Understanding Abdominal Bloating: Causes and When to See a Gastroenterologist
Abdomen and gastrointestinal tract? At the beginning of this year's winter vacation, I don't know what I ate, but my stomach has been hurting, making gurgling sounds, and I've been experiencing diarrhea and excessive gas. This lasted for about a month, and while th...
Dr. Xiao Jingqin Reply:
Your symptoms in the past few days cannot rule out acute gastroenteritis. As for the diarrhea, bowel sounds, and flatulence you experienced during the winter break, it is possible that you are dealing with functional diarrhea, which is often related to lifestyle and stress. Regar...[Read More] Understanding Abdominal Bloating: Causes and When to See a Gastroenterologist
Managing Kidney Disease: Dietary Tips for Optimal Health
Diet for Kidney Disease Hello Dr. Yang: A year ago, I inquired about dietary issues related to kidney disease. At that time, I was advised to follow a low-protein diet, but the doctor recommended a normal diet, so I increased my protein and caloric intake. However, my muscle mass...
Dr. Yang Zhongwei Reply:
Hello: Currently, the formulas used worldwide to estimate kidney function utilize four variables: serum creatinine levels, age, gender, and race. Therefore, kidney function tends to decline with age. However, the symptoms you described do not seem to be closely related to kidney ...[Read More] Managing Kidney Disease: Dietary Tips for Optimal Health
Why Am I Suddenly Snoring? Exploring Possible Causes and Solutions
Sudden onset of snoring? Hello Dr. Chen, I used to never snore, but recently, over the past month, my family has mentioned that I sometimes snore while sleeping. What could be the possible reasons for this? I read online that weight gain can increase the likelihood of snoring, an...
Dr. Chen Junwei Reply:
Hello: If you have only been snoring this month, it may be due to nasal congestion at night (due to the colder weather). However, if you experience significant daytime fatigue and are prone to drowsiness, it is advisable to undergo a sleep apnea evaluation at a medical center. Th...[Read More] Why Am I Suddenly Snoring? Exploring Possible Causes and Solutions
Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
The issue of edema? Dear Doctor, My mother was previously diagnosed with stage II ovarian cancer and has undergone surgery to remove pelvic lymph nodes. Since then, she has gradually started experiencing swelling in her lower extremities. We have tried wearing compression stocki...
Dr. Xiao Yongxun Reply:
Hello: There are many causes of edema, including venous insufficiency, lymphedema, lipedema, heart failure, nephrotic syndrome, cirrhosis, medication effects, parasitic infections, thyroid disorders, and pregnancy, among others. For your daughter's issue, I personally recomm...[Read More] Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
Effective Strategies for Healthy Weight Gain and Muscle Building
Methods for Gaining Weight Doctor, I am 170 cm tall and weigh 55 kg. I want to gain weight and build muscle, but I find it difficult to put on weight. Do you have any recommendations for gaining weight?
Dr. Li Zhiyao Reply:
Hello: Your Body Mass Index (BMI) is 19.0, which falls within the standard weight range and is not considered underweight. Additionally, you are in a young age group, where metabolic rates are high and activity levels are significant, making slow weight gain a common phenomenon. ...[Read More] Effective Strategies for Healthy Weight Gain and Muscle Building
Managing Prediabetes: Key Tips for Blood Sugar Control
Precautions for Prediabetes Dear Dr. Hsiao, I had a fasting blood glucose level of 127 mg/dL at the health examination center. After two weeks of paying special attention to my diet and recording it daily, along with maintaining a routine of walking 10,000 steps three times a we...
Dr. Xiao Yongxun Reply:
Hello: Here are the responses to your questions: 1. According to the diagnostic criteria for diabetes published by the American Diabetes Association in 2010, the following criteria are used: (1) Fasting plasma glucose level >= 126 mg/dL after at least 8 hours; (2) 2-hour plas...[Read More] Managing Prediabetes: Key Tips for Blood Sugar Control
Understanding Low White Blood Cell Count: Causes and Concerns
Leukopenia Hello Doctor, my health check report on September 10 showed that my white blood cell count was 4.76 (the normal range at that hospital is 5-10). I inexplicably lost 5 kg within two weeks, and one morning in October, I had a nosebleed. On November 27, I went to another ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The reasons for weight loss must consider many diseases, particularly diabetes, hyperthyroidism, tumors, and other rare conditions or diseases. 2. There are also many causes for low white blood cell counts, including viral infections, immu...[Read More] Understanding Low White Blood Cell Count: Causes and Concerns
Understanding Metabolic Syndrome: Causes, Risks, and Weight Loss Benefits
What is metabolic syndrome? What is metabolic syndrome? Is it caused by a disease or is it a result of metabolic abnormalities? Is obesity related to this condition? Can weight loss improve it? Thank you!
Dr. Qiu Zhengbin Reply:
Hello: Metabolic syndrome refers to a cluster of metabolic abnormalities that result in elevated blood glucose, blood pressure, triglycerides, and abdominal obesity. It is primarily caused by poor lifestyle habits such as overeating and lack of physical activity, and it is closel...[Read More] Understanding Metabolic Syndrome: Causes, Risks, and Weight Loss Benefits
Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Thyroid issues? Hello Dr. Yang, I have a hard lump in my neck. I had it checked two years ago (the doctor inserted a needle into my neck to extract material from the lump), and the doctor said I only need to follow up every six months. However, I am still worried because my gran...
Dr. Yang Hongzhi Reply:
Most patients with thyroid nodules have normal thyroid function. Weight loss is one of the manifestations of hyperthyroidism, and it occurs in only a small number of patients with thyroid nodules. Blood tests are necessary to confirm this. Generally, the effectiveness of medicati...[Read More] Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns
Symptoms of diabetes? Is high cholesterol and high blood sugar a primary cause of diabetes? If I have blurred vision, could it be related to diabetes? Isn't diabetes associated with weight loss? Can overweight individuals also have diabetes? Should I see an ophthalmologist f...
Dr. Qiu Zhengbin Reply:
Hello: The symptoms of diabetes include increased appetite, increased thirst, frequent urination, and weight loss; however, a significant portion of patients may be asymptomatic. Diabetes can lead to retinopathy and increase the incidence of various eye diseases. If you experienc...[Read More] Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns
Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Lipid malnutrition syndrome Lipid Nutritional Deficiency (272.6) - which specialty should I consult for examination and treatment, and how can I obtain a catastrophic illness card? Ms. Lin, phone number 0932658379. Onset date: Late March 2007. Course of illness: After a car...
Dr. Chen Qingbin Reply:
Hello Miss Lin: In clinical practice, lipid malnutrition is very rare, and it is best to go to a medical center for a detailed examination and treatment.[Read More] Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Managing High Blood Sugar and Cholesterol: What You Need to Know
I'm sorry, but I need more context to provide a translation. Could you please provide additional information or content? I went to the hospital for an examination and found that I have high blood sugar and high total cholesterol levels. The 24-hour urine test results are unk...
Dr. Qiu Zhengbin Reply:
Hello; you have undergone examinations at the hospital and found that you have high blood sugar and elevated total cholesterol levels, which may indicate the possibility of diabetes and dyslipidemia. The rapid weight gain may be related to the psychiatric medications you are taki...[Read More] Managing High Blood Sugar and Cholesterol: What You Need to Know
Understanding Fluctuating ANA Results: Immune Issues Explained
The ANA (Antinuclear Antibody) test results can vary between different hospitals? Doctor, you mentioned that "some immune issues may cause fluctuations in ANA results." What specific immune problems are you referring to? I have lost about 9 kilograms in the past nine mo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Autoimmune diseases that can cause fluctuations in ANA levels include conditions such as Sjögren's syndrome. However, further diagnostic details must be evaluated and arranged by the attending clinician. For unexplained fevers, after being ...[Read More] Understanding Fluctuating ANA Results: Immune Issues Explained
Managing High Triglycerides and Liver Health: A Guide for Families
Triglyceride issues I would like to ask about my mother, who is 57 years old. She has been experiencing high cholesterol and triglyceride levels, and over the past six months, her liver enzymes have also been abnormal. However, blood tests have ruled out hepatitis. The doctor men...
Dr. Ke Zhengchang Reply:
Hello: High blood lipids can lead to fatty liver and abnormal liver function. Simply reducing the intake of sweets, avoiding alcohol, and minimizing fried foods, along with increasing physical activity and consuming more fish and fruits and vegetables, can lead to improvement. It...[Read More] Managing High Triglycerides and Liver Health: A Guide for Families
Managing High Blood Sugar and Blood Pressure: Daily Health Tips
How to manage elevated blood sugar levels in daily life? Hello Doctor: My father recently underwent a health check-up and his blood sugar level was found to be elevated at 119 mg/dL. Additionally, his blood pressure readings showed a systolic pressure of 175 mmHg and a diastolic ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. A fasting blood glucose level of 119 mg/dL raises clinical suspicion for potential impaired glucose tolerance. It is advisable to consult your family physician for further evaluation to gain a deeper understanding of your condition. ...[Read More] Managing High Blood Sugar and Blood Pressure: Daily Health Tips
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
Understanding Digestive Issues: Vomiting and Eating Disorders in Young Women
Gastrointestinal digestive issues and vomiting have been troubling me for a while? Hello, Director Hong: I have a 27-year-old female friend who smokes. She has been troubled by stomach issues for a long time. During her meals, she cannot eat too much; otherwise, she experiences i...
Dr. Hong Hongchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Forceful vomiting can lead to inflammation of the esophagus and stomach. It is recommended that you visit a gastroenterology clinic for follow-up. Wishing you safety...[Read More] Understanding Digestive Issues: Vomiting and Eating Disorders in Young Women
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 Fluctuating Serum Creatinine Levels: A Clinical Perspective
Elevated creatinine levels issue? In 2009, I had a serum creatinine level of 1.9 at one hospital. After receiving treatment for hypertension and cataracts at another hospital in October 2009, my serum creatinine level was 1.5. Both the creatinine clearance and kidney ultrasound w...
Dr. Yang Weishun Reply:
Based on your creatinine levels and age, the estimated glomerular filtration rate (GFR), which is a similar indicator of kidney function to creatinine clearance, indicates that your kidneys are clearing between 32 to 50 milliliters of blood per minute, regardless of whether the c...[Read More] Understanding Fluctuating Serum Creatinine Levels: A Clinical Perspective