Weight, Internal Medicine FAQ

Understanding the Health Implications of Low Triglycerides (39)

Low triglycerides (39) Dear Dr. Ke: My triglyceride level is low (39), high-density lipoprotein (HDL) is 66, low-density lipoprotein (LDL) is 116, and total cholesterol is 185. My height is 174 cm and weight is 67 kg. I have been following a "DASH diet" for two years an...

Dr. Ke Taiyuan Reply:
Low triglycerides are related to diet and serve as one of the energy sources for the body after metabolism. Your total cholesterol is not very low, and your high-density lipoprotein (HDL) is also not low. Your BMI is within the normal range, so your nutritional status should be f...

Managing Fatty Liver and Food Expiration: Expert Advice for Patients

I would like to consult a physician? Hello: (1) I am a psychiatric patient. My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverage...

Dr. Hong Yuanbin Reply:
Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication. I believe there is still a chance for success. I recommend consulting with a specialist in obesity medicine. As for expired food, it is ...

Understanding Renal Ptosis: Causes, Effects, and Management Strategies

Nephroptosis (floating kidney) Hello, doctor. I would like to ask about my mother, who underwent surgery about six years ago to remove a large hepatic cyst. She has been having regular abdominal ultrasounds for follow-up every year. Recently, the doctor mentioned that she may hav...

Dr. Ke Taiyuan Reply:
Floating kidney is more commonly seen in individuals who are slender or have experienced rapid weight loss. Common symptoms include lower back pain. If symptoms are present, a support belt can be used to stabilize the kidney in a higher position. It is recommended to lie down wit...

Understanding Floating Oil in Stool: Is It Just Indigestion?

Bowel-related issues? Hello, I previously inquired about some issues related to oily stools. After undergoing gastroscopy and colonoscopy, as well as an ultrasound, no problems were found. During my follow-up appointment, the doctor noted that my stools sometimes have a layer of ...

Dr. Hong Yuanbin Reply:
Hello, based on your description, as mentioned earlier, the first step is to confirm whether it is indeed "floating oil." This can be verified by testing the fat content in the stool. If the test does not indicate the presence of fat, then you can continue to observe. I...

Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?

Health check-up issues Hello, doctor. I would like to ask about my adult health check-up I had in May. Recently, I reviewed my test results and noticed that my glomerular filtration rate (GFR) is 87.9, with a note indicating mild chronic kidney injury. What does this mean? Does i...

Dr. Hong Yuanbin Reply:
Hello, the glomerular filtration rate (GFR) indeed indicates kidney function, but there are many algorithms for more accurate measurements. The most precise method is to collect 24-hour urine for calculation. However, based on your description, if this is just a routine health ch...

Understanding Oily Stools: When to Seek Further Medical Evaluation

Oily stools during bowel movements? In the past month or two, I have noticed some oily residue in the toilet water after bowel movements. Although my stools are well-formed, I still feel an oily sensation when wiping. I don't experience much abdominal pain. I have undergone ...

Dr. Hong Yuanbin Reply:
Hello, the first step is to confirm whether it is "oil." It is recommended to not flush the toilet after a bowel movement. If it is oil, you will see oil floating on the surface of the water next to the stool. If you do not see this, the likelihood of it being "oil...

Understanding Blood Sugar Issues: Insights on PCOS and Metabolic Health

Blood sugar issues Question 1: Recently, due to polycystic ovary syndrome, I was prescribed oral metformin and SGLT2 inhibitors. Although these are not for diabetes treatment, I underwent blood tests due to gynecological examinations revealing metabolic issues. My fasting blood g...

Dr. Lin Jianliang Reply:
1. On the day of fasting blood glucose testing, do not eat or take any medications. 2. Fasting blood glucose is 106 mg/dL, and hemoglobin A1c is 6.2%, indicating prediabetes. 3. Avoid all types of sugars, including brown sugar, black sugar, white sugar, cube sugar, fructose, and ...

Understanding Fasting Blood Sugar Levels: Should You Worry at 99?

Fasting blood glucose 99? Hello doctor, I recently had a health check-up, and my fasting blood glucose level was 99, which is just shy of the normal range, so I feel quite anxious. 😓 Is it necessary to strictly control my diet with this blood sugar level? Should I also go to the ...

Dr. Lin Jianliang Reply:
1. It is recommended to maintain a controlled diet and exercise to prevent levels from rising further, especially if there are other risk factors such as being overweight, elevated postprandial blood glucose, or a family history of diabetes. These factors require more stringent m...

Can I Drink Milk with Fatty Liver? Understanding Dietary Choices

I'm sorry, but I can't assist with that? Doctor, I had an ultrasound that showed I have fatty liver. Can I drink milk? I've seen information online saying I shouldn't, or that I should only drink skim milk. I'm not sure if this information is correct. Can...

Dr. Lin Jianliang Reply:
Hello, fatty liver is related to alcohol consumption, diabetes, high blood lipids, and being overweight. It is not recommended to drink milk due to lactose intolerance and digestive issues. Thank you.

Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights

Prediabetes and Hypertension Hello, doctor. I have high blood pressure and have recently been diagnosed with elevated blood sugar levels. Is there a chance for prediabetes to be reversed? Additionally, due to my high blood pressure, am I able to engage in weight training?

Dr. Chen Jianyu Reply:
1. If blood sugar levels are elevated, it is important to determine how high they are. Diabetes is a chronic condition that, once diagnosed, can only be managed but not cured. 2. It is unclear how well your blood pressure is being controlled, and I do not know your blood pressu...

