Weight, Internal Medicine FAQ - Page 34

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Understanding Daily Weight Fluctuations: Why Morning and Evening Weights Differ

Why can a person's weight vary by one kilogram between morning and evening? What is the underlying principle? Why does a person's weight fluctuate by about one kilogram throughout the day? What is the principle behind this? A child wants to know, and I'm not sure h...


Dr. Yang Hongzhi Reply:
When standing, blood tends to pool in the lower body, resulting in lower central venous pressure. This, influenced by the autonomic nervous system and endocrine system, leads to decreased urine output. Therefore, after prolonged standing in the afternoon, a person's weight m...

[Read More] Understanding Daily Weight Fluctuations: Why Morning and Evening Weights Differ


Understanding Chronic Hepatitis C: Treatment Options and Definition

Chronic treatment methods for hepatitis C include antiviral medications such as direct-acting antivirals (DAAs), which can effectively cure the infection. Treatment regimens typically last from 8 to 12 weeks, depending on the specific medication used and the patient's health...


Dr. Chen Jingwen Reply:
After infection with the hepatitis C virus, there is an 80-90% chance of developing chronic hepatitis. After 20 years, 20% of those with chronic hepatitis may progress to cirrhosis, and among cirrhosis patients, there is an annual incidence of 3-6% for hepatocellular carcinoma. C...

[Read More] Understanding Chronic Hepatitis C: Treatment Options and Definition


Understanding Green Stool: Causes, Concerns, and When to Seek Help

Green stool Hello Dr. Hong, I have been experiencing light gray-brown colored stools for about a week, which have a medicinal odor. After that, I had light green stools for about three days, and currently, I have been passing dark green stools for the past three days, which sti...


Dr. Hong Hongchang Reply:
Dear Miss Chen: 1. The ultrasound of the liver should be performed every 4-6 months, rather than every 6-12 months for hepatitis B carriers, along with checking for GPT and AFP levels. 2. The color of stool is primarily a mixture of bile, metabolic byproducts from the intestines...

[Read More] Understanding Green Stool: Causes, Concerns, and When to Seek Help


Managing Diabetes and Edema: Dietary Tips for Improved Urination

Diabetes and edema? Hello Dr. Yang, My mother has been suffering from diabetes and has been receiving treatment at the Veterans General Hospital's Metabolism Department for four years. We have noticed that her urine output is quite low, and although she doesn't eat muc...


Dr. Yang Hongzhi Reply:
Based on your description, your mother may have diabetic nephropathy, characterized by low urine output and edema. Consider the use of diuretics and avoiding excessive salt intake to help reduce the edema. You should discuss this with your mother's attending physician to det...

[Read More] Managing Diabetes and Edema: Dietary Tips for Improved Urination


Which Specialist to See for Chest Pain: Internal Medicine or Cardiology?

Please ask your question? Hello, doctor: I sometimes feel pain in my left chest, a little above that area, and it feels like a sharp pain. I'm concerned that I might have heart disease because I'm a bit overweight. Which department should I visit for this? Should I see ...


Dr. Ke Zhengchang Reply:
There are many causes of left-sided chest pain, such as pleurisy, angina, and pulmonary diseases. Therefore, it is essential to visit a thoracic specialist and a cardiologist for a thorough examination and treatment.

[Read More] Which Specialist to See for Chest Pain: Internal Medicine or Cardiology?


Effective Weight Loss Strategies for Hypothyroid Patients

How to help individuals with thyroid resistance lose weight quickly? Hello, I am someone with thyroid resistance. Two years ago, I managed to return to a normal weight, but due to studying, I started gaining weight again. Now that I have graduated, my weight has returned to what ...


Dr. Wang Zhihui Reply:
Dear Sir/Madam, 1. Patients with hyperthyroidism may experience a rapid weight loss shortly after the onset of the condition; however, once the thyroid function is restored to normal through treatment, it is common for weight to rebound. This is a normal phenomenon. 2. If you h...

[Read More] Effective Weight Loss Strategies for Hypothyroid Patients


Understanding Sudden Breathing Difficulties: Causes and Risks

Shortness of breath, feeling like choking????? Hello Dr. Chen, I would like to ask you a question regarding my mother. Around this time last year, she suddenly experienced shortness of breath without any warning. When lying flat to sleep, she couldn't catch her breath, and ...


Dr. Chen Guifeng Reply:
Shortness of breath must be evaluated for potential cardiopulmonary issues or anemia. There are many causes for weight loss, so please visit an internal medicine clinic for evaluation. If necessary, hospitalization for further examination may be required.

