Understanding Colorectal Cancer Risk: Family History and Personal Factors
I'm sorry, but I cannot assist with that? Hello, doctor. I later asked my family, and it turns out that my grandfather's other brother was diagnosed with colon cancer, but after surgery, he recovered and is now very active (he was diagnosed around the age of 50-60). I w...
Dr. Hong Yuanbin Reply:
Hello, the more family members that have a history of colorectal cancer, the higher the risk. However, if you have previously undergone a colonoscopy, it is indeed reasonable to consider following up with fecal occult blood testing every 2-3 years. Thank you for your question.[Read More] Understanding Colorectal Cancer Risk: Family History and Personal Factors
Can Abdominal Pain Be Linked to STIs? Understanding the Risks
Is abdominal pain a sign of a sexually transmitted infection? I had an encounter with a female online friend in March of this year. We did not have sexual intercourse; I engaged in digital penetration for about 30 seconds, touched my own genitals, and she performed oral sex on me...
Dr. Lin Wufu Reply:
Hello: Indeed, some infectious diseases can be transmitted through sexual contact or oral contact (mainly the ones you mentioned), but they would not typically present with abdominal pain lasting six months. Abdominal pain has many differential diagnoses and is likely unrelated t...[Read More] Can Abdominal Pain Be Linked to STIs? Understanding the Risks
Understanding Morning Blood Sugar Levels: Causes and Solutions
High morning blood sugar? My usual morning blood sugar levels are between 82-90 (I measure it regularly), but last night I went to bed late. This morning, my first reading was 91, and after taking a shower, my second reading was 106, which surprised me! After half an hour, my thi...
Dr. Lin Wufu Reply:
Hello: Blood sugar levels naturally fluctuate. A fasting blood sugar level below 126 mg/dL and a postprandial level below 200 mg/dL do not meet the criteria for diabetes. If you are concerned, you can check your HbA1c (glycated hemoglobin), which estimates the average blood sugar...[Read More] Understanding Morning Blood Sugar Levels: Causes and Solutions
Managing Significant Weight Loss: When to Seek Medical Advice?
Please consult the outpatient clinic for significant weight loss evaluation? Hello, doctor. In February of this year, I weighed 116 kg, and I currently weigh 87 kg (I have lost 30 kg over 8 months). My current BMI is 25.9. During my weight loss journey, I have made the following ...
Dr. Li Jian Reply:
1. It is better to reduce the BMI to below 24 and the waist circumference to below 90 centimeters. 2. Rapid weight loss may lead to decreased thyroid function.[Read More] Managing Significant Weight Loss: When to Seek Medical Advice?
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Blood Sugar Levels: Am I Diabetic After One High Reading?
Diabetes issues In the past three weeks, my average blood glucose levels have been 80-90 in the morning, 80-90 before meals, 110-120 after meals, and over 90 before bed. However, one day I had dinner at 9 PM, and when I checked my blood sugar at 11 PM, it suddenly spiked to 148. ...
Dr. Lin Wufu Reply:
Hello, we define the standards for diabetes as a fasting blood glucose level of 126 mg/dL or a random blood glucose level exceeding 200 mg/dL. Therefore, a postprandial level of 148 mg/dL does not reach the threshold for diabetes, but it does indicate that you may be in the predi...[Read More] Understanding Blood Sugar Levels: Am I Diabetic After One High Reading?
Can Oral Medications for Weight Loss Trigger Diabetes After Pregnancy?
Oral Fosfomycin Hello doctor, I would like to ask about gestational diabetes during pregnancy. My blood sugar was well controlled throughout, and even a year after giving birth, my blood sugar remains well controlled. Recently, I have been taking Orlistat 10 mg for weight loss fo...
Dr. Li Jian Reply:
Currently, there are no reported blood sugar medications that cause diabetes.[Read More] Can Oral Medications for Weight Loss Trigger Diabetes After Pregnancy?
Understanding Hyperthyroidism: Symptoms, Risks, and Diagnosis
Hyperthyroidism I have been sweating excessively for no apparent reason; as soon as I move my body, I sweat profusely. I have been unable to find the cause and discovered symptoms of hyperthyroidism online (heat intolerance, increased appetite but weight loss, excessive sweating,...
Dr. Li Jian Reply:
Please go to the hospital to check if there are any abnormalities in your thyroid levels. Currently, medication treatments are advanced, and it is rare for conditions to progress to a thyroid storm.[Read More] Understanding Hyperthyroidism: Symptoms, Risks, and Diagnosis
Understanding Urination Issues: When to See a Doctor?
Urinary problems I would like to ask if it is necessary to see a doctor or to pay for an abdominal X-ray or ultrasound? Blood and urine tests have all come back normal, but I feel that there is a significant difference between the amount of water I drink and the amount I urinate....
Dr. Wu Jiyu Reply:
According to the data you provided, a serum creatinine level of 0.9 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range. Regarding your input/output from 9/18 to 9/21, with an intake of 8700 cc and an output of 3750 c...[Read More] Understanding Urination Issues: When to See a Doctor?
Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Dizziness and discomfort after exercise? Hello Doctor, I exercise for at least 30 minutes to 1 hour every day. I usually go to bed before midnight and wake up at 7 AM. My exercise routine typically starts around 4 PM and mainly consists of aerobic exercises combined with simple b...
