Differentiating HHNK from DKA: Key Clinical Insights
How to differentiate between HHNK and DKA? HHNK and DKA are both hyperglycemic conditions caused by diabetes, and they both involve the production of ketone bodies. How can they be differentiated clinically?
Dr. Huang Yuanhui Reply:
Diabetic ketoacidosis (DKA) primarily occurs in type 1 diabetes due to a severe deficiency of insulin, which prevents the suppression of fatty acid breakdown, leading to ketoacidotic blood. The blood glucose levels are typically lower than in hyperglycemic hyperosmolar nonketotic...[Read More] Differentiating HHNK from DKA: Key Clinical Insights
Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Parlodel medication Taking one tablet of Parlodel daily to treat a 0.2 cm pituitary tumor can cause side effects such as dizziness, nausea, nasal congestion, and rapid heartbeat. These are considered common side effects. There are alternative medications available, and it may be ...
Dr. Zhang Yuanyi Reply:
Parlodel may have side effects such as nausea, vomiting, abdominal pain, dizziness, facial flushing, orthostatic hypotension, insomnia, headache, nasal congestion, tinnitus, and abnormal liver function. The usual dosage of Parlodel is 2.5 mg, with a recommended daily dose of 2.5 ...[Read More] Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Head Injury from Door Frame: When to Seek Medical Attention?
Hit the head on the door frame? Hello Doctor, about two to three years ago, I hit my head on a door frame. At that time, I didn't pay much attention to it, and it healed on its own after a while. However, at the end of October (last month), I hit the same spot again. I didn&...
Dr. Zhang Yuanyi Reply:
Generally, after a head injury, common symptoms include headache and dizziness; the duration of these symptoms can vary from person to person. If the severity or frequency of dizziness increases, or if there are accompanying symptoms such as vomiting, limb weakness, or difficulty...[Read More] Head Injury from Door Frame: When to Seek Medical Attention?
Understanding Brain Aneurysms: Recovery, Risks, and Care Tips
Cerebral aneurysm Dear Dr. Ding, On July 19, I was hospitalized due to dizziness and vomiting, and it was discovered that there was a 1 cm vascular malformation in my brainstem that had hemorrhaged. However, by the time I was admitted, the bleeding had stopped. The neurosurgeon ...
Dr. Ding Xianwei Reply:
Dear Mr. Hong, 1. The likelihood of a clip dislodging is quite low, and we have not heard of any such cases so far. 2. 3. Please discuss this with your surgeon. 4. It is not necessary. 5. In principle, if the surgical clip has been properly placed, there is no need to worry abo...[Read More] Understanding Brain Aneurysms: Recovery, Risks, and Care Tips
Understanding Peripheral Vestibular Dizziness: Causes and Concerns
Peripheral vertigo Yesterday morning, I suddenly experienced dizziness and vomiting upon waking up. I went to the emergency room, and the doctor said it was peripheral vertigo. Is there really such a medical term? What could cause these symptoms (I had a head injury about 7 years...
Dr. Qiu Yushu Reply:
Hello: Based on what you described, it seems to be an inner ear issue, specifically "Meniere's disease." If the symptoms persist, you should visit an otolaryngology clinic.[Read More] Understanding Peripheral Vestibular Dizziness: Causes and Concerns
Persistent Dizziness Two Weeks After Concussion: When to Seek Help?
Persistent discomfort two weeks after a concussion? Two weeks ago, I hit my head and thought it was just temporary pain. After two days, due to persistent symptoms of vomiting and dizziness, I sought medical attention. After diagnosis, it was found to be a concussion. The doctor ...
Dr. Huang Junxiong Reply:
Hello: After a concussion, symptoms such as dizziness, headache, nausea, memory impairment, difficulty concentrating, and increased drowsiness may occur. However, the majority (over 80%) will recover within about two weeks. There are still a small number of patients who may exper...[Read More] Persistent Dizziness Two Weeks After Concussion: When to Seek Help?
Post-Surgery Care for Stage II Colorectal Cancer: Dietary Concerns and Solutions
Postoperative status of colorectal cancer? Hello Doctor: My father is a stage II colorectal cancer patient. He underwent an anterior resection on June 27, 2006, and was discharged on July 6 without needing chemotherapy. However, since the surgery, he has only been able to eat por...
