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Xu Dong Dong
Endocrinology
About me
Having worked in the field of endocrinology for 10 years, I have rich clinical experience and excellent technical skills.
Proficient in diseases
Diabetes, diabetic retinopathy, diabetic peripheral neuropathy, diabetes-related andrology, erectile dysfunction, premature ejaculation, osteoporosis, hyperthyroidism, hypothyroidism, thyroiditis, thyroid disease, hypertension, and endocrine-related diseases.
Voices
Does thyroiditis require rest?
Some periods of thyroiditis require rest. The common types of thyroiditis clinically include subacute thyroiditis and autoimmune thyroiditis. Subacute thyroiditis has a relatively sudden onset, characterized by neck pain radiating to the back of the ear, fever, loss of appetite, tachycardia, muscle pain, excessive sweating, etc. If these acute symptoms are severe, rest is necessary, and treatment with non-steroidal anti-inflammatory drugs and steroids is required. If the symptoms are mild, involving only slight pain and discomfort, it might not be necessary to rest and one can continue working, but it is important to reduce the workload. In the case of autoimmune thyroiditis, most patients have a relatively stable condition and can carry on with normal work and life. However, if autoimmune thyroiditis enters a phase of hyperthyroidism with symptoms of high metabolism, it is also necessary to rest for a period. Some patients in the middle to late stages might experience symptoms of reduced thyroid function, such as dizziness, fatigue, chest tightness, and edema. If these conditions occur, it is appropriate to take some time to rest.
Can Hashimoto's thyroiditis breastfeed?
Patients with Hashimoto's thyroiditis can breastfeed. It is important for those in a hyperthyroid phase, especially when taking anti-thyroid medications, to switch to breastfeeding-safe medications beforehand and to regularly monitor thyroid function to ensure it remains within normal limits. Patients in a hypothyroid phase should also regularly monitor their thyroid function and adjust their replacement medication dosage accordingly. Newborns should have their thyroid function and related antibodies regularly tested from birth onwards. (Please medicate under the guidance of a physician.)
Can you eat melon seeds with gestational diabetes?
Patients with gestational diabetes can eat sunflower seeds, but the amount must be controlled and should not be excessive. Each serving should be a small handful, as sunflower seeds contain a high amount of fat. Consuming too much can lead to increased blood sugar and lipids, which is not conducive to controlling blood sugar. When eating sunflower seeds, try to choose plain raw or roasted sunflower seeds, and avoid those with sweet flavors or other heavy flavorings added. Patients with gestational diabetes can also eat nuts in moderation, but the amount should be controlled to about the equivalent of two large walnuts per day, and it is best to consume them between meals.
Can you eat cherries if you have gestational diabetes?
Patients with gestational diabetes can eat cherries. Cherries have a relatively low sugar content and glycemic index, so eating them will not cause significant fluctuations in blood sugar levels. Additionally, cherries are rich in trace elements, particularly high in iron content, and consuming cherries can help supplement iron. Patients with gestational diabetes can eat cherries in moderation, but they should not consume too much at once, and it is recommended to eat between meals. There are also other fruits with low glycemic indices that patients with gestational diabetes can eat appropriately, such as apples, peaches, pears, oranges, and grapefruits.
Can people with normal thyroid function get thyroid cancer?
Thyroid function and thyroid cancer are not necessarily related. It is possible to have thyroid cancer even when thyroid function is normal. Clinically, thyroid cancer is usually detected by color ultrasound. Clinicians will classify thyroid nodules based on their size, texture, growth direction, presence of blood flow signals, clarity of boundaries, infiltration of surrounding tissues, and enlargement of nearby lymph nodes. Nodules classified as categories one to three generally have a benign tendency, and regular follow-up appointments are sufficient. If the nodules are classified as categories four to five, they are suggestive of malignancy, and it is recommended to perform thyroid fine needle aspiration or surgery to determine the pathological type of the nodules.