Weight, Internal Medicine FAQ - Page 35

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Understanding Cushing's Syndrome: Diagnosis and Treatment Options

Cushing's syndrome I have been experiencing continuous weight gain, facial swelling, and the development of acne and buffalo hump over the past four to five months. After visiting the hospital for examination, it seems that I may have Cushing's syndrome and a tumor in t...


Dr. Yang Hongzhi Reply:
Cushing's syndrome is caused by excessive secretion of adrenal corticosteroids. To diagnose this condition, it is essential to confirm that there is indeed an overproduction of adrenal corticosteroids. Typically, a high dose of dexamethasone is administered to assess whether...

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


Understanding Thyroid Resistance: Symptoms, Severity, and Treatment Options

Thyroid autoantibodies What are the symptoms of thyroid autoimmunity? Are there different degrees of autoimmunity? How can it be managed and treated? Thank you.


Dr. Wang Zhihui Reply:
1. The most common symptoms of hyperthyroidism include palpitations, tremors, heat intolerance, insomnia, increased anxiety, and significant weight loss over a short period. A minority of individuals may also present with exophthalmos. 2. Due to variations in the severity of symp...

[Read More] Understanding Thyroid Resistance: Symptoms, Severity, and Treatment Options


Understanding Chest Pain: Causes, Diagnosis, and When to Seek Help

Chest pain In July, I played basketball (during those days, my sleep quality was poor) and after playing, I felt chest pain and excessive sweating. The next day, I went for an examination, and the ECG and chest X-ray were normal, possibly indicating neuralgia. I was prescribed pa...


Dr. Chen Qingbin Reply:
Hello, Xiaowen: Your symptoms may be caused by gastroesophageal reflux leading to esophagitis. An upper gastrointestinal endoscopy can be performed to determine the cause. Director of the Health Education Department, Chen Qingbin.

[Read More] Understanding Chest Pain: Causes, Diagnosis, and When to Seek Help


How to Gain Weight Safely: Tips for Underweight Individuals

Too thin!!! I have already grown taller this year! My height is 169 cm, but my weight is only 42 kg. I don't know how to gain weight. I want to reach a weight between 55.26 and 67.54 kg by September 2. Is there a method to achieve this?


Dr. Yang Hongzhi Reply:
You recently visited the outpatient clinic to determine whether your condition is disease-related. If it is not caused by a disease, it may be due to your constitution, and currently, there are no specific methods to increase weight.

[Read More] How to Gain Weight Safely: Tips for Underweight Individuals


Effective Weight Loss Strategies for Teens: Tips and Insights

Weight loss Hello, I am a 17-year-old student currently following a weight loss plan (155 cm, 55 kg). During this process, I combine exercise with eating until I am 70% full. Additionally, I read more about this topic whenever I have free time. However, I would like to know: 1....


Dr. Hong Hongchang Reply:
After puberty, bone growth slows down, so further examination (orthopedic outpatient clinic) may be necessary. Weight loss should be combined with diet and exercise. Additionally, consuming extremely cold or hot water does not aid gastric motility.

[Read More] Effective Weight Loss Strategies for Teens: Tips and Insights


Menopausal Vegetarians and Obesity: Understanding Edema and Hormonal Effects

Obesity in Vegetarian Women During Menopause Occasionally, there is swelling in the feet, and urine output is low. I have previously taken hormone medications.


Dr. Zhong Yuxun Reply:
Hello, Jai: It is common to see lower limb edema in middle-aged women, and there are many potential causes. It is important to first have a physician rule out issues related to the heart, liver, or kidneys. Next, one should check for the presence of lower limb varicosities. In so...

[Read More] Menopausal Vegetarians and Obesity: Understanding Edema and Hormonal Effects


Does a Larger Bone Structure Mean You're Overweight?

Are people with larger bones always overweight? I have a large frame, so when I have some body fat, I look quite overweight. I want to know if I should lose weight or consider bone reduction?


Dr. Yang Hongzhi Reply:
Replying to Dawn: A simple way to determine if you are considered obese is to calculate your Body Mass Index (BMI). The formula is weight (in kilograms) divided by height (in meters) squared. A BMI greater than 25 is considered overweight, and a BMI greater than 30 is classified ...

[Read More] Does a Larger Bone Structure Mean You're Overweight?


