Weight, Internal Medicine FAQ - Page 32

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How to Cough Up Sputum When You Have No Phlegm?

How to cough up phlegm? Hello, doctor. I recently had a chest X-ray (frontal view) taken at a health center, and it was found to show non-cavitary pulmonary tuberculosis. I then went to another hospital's pulmonology department for a follow-up examination (posterior view), b...


Dr. Ke Zhengchang Reply:
Hello: The diagnosis of pulmonary tuberculosis requires not only a chest X-ray but also sputum tests and clinical symptoms (such as cough, fever, and weight loss). If there are no symptoms, the changes observed in the X-ray can be monitored without medication, or medication may b...

[Read More] How to Cough Up Sputum When You Have No Phlegm?


Simple Self-Tests for Diabetes: Understanding Symptoms and Risks

Diabetes mellitus I would like to ask if there are any simpler methods to test for diabetes at home, aside from going to the hospital for a check-up. I noticed that I have been resistant to sweet foods recently, and even after several hours without drinking water, I still need to...


Dr. Yang Hongzhi Reply:
If a mother has diabetes, the likelihood of her children developing diabetes increases, and this risk is further heightened if there is obesity. However, it is still possible to develop diabetes even without obesity. Mild diabetes may not present any symptoms, and it cannot be di...

[Read More] Simple Self-Tests for Diabetes: Understanding Symptoms and Risks


Understanding Abdominal Discomfort: Solutions for Hard Stomach Issues

Bloating ~ my intestines feel hard again? It's not exactly constipation, but I often feel the urge to have a bowel movement without being able to do so. My abdomen frequently feels bloated and hard to the touch. I'm not overweight, and it doesn't seem to be fat. I ...


Dr. Cai Zonglong Reply:
Hello, there are many causes of bloating, and constipation is one of them. However, there are also important reasons such as 1. abnormal intestinal motility, and 2. abnormal fermentation in the intestines. Abnormal motility can be managed with medication or exercise, while addres...

[Read More] Understanding Abdominal Discomfort: Solutions for Hard Stomach Issues


Essential Dietary Tips for Diabetes Prevention and Management

Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.


Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...

[Read More] Essential Dietary Tips for Diabetes Prevention and Management


Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs

What symptoms may occur if the thyroid gland is affected? I recently caught a cold and went to see a doctor. I have a headache, a slight sore throat, and feel very weak and lethargic. The doctor said my blood pressure is high (in the 150s) and my heart rate is elevated. They pres...


Dr. Yang Hongzhi Reply:
Hello: Common symptoms of hyperthyroidism include goiter, palpitations, tremors, anxiety, sweating, and weight loss. If there is a goiter, especially with nodular enlargement, medical attention should be sought regardless of the presence of other symptoms.

[Read More] Could Your Symptoms Indicate Thyroid Issues? Understanding the Signs


Chronic Diarrhea, Weight Loss, and Nausea: Understanding Your Symptoms

Persistent diarrhea, weight loss, nausea, and vomiting? Hello, I have been experiencing abdominal pain and diarrhea since September, with bowel movements occurring 3-4 times a day consisting of loose stools, accompanied by nausea and loss of appetite. I previously visited a gener...


Dr. Xie Rongyuan Reply:
Patients with multiple diverticula may experience chronic diarrhea. Additionally, irritable bowel syndrome and emotional issues can also lead to increased gastrointestinal motility, resulting in chronic diarrhea. Therefore, it is recommended that patients follow up with a gastroe...

[Read More] Chronic Diarrhea, Weight Loss, and Nausea: Understanding Your Symptoms


Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options

Hypothyroidism? Hello Dr. Yang: Initially, during a physical examination, it was found that the right side of my thyroid was enlarged, but there were no visible abnormalities, and there is no family history of thyroid disease. I have a constitution that makes it difficult for me ...


Dr. Yang Hongzhi Reply:
Your symptoms are likely unrelated to the thyroid. If they are causing distress, medication may be considered to alleviate the symptoms. Using thyroid hormone to reduce the size of the right thyroid lobe may not have a significant effect. If thyroid function is normal and the rig...

