Weight, Internal Medicine FAQ - Page 25

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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


Understanding Neck Swelling and High Uric Acid Levels: A Guide

I am experiencing some health issues? I recently experienced an unusual swelling in my neck, but it subsided after a few days. From the time I noticed it until it disappeared, it was approximately five days, although I'm not entirely sure of the exact duration since I am som...


Dr. Yang Hongzhi Reply:
The term "goiter" generally refers to an enlargement of the thyroid gland. For issues related to high uric acid, you may consult a specialist in metabolic disorders. Additionally, if there are abnormalities in liver function, it is advisable to see a gastroenterologist ...

[Read More] Understanding Neck Swelling and High Uric Acid Levels: A Guide


Managing Diet and Activity for Moderate Kidney Disease Patients

Moderate kidney disease patients GFR 50 mL/min/1.73m² (moderate) Serum creatinine 2.3 (normal range 0.6–1.4) Serum potassium 6.0 (normal range 3.5–5.0) Serum phosphorus 5.2 (normal range 2.5–4.5) Presence of edema Age: 20 years Gender: Male Height: 160 cm Weight: ...


Dr. Yang Zhongwei Reply:
Hello: If someone is 20 years old and has stage 3 chronic kidney disease, they really need to take extra care! Do they have hypertension or diabetes? If so, it is crucial to manage these conditions strictly, as they can accelerate the decline of kidney function. Additionally, con...

[Read More] Managing Diet and Activity for Moderate Kidney Disease Patients


Understanding the Connection Between Stomach Issues and Breathing Difficulties

Heavy feeling in the stomach and difficulty breathing? I recently wrote to you about my issues with stomach pain and bloating. I visited Mackay Memorial Hospital, where the doctor prescribed me medication for bloating and gastric relief, but it hasn't been very effective. My...


Dr. Cai Yaozhou Reply:
First, consult a general internist or gastroenterologist to arrange for an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease and Helicobacter pylori infection. Additionally, see a general internist or family medicine specialist to arrange for a chest X...

[Read More] Understanding the Connection Between Stomach Issues and Breathing Difficulties


Could My Symptoms Indicate Diabetes or Low Blood Sugar?

Do I have diabetes based on my symptoms? Hello Doctor: I have a long-term symptom where my hands shake when I feel hungry. Sometimes, a few hours after eating, I start to feel a bit shaky, but eating something helps me return to normal. Some people have suggested that I might hav...


Dr. Lü Jing Reply:
Your current condition may be due to hypoglycemia, which can also occur in the early stages of diabetes. Additionally, a tumor in the pancreas could lead to abnormal insulin secretion. To confirm, it is advisable to check your blood sugar levels during episodes of shaking to see ...

[Read More] Could My Symptoms Indicate Diabetes or Low Blood Sugar?


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?


Is Blurry Vision a Serious Sign of Diabetes? Understanding Your Symptoms

Is having blurred vision already considered a severe case of diabetes? Three days ago, I suddenly experienced extreme thirst and a bitter taste in my mouth, and no amount of water could quench my thirst. I have also been urinating frequently. Two days ago, I noticed that I was fe...


Dr. Shi Guangzhong Reply:
From your letter, I understand that you are experiencing the three P's: polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger), along with general weakness and blurred vision. These are symptoms of hyperglycemia, and you likely have ...

[Read More] Is Blurry Vision a Serious Sign of Diabetes? Understanding Your Symptoms


Managing Mildly Elevated Low Blood Pressure: Links to Obesity and Fatty Liver

Mildly elevated low blood pressure? 1. How to manage slightly elevated low blood pressure? 2. Is it related to obesity and fatty liver?


Dr. Zhong Weisheng Reply:
The low blood pressure you mentioned likely refers to elevated diastolic pressure, which is also a form of hypertension. According to the JNC VII (the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure), the c...

[Read More] Managing Mildly Elevated Low Blood Pressure: Links to Obesity and Fatty Liver


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?


Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis

Dietary Considerations for Diabetes, Hypertension, and Dialysis Management Dear Doctor, my mother is 63 years old and has hypertension and diabetes. She is scheduled for dialysis in two days. Could you please advise on dietary considerations and any specific precautions we should...


Dr. Guo Qinghui Reply:
Diabetes and hypertension are both causes of kidney disease that can lead to dialysis. There are many considerations for individuals undergoing dialysis. In principle, it is essential to control blood sugar levels and manage hypertension. Dietary considerations are related to the...

[Read More] Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis


Managing Diabetes Complications: Addressing Appetite Loss and Care Strategies

How to manage and care for diabetes? Dear Dr. Shih, My brother, who is approximately 165 cm tall, has been suffering from diabetes for over ten years and currently has tuberculosis. He is receiving treatment at Chiayi Christian Hospital in the Family Medicine department. He used...


Dr. Shi Guangzhong Reply:
Your brother currently weighs 48 kilograms, which is indeed underweight. However, it is difficult to understand the true reason behind his inability to eat and subsequent vomiting from your letter. It is possible that this could be due to diabetes with neuropathy. Your brother ha...

[Read More] Managing Diabetes Complications: Addressing Appetite Loss and Care Strategies


Understanding Kidney Displacement: Potential Risks and Complications

About the kidneys? I recently experienced a sensation of something in my left kidney. After undergoing a urethrogram, it was found that only my right kidney is slightly displaced. What potential complications could arise from this? During a previous examination, the doctor mentio...


Dr. Yao Quan Reply:
Dear Ms. Lin, Hello! According to your letter, your intravenous pyelography revealed that your right kidney is descended, but your symptoms are occurring on the left side (where you often feel something in the left kidney area). You did not mention whether there are any symptoms...

[Read More] Understanding Kidney Displacement: Potential Risks and Complications


Should You Seek Medical Attention for Hypothyroidism Symptoms?

Should I seek medical attention for hypothyroidism? Hello, doctor. I am currently seeking treatment for mental health issues. Aside from psychological problems, I do not have any major physical illnesses. The psychiatrist mentioned that hypothyroidism might affect emotional issue...


Dr. Yang Hongzhi Reply:
Hello: Your symptoms suggest that you should consider the possibility of hypothyroidism, and it is advisable to see a specialist in metabolic disorders.

[Read More] Should You Seek Medical Attention for Hypothyroidism Symptoms?


Understanding Weight Gain and Hormonal Changes: When to See a Doctor

Gynecology and Endocrinology In recent months, I have experienced a significant weight gain despite increasing my exercise and controlling my diet, but my weight has not decreased. Previously, I rarely had acne on my face, but in the last 2 to 3 months, I have been breaking out e...


Dr. Yang Hongzhi Reply:
Hello: There is a possibility of an endocrine disorder, but further evaluation based on the actual situation is needed. You may consider visiting the endocrinology outpatient clinic.

[Read More] Understanding Weight Gain and Hormonal Changes: When to See a Doctor


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