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Li Hui Zhi
Endocrinology
About me
Graduated from Guangzhou University of Chinese Medicine with a major in Endocrinology, holding a Master's degree in Medicine. Have been engaged in clinical medicine and related scientific research work since graduation. Proficient in the diagnosis and treatment of various endocrine diseases, especially skilled in the treatment of diabetes and its complications, thyroid diseases, blood lipid disorders, gout, and osteoporosis.
Proficient in diseases
Familiar with the diagnosis and treatment of various endocrine diseases, especially skilled in the diagnosis and treatment of diabetes and its various complications, thyroid diseases, blood lipid abnormalities, gout, and osteoporosis.
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Early symptoms of diabetic foot
The initial symptoms of diabetic foot mainly manifest in several aspects. The first symptom is abnormal sensations in the feet, including numbness, pain, a feeling of foreign objects, or as if stepping on cotton. The second situation involves pain in the feet, intermittent claudication, and even pain at rest. If these symptoms occur, it is advised to promptly visit an endocrinology specialist. Treatments may include medications for nourishing the nerves and improving circulation in the lower limbs. Without timely treatment, it's easy for wounds on the feet to ulcerate, leading to infection and severe adverse consequences. It is recommended to treat diabetic foot early to prevent the worsening of the condition and even the risk of amputation.
How is Hashimoto's thyroiditis diagnosed?
Firstly, it is important to check thyroid function for Hashimoto's thyroiditis, which involves a specific antibody, the anti-thyroid peroxidase antibody (TPOAb). If this antibody is significantly elevated, it supports the diagnosis of Hashimoto's thyroiditis. Additionally, a thyroid ultrasound should be combined, and if there is severe enlargement, a thyroid fine-needle aspiration can be conducted to assist in treatment. After a confirmed diagnosis of Hashimoto's thyroiditis, it is also necessary to assess thyroid function to determine if there is concurrent hyperthyroidism or hypothyroidism. Treatment should then be administered based on the specific condition of the patient.
What does a diabetic diet include?
The diet for diabetes primarily includes the following aspects: First, it is recommended to eat at regular times and in fixed amounts daily. Second, avoid consuming foods with a high glycemic index, such as porridge, glutinous rice, and rice noodle rolls, as these are not recommended. Third, the diet should be bland, as many diabetic patients also suffer from high blood pressure, high blood lipids, and high uric acid. Therefore, a bland diet is emphasized. Fourth, overly sweet fruits such as lychee, longan, banana, and grapes are not suitable for consumption.
Does having hypothyroidism mean lifelong infertility?
Having hypothyroidism does not necessarily mean permanent infertility. Hypothyroidism primarily involves reduced secretion of thyroid hormones in the body, leading to slowed metabolism. For women, symptoms such as reduced menstrual flow, amenorrhea, or even infertility may occur. However, if diagnosed with hypothyroidism, it is advisable to visit an endocrinology specialist promptly for thyroid hormone replacement therapy. It is recommended to monitor the Thyroid-Stimulating Hormone (TSH) during treatment; many patients with TSH levels below 2.5 can consider pregnancy. Moreover, it is crucial to continue taking thyroid hormones during pregnancy to avoid affecting the fetus.
What are the symptoms of hyperuricemia?
Some patients with hyperuricemia are asymptomatic, while others may suffer from complications such as gouty arthritis, gouty nephropathy, and tophi. Gouty arthritis is very common clinically and is primarily characterized by localized joint redness, swelling, heat, and pain. The commonly affected joints include the first metatarsophalangeal joint, ankle joint, and wrist joint. In cases of gouty nephropathy, patients may exhibit high levels of uric acid and increased creatinine levels, which may manifest as frequent urination, nocturia, and swelling of the lower limbs. If gout crystals deposit in the joints, they can form tophi, leading to joint deformities and restricted movement.
Is it good for people with diabetes to soak their feet?
Whether soaking the feet is beneficial for diabetic foot or not first depends on whether there are any wounds on the feet. If it is a grade 0 diabetic foot, where the diabetic only experiences abnormal sensations, numbness, or pain in the foot without any wound, then soaking the feet is permissible. However, it is crucial to be mindful of the water temperature during soaking; it generally should not exceed 40°C to avoid burns. If the diabetic foot has open wounds, foot soaking is not recommended. Soaking feet with wounds can easily lead to increased infection of the wounds.
How should one with hyperuricemia adjust their diet?
For the diet of hyperuricemia, it is generally recommended to follow a low-purine diet. What is a low-purine diet? First, try to avoid consuming seafood, animal organs, and other seafood products that contain high purines. Second, it is advised to abstain from alcohol, especially spirits and beer, and it is best not to drink them at all. Third, drink plenty of water, ensuring a daily intake of at least 1500 to 2000 milliliters. Fourth, it is also recommended to avoid consuming traditional long-cooked soups and hotpots.
Symptoms of diabetic foot
The symptoms of diabetic foot can be categorized into those without wounds, commonly referred to as stage 0 diabetic foot. The main symptoms of stage 0 diabetic foot include lower limb paralysis, pain, intermittent claudication, severe lancinating pain, and other sensory abnormalities. This is what constitutes a stage 0 diabetic foot. Stages 1 to 5 of diabetic foot progressively involve wound ulceration, typically presenting as progressive ulceration, pain, and exudation. Therefore, it is recommended for diabetic foot patients to seek timely treatment from an endocrinology specialist, and to use medications under the guidance of a doctor to avoid worsening of diabetic foot infections and to prevent severe consequences.
Thyroiditis Clinical Symptoms
Thyroiditis usually refers to subacute thyroiditis in clinical terms, and its symptoms mainly include the following: Firstly, early stages of the disease typically involve neck pain accompanied by fever, which usually occurs in the afternoon or evening. If it coincides with hyperthyroidism, additional symptoms may include palpitations, weight loss, insomnia, tremors, excessive sweating, increased appetite, irritability, and mood swings commonly associated with hyperthyroidism. Therefore, if these symptoms are present, it is advised to promptly visit the endocrinology department of a hospital for a complete thyroid function test, erythrocyte sedimentation rate, blood routine, and thyroid ultrasonography to establish a clear diagnosis.
Are people with thyroiditis afraid of heat?
Thyroiditis generally refers to subacute thyroiditis. It is a disease caused by the destruction of thyroid follicles due to a viral infection, leading to the release of thyroid hormones into the blood. In the early stages, some people may experience transient hyperthyroidism, with symptoms such as heat intolerance, excessive sweating, palpitations, insomnia, weight loss, and irritability. In addition to these symptoms, thyroiditis can also be accompanied by neck pain and fever, generally occurring in the afternoon or evening. Therefore, it is recommended that anyone with these symptoms should promptly visit an endocrinology specialist to complete thyroid function tests, erythrocyte sedimentation rate, routine blood tests, and thyroid ultrasound to confirm the diagnosis.