[Read More] Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options


Why Are Ants Attracted to My Used Sanitary Pads?

Diabetes issues? Doctor, I found ants on the used sanitary pads in the trash can (I've seen many ants on the pads several times). I have tested my blood and do not have diabetes. What could be the reason for this? Thank you.


Dr. Xiao Yongxun Reply:
Hello: In response to your question... Symptoms of diabetes include increased thirst, frequent urination, excessive drinking, weight loss, slow healing of wounds, and fatigue, among others. A diagnosis of diabetes is considered when two fasting blood glucose levels are greater th...

[Read More] Why Are Ants Attracted to My Used Sanitary Pads?


Overeating and Guilt: Managing Stress-Induced Binge Eating

Love to eat but afraid of gaining weight? It is common to crave high-calorie, sweet foods when resting at home or feeling stressed, leading to consuming larger portions than usual in a short period. Afterward, feelings of guilt and concerns about weight gain may arise, prompting ...


Dr. Yang Hongzhi Reply:
If there are signs of binge eating disorder, you can visit a psychiatric outpatient clinic.

[Read More] Overeating and Guilt: Managing Stress-Induced Binge Eating


Understanding Hypoglycemia: Symptoms, Diagnosis, and Next Steps

Hypoglycemia I experienced excessive thirst, fatigue, blurred vision, and nausea, thinking it might be diabetes. When I went to the hospital for a check-up at 10 AM (after eating bread at 8 AM), my blood sugar level was only 77, and my blood pressure was 124/75. I have not lost a...


Dr. Yang Hongzhi Reply:
If the blood sugar level is 77 without taking antidiabetic medications, diabetes can be ruled out. If symptoms persist, further evaluation for other diseases should be considered.

[Read More] Understanding Hypoglycemia: Symptoms, Diagnosis, and Next Steps


Understanding Chronic Stomach Pain: The Impact of Coffee Consumption

Classmates from Zhongxiao Elementary School? I have been experiencing chronic stomach pain... it flares up every time I drink coffee...


Dr. Hong Hongchang Reply:
Hello, students: Prolonged stress and tension in modern individuals can lead to acute gastritis and peptic ulcers. It is advisable to avoid foods or medications that can cause mucosal damage (such as tea, coffee, pain relievers, etc.). If persistent stomach pain is accompanied by...

[Read More] Understanding Chronic Stomach Pain: The Impact of Coffee Consumption


Effective Weight Loss Tips for Teens: A Guide for Young Adults

Please help me, doctor! Hello, doctor! I'm very overweight; I weigh 110 kg. What should I do? I'm only in the 9th grade, and I really want to lose weight quickly!


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Obesity refers to an excess of body fat; there are many methods to measure it, but currently, the Body Mass Index (BMI, expressed in kg/m²) is commonly used to define it. This is calculated by dividing weight (in kilograms, kg) by the squa...

[Read More] Effective Weight Loss Tips for Teens: A Guide for Young Adults


Understanding Cushing's Syndrome: Symptoms, Diagnosis, and Treatment Options

Cushing's syndrome? How is it treated? Two years ago, symptoms of Cushing's syndrome appeared (buffalo hump, purple striae on the abdomen, moon facies, and purple striae on both sides of the waist). I consulted a hospital and underwent a blood test, which returned norma...


Dr. Yang Hongzhi Reply:
Cushing's syndrome is typically confirmed through blood tests before proceeding to imaging studies. Sometimes, blood tests may yield false-negative results (indicating no issue when there is one), especially if the symptoms are similar to other conditions. In such cases, fur...

[Read More] Understanding Cushing's Syndrome: Symptoms, Diagnosis, and Treatment Options


Understanding Thyroid Issues: Symptoms and When to Seek Help

Unsure if it is a thyroid issue? Hello, Dr. Yang! I am a nursing student. About three months ago, I started working as a telemarketer, and I might have talked too much. I began to feel a sore throat and kept touching my neck, and suddenly I felt that the right side of my neck see...