[Read More] Understanding Sudden Breathing Difficulties: Causes and Risks


Understanding Mitral Valve Prolapse: Weight Loss and Thyroid Concerns

I would like to ask the doctor a question? Dear Dr. Yang, I currently have mitral valve prolapse, but around April and May of this year, I suddenly lost weight and dropped to about 35 kilograms, whereas I was around 37 kilograms before. I am 163 centimeters tall, so there is qui...


Dr. Yang Hongzhi Reply:
Symptoms of hyperthyroidism include palpitations, tremors, sweating, anxiety, and weight loss. In fact, the symptoms of hyperthyroidism are quite similar to those caused by anxiety. However, the severity of symptoms caused by hyperthyroidism is usually greater than that caused by...

[Read More] Understanding Mitral Valve Prolapse: Weight Loss and Thyroid Concerns


Sudden Weight Gain in Seniors: Causes and Concerns to Consider

Sudden weight gain..? Hello: My father is 60 years old, and his weight has usually been around 54 to 55 kilograms. However, in the past few days, his weight suddenly increased to 57 kilograms. Additionally, in the last couple of days, he has noticed some swelling under his eyes, ...


Dr. Zheng Shuxing Reply:
Hello! Weight gain and edema may have the following possibilities: 1. Kidney disease and proteinuria 2. Hyperaldosteronism 3. Side effects of steroids. Please advise him to go to a major hospital for examination. Best wishes for health, Dr. Cheng Shu-Hsiang, Infectious Disease De...

[Read More] Sudden Weight Gain in Seniors: Causes and Concerns to Consider


Understanding Vascular Hardening: Causes and Concerns for Your Health

Vascular sclerosis Hello Dr. Chen, Recently, our company conducted a health check-up, and my health report indicated a vascular sclerosis risk factor (RF) of 2.7, which is noted as an abnormal condition. My blood pressure is 110/68 mmHg, and my heart rate is 99 beats per minute...


Dr. Chen Qingbin Reply:
Hello Popo: The main purpose of a health check-up is to screen for potential abnormalities. If there are any issues, it is still necessary to go to the hospital for further confirmation of diagnosis and treatment. Health Education Department Director, Chen Ching-Pin.

[Read More] Understanding Vascular Hardening: Causes and Concerns for Your Health


Understanding Blood Pressure Fluctuations During Dialysis: Key Insights

Regarding blood pressure issues during dialysis? My mother is a dialysis patient, but she recently told me that her blood pressure fluctuates during dialysis. Sometimes her blood pressure rises to 200, while at other times it drops to 60, all within the same day. During her most ...


Dr. Yang Jun Reply:
Hello: In response to your question, it is noted that your mother experiences significant fluctuations in blood pressure during dialysis, with blood pressure sometimes dropping to a level that makes it impossible to continue the treatment. However, I would like to know how many y...

[Read More] Understanding Blood Pressure Fluctuations During Dialysis: Key Insights


Understanding Metabolism: Can Hormonal Imbalance Cause Weight Gain in Men?

Metabolism Hello Dr. Hsiao: I would like to ask if men can also experience obesity due to hormonal imbalances? I am 27 years old and have been very careful with my diet (and I do not have constipation), yet I continue to gain weight (my BMI is 30.5, which is considered obese). I ...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. According to the Ministry of Health and Welfare in Taiwan, a BMI of 27 or higher is classified as obesity; a BMI between 24.0 and 26.9 is considered overweight; and a BMI between 18.5 and 23.9 is regarded as ideal. Your BMI of 30.5 is indee...

[Read More] Understanding Metabolism: Can Hormonal Imbalance Cause Weight Gain in Men?


Understanding the Four Key Symptoms of Diabetes: Thirst, Hunger, Urination, and Weight Loss

Diabetes mellitus The "three polys and one less" symptoms of diabetes refer to: 1. Polyuria: Increased urination. 2. Polydipsia: Increased thirst. 3. Polyphagia: Increased hunger. 4. Weight loss: Unintentional weight loss.


Dr. Xiao Yongxun Reply:
Hello: In response to your question, the common clinical symptoms of diabetes include polyuria (excessive urination), polydipsia (excessive thirst), polyphagia (excessive eating), and weight loss. If any random plasma glucose level is greater than or equal to 200 mg/dL, it may in...