Dr. Ke Fangxu Reply:
Hello: In response to your question, for major abdominal surgeries such as rectal cancer surgery, it is common to experience difficulties with eating postoperatively, often due to adhesions. There are no specific dietary restrictions; a light and easily digestible diet is recomme...[Read More] Post-Surgery Care for Stage II Colorectal Cancer: Dietary Concerns and Solutions
Understanding Cerebellar and Brainstem Hemorrhage: A Patient's Journey
Cerebellar and brainstem hemorrhage Hello Doctor: My mother, who requires dialysis three times a week, was admitted to the intensive care unit at Xindian Gengxin Hospital on July 25 due to near-fainting. She was diagnosed with a small amount of bleeding in the cerebellum and brai...
Dr. Ding Xianwei Reply:
Hello: For your symptoms of limb weakness, it is recommended that you consult a rehabilitation specialist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Cerebellar and Brainstem Hemorrhage: A Patient's Journey
Understanding Post-Head Injury Swelling in Children: What to Know
Swelling after a head injury? My daughter (7 years old) bumped the back of her head while playing two weeks ago. That day, it was red, swollen, and painful. Three days later, since she felt a slight bulge at the injury site and it was still painful when pressed lightly, I took he...
Dr. Ding Xianwei Reply:
Hello: We recommend that you take her to our neurosurgery outpatient clinic for better assistance. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Post-Head Injury Swelling in Children: What to Know
Post-Surgery Care Tips for Faster Recovery After Abdominal Surgery
Postoperative care? Hello Doctor: I have a classmate who was hospitalized at the end of July due to abdominal pain. The doctors initially suspected appendicitis, but after surgery, they discovered it was not the case. Due to the delay in seeking medical attention and the long wai...
Dr. Ke Fangxu Reply:
Hello: In response to your question, there are three main causes of intestinal perforation in young individuals: 1. Appendicitis leading to perforation of the small or large intestine. 2. Perforation of a small bowel diverticulum. 3. Perforation of a duodenal ulcer. If appendicit...[Read More] Post-Surgery Care Tips for Faster Recovery After Abdominal Surgery
Post-Surgery Chemotherapy for Stage IV Colon Cancer: Managing Side Effects
Postoperative chemotherapy for colorectal cancer? Hello, my aunt underwent surgery for stage IV colorectal cancer on July 4th, about a month ago, and had her second chemotherapy session last Thursday. On the first day after the treatment, she felt very good, but starting Saturday...
Dr. Hou Yongji Reply:
Based on your description, it is likely a symptom of chemotherapy or progressive cancer. Therefore, please discuss the condition with your aunt's attending physician, especially if there are any discomforts (particularly related to any specific treatments such as chemotherap...[Read More] Post-Surgery Chemotherapy for Stage IV Colon Cancer: Managing Side Effects
Head Injury Concerns: When to See a Neurosurgeon After Trauma
Head trauma Hello, I would like to ask about an incident that occurred three days ago. I was hit on the right front side of my head by an acrylic panel that fell from the ceiling of a restaurant. After being taken to the hospital, I had two steel staples placed in my scalp. Since...
Dr. Ding Xianwei Reply:
Hello: If you are only concerned about allergic reactions to contrast agents, you can opt for examinations that do not require contrast. However, you may go directly to the neurosurgery department for further consultation. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Head Injury Concerns: When to See a Neurosurgeon After Trauma
Understanding Post-Concussion Symptoms: What to Watch For After a Head Injury
Concussion Hello Doctor: At the end of last month, I was in a car accident and hit my head, losing consciousness at the scene. My friends tried to wake me for a long time, and it was only when the person responsible for the accident picked me up that I slowly regained consciousne...
Dr. Ding Xianwei Reply:
Hello: The symptoms you mentioned could potentially be sequelae. However, numbness in the hands and neck pain may indicate a cervical spine injury. It is still necessary to have a personal consultation for a better diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Post-Concussion Symptoms: What to Watch For After a Head Injury
Severe Abdominal Pain After Accidentally Swallowing a Fish Bone
Severe abdominal pain of unknown origin? Hello, Dr. Lin! This is the first time I feel this unwell! I woke up today with severe abdominal pain and bloating! I have no appetite at all, and I feel like vomiting after eating! Yesterday, I accidentally swallowed a fish bone, which wa...