Overcoming Weight Gain: Addressing Side Effects of Diet Pills

Obesity I previously took weight loss pills to lose weight, but not only have I gained weight, I also can't seem to lose any. I suspect that this might be a side effect of the weight loss pills I took before. What treatment should I pursue to mitigate the effects of the prev...


Dr. Ke Zhengchang Reply:
Reply to Li Hsi-Lin: There are many types of weight loss medications, and some do have certain weight loss effects. However, all medications are only effective while being taken; once discontinued, weight is typically regained. The issue of weight regain you mentioned should not ...

[Read More] Overcoming Weight Gain: Addressing Side Effects of Diet Pills


Managing Osteoarthritis: Exercise Tips and Knee Care Strategies

Arthritis Hello, I have osteoarthritis and have always been afraid to engage in any vigorous exercise, only taking medication when I experience pain. Recently, my knee seems to have worsened. After standing for half an hour, I feel some pain in my knee when going down the stairs....


Dr. Wang Fangli Reply:
Osteoarthritis commonly occurs in adults aged 40 to 50 and older, with some younger patients developing it due to joint injuries. Treatment includes weight loss, physical therapy, and medication. Weight loss can reduce the burden on the knee joints. Daily activities should avoid ...

[Read More] Managing Osteoarthritis: Exercise Tips and Knee Care Strategies


Is Rapid Weight Loss Affecting Your Energy Levels and Health?

How can one lose weight in a way that is both healthy and aesthetically pleasing? I've been feeling mentally unwell lately, and with exams approaching, I've been exercising at home for about half an hour to an hour each day. However, I still find myself waking up around...


Dr. Yang Hongzhi Reply:
Hello: It is ideal to lose about 0.5 kilograms per week for weight loss, as losing weight too quickly may have adverse effects on health. Currently, it is believed that no exercise method can achieve spot reduction. Yang Hongzhi, June 18, 2002.

[Read More] Is Rapid Weight Loss Affecting Your Energy Levels and Health?


Managing Blood Pressure Issues in Hemodialysis Patients: Key Insights and Solutions

Blood pressure issues in hemodialysis? Hello Doctor: 1. I would like to ask you two questions. If a patient undergoing hemodialysis for 10 years has a history of hypertension but, for some unknown reason, their blood pressure has dropped to around 100 without taking any antihyp...


Dr. Wang Yiming Reply:
Hello Ms. Wdvrdx: Your question is very profound and is a common topic among dialysis physicians. The most frequent issue faced by patients undergoing hemodialysis is fluctuations in blood pressure, particularly during standard dialysis sessions. The most significant factors infl...

[Read More] Managing Blood Pressure Issues in Hemodialysis Patients: Key Insights and Solutions


Understanding Nerve Sensations Under the Rib: Causes and Concerns

Overweight? I have been experiencing a tingling sensation under the skin near the lower edge of my left rib cage for about 8 months. Initially, it occurred after eating, but now I can feel it frequently, and it feels uncomfortable, as if that area is being pinched. Two months ago...


Dr. Yang Jun Reply:
Hello Mr. Qin: Based on the symptoms you described, it is possible that you are experiencing intercostal neuralgia. Additionally, your weight is above the standard for your height (overweight). You may want to consult with an internal medicine or neurology specialist for further ...

[Read More] Understanding Nerve Sensations Under the Rib: Causes and Concerns


Herbal Remedies for Weight Management in Prader-Willi Syndrome: Safe Options

Prescription My daughter has Prader-Willi syndrome, which has led to significant obesity. This is a genetic disorder, and she is currently ten years old. I would like to know if there are any traditional Chinese medicines that can aid in weight loss without side effects. Could yo...


Dr. Yang Jun Reply:
Hello Law Kwai Chi: Based on your description, your daughter's condition (Prader-Willi syndrome) is caused by multiple hormonal metabolic disorders leading to obesity, which may be accompanied by hyperglycemia. Generally, weight loss medications or traditional Chinese herbal...

[Read More] Herbal Remedies for Weight Management in Prader-Willi Syndrome: Safe Options


Is Drinking Over 3000cc of Water Daily Harmful During Weight Loss?

About Drinking Water During a weight loss period, drinking more than 3000cc of water daily may be harmful to the body.


Dr. Yang Jun Reply:
Hello Ms. Wu: It is advisable for the general population to drink water in moderation and not to excessively force themselves to drink. This is particularly important for patients with heart disease, kidney disease, or hypertension, as excessive fluid intake may place additional ...

[Read More] Is Drinking Over 3000cc of Water Daily Harmful During Weight Loss?


Navigating Uncertainty: What to Do When Health Issues Arise?

I'm not sure what to do? Hello Dr. Hsiao, I am a resident of Keelung and also your patient. I just realized that you are one of the doctors in this group. Regarding my condition, I had a persistent cough for nearly eight months last year, underwent numerous tests, and lost...


Dr. Xiao Yongxun Reply:
Dear Ms. Sarah Wang, Your concerns primarily involve weight loss and hoarseness, both of which have numerous potential diagnoses, varying in severity, and cannot be detailed here. What examinations have you already undergone? What were the results? These are crucial for differen...

[Read More] Navigating Uncertainty: What to Do When Health Issues Arise?


Understanding Weight Fluctuations: Stress, Metabolism, and Mental Health

Fluctuating weight? I wonder if it's related to my personality, but whenever I experience high work stress, I have a strong urge to eat and find it hard to control my appetite. Last year, during the busy season (about 3 to 4 months), I gained 10 kilograms, but I managed to l...


Dr. Wang Fangli Reply:
Hello, Miss: The principles of weight control are proper diet and appropriate exercise. In terms of diet, it is important to maintain nutritional balance and avoid high-sugar and high-fat foods. An ideal weight loss rate is about 2 kilograms per month, so losing 10 kilograms in t...

[Read More] Understanding Weight Fluctuations: Stress, Metabolism, and Mental Health


Understanding Metabolism: Why Weight Loss Doesn't Always Mean Fat Loss

What is metabolism? I do not have constipation or any physiological abnormalities! However, it's strange that every time I try to lose weight naturally, my body fat decreases while my weight remains the same, or my weight decreases while my body fat stays the same! What coul...


Dr. Xiao Yongxun Reply:
Dear Ms. Feng Xin Xin, 1. Metabolism encompasses both anabolism (synthesis) and catabolism (breakdown), along with various physiological processes within the body. The growth, repair, reproduction, and aging of the human body are all part of a series of metabolic activities. 2....

[Read More] Understanding Metabolism: Why Weight Loss Doesn't Always Mean Fat Loss


Why Do I Sweat When I Eat Sweets? Understanding This Odd Reaction

Why do I sweat when I eat sweets? Why do I start sweating as soon as I eat sweets? Since childhood, I have experienced a strange physiological reaction where I start sweating on my face immediately after consuming sugary foods such as cake, bread, or cold drinks like soda, fruit ...


Dr. Yang Hongzhi Reply:
After consuming sweets, if you experience cold sweats, you should consider whether it might be reactive hypoglycemia. This typically occurs after a certain period following the intake. It may be advisable to conduct a glucose tolerance test, which involves drinking a glucose solu...

[Read More] Why Do I Sweat When I Eat Sweets? Understanding This Odd Reaction


Why Do Health Supplements and Skincare Products Lose Effectiveness?

Please clarify your question! Hello, Dr. Tang: 1. Why is it that when taking a health supplement, one feels it is effective at first, but after 3 or 4 doses, it seems to lose its effectiveness? 2. Similarly, when using skincare products, why does one feel more beautiful after th...


Dr. Tang Jieru Reply:
Hello Ms. Ru: I am not sure what health supplements you are referring to. What do you mean by "effective"? Are you talking about weight loss pills? Generally, health supplements are meant to provide nutrients, vitamins, and other substances that the body may lack, and a...

[Read More] Why Do Health Supplements and Skincare Products Lose Effectiveness?


Understanding Elevated Mercury Levels in Blood: Causes and Solutions

Heavy metals in the blood Recently, our company conducted a health examination, and my test report indicated that the mercury level in my blood exceeds the standard. However, there are no hazardous factors present in the work environment. Among the 50 individuals examined, over 3...


Dr. Tang Jieru Reply:
In Taiwan, mercury poisoning is commonly caused by the use of traditional Chinese medicine such as cinnabar (HgS), calomel (HgCl2), and Ba Bao San. The laboratory diagnostic criteria are: blood mercury levels exceeding 10 mg/dL, or 24-hour urinary mercury levels exceeding 0.05 mg...

[Read More] Understanding Elevated Mercury Levels in Blood: Causes and Solutions


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