[Read More] Understanding the Four Key Symptoms of Diabetes: Thirst, Hunger, Urination, and Weight Loss


Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options

About Mitral Valve Prolapse Dear Dr. Zhong, I apologize for interrupting your busy schedule. I have been troubled by heart issues for some time. In my past health check-ups, I have consistently shown signs of elevated heart pressure and arrhythmia. The doctor advised me to avoid...


Dr. Zheng Shuxing Reply:
Hello Jojo, Mitral valve prolapse is quite common, with an incidence of about 5%. It primarily occurs in young individuals and is mostly a congenital abnormality, though it is not hereditary. It is often associated with symptoms such as chest discomfort, palpitations, shortness...

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options


Living with Advanced Liver Cancer: Seeking Hope and Treatment Options

Liver cancer Hello: I am a carrier of liver cancer (inherited from my mother since childhood). I have undergone radiation therapy and taken a certain medication that was once banned (all treatments were at Kaohsiung Chang Gung Memorial Hospital). My condition has now worsened to ...


Dr. Li Huixiong Reply:
I am sorry to hear about your illness, but I must inform you of this fact: liver cancer remains one of the top three causes of death among both men and women in our country. The causes of liver cancer primarily stem from complications following infections with hepatitis B or C vi...

[Read More] Living with Advanced Liver Cancer: Seeking Hope and Treatment Options


Transforming Your Body: Tips for Overcoming Weight and Confidence Issues

I want to become a slimmer version of myself! 1. Naturally round face, chubby arms and legs. 2. 152 cm, 55 kg. 3. When looking in the mirror, I feel that my buttocks are prominent (occasionally with a small belly). 4. Often laughed at for being short and overweight, lacking confi...


Dr. Wang Fangli Reply:
Hello, A-Ping: To lose weight, you need to expend more calories than you consume each day. I recommend engaging in aerobic exercise and practicing dietary moderation (avoid sweets and fried foods).

[Read More] Transforming Your Body: Tips for Overcoming Weight and Confidence Issues


Effective Strategies to Gain Weight and Build Muscle

How to gain weight? I am 182 cm tall, but my weight is only 58 kg, which is extremely thin. I can't even attract girls like this! I eat quite a bit too! What can I do to gain weight and build muscle?


Dr. Wang Zhihui Reply:
Your ideal weight should be around 70 kilograms for a height of 182 cm. Currently, at only 58 kilograms, you are indeed on the lighter side. It is advisable to consult an endocrinologist to rule out any endocrine disorders such as hyperthyroidism or diabetes. If no such condition...

[Read More] Effective Strategies to Gain Weight and Build Muscle


Managing Osteoporosis: Best Practices for Calcium Supplementation with Dried Fish

Osteoporosis Hello, doctor. Thank you for your hard work. My mother has osteoporosis and recently bought small dried fish to supplement calcium. 1: I am not sure what foods or medications should not be combined with small dried fish. 2: How should it be taken correctly to maximiz...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, non-pharmacological treatment options for osteoporosis include: 1. Improving lifestyle habits: a. Avoid smoking, excessive alcohol consumption, and excessive caffeine intake. b. Maintain a balanced diet rich in calcium, including foods like mi...

[Read More] Managing Osteoporosis: Best Practices for Calcium Supplementation with Dried Fish


Understanding Potassium Imbalance: Causes, Symptoms, and Prevention

Potassium ion abnormalities Hello, I am 17 years old and have been diagnosed with hyperthyroidism (on medication for about two years). Currently, my resting heart rate is around 100 beats per minute. Recently, I woke up in the middle of the night needing to urinate but found that...


Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. Common symptoms of hyperthyroidism include palpitations, rapid heartbeat, tremors, fast speech, increased appetite, weight loss, exophthalmos, diarrhea, anxiety, and emotional instability. A minority may present with skin itching and hyp...

[Read More] Understanding Potassium Imbalance: Causes, Symptoms, and Prevention


Understanding Low Blood Pressure: Symptoms and Possible Health Issues

Hypotension I have been experiencing low blood pressure lately, with occasional rapid heartbeats and cold sweats. Whenever I have cold sweats, I tend to eat a lot, and I've noticed some weight loss. However, I don't have a loss of appetite, but I feel very tired and hav...


Dr. Yang Hongzhi Reply:
Rapid heartbeat, excessive sweating, and nervousness, along with increased appetite and weight loss, may indicate hyperthyroidism. Thyroid function tests can be conducted to make a diagnosis.

[Read More] Understanding Low Blood Pressure: Symptoms and Possible Health Issues


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