Dr. Lin Kecheng Reply:
Hello Kevin: Is the abdominal pain caused by swallowing a fishbone, or is it due to indigestion from the food consumed? It is really difficult to diagnose based solely on an email without the benefit of observation, inquiry, and examination. I cannot provide you with incorrect in...[Read More] Severe Abdominal Pain After Accidentally Swallowing a Fish Bone
Neck Pain and Dizziness After Motorcycle Accident: What to Know
Neck pain and slight dizziness? About three weeks ago, I had a motorcycle accident while riding at a speed of over 50 km/h. At the time of the fall, I only sustained minor injuries to my elbows and knees, and there was no visible injury to my head. However, I am unsure if I hit m...
Dr. Qiu Yushu Reply:
Hello: Based on what you have described, please visit the outpatient clinic for an examination. Thank you! Wishing you good health.[Read More] Neck Pain and Dizziness After Motorcycle Accident: What to Know
Understanding Hydrocephalus: Risks and Alternatives to Surgery
Hydrocephalus My father is unable to walk due to hydrocephalus and underwent a ventriculostomy in the hospital. He tends to be drowsy when sitting but feels better when lying down. A CT scan revealed that the central part of his brain appears dry. The doctor mentioned that the ce...
Dr. Qiu Yushu Reply:
Hello: There are three types of ventricular drainage catheters, and there is a possibility of over-drainage occurring. Patients may experience dizziness and vomiting. If a CT scan reveals this phenomenon, the usual management is to switch to another type of drainage catheter. Thi...[Read More] Understanding Hydrocephalus: Risks and Alternatives to Surgery
Head Trauma Symptoms: When to Seek Medical Attention
Head trauma? On Monday, I was punched in the back of the head by a classmate. At the moment, I didn't feel anything, but later I gradually started to feel pain. Over the next few days, I haven't been feeling well. In the morning, I wake up with body aches, especially in...
Dr. Ding Xianwei Reply:
Hello: I believe your symptoms may indicate a cold. Here are six important points that patients with head injuries should pay special attention to: 1. Severe dizziness and headache. 2. Persistent vomiting (three or more times within one hour). 3. Difficulty breathing. 4. Gradual ...[Read More] Head Trauma Symptoms: When to Seek Medical Attention
Understanding Neck Compression: Symptoms and Body Reactions Explained
Choking or strangulation? Doctor, may I ask: 1. When someone is choked to the point of respiratory distress and bites their tongue, is it possible that there are no visible injuries on the neck or throat, not even mild redness or swelling? 2. Additionally, if someone bites th...
Dr. Li Guoding Reply:
Dear Dr. Li Guo-Ding of the Tainan Hospital, Department of Surgery, Ministry of Health and Welfare: 1. There may be scars in the neck and throat area, and subsequently, there could be redness and swelling. If medical attention is not sought immediately, the redness and swelling ...[Read More] Understanding Neck Compression: Symptoms and Body Reactions Explained
Key Considerations for Consuming Pig Skin: Medical Insights
I'm sorry, but I need specific content to translate. Please provide the text you would When it comes to pig skin, what should one be cautious about? For example, are there certain things that should not be consumed? What is this referred to in the medical field (scientific t...
Dr. Lin Hongmao Reply:
Hello: This is a case related to otolaryngology, which I am not familiar with, so I searched for some information online. Please refer to the commonly known "pig's head skin" mumps, which is a viral infection that spreads through droplets and saliva contact, invadi...[Read More] Key Considerations for Consuming Pig Skin: Medical Insights
Understanding Post-Surgery Abdominal Distension: Causes and Solutions
Distressing abdominal bloating issue? Hello, Dr. Lin. A year ago, I underwent surgery for intestinal volvulus due to severe abdominal pain (there was no visible bloating). After the surgery, the doctor informed me that the cause was volvulus, and my mother, who was in the operati...
Dr. Lin Hongmao Reply:
Hello: The following information is extracted from the website of the Department of Colorectal Surgery at Tri-Service General Hospital, and it is quite detailed for your reference: Volvulus refers to the twisting of an organ around its axis, which can occur in the stomach, spleen...[Read More] Understanding Post-Surgery Abdominal Distension: Causes and Solutions