Weight, Internal Medicine FAQ - Page 30

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Understanding High Total Cholesterol: Symptoms, Risks, and Solutions

Elevated total cholesterol? 1. Height: 176.5 cm 2. Weight: 77 kg 3. Body Mass Index (BMI): 24.7 4. Total Cholesterol: 238 mg/dL 5. Triglycerides: 116 mg/dL 6. Fasting Blood Glucose: 78 mg/dL 7. SGPT (ALT): 247 U/L 8. Blood Pressure: 124/77 mmHg a. What should be ...


Dr. Chen Qingbin Reply:
High cholesterol levels can easily lead to vascular sclerosis. Dietary control (low-fat diet) and regular exercise can help lower cholesterol. If there is a presence of diabetes or heart disease, cholesterol-lowering medication may be necessary.

[Read More] Understanding High Total Cholesterol: Symptoms, Risks, and Solutions


Understanding Abnormal Urine and Blood Test Results: What You Need to Know

Examination report issues Hello, doctor. Recently, I noticed that my urine has been yellow for a while and hasn't improved. Additionally, I've been experiencing lower back pain, so I thought there might be an issue with my kidneys. I went to a laboratory to have my urin...


Dr. Yang Jun Reply:
Hello: In response to your question, I will address only the issues related to uric acid and blood lipids. A complete answer regarding other data requires a visit to an internist to review all reports (blood and urine). Elevated uric acid levels are a precursor to gout, and if it...

[Read More] Understanding Abnormal Urine and Blood Test Results: What You Need to Know


Why Is My Mother Gaining Weight Despite Diabetes Management?

Why do I keep gaining weight? Hello: My mother has been a diabetic for over ten years. In the past year, her weight has increased significantly (currently weighing 60.5 kg; height approximately 150 cm). Are there any other health issues that could be causing this? By the way, my ...


Dr. Xiao Yongxun Reply:
Hello, in response to your question: 1. The reasons for weight gain include dietary habits, patterns of physical activity, and differences in energy metabolism. It is essential to first consider and evaluate the impact of diet, exercise, lifestyle, and environmental factors bef...

[Read More] Why Is My Mother Gaining Weight Despite Diabetes Management?


Does Drinking Water Cause Edema and Weight Gain? Expert Insights

Can drinking water cause edema? Drinking water can lead to a temporary increase in body weight due to water retention, but this is not the same as gaining fat. The body can retain water for various reasons, including dietary salt intake, hormonal changes, and physical activity le...


Dr. Yang Hongzhi Reply:
If bodily functions are normal, drinking water typically does not lead to edema. Consuming 4000cc of water in a day is considered excessive, and part of this may be due to underlying medical conditions.

[Read More] Does Drinking Water Cause Edema and Weight Gain? Expert Insights


Understanding Gastrointestinal Issues: Symptoms, Causes, and Solutions

Gastrointestinal issues? Hello Dr. Zhao, I have been experiencing gastrointestinal issues for quite some time, but I have never seen a doctor. I have many questions and would like to know if having bloating and unusual sounds from my stomach (similar to hunger growls or gurgling ...


Dr. Zhao Chongliang Reply:
Hello! Your symptoms are not indicative of malabsorption; otherwise, you would have experienced nutritional weight loss by now. These symptoms are consistent with Irritable Bowel Syndrome (IBS), which is actually a quite common condition—about one in ten patients in a gastroenter...

[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and Solutions


Understanding Unintentional Weight Loss: Tips for Healthy Weight Gain

Too thin? I have a question: I am 24 years old, 164.5 cm tall, and weigh 45 kg. My weight has consistently remained at 45 kg, and I am unsure why I am not gaining weight. Is there a possibility of an underlying condition? What can I do to gain weight?


Dr. Zheng Shuxing Reply:
Mr. Fan weighs 45 kg and is 164.5 cm tall, resulting in a Body Mass Index (BMI) of 16.7, which is indeed considered underweight (the minimum is 18). Therefore, it is recommended that you consume an additional 300-500 calories daily. It is also important to understand if there is ...

[Read More] Understanding Unintentional Weight Loss: Tips for Healthy Weight Gain


Effective Weight Loss Strategies: Tips from Medical Experts

Weight loss Hello doctor, I am here to ask you how I can lose weight. Please tell me what I should do.


