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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.
Voices
What are the symptoms of thyroiditis?
Subacute thyroiditis is commonly referred to, and it is frequently seen clinically with symptoms such as fever, pain in the neck, and mild hyperthyroidism symptoms in the early stages, such as palpitations, insomnia, weight loss, irritability, and increased frequency of bowel movements. Therefore, if you have these symptoms, it is important to promptly visit an endocrinology specialist to see if you are suffering from subacute thyroiditis. Diagnosis can be confirmed through blood tests, thyroid function tests, thyroid ultrasound, routine blood tests, and erythrocyte sedimentation rate tests.
Can people with hyperuricemia drink alcohol?
Patients with hyperuricemia are advised to avoid drinking alcohol. Especially liquors such as baijiu and beer, which have high purine content, are contraindicated for patients with hyperuricemia. Furthermore, if hyperuricemia is diagnosed with high levels of uric acid, one should abstain from alcohol, and also pay attention to diet by avoiding foods high in purines to prevent complications such as gouty arthritis and gouty kidney.
How to deal with diabetic foot ulcers.
For diabetic foot ulcers, the first step is to assess the severity of the foot wound. Treatment definitely requires timely consultation with an endocrinology specialist. The first step is to control blood sugar levels to meet targets; second, control blood pressure and blood lipids; third, administer systemic anti-infection treatment, choosing a sensitive antibiotic based on the wound secretion cultures; fourth, local wound management involves debridement and dressing changes depending on the condition of the wound; fifth, an ultrasound of the lower limb vessels can be conducted to check for arterial sclerosis or occlusion, subsequently using medication to improve circulation.
Hyperuricemia Clinical Symptoms
Some patients with hyperuricemia may not have any symptoms, and only discover elevated uric acid levels during a physical examination. However, some patients may experience gouty arthritis, manifesting as redness, swelling, heat, and pain in a localized joint, commonly in the joints of the toes. It may also affect joints like the ankle and elbow. Additionally, some patients may develop gouty nephropathy, leading to renal insufficiency. Therefore, hyperuricemia should be taken seriously to prevent severe conditions such as gouty arthritis and other serious symptoms associated with gout.
Does Hashimoto's thyroiditis need to be treated?
Hashimoto's thyroiditis is an autoimmune disease. Whether it requires treatment mainly depends on whether thyroid function is normal. If the thyroid function is normal in Hashimoto's thyroiditis, treatment is not needed; only regular monitoring of thyