Low C3 Levels and Edema: Exploring Potential Causes and Next Steps
Edema examination shows low C3 levels? Stage I thyroid cancer, right thyroidectomy medication: OncoTect 50mg/day. Received one dose of the AZ vaccine, experienced adverse effects after a full meal, and has not been diagnosed since May due to lower limb edema. Consulted at the Int...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. There are no specific issues with immune function, and a decrease in C3 does not have particular significance. It is recommended to continue monitoring with the Metabolism Department. The Allergy, Immunology, and Rheumatology Department at Chang...[Read More] Low C3 Levels and Edema: Exploring Potential Causes and Next Steps
Understanding Weight Fluctuations: When to Worry About Your Health
Weight issues Hello Doctor, I have recently been controlling my diet and brisk walking for weight loss. I weigh myself approximately every 2-3 days. Last Thursday (9/14), I weighed 91.3 kg, and I didn't weigh myself on Friday, Saturday, or Sunday. Yesterday (9/18), I weighed...
Dr. Li Jian Reply:
If there is a need for weight loss, it doesn't have to be rapid; losing weight gradually is more sustainable. Thank you for your inquiry.[Read More] Understanding Weight Fluctuations: When to Worry About Your Health
Is a Fasting Blood Sugar of 90 mg/dL Considered High?
A fasting blood glucose level of 90 mg/dL is generally considered to be within the normal range. However, it is important to interpret this value in the context of individual health conditions and risk factors for diabetes? Hello doctor, is a fasting blood sugar level of 90 consi...
Dr. Li Jian Reply:
A level below 100 is considered normal. If there is a family history of diabetes or issues with being overweight, it is advisable to test for glycated hemoglobin (HbA1c). Thank you for your inquiry.[Read More] Is a Fasting Blood Sugar of 90 mg/dL Considered High?
Does Taking Ezetimibe Cause Weight Loss in Heart Patients?
Will taking (Eito tablets) lead to weight loss? Hello doctor, my father is 81 years old and is a heart failure patient. He has a stent implanted in his heart. The doctor hopes to lower his cholesterol, so he prescribed 40 mg of Lipitor (atorvastatin) once daily. This summer, an a...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. This issue is more related to cardiology, so I recommend consulting a cardiologist. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is concerned about you.[Read More] Does Taking Ezetimibe Cause Weight Loss in Heart Patients?
Exploring Alternative Diagnoses Beyond SLE: A Patient's Journey
Systemic lupus erythematosus (SLE) Four months ago, the patient developed a rash on the skin and underwent numerous immunological tests. The results showed C1q 24.2, C1c 24.2, C3 73, PL-12 (++), WBC 3600, platelet count 129,000, and urine tests were negative. ANA, dsDNA, pANCA, a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The examination data you provided is insufficient, so I cannot offer any recommendations based on these results. However, I believe that a negative ANA (antinuclear antibody) test reduces the likelihood of systemic lupus erythematosus and increa...[Read More] Exploring Alternative Diagnoses Beyond SLE: A Patient's Journey
Understanding Blood Sugar Levels: When to Seek Further Testing
Blood sugar issues? Hello doctor, I recently had a health check-up, and the report indicated "generally normal, regular check-ups recommended." However, I noticed that my blood sugar levels are nearing the normal range limit; my fasting blood glucose (AC) is 95 mg/dL. I...
Dr. Li Jian Reply:
If there is a family history of diabetes or issues with being overweight, you can also go to a major hospital for further examinations, such as checking your hemoglobin A1c. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: When to Seek Further Testing
Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Recently, I have been experiencing a lot of health issues? Hello Doctor, since the beginning of this summer, I have been feeling excessively hot and sweating profusely even with slight exercise. I have also been experiencing recurrent infections in my intimate area (itching and d...
Dr. Li Jian Reply:
Due to the symptoms involving multiple organ systems, it is recommended to visit a large hospital and consult with a family medicine specialist for a systematic examination. Thank you for your inquiry.[Read More] Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Understanding Nausea and Vomiting: Insights on Esophageal Ulcers and Treatment
Nausea and vomiting? Hello Doctor, I would like to inquire about my gastroscopy performed in April this year. Previous gastro-camera or fiberoptic findings: Premedication: Buscopan 20 mg intramuscularly and local use of 10% Xylocaine spray. Esophagus: 1. ONE CORD OF LINEAR ULCER....
Dr. Zheng Weijun Reply:
Hello, based on the results of your gastroscopy, you have a history of esophageal ulcers and mild gastritis. The symptoms of nausea and regurgitation you mentioned may indeed be related to autonomic nervous system dysfunction. Symptoms that can arise from autonomic nervous system...[Read More] Understanding Nausea and Vomiting: Insights on Esophageal Ulcers and Treatment
Can Elevated Liver Enzymes Affect Sexual Function?
Can elevated liver enzymes affect sexual function? A few days ago, I visited a urologist due to issues related to sexual function and had blood tests done. Upon returning for a follow-up, the test results showed that all values were within normal ranges except for GOT and GPT, wh...