Dr. Xiao Jingqin Reply:
First, you need to calculate your BMI (Body Mass Index: weight divided by height squared, with height measured in meters). The normal range is generally around 24 plus or minus 2. If your BMI falls within this range, you are not considered overweight and do not need to lose weigh...

[Read More] Effective Weight Loss Strategies: Tips from Medical Experts


Understanding Rapid Gastrointestinal Motility: Dietary Tips and Tea Effects

Could you please clarify the issue of rapid gastrointestinal transit? A female friend of mine went to the hospital for an examination, and the doctor said she has rapid gastrointestinal motility. Are there any dietary restrictions for rapid gastrointestinal motility? Additionally...


Dr. Zhao Chongliang Reply:
Generally, when we talk about rapid gastrointestinal motility, we refer to the colon rather than the stomach or small intestine. The primary function of the colon is to absorb water, so even if motility is fast, it is not a concern. Another commonly used term is "irritable b...

[Read More] Understanding Rapid Gastrointestinal Motility: Dietary Tips and Tea Effects


Understanding Nail Splitting: Causes and Nutritional Deficiencies

About fingernails? My nails split down the middle, almost like a crack, and while the flesh isn't visible, it hurts a lot when I wash things and they catch on something. Could this be due to a deficiency in certain nutrients? I have a history of thyroid issues, but I have al...


Dr. Yang Hongzhi Reply:
Hello: Thyroid dysfunction can sometimes lead to nail issues, but once treated, there should be no problems. Cracks in the nails generally do not indicate a specific nutritional deficiency.

[Read More] Understanding Nail Splitting: Causes and Nutritional Deficiencies


Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome

The calculation of creatinine clearance (CCR) can be done using the following formula: \[ \text{CCR} = \ Hello Dr. Yang: I am a patient with Systemic Lupus Erythematosus (SLE) and currently suffering from nephrotic syndrome. My albumin levels have been around 2.8 to 3, and my ch...


Dr. Yang Jun Reply:
Hello: In response to your question, Systemic Lupus Erythematosus (SLE) is one of the causes of nephrotic syndrome. Treatment must focus on controlling the underlying disease (SLE) and reducing kidney function damage. A low-salt and low-protein diet is a method to slow down prote...

[Read More] Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome


Understanding Thyroid Issues: Can Medication Help You Gain Weight?

Thyroid issues? I recently had a medical check-up, and the doctor told me that my thyroid gland is palpable in my throat. He mentioned that this could be the reason why I have difficulty gaining weight, as I have been underweight for many years despite eating a lot. I recently we...


Dr. Yang Hongzhi Reply:
If weight loss is caused by hyperthyroidism, weight will increase after medication control. However, if there is only thyroid enlargement but thyroid function is normal, then the thyroid is not related to weight.

[Read More] Understanding Thyroid Issues: Can Medication Help You Gain Weight?


Managing High Cholesterol After Pregnancy: Essential Tips and Guidance

High cholesterol Hello Doctor: I am currently five months postpartum, 175 cm tall and weigh 82 kg. Due to discomfort (shortness of breath and palpitations), I underwent blood tests. The results showed that everything else is normal, but my total cholesterol is 354 mg/dL (the doct...


Dr. Chen Qingbin Reply:
Your cholesterol levels are indeed too high. It is best to test again. If they remain high, you should focus on dietary control, increase physical activity, and lose weight, in addition to considering medication treatment.

[Read More] Managing High Cholesterol After Pregnancy: Essential Tips and Guidance


Understanding Elevated Immunoglobulin Levels and Kidney Health Risks

Elevated immunoglobulin levels? Doctor: Hello! Recently in April, I went to the hospital due to shortness of breath and chest tightness, where cardiac examinations showed no issues, and it was later diagnosed as autonomic nervous system dysfunction. However, the urine tests revea...


Dr. Yao Quan Reply:
Dear Ms. Kiki, Hello. There are five types of immunoglobulins: IgG, IgA, IgM, IgD, and IgE, each with different normal value ranges. Your letter mentions elevated immunoglobulin levels (approximately 440), but it is unclear which specific immunoglobulin is elevated. The normal r...

[Read More] Understanding Elevated Immunoglobulin Levels and Kidney Health Risks


Managing Adrenal Hormone Deficiency: Side Effects and Natural Alternatives

Adrenal hormones Hello. I have a deficiency in adrenal hormones, with normal test values ranging from 5 to 25, but mine is only 0.25. Therefore, my doctor prescribed a corticosteroid at a dosage of 0.25 mg once daily. However, I am experiencing side effects such as weight gain, i...