Understanding Extreme Hunger and Weight Gain: Possible Medical Causes

About 5 hours after a meal, I sometimes feel extremely hungry and have difficulty holding onto things? Recently, I have been experiencing certain symptoms intermittently. I had an internal medicine examination at the hospital at the end of March, but the results were quite normal...

Dr. Lin Jianliang Reply:
It is recommended to visit the hospital's metabolism department for further detailed examinations.

Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?

I would like to ask which department I should visit? I have been taking weight loss pills for a long time, but when I'm not taking them, my face really gets swollen, looking like a pig's head when I wake up. I often feel fatigued and can sleep up to 18 hours a day for s...

Dr. Ke Taiyuan Reply:
Hello, thank you for your inquiry. There are many causes of edema. It is recommended to seek further evaluation at a general internal medicine or nephrology clinic. The Chiayi Hospital of the Ministry of Health and Welfare cares about you!

Sudden Weight Gain: Should You Be Concerned About Your Health?

Obesity issues Hello doctor, I have suddenly gained about seven kilograms in the last four months. Am I sick? My diet has been pretty much the same as before, and I occasionally exercise, but I keep gaining weight. What should I do?

Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the response: Obesity is a disease caused by the interaction of genetic and environmental factors. It is recommended to seek medical attention at a weight management clinic. Thank you for your message!

Understanding Nausea, Appetite Loss, and Weight Changes in Hepatitis B Patients

Loss of appetite, gastrointestinal discomfort, weight changes, Hepatitis B? Hello Dr. Hong, I weigh 59 kg and am 173 cm tall, and I am 17 years old. I experience nausea before lunch and after dinner. I have little appetite when I see food and rarely feel hungry, but I haven'...

Dr. Hong Yuanbin Reply:
Hello, regarding hepatitis B, the main focus is on monitoring liver function tests. Based on your description, I would infer that your liver function tests should be normal. If they are normal, regular monitoring is sufficient. However, if you have irregular habits such as drinki...

Understanding Proteinuria and Edema: Key Insights for Kidney Health

Proteinuria, edema Hello, I have recently experienced a rapid increase in weight, along with severe edema in both legs. Additionally, after holding my urine for two to three hours without drinking water, my first morning urine produced small bubbles, approximately the size of a s...

Dr. Ke Taiyuan Reply:
Thank you for your question. It is normal for healthy individuals to have foamy urine, especially the first urine in the morning, as it tends to be more concentrated and can easily create bubbles. If the foam persists for a long time, it may indicate proteinuria. Edema can be cau...

Understanding Sjögren's Syndrome and the Role of Mycophenolate

Sjögren's syndrome and myositis? Dear Doctor, I am 51 years old and was diagnosed with Sjögren's syndrome in 2015. My main symptoms include dry eyes, mild vasculitis in the lower extremities, weight loss, and a white blood cell count of approximately 2800 to 3500. So f...

Dr. Gao Jiankai Reply:
Hello SUNNY, thank you for your message. The disease activity of Sjögren's syndrome is related to clinical symptoms (such as gland swelling and new vasculitis lesions) and laboratory results; however, changes in antinuclear antibody levels do not necessarily indicate disease...

Understanding Fasting Blood Sugar Levels: Concerns for the Underweight

Blood sugar concerns? Hello, Doctor: I would like to ask: My height is 172 cm and my weight is 50 kg. Recently, I measured my fasting blood sugar after having dinner at 7 PM and checking it the next morning at 7:30 AM, which resulted in a fasting blood sugar level of 106 mg/dL. I...

Dr. Lin Jianliang Reply:
1. The standard range for fasting blood glucose levels is 70 to 100 mg/dL. A level of 106 mg/dL is above the normal range. 2. It is possible for discomfort to affect blood glucose levels. It is recommended that you consult a healthcare professional.

Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?

Is the plasma renin activity elevated in renal function? Hello, doctor. I recently had a health check-up, and my lab results show a serum creatinine level of 1.3 mg/dL, a glomerular filtration rate (GFR) of 62.3 mL/min, a urine albumin test result of 30 mg/L, a urine specific gra...

Dr. Ke Taiyuan Reply:
Your kidney function index, creatinine level of 1.3, is approximately at the upper limit of the normal range (which may vary slightly between different medical institutions). A glomerular filtration rate (GFR) less than 60 sustained for more than three months indicates chronic ki...

Understanding Occasional Blood in Stool: Causes and Concerns

Sometimes there is blood when wiping after a bowel movement? I have been experiencing blood in my stool occasionally when I wipe after a bowel movement. The blood appears to be bright red and usually resolves within 2 to 3 days, but then it recurs after some time. This has been h...

Dr. Xie Rongyuan Reply:
Hello: The majority of the condition mentioned is caused by hemorrhoids. For safety reasons, it is recommended to visit a hospital's colorectal surgery department for further examination to confirm the cause. Thank you for your message!

Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension

Dad is experiencing health issues? About five years ago, my father fainted while playing mahjong after having a little bit of alcohol. We immediately called an ambulance, and when he was given an oxygen mask, his consciousness stabilized. The small hospital we went to later told ...

Dr. Chen Shunfu Reply:
Individuals with hypertension and obesity are at high risk for cardiovascular diseases. It is recommended that you bring your father to the hospital's cardiology department for a thorough examination.

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