Rashes, and Lymph Node Swelling
Long-Term Use of Antacid: Is It Safe for GERD Patients?
Long-term use of gastric mucosa protectants issues? I have gastroesophageal reflux disease (GERD), so before bed, I take medication and drink 10 mL of a digestive aid (containing Aluminum Hydroxide, Magnesium Hydroxide, and the anti-foaming agent Simethicone). This significantly ...
Dr. Yang Weishun Reply:
For patients with renal insufficiency or chronic kidney failure, the use of any antacids or laxatives containing magnesium or aluminum is not recommended. This is because individuals with impaired kidney function cannot adequately excrete these ions, leading to accumulation in th...[Read More] Long-Term Use of Antacid: Is It Safe for GERD Patients?
Understanding Abnormal TSH Levels: Effects and Improvement Strategies
Thyroid-stimulating hormone (TSH) Abnormal thyroid-stimulating hormone (TSH) levels (4.703) can indicate potential thyroid dysfunction. Elevated TSH levels may suggest hypothyroidism, where the thyroid gland is underactive, leading to symptoms such as fatigue, weight gain, and de...
Dr. Yang Hongzhi Reply:
A slightly elevated TSH generally indicates a tendency toward hypothyroidism, but it has not yet reached the level of true hypothyroidism, and it is unlikely to cause clinical symptoms. It is advisable to follow up in 3 to 6 months to see if it progresses to true hypothyroidism. ...[Read More] Understanding Abnormal TSH Levels: Effects and Improvement Strategies
Understanding Vasculitis Treatment: Key Questions and Insights
Treatment of vasculitis My father underwent cataract surgery on his left eye on April 9, and since then, his vision has been blurry. During a follow-up appointment two days ago, the doctor mentioned that he has vascular occlusion and dilation of the optic nerve. Since November of...
Dr. Qiu Zhengbin Reply:
Hello, I am a physician in the Department of Metabolism at Changhua Hospital. Regarding your concerns, I would like to address them from two aspects. First, you mentioned that your father has experienced a weight loss of 11 kilograms over the past few months, along with fatigue...[Read More] Understanding Vasculitis Treatment: Key Questions and Insights
Understanding Unexplained Fever: Causes and Solutions
Fever of unknown origin (FUO) I have been experiencing unexplained fevers every afternoon for the past six months, from November 1998 to May 1999. Despite undergoing various tests, no cause has been identified, and I have not had any relief from the fever during this time. I woul...
Dr. Guo Hanyue Reply:
Hello: There are many possible causes for fever of unknown origin, and if it lasts for six months, it is generally unlikely to be due to a bacterial or viral infection. It is advisable to consult a dedicated infectious disease specialist to discuss the situation and evaluate the ...[Read More] Understanding Unexplained Fever: Causes and Solutions
Managing Kidney Health: Understanding Diet and Function in Patients
Kidney disease management Hello Dr. Yang, I have a smaller left kidney (congenital, not due to atrophy) and during winter, I experience high blood pressure, increased urination, and nocturia. After visiting the hospital for follow-up examinations, my kidney function has remaine...
Dr. Yang Zhongwei Reply:
Hello: 1. Frequent urination (is it the frequency or the volume?) and nocturia are not necessarily indicative of kidney problems; it is advisable to consult a urologist to examine the bladder. 2. There is currently insufficient evidence to determine the effectiveness of a low-pro...[Read More] Managing Kidney Health: Understanding Diet and Function in Patients
Struggling with Weight Loss: Seeking Solutions for Metabolism Issues
Questions about weight loss? Hello, Dr. Yang! Current situation: I am 170 cm tall and weigh 65 kg, which is overweight. I have a small appetite and try to take a walk after every meal! However, I still keep gaining weight. I have tried exercising before, and indeed, I lost weight...
Dr. Yang Hongzhi Reply:
With a height of 170 cm and a weight of 65 kg, you may not be completely satisfied, but you are still within the standard range and cannot be considered overweight. There is no need to seek medical attention for weight issues, and it is not recommended to pursue any special treat...[Read More] Struggling with Weight Loss: Seeking Solutions for Metabolism Issues
Understanding Blood Sugar Levels: Key Questions and Insights
Check blood glucose levels? Hello Doctor: I usually have a light diet, but last night I had a gathering with friends and ate significantly more than usual, about 2-3 hours later than normal. This morning, my first blood sugar test showed a level of 125, and I’ve heard that 126 in...
Dr. Yang Hongzhi Reply:
Normal fasting blood glucose levels are below 100 mg/dL. Your current condition indicates poor fasting blood glucose control, which does not yet qualify as a diagnosis of diabetes; however, it significantly increases the risk of developing diabetes in the future. Any weight loss ...[Read More] Understanding Blood Sugar Levels: Key Questions and Insights
Understanding Weight Loss: Gastrointestinal and Pituitary Issues Explained
skinny Hello, doctor. May I ask if a person who is very thin could have issues related to the pituitary gland in addition to needing to see a gastroenterologist? If so, what would be the reasoning behind this? Thank you.
Dr. Sun Yizhen Reply:
Hello: If you suspect a pituitary gland disorder, you can visit the endocrinology clinic for an evaluation by a specialist. Wishing you well.[Read More] Understanding Weight Loss: Gastrointestinal and Pituitary Issues Explained
Struggling with Weight Loss? Understanding Metabolism and Health Tips
Metabolism Hello Dr. Yang, I am petite and not very tall, and my thighs are not particularly thick. I have tried many weight loss methods, such as the cocktail diet and acupuncture, but I still can't maintain it for long and remain round and soft (actually, my appetite is no...
Dr. Yang Hongzhi Reply:
Obese individuals seeking weight loss can consult a metabolic specialist, but their expectations for weight loss should be realistic. The standard treatment approach emphasizes diet and exercise, with medication as an adjunct. A reasonable weight loss expectation is a reduction o...[Read More] Struggling with Weight Loss? Understanding Metabolism and Health Tips
Understanding Unexplained Body Discomfort: Symptoms and Concerns
I feel very unwell all over? Hello, I'm sorry to disturb you. I've been experiencing ongoing health issues for the past few months. My weight has dropped dramatically, losing 20 kilograms from October last year to April this year, without any changes in my diet or exerc...
Dr. Yang Hongzhi Reply:
Weight loss and increased heart rate are most commonly associated with hyperthyroidism, which can be confirmed or ruled out through blood tests.[Read More] Understanding Unexplained Body Discomfort: Symptoms and Concerns
Can Thyroid Dysfunction Cause Sore Throat and Neck Lymph Node Swelling?
excuse me? Hello, doctor: I would like to ask if thyroid dysfunction can cause throat pain or enlargement of the cervical lymph nodes. I only found information online mentioning weight loss, and I want to confirm if throat pain can occur. Thank you very much.
Dr. Lü Jing Reply:
Hyperthyroidism, particularly in the case of Graves' disease, may occasionally present with neck pain and lymphadenopathy.[Read More] Can Thyroid Dysfunction Cause Sore Throat and Neck Lymph Node Swelling?
Does Drinking Sugary Beverages Increase Diabetes Risk? Key Prevention Tips
excuse me? Does drinking beverages contribute to diabetes? What should be considered to prevent diabetes?
Dr. Li Zhiyao Reply:
Diabetes is generally classified into Type 1 and Type 2 diabetes. Type 1 diabetes is caused by insufficient insulin secretion, while Type 2 diabetes is due to insulin resistance. The exact pathogenesis of both types is not fully understood. However, it is known that obesity incre...[Read More] Does Drinking Sugary Beverages Increase Diabetes Risk? Key Prevention Tips
Understanding Sudden Weight Loss: When to Seek Medical Advice
My dad suddenly lost a lot of weight? My father suddenly lost 6 kilograms, but he is living normally. His food intake is the same, and his appetite has not decreased, nor does he feel unwell. He often has mouth ulcers, and he was bitten by a chigger last year, but he has already ...
Dr. Cai Yaozhou Reply:
Consult the endocrinology department to check for diabetes and hyperthyroidism, then schedule an appointment with the gastroenterology department for liver function tests and abdominal ultrasound.[Read More] Understanding Sudden Weight Loss: When to Seek Medical Advice
Managing Blood Sugar Fluctuations and Weight Loss in Diabetes
Blood sugar fluctuations & weight loss In 2000, I discovered weight loss (from 62 kg to 54 kg) and was diagnosed with diabetes. After taking medication for three months, I stopped and switched to managing my condition through diet and exercise, which yielded stable results (p...
Dr. Yang Hongzhi Reply:
A glycated hemoglobin (HbA1c) level around 6.5 is still considered good blood sugar control and should not lead to weight loss due to poor diabetes management. It seems that medications and lifestyle factors are unlikely to cause weight loss either, as the degree of weight loss o...[Read More] Managing Blood Sugar Fluctuations and Weight Loss in Diabetes
Which Medical Specialty to Consult for Unexplained Weight Loss?
I'm not sure which department to visit? Doctor, I have lost about 6 kilograms in the past six months. I am already quite thin, and gaining weight is not easy for me. However, my meals are normal, and my bowel movements are regular. I really can't figure out why my weigh...
Dr. Yang Hongzhi Reply:
You can first schedule an appointment with either a family medicine physician or an endocrinologist.[Read More] Which Medical Specialty to Consult for Unexplained Weight Loss?
Effective Weight Loss Strategies for Obese Diabetic Patients
How can obese patients with diabetes lose weight? I am very concerned about the complications of diabetes, particularly the risk of diabetic retinopathy leading to blindness, which often causes significant psychological stress. Here are my personal details: Age: 23, Height: 175 c...
Dr. Yang Hongzhi Reply:
It is generally recommended to aim for a weight loss of 0.5 to 1 kilogram per week. Trying to burn 1500 calories through 2 hours of exercise may be quite challenging. There are some issues regarding your metabolic energy calculations; consuming 2300 calories per day is slightly h...[Read More] Effective Weight Loss Strategies for Obese Diabetic Patients
Struggling to Lose Weight: Seeking Effective Solutions for Busy Professionals
Why can't I lose weight? Hello Dr. Yang: I am a working professional who eats out for breakfast and lunch, and has dinner at home. I am 174 cm tall and weigh 97 kg, and I have been diagnosed with fatty liver disease. Both of my parents have had strokes and are on diabetes me...
Dr. Yang Hongzhi Reply:
Hello: Diet and exercise are the foundation of weight loss. While weight loss medications may have some effects, if lifestyle habits do not fundamentally change after discontinuation, weight regain will occur quickly. Therefore, it is essential to make a firm commitment to contro...[Read More] Struggling to Lose Weight: Seeking Effective Solutions for Busy Professionals
Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?
A diet that is free of sugar, oil, and starch may not necessarily harm the kidneys, but it is important to ensure that it is well-balanced and provides all essential nutrients. Extreme dietary restrictions can lead to deficiencies that may affect kidney function over time. It is ...
Dr. Wang Weijie Reply:
Hello: A diet that is free of sugar, oil, and starch falls under the category of an unhealthy "ketogenic" diet in nutritional science. This can lead to abnormal fat metabolism in the body, resulting in ketoacidosis. When the body has no caloric sources to utilize, and c...[Read More] Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?