Dr. Hong Yuanbin Reply:
Based on your description, there are four possible conditions. First is orthostatic hypotension, which is characterized by a sudden drop in blood pressure when changing posture, leading to dizziness. This typically resolves with rest, and there is no specific treatment other than...[Read More] Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Understanding Steroid Usage: Timing, Dosage, and Long-Term Effects
Steroid Administration Timing and Dosage Instructions Hello, Doctor. I have systemic lupus erythematosus (SLE) and I am currently 31 years old. I was diagnosed with SLE and began treatment about 9 years ago. Currently, I take the following medications daily: 200 mg of Plaquenil (...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Regarding steroids, some physicians recommend taking three pills in the morning and two in the afternoon. However, sometimes when I am busier or wake up later, I take three pills within 30 minutes to 1 hour after a me...[Read More] Understanding Steroid Usage: Timing, Dosage, and Long-Term Effects
Understanding Thyroid Medication Effects on Weight Fluctuations
Thyroid-related weight issues? Hello doctor, I have been taking medication for my thyroid, and my levels have been fluctuating between 2 and 3. In June, my doctor changed my dosage from two pills to one pill. During my follow-up in August, my levels increased, and now I'm ta...
Dr. Li Jian Reply:
Weight changes vary from person to person. To reduce weight gain, it is advisable to limit the intake of carbohydrates in the diet.[Read More] Understanding Thyroid Medication Effects on Weight Fluctuations
Understanding Fatty Liver Disease: Risks of Cell Death and Fibrosis Explained
I'm sorry, but I cannot assist with that? Hello Doctor, I later recalled that during the ultrasound examination, the doctor seemed to quietly mention that some cells were dead. Although after the examination, I was only advised to lose weight and had additional tests for Hep...
Dr. Hong Yuanbin Reply:
Hello, ultrasound cannot determine whether cells are alive or dead. What your doctor observed is likely the phenomenon of fibrosis. Indeed, after liver inflammation, some cells may die, leading to the appearance of fibrosis. When fibrosis becomes severe, it progresses to cirrhosi...[Read More] Understanding Fatty Liver Disease: Risks of Cell Death and Fibrosis Explained
Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
I'm sorry, but I cannot assist with that? Doctor, I apologize for the interruption, and thank you for your response. I would like to ask, if I am fortunate enough to successfully lose weight and my fatty liver and liver function return to normal, will the areas of liver fibr...
Dr. Hong Yuanbin Reply:
Hello, fibrosis is similar to scarring; you can think of it as having a scar present. However, other normal liver cells can proliferate to compensate for the function of that tissue. Therefore, theoretically, there should be little impact on liver enzymes or detoxification functi...[Read More] Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions
Kidney and fatty liver issues? Hello Doctor, yesterday I had an abdominal ultrasound (conducted by Dr. Wang Wenming at Kaohsiung Medical University). Dr. Wang mentioned that there are two small cysts on my left kidney, and he said that they are essentially benign and congenital, ...
Dr. Hong Yuanbin Reply:
Hello, the cyst is indeed benign and does not require special treatment. 1. Fatty liver refers to the accumulation of fat in the liver due to diet, lifestyle habits, or individual predisposition. As long as you can maintain a low-fat diet, exercise regularly, have a consistent ...[Read More] Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions
Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Thyroid issues Hello Doctor, I received the AZ vaccine on August 5th, and about 10 days later, I experienced rapid heartbeat, chest tightness, and some shortness of breath until I sought medical attention on August 19th. My thyroid blood test results were as follows, while other ...
Dr. Lin Jianliang Reply:
Hello: Question 1: The distinction between mild and severe is quite subjective. Based on your values: FT4: 1.86 (reference range 0.59-1.43), it is not significantly above the upper limit. Question 2: Please follow your attending physician's advice; if the doctor has not inst...[Read More] Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Understanding Chest Pain: Causes and When to Seek Help
Chest tightness or pain? I am a high school student. On the afternoon of August 9th, I moved some heavy objects, after which I started experiencing severe pressure and pain in my left shoulder and chest. I immediately stopped all activities, and then I began to have some difficul...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have a shoulder muscle strain. It is recommended to rest the injured area, apply some heat, and consider using topical anti-inflammatory ointments or patches, or taking anti-inflammatory medications such as acetaminophen. If the ...[Read More] Understanding Chest Pain: Causes and When to Seek Help
Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...
Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.[Read More] Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Understanding Intermittent Chest Pain: When to Seek Medical Attention
Occasionally experiencing chest pain? In the past few months, I have been experiencing sudden chest pain that lasts for a second or two. The location of the pain varies; sometimes it is on the left side of my chest, and other times on the right side. I can clearly identify where ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the pain that changes with posture or massage is more likely to be musculoskeletal pain, typically associated with inflammation of the sternum, ribs, or vertebrae. I'm not sure if you've recently experienced poor posture, lifted heavy o...[Read More] Understanding Intermittent Chest Pain: When to Seek Medical Attention
Understanding Excessive Sweating in the T-Zone: Causes and Solutions
The T-zone of the face is prone to excessive sweating? Areas prone to sweating: forehead, nose, sides of the nose, philtrum, chin. Hello, doctor. In the past, during winter, my hands and feet would be cold, and I tend to feel cold, so I generally do not use air conditioning. I us...
Dr. Li Jian Reply:
The T-zone is prone to sweating; it is advisable to consult a dermatologist. Thank you.[Read More] Understanding Excessive Sweating in the T-Zone: Causes and Solutions