Dr. Yang Hongzhi Reply:
1. The use of supplemental doses of steroids is not expected to produce the side effects you mentioned. 2. Long-term supplementation is usually required, and whether lifelong use is necessary depends on the cause of adrenal insufficiency. 3. There should be no need to rely on oth...

[Read More] Managing Adrenal Hormone Deficiency: Side Effects and Natural Alternatives


Effective Strategies for Healthy Weight Gain: Tips and Foods

How to gain weight? I have always been underweight since childhood, but I didn't pay much attention to my weight because I haven't had any significant health issues. However, recently I feel that I am excessively thin—168 cm and 45 kg, which looks very unhealthy. There ...


Dr. Yang Hongzhi Reply:
Being very thin since childhood and not experiencing any physical discomfort does not necessarily indicate a disease state. Currently, there are no medications that can help, and food can be consumed freely.

[Read More] Effective Strategies for Healthy Weight Gain: Tips and Foods


Understanding Liver Function: Tips for Weight Loss and Health Improvement

Liver function I had an ultrasound examination, and Dr. Chang Weiren said my condition is quite serious. He advised me to lose weight and eat less. Doctor, I have a question: why am I unable to lose weight? My body just won't shed the pounds. Also, is it possible for me to r...


Dr. Xiao Jingqin Reply:
The core issue of weight loss lies in calorie intake. For a normally active male, the daily caloric requirement is approximately 25-30 calories per kilogram. A typical bento meal from a convenience store like 7-11 usually contains over 700 calories. Eating only two bento meals a ...

[Read More] Understanding Liver Function: Tips for Weight Loss and Health Improvement


Should I Take Medication for Diabetes? Exploring Treatment Options

Is medication necessary? I have been diagnosed with diabetes for a year and a half. During this time, my fasting blood sugar levels have ranged from 140 to 160 mg/dL, and my postprandial blood sugar levels have been between 180 and 200 mg/dL. My HbA1c levels are between 7.0% and ...


Dr. Yang Hongzhi Reply:
Generally, a hemoglobin A1c level below 7.0% is considered acceptable, while a level above 8.0% necessitates intervention. Since your level is currently between these two thresholds, you can try to enhance your diet and exercise as non-pharmacological treatments. However, if you ...

[Read More] Should I Take Medication for Diabetes? Exploring Treatment Options


Understanding Gallium-67 Scans: Risks and Differences from CT Imaging

excuse me? 1. Will undergoing a Gallium-67 whole body tumor scan have any adverse effects on the body in the future? Additionally, what are the differences between a Ga-67 tumor scan and a CT scan? 2. I have been experiencing persistent lymphadenopathy in the head and neck regio...


Dr. Zhao Chongliang Reply:
Gallium-67 (Ga-67) binds to transferrin in the blood and accumulates in areas of inflammation, infection, or tumors. The radiation dose used for detecting inflammation or infection is 3-5 mCi (millicuries, where 1 mCi = 1000 microcuries), while the dose for tumor detection is 5-1...

[Read More] Understanding Gallium-67 Scans: Risks and Differences from CT Imaging


Why Am I Gaining Weight Despite My Diet and Exercise Efforts?

Why do I keep gaining weight despite trying to lose it? I am 166 cm tall and weigh 63 kg. Since starting my regular weight loss plan a week ago, I have noticed that my weight has not only failed to decrease but has actually increased. I am currently not working and attend night c...


Dr. Zhao Chongliang Reply:
Hello! If tumors grow within the body, their unlimited growth can deprive normal cells of nutrients, causing weight loss rather than weight gain. There are many causes of obesity; in addition to diet and exercise, the medical community has identified at least six genes associated...

[Read More] Why Am I Gaining Weight Despite My Diet and Exercise Efforts?


Understanding Diabetes Complications: Symptoms and Management Tips

Complications of diabetes mellitus? Hello Dr. Shi: My father is currently 60 years old and has been diagnosed with diabetes for nearly 20 years. He has been managing his blood sugar levels with insulin injections. Recently, we have noticed that his feet are swollen and his vision...


Dr. Shi Guangzhong Reply:
Your father has been suffering from diabetes for 20 years, and symptoms like edema and blurred vision are typically among the complications of diabetes. He should pay attention to potential issues such as nephropathy, retinopathy, and cardiovascular complications. Regarding the w...

[Read More] Understanding Diabetes Complications: Symptoms and Management Tips


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