Weight, Internal Medicine FAQ - Page 28

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Understanding Muscle Strain and Nerve Sensations After Weight Training

Paralysis Hello Doctor: A while ago, I was doing weight training and accidentally injured my lower back. After treatment, it was diagnosed as a muscle strain, and I have improved significantly with medication, although I still occasionally feel something unusual. Recently, when I...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Inappropriate weight training may lead to muscle and ligament strains; it can even result in intervertebral disc disorders or joint diseases. Therefore, it is essential to have a health assessment, a comprehensive training plan, and warm-u...

[Read More] Understanding Muscle Strain and Nerve Sensations After Weight Training


Managing Blood Sugar Levels: Do You Need Medication at Age 50?

Blood sugar issues? I am about 50 years old, and my fasting blood glucose is around 115 mg/dL. Should I consider taking medication? Thank you.


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. A fasting plasma glucose level of 115 mg/dL, which falls between 110-126 mg/dL, is classified as impaired fasting glucose (IFG). Whether this indicates diabetes still requires further confirmation. 2. If a diagnosis of diabetes is confirme...

[Read More] Managing Blood Sugar Levels: Do You Need Medication at Age 50?


Understanding Elevated Creatinine and Positive Leukocytes in Urine Tests

A serum creatinine level of 1.4 and a positive leukocyte test in urine may indicate potential kidney dysfunction and the presence of a urinary tract infection (UTI) or inflammation. The elevated creatinine suggests impaired kidney function, while the positive leukocytes in urine ...


Dr. Yang Jun Reply:
Hello: In response to your question, the report mentions a mildly positive urine leukocyte count and a creatinine level of 1.4. Given your height and weight, a creatinine level of 1.4 is slightly elevated compared to normal values. The creatinine level is related to the amount of...

[Read More] Understanding Elevated Creatinine and Positive Leukocytes in Urine Tests


Do I Need Medical Attention? Understanding BMI, Pain, and Irregular Cycles

Do I need to seek medical attention? Hello Doctor, I have a few questions I would like to ask: I am currently 30 years old, 158 cm tall, and weigh between 62 to 65 kg, giving me a BMI of 34. Over six months ago, I started a raw food diet, cooking with minimal oil, salt, and meat...


Dr. Chen Baoli Reply:
Dear Xiao Zhu, Regarding your question, I suggest you first consult an endocrinologist to check for any metabolic issues, such as hypothyroidism. As for the currently popular raw food diet, the medical community generally holds a skeptical view on whether it is suitable for ever...

[Read More] Do I Need Medical Attention? Understanding BMI, Pain, and Irregular Cycles


Night Sweats While Sleeping: Causes and Solutions in Air-Conditioned Rooms

Experiencing excessive sweating during sleep (even in an air-conditioned room)? My husband almost every night sweats profusely while sleeping! The air conditioning is on in the room, and the temperature is around 26°C (79°F). He sweats on his forehead, back of the neck, chest, ba...


Dr. Yao Quan Reply:
Hello: Night sweats can be normal or abnormal. Some individuals who are overweight often experience significant night sweating. In these individuals, it is important to monitor for snoring during sleep and whether there are any interruptions in breathing while asleep. If such sym...

[Read More] Night Sweats While Sleeping: Causes and Solutions in Air-Conditioned Rooms


Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort

Gastrointestinal issues Hello Doctor, I have been experiencing gastrointestinal discomfort since childhood, including frequent vomiting and abdominal pain. Sometimes, I suddenly have to vomit in the middle of a meal, and afterwards, I feel very hungry. I also tend to have abdomin...


Dr. Xiao Yongxun Reply:
1. There are many and complex causes of abdominal pain. It can originate from the abdomen itself, such as infections, inflammation, ulcers, vascular lesions, trauma, or organ pathology; it may also be due to issues in the thoracic cavity, spine, or pelvic cavity. Additionally, fu...

[Read More] Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort


Understanding Cortisol Treatment: Lifelong Use, Side Effects, and Risks

Cortisol Hello Dr. Yang: I underwent adrenal tumor resection in July 2004 and only had a follow-up examination in February 2006. On February 26, 2006, my cortisol level was approximately 14.1 and ACTH was about 44.6 (I don't remember the exact decimal values) (I was not on m...


Dr. Yang Hongzhi Reply:
Adrenal insufficiency after adrenal tumor surgery can potentially recover. Taking supplemental corticosteroids will not lead to excessive side effects from steroids. If corticosteroids are not supplemented, the deficiency will become more apparent during times of physical stress,...

[Read More] Understanding Cortisol Treatment: Lifelong Use, Side Effects, and Risks


Managing High Cholesterol with a Low Body Weight: Dietary Tips

Underweight but with high cholesterol? Hello, Director Hsiao: I recently found out from my health check-up that my cholesterol level is high (237). However, I am 162 cm tall and weigh 46 kg, which is underweight. I usually enjoy snacks and eggs. Could you please advise me on what...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Your weight is 46 kg, height is 162 cm, and your Body Mass Index (BMI) is 17.5 kg/m². According to the Department of Health's recommended ideal BMI range of 18.5-23.9, you are indeed underweight. However, being underweight does not nec...

[Read More] Managing High Cholesterol with a Low Body Weight: Dietary Tips


Managing High ACTH Levels: Key Questions and Concerns Explained

Elevated ACTH (Adrenocorticotropic Hormone) Levels (Part 2) Thank you very much for Dr. Yang's response. I still have a few questions to ask Dr. Yang: 1. Can high ACTH levels be controlled just by medication? 2. If I have been taking medication for over four months withou...


Dr. Yang Hongzhi Reply:
If the initial diagnosis is adrenal insufficiency, then the rise in ACTH should be a result of a feedback mechanism. If the elevated ACTH is due to a tumor causing excessive secretion, it would initially present with signs of adrenal hyperfunction. I am not aware of whether long-...

[Read More] Managing High ACTH Levels: Key Questions and Concerns Explained


Understanding Nausea and Dizziness in Dialysis Patients: Causes and Solutions

Dialysis patients often experience vomiting and dizziness? Hello Doctor, my father started dialysis at the end of January this year, just before the Lunar New Year. He did not feel particularly unwell initially, but in the past month, after undergoing dialysis at the hospital, he...


Dr. Yang Jun Reply:
Hello: In response to your question, based on your description, your father appears to have developed uremia due to diabetes mellitus complicated by hypertension, necessitating hemodialysis treatment. After dialysis, symptoms such as dizziness, vomiting, and cold sweats may occur...

[Read More] Understanding Nausea and Dizziness in Dialysis Patients: Causes and Solutions


Understanding Kidney Function and Health Risks: A Patient's Guide

Kidney Disease Consultation I previously underwent a health check at a laboratory, and my test results showed cholesterol: 230 mg/dL, creatinine: 1.7 mg/dL, uric acid: 8.5 mg/dL, potassium: 2.9 mmol/L, and urine protein: ++. I would like to ask the doctor how much kidney function...


Dr. Yang Jun Reply:
Hello: In response to your question, the tests listed in your inquiry can diagnose chronic kidney disease, hyperlipidemia, hyperuricemia, hypokalemia, and hypertension. Kidney disease is related to hypertension, and additionally, diet, medications, systemic diseases, and autoimmu...

[Read More] Understanding Kidney Function and Health Risks: A Patient's Guide


Managing Metabolic Syndrome: Weight Loss Strategies and Treatment Options

Metabolic syndrome Could you please ask Dr. He the following question regarding metabolic syndrome? Is weight loss the best approach for metabolic syndrome? If dietary changes and exercise to control weight do not lead to weight loss and there is also an issue with fatty liver, h...


Dr. He Niaotong Reply:
1. Weight loss requires persistence; dietary control and exercise are essential. The most important factor is to develop good lifestyle habits, such as consuming low-sugar, low-fat, high-fiber foods and engaging in regular physical activity to achieve lasting results. It is best ...

[Read More] Managing Metabolic Syndrome: Weight Loss Strategies and Treatment Options


Am I Diabetic? Understanding Symptoms and Health Benefits of Running

Do I have diabetes? I have graduated from high school for over two years, and my weight is approaching 56 kg. No matter how I try to lose weight, I can't seem to drop any. I often feel dry mouth and thirst. After going to the hospital for a urine test, I was diagnosed with a...


Dr. Shi Guangzhong Reply:
1. It is common for weight to increase with age, which is related to the decline in our metabolic rate as we get older. This is why you may have noticed that you could eat anything without gaining weight in the past, but now even a slight increase in food intake leads to weight g...

[Read More] Am I Diabetic? Understanding Symptoms and Health Benefits of Running


Is It Hard to Lose Weight at 12 with a BMI of 28?