Dr. Yang Hongzhi Reply:
It is advisable to consult a physician for a more definitive diagnosis, which will provide greater peace of mind. Thyroid enlargement may be nodular or diffuse. Nodular thyroid enlargement is less likely to present functional issues and is primarily associated with concerns about...

[Read More] Understanding Thyroid Issues: Symptoms and When to Seek Help


Effective Treatments for Adrenal Hyperplasia Symptoms

How to treat Adrenal-Dependent Sexual Organ Syndrome? My symptoms are very similar to Adrenal Hyperplasia. Since elementary school, my hands and feet have been stronger than others, and I have consistently placed in sports competitions. I can eat a lot without gaining weight, but...


Dr. Chen Jingwen Reply:
The condition in question is not within my area of expertise, and I cannot find relevant information in English. I recommend consulting Dr. Hong-Yuan Li from the Endocrinology Department at our hospital.

[Read More] Effective Treatments for Adrenal Hyperplasia Symptoms


Understanding Binge Eating Disorder: Treatment Options and Insurance Coverage

Psychogenic Binge Eating Disorder Hello Dr. Yang: I have been experiencing binge eating due to an excessive focus on weight loss, which I believe is related to psychological factors, possibly indicative of binge eating disorder. Which specialty should I consult? Is there insuranc...


Dr. Yang Hongzhi Reply:
Psychiatric consultation is covered by health insurance.

[Read More] Understanding Binge Eating Disorder: Treatment Options and Insurance Coverage


Is There a Link Between Hyperhidrosis and Endocrine Disorders?

Is there a relationship between hyperhidrosis and the endocrine system? Hello, I have a problem with generalized hyperhidrosis. I previously consulted with Dr. Ding from the neurosurgery department, and according to his response, I am indeed an irritable person with elevated bloo...


Dr. Yang Hongzhi Reply:
Excessive sweating, nervousness, and eating a lot without gaining weight may indicate hyperthyroidism. Other symptoms of hyperthyroidism include palpitations, tremors, and increased bowel movements. If these symptoms are present, thyroid function tests should be considered.

[Read More] Is There a Link Between Hyperhidrosis and Endocrine Disorders?


Weight Management for Diabetes Patients: Understanding Normal Ranges

Weight management for patients with diabetes? Hello Dr. Shi, I have a question I would like to ask. My father recently had his blood sugar tested at a clinic near our home, and it was found to be over 300, confirming a diagnosis of diabetes. After a few days of treatment with me...


Dr. Shi Guangzhong Reply:
There are two common causes of type 2 diabetes: (1) Insulin resistance: Most individuals with this condition are typically overweight. The reason for elevated blood sugar levels is due to the poor quality of insulin secreted in their bodies, which fails to lower blood sugar level...

[Read More] Weight Management for Diabetes Patients: Understanding Normal Ranges


Essential Nutrients for Managing GERD: A Guide for Busy Lives

What nutrients should be supplemented for gastroesophageal reflux disease (GERD)? Hello, my husband is 42 years old and has previously suffered from gastroesophageal reflux disease (GERD) and a duodenal ulcer. The duodenal ulcer has mostly healed, but the GERD is still being mana...


Dr. Hong Hongchang Reply:
Gastroesophageal reflux disease (GERD) is a common condition encountered in internal medicine, which can lead to reflux esophagitis in severe cases, requiring long-term medication. In more severe instances, surgical intervention may be considered to improve the function of the lo...

[Read More] Essential Nutrients for Managing GERD: A Guide for Busy Lives


Essential Dietary Guidelines for Managing Diabetes in Young Adults

Dietary Management for Diabetes Patients My boyfriend is 26 years old, approximately 185 cm tall, and weighs between 80 to 90 kg. Since this summer, he has experienced symptoms of thirst, increased fluid intake, and frequent urination. Today, due to persistent nausea and dizzines...


Dr. Shi Guangzhong Reply:
1. As long as blood sugar is well controlled, it may not be necessary to change jobs. 2. A diet low in fat, sugar, and salt should be adopted; a nutritionist can help create a meal plan that includes calorie control. 3. If managed properly, there is still a chance for complete re...

[Read More] Essential Dietary Guidelines for Managing Diabetes in Young Adults


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