Dr. Xie Rongyuan Reply:
Hello: Generally, mild liver function abnormalities do not cause sexual dysfunction. It is recommended to consult a urologist to determine the cause. Thank you for your message![Read More] Can Elevated Liver Enzymes Affect Sexual Function?
Concerns About Oral Sex and Infection Risks: A Medical Perspective
I'm sorry, but I can't assist with that? On July 2, 2023, I received oral sex without a condom from a female massage therapist, but there was no penetrative intercourse. A few months ago, I had a tooth extraction, and I'm concerned if the wound could be infected. A...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) data, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. 2. Blo...[Read More] Concerns About Oral Sex and Infection Risks: A Medical Perspective
Understanding the Risk of HIV: Should You Get Tested After Years?
Is there a chance of contracting HIV? Hello doctor, I recently went to the hospital for a check-up in the hepatobiliary and gastroenterology department due to weight loss and pain in the upper right abdomen. After a blood test, my Neutrophil count was 75.4 and Lymphocyte count wa...
Dr. Li Jian Reply:
We recommend that you consult an infectious disease specialist. Thank you for your inquiry.[Read More] Understanding the Risk of HIV: Should You Get Tested After Years?
Understanding Your Diabetes Risk: Key Health Check Insights
Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...
Dr. Li Jian Reply:
You can undergo an oral glucose tolerance test at the Metabolism Clinic. Thank you for your inquiry.[Read More] Understanding Your Diabetes Risk: Key Health Check Insights
Morning Pain in the Liver and Rib Area: When to Seek Medical Advice?
Medical consultation (upon waking up in the morning) Hello Doctor, I am Xiao Wu. My height is 179 cm and my weight is 93 kg. On the morning of June 7th, I woke up at 6 AM and began to feel pain in the liver area (mild pain with breathing and more intense pain when pressed). Howev...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit the hospital for an X-ray or abdominal ultrasound examination. Thank you for your message![Read More] Morning Pain in the Liver and Rib Area: When to Seek Medical Advice?
Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
If the effect of using metformin after meals is not satisfactory, can insulin therapy be considered? Hello, Doctor. Thank you very much for your response. I have had diabetes for 2 years, with an initial HbA1c of 6.6 and a fasting blood glucose of 142. I have been using Metformin...
Dr. Lin Jianliang Reply:
Hello: 1. There are many factors that contribute to postprandial hyperglycemia, and there are various ways to manage it. Insulin is one of the methods. I am not aware of the specific regulations regarding insulin under the health insurance system. 2. Your physician will likely co...[Read More] Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
Understanding High Urinary Glucose Levels: Is It Prediabetes?
Urine glucose 3+ issue? My 23-year-old son underwent a military service examination at the National Taiwan University Hospital in Hsinchu. His height is 178 cm, weight is 64.2 kg, and BMI is 20.1. During the examination, he had a urine glucose level of 500 (3+). He returned to th...
Dr. Li Jian Reply:
If fasting is not observed, glycosuria may occur. You can retest the hemoglobin A1c in three months. Thank you for your inquiry.[Read More] Understanding High Urinary Glucose Levels: Is It Prediabetes?
Is Long-Term Benzbromarone Use Safe for Kidney Health?
Hello, doctor. I would like to inquire about kidney issues? I would like to consult a physician. My height is 160 cm and my weight is 75 kg, with a uric acid level of approximately 8 or higher. If I take benzbromarone long-term to control my uric acid levels, will it cause any ha...
Dr. Lin Wufu Reply:
Hello, basically it shouldn't be a problem! However, be cautious about the possibility of developing uric acid stones. It's recommended to have regular follow-up visits at the outpatient clinic.[Read More] Is Long-Term Benzbromarone Use Safe for Kidney Health?
Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...
Dr. Li Jian Reply:
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Should You Seek Medical Help for High Insulin Resistance?
Is it necessary to seek further medical attention for high insulin resistance? Hello Dr. Li, I recently had a health check-up and my results are as follows: Fasting Glucose: 93 mg/dL, HbA1c: 5.4% of Hb, Insulin: 23.4 mU/L, and Insulin Resistance (HOMA): 5.4. Both my blood glucose...
Dr. Li Jian Reply:
Currently, blood glucose levels are still normal. It is advisable to focus on lifestyle modifications and weight loss, while regularly monitoring blood glucose levels.[Read More] Should You Seek Medical Help for High Insulin Resistance?
Managing Weight Gain with Hypothyroidism: Tips and Advice
Hypothyroidism and weight gain? Hello Doctor, I just learned that I have hypothyroidism and have gained 25 kilograms over the past year. I am currently on medication, and my thyroid levels are normal, but I am still unable to lose weight. I have significant gray hair, often feel ...
Dr. Lin Wufu Reply:
Hello, please consult with the physician who is currently monitoring your condition and prescribing medication. I'm not sure if the symptoms you mentioned are directly related to hypothyroidism; additional endocrine and internal medicine blood tests may be necessary.[Read More] Managing Weight Gain with Hypothyroidism: Tips and Advice
Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...
Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...[Read More] Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle