Weight, Internal Medicine FAQ - Page 36

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Managing Hypothyroidism: Addressing Weight Gain and Hormonal Imbalances

Hypothyroidism Hello, I underwent thyroid nodule surgery in 1999, and a year later, I developed anemia. Since then, I have been taking iron supplements and thyroid hormone. After a few months, I developed acne on my chin, and upon re-evaluation at the hospital, it was found that ...


Dr. Yang Hongzhi Reply:
Obvious hypothyroidism can lead to conditions such as anemia, weight gain, and elevated prolactin levels. If these issues are primarily caused by this factor, supplementing with thyroid hormones should improve these conditions. However, if there is no improvement after normalizin...

[Read More] Managing Hypothyroidism: Addressing Weight Gain and Hormonal Imbalances


Chest Pain and Weight Loss: Seeking Medical Advice for Health Concerns

Please ask your question? Hello, Doctor: I have two questions I would like to ask you, and I hope you can provide some guidance! 1. Recently, I have been experiencing sharp pain in my chest, particularly in the left side around the heart area, and sometimes in the sides of my a...


Dr. Lin Jizhi Reply:
Chest pain that occurs with breathing or activity can commonly be attributed to several conditions: 1. Pneumonia 2. Pleuritis 3. Musculoskeletal pain 4. Neuralgia 5. Peptic ulcer 6. Angina. Of course, without a physical examination, it is difficult to determine the exact cause. H...

[Read More] Chest Pain and Weight Loss: Seeking Medical Advice for Health Concerns


Understanding Sudden Weight Gain: Causes and Solutions

Sudden weight gain In the past few weeks, I've noticed that the area below my chest down to my thighs has become quite swollen. I'm not sure if it's fat gain or edema. My diet hasn't changed significantly, and I'm unsure about the cause. Could you help me...


Dr. Lin Jizhi Reply:
I apologize, but I do not know your height and weight. Additionally, what is the extent of the weight change? How many kilograms? Generally speaking, sudden weight gain should raise concerns about potential endocrine disorders, such as hypothyroidism or Cushing's syndrome. F...

[Read More] Understanding Sudden Weight Gain: Causes and Solutions


Managing Steroid-Induced Weight Gain: Solutions and Alternatives

About steroids? My girlfriend previously suffered from a skin condition that could not be cured despite consulting various doctors. Eventually, a physician from Chang Gung Memorial Hospital prescribed a medication that helped control her symptoms. However, she gained weight as a ...


Dr. Ke Zhengchang Reply:
Hello: General corticosteroids can increase fat deposition, leading to symptoms such as moon facies and buffalo hump. After discontinuing the medication, these symptoms typically resolve gradually within one to two months with regular exercise, and there is no need to rely on tra...

[Read More] Managing Steroid-Induced Weight Gain: Solutions and Alternatives


Chronic Cold Sensitivity and Headaches: Possible Causes and Solutions

Fear of cold. Headache? Doctor, I sometimes feel very cold, and even wearing many layers of clothing or hiding under a blanket doesn't help. Then I experience headaches and body aches. I have seen a doctor who said it was a cold, and medication provided some relief, but it s...


Dr. Hong Hongchang Reply:
Hello: Being underweight, having endocrine disorders, low physical activity, and slow metabolism can all contribute to this issue. It is advisable to follow up with outpatient care (internal medicine) for treatment.

[Read More] Chronic Cold Sensitivity and Headaches: Possible Causes and Solutions


Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips

I would like to consult a doctor? Hello, doctor. I would like to ask you some questions and hope for your guidance. 1. What are the symptoms of hypertension and hypotension? How can they be prevented? 2. What are the methods for maintaining kidney health?


Dr. Ke Zhengchang Reply:
Mild hypertension and mild hypotension generally do not present symptoms. However, if blood pressure rises to malignant hypertension (systolic pressure approaching 200 mmHg), symptoms may include headache, neck tightness, dizziness, and blurred vision. Hypotension is commonly obs...

[Read More] Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips


Understanding Type 1 Diabetes: Symptoms, Biochemical Markers, and Management

Complicated diabetes 1. Why do individuals with insulin-dependent diabetes mellitus experience increased thirst, excessive urination, and increased appetite, yet also experience weight loss and fatigue? 2. A glucose level of 300 mg/dL, HbA1c of 8.8%, sodium of 133 mg/L, potassi...


Dr. Ke Zhengchang Reply:
Diabetes can cause the classic symptoms of polyphagia (increased eating), polydipsia (increased drinking), and polyuria (increased urination). When blood sugar levels rise, glucosuria (presence of glucose in urine) occurs, which has a diuretic effect, leading to polyuria. This in...

[Read More] Understanding Type 1 Diabetes: Symptoms, Biochemical Markers, and Management


Managing Hypernatremia in Central Diabetes Insipidus: A Guide

Hypernatremia Dear Doctor, I would like to ask you about a patient with central diabetes insipidus (CDI) who has elevated sodium levels. The patient weighs 70 kg and has a sodium level of 153 mEq/L. Given that the normal range is 135-145 mEq/L, how much water should be supplemen...


Dr. Ke Zhengchang Reply:
A rough estimate of the fluid deficit (L) = 70 * percentage * 13 / 140. The percentage may vary based on gender and age. Additionally, body weight also has an impact, so for rough estimation, generally, males are considered to be at 60% and females at 50%. For children, a higher ...

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Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options

Pituitary tumor Hello Doctor: Today I went to Kaohsiung Medical University to review my blood test results. I have gained 25 kg over the past year, going from 57 kg to 82 kg, and I eat very little, really very little... I consulted an endocrinologist, who suspects I might have a ...


Dr. Li Huixiong Reply:
Based on your description, the current condition is not clear or definitive, so there is no need to worry too much at this stage. Let's wait for things to become clearer. Endocrine disorders can only be confirmed through blood tests, so I recommend waiting for the results be...

[Read More] Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options


Understanding Adrenal Issues: Weight Gain and Health Concerns

~Adrenal gland issues~ Hello Doctor: Last week, I visited the endocrinology department at Kaohsiung Medical University because I gained 25 kg in a year. I used to weigh 57 kg, and now I weigh 82 kg. I eat very little and do not feel hungry. The doctor suspects that there may be a...


Dr. Hong Hongchang Reply:
Fatty liver is caused by endocrine disorders, hyperlipidemia, alcohol consumption, or viral hepatitis. Therefore, it may be necessary to treat the underlying conditions, and it is hoped that follow-up can be conducted in the gastroenterology and hepatology department.

[Read More] Understanding Adrenal Issues: Weight Gain and Health Concerns


Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain

Regarding the issue of valve prolapse? Dear Doctor: Regarding some medical conditions (Anxiety, Mitral Valve Disease, VBI), I experienced dizziness and discomfort at the beginning of last year, and I underwent a cardiac ultrasound. The doctor mentioned that I might experience pal...


Dr. Li Huixiong Reply:
Anxiety refers to a state of worry or unease. Mitral valve disease pertains to conditions affecting the heart's mitral valve. As for VBI, its abbreviation is unclear. From your words, one can infer the busyness and stress you are experiencing, which is a common phenomenon in...

[Read More] Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain


Weight Gain Concerns: The Impact of Laxatives and Ovarian Cysts

A netizen continues to ask, "I gained 20 kilograms after taking laxatives." I visited a family medicine doctor and also consulted with a gynecologist, who informed me that I have an ovarian fibroma. They advised me to lose weight quickly. I had blood tests done in Janua...


Dr. Li Huixiong Reply:
Please go see an endocrinologist as soon as possible.

[Read More] Weight Gain Concerns: The Impact of Laxatives and Ovarian Cysts


Rare Salmonella Infection in Father's Heart: A Critical Medical Case

My father's right heart vessel is infected with Salmonella, and his condition is critical..? My father suddenly experienced chest tightness, shortness of breath, and chills around 3:40 PM on August 12. My mother urgently took him to the New Building Hospital in Tainan. After...


Dr. Ke Zhengchang Reply:
In response to Su Wenting: Based on your description, it may be infectious vasculitis with associated aortic aneurysm. Typically, treatment involves antibiotics for two to four weeks while also managing hypertension. If there is no improvement or if the condition worsens, surgica...

[Read More] Rare Salmonella Infection in Father's Heart: A Critical Medical Case


Weight Gain After Overusing Laxatives: Health Risks and Solutions

Taking excessive laxatives has resulted in a weight gain of 20 kg over the past year? Hello Doctor: A year ago, I used an enema for constipation, but it didn't work. Later, I bought laxatives from a pharmacy, which did help me have bowel movements, and I became dependent on ...


Dr. Li Huixiong Reply:
I wonder what kind of laxatives you are taking that allows you to consume more than five a day. Laxatives should not contain steroids. As for the 20 kilograms you gained over the past year, that is indeed a concern. May I ask your height? We can calculate your BMI (Body Mass Inde...

[Read More] Weight Gain After Overusing Laxatives: Health Risks and Solutions


Effective Strategies for Gaining Weight: High-Calorie Foods to Consider

How to gain weight? Dr. Hong: Hello, I would like to ask: I weigh 44 kg and am 170 cm tall, which is quite thin! How can I gain weight? Could you please provide specific foods that are high in calories? I really need your advice, please. I feel that my body proportions are not go...


Dr. Hong Hongchang Reply:
Based on your height-to-weight ratio, your weight is indeed on the lower side. However, weight loss can be related to factors such as body composition, diet, and endocrine issues (such as diabetes or thyroid dysfunction). Therefore, it is recommended to first follow up with an in...

[Read More] Effective Strategies for Gaining Weight: High-Calorie Foods to Consider


Understanding Growth Potential: Can You Still Grow Taller After Age 15?

Height I have had my bone age assessed twice, and it was determined to be 15 years old. According to medical standards, girls typically stop growing taller around the ages of 14 to 15. However, my doctor mentioned that my bones could continue to grow until I reach 18 years old. I...


Dr. Ke Zhengchang Reply:
Hello, sister: 1. Whether further growth will occur depends on whether the X-ray growth plates have fused. If they have not fused and the individual is 15 years old, there may still be a chance for growth, but it varies from person to person. 2. For growth hormone testing, it is ...

[Read More] Understanding Growth Potential: Can You Still Grow Taller After Age 15?


Is It Safe for Teens to Use Weight Loss Supplements? Expert Advice

Weight loss I am 15 years old and want to lose weight. I've always wanted to take weight loss pills, but I'm afraid they might affect my growth and development. However, someone recommended Herbalife to me, saying it is a natural product that can be consumed by all age ...


Dr. Ke Zhengchang Reply:
Hello, A-Rong: At the age of 15, which is still a developmental stage, weight loss should ideally be conducted under the guidance of a physician and a nutritionist to avoid improper dieting that could affect growth and health. Herbalife is a meal replacement approved by the Depar...

[Read More] Is It Safe for Teens to Use Weight Loss Supplements? Expert Advice


Healthy Ways to Slim Down Thighs and Calves Effectively

How to healthily slim down the thighs and calves? How to healthily slim down the thighs and calves.


Dr. Ke Zhengchang Reply:
Hello: Engaging in more exercise and controlling body weight, along with reducing fat intake, will naturally lead to a well-defined leg contour. If you have any questions, you may visit the Metabolism Clinic for consultation.

[Read More] Healthy Ways to Slim Down Thighs and Calves Effectively


Understanding Gout: Causes, Prevention, and Treatment Options

Gout is a form of inflammatory arthritis characterized by the accumulation of uric acid crystals in the joints Gout is caused by the accumulation of uric acid crystals in the joints, leading to inflammation and pain. It can be triggered by factors such as high purine intake (foun...


Dr. Ke Zhengchang Reply:
Reply SOS: The accumulation of excessive uric acid crystals in the joints causes inflammation and swelling, known as gout. Consuming too many high-purine foods, such as organ meats, seafood, hot pot broth, meats, and alcoholic beverages, leads to the metabolism of these substance...

[Read More] Understanding Gout: Causes, Prevention, and Treatment Options


Weight Loss and Hormonal Imbalance: When to Seek Medical Advice

Weight loss can lead to hormonal imbalances? Dear Dr. Tseng, At the end of last year, I started to lose weight gradually because I was dissatisfied with my body. I adopted a method of eating less and exercising more, and over several months, I lost about five kilograms. Although...


Dr. Zeng Fenyu Reply:
Hello, Xiao Bing: Even when dieting, it's important to meet your basic caloric needs and ensure a balanced intake of various nutrients. If you continue to experience low menstrual flow or if the situation does not improve, please make sure to consult an endocrinologist.

[Read More] Weight Loss and Hormonal Imbalance: When to Seek Medical Advice


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