Am I overweight? Doctor, I am currently 12 years old, with a height of 150 cm and a weight of 64 kg, which gives me a BMI of around 28. Considering my age, will it be very difficult for me to lose weight?


Dr. Zeng Guosen Reply:
Hello: With a height of 150 cm and a weight of 64 kg, your BMI is 28, which indicates that you are slightly overweight. There's no need to worry. As long as you "eat less, exercise more, and stay persistent," you can definitely achieve weight loss success. It is re...

[Read More] Is It Hard to Lose Weight at 12 with a BMI of 28?


Do Patients with Kidney Shrinkage Always Need Dialysis? Insights and Alternatives

Is dialysis necessary if kidney size has shrunk to 7.5-8.5 centimeters? Hello Dr. Wang: My mother visited the nephrology department at Veterans General Hospital last week with symptoms of nausea, loss of appetite, jaundice, and fatigue (BUN: 150, creatinine: 8). She has severe an...


Dr. Wang Weijie Reply:
Hello, Your mother’s symptoms are indicative of uremia, chronic kidney failure accompanied by anemia. Ultrasound imaging shows renal atrophy, and dialysis will be necessary as long as her life continues. Dialysis, specifically hemodialysis, is a procedure that removes high leve...

[Read More] Do Patients with Kidney Shrinkage Always Need Dialysis? Insights and Alternatives


Understanding High Cholesterol: Causes, Symptoms, and Treatment Options

High cholesterol Height 157 cm, weight 50 kg. In recent years, I have undergone three health check-ups. The first one was two years ago, where my cholesterol level was 257. Last September, I had another check-up due to feeling unwell, and my cholesterol was 255. I suspect that th...


Dr. Chen Qingbin Reply:
If cholesterol levels remain above 240 mg/dL despite dietary control, medication therapy should be considered.

[Read More] Understanding High Cholesterol: Causes, Symptoms, and Treatment Options


Understanding High Cholesterol: When to Seek Further Medical Evaluation

Cholesterol level of 245? During a physical examination, it was found that the total cholesterol level is 245, which is considered high and requires dietary attention. Should further tests or follow-ups be necessary? If so, which specialty should I consult? (Male, 33 years old, h...


Dr. Chen Qingbin Reply:
Cholesterol level of 245 is slightly elevated. First, focus on dietary control and increase physical activity. After three months, recheck blood levels.

[Read More] Understanding High Cholesterol: When to Seek Further Medical Evaluation


Understanding Chronic Back Pain and Muscle Inflammation Issues

Lower back pain and inflammation in the muscles and joints of the hands and feet? Hello Dr. Chen: For the past year or two, I have been experiencing more frequent lower back discomfort. Additionally, after sitting or standing for extended periods, or after light exercise, I somet...


Dr. Chen Baoli Reply:
Hello Ryan: Regarding the issue you mentioned, experiencing lower back pain and muscle soreness after prolonged standing, sitting, or exercising is often recurrent. This involves several factors, including the nature of your work, the type of exercise you engage in, your usual si...

[Read More] Understanding Chronic Back Pain and Muscle Inflammation Issues


Effective and Healthy Weight Loss Strategies for Obesity Management

The issue of obesity? To effectively and healthily lose weight, it's important to focus on a balanced approach that includes a combination of diet, exercise, and lifestyle changes. Your current height is 174 cm and weight is 82 kg, which gives you a BMI of 27, indicating tha...


Dr. Yang Hongzhi Reply:
According to the Ministry of Health, a BMI over 27 is classified as obesity, while a BMI between 24 and 27 is considered overweight. There are no true secrets to weight loss; it is recommended to exercise as much as possible, increase general activity levels, and reduce food inta...

[Read More] Effective and Healthy Weight Loss Strategies for Obesity Management


Can a Cold Affect Thyroid Hormone Levels? Understanding T4 Results

Can a cold affect thyroid hormones? Hello Doctor: I am a 27-year-old woman. I had a health check-up on January 12 of this year, and the result showed that my T4 level was 23, which is significantly above the normal range. However, I had a cold at the time of the test. I searched ...


Dr. Yang Hongzhi Reply:
A cold should not have a significant impact on thyroid function. If T4 levels are markedly elevated, it is advisable to recheck TSH levels. If TSH is significantly decreased, it can further confirm the presence of hyperthyroidism.

[Read More] Can a Cold Affect Thyroid Hormone Levels? Understanding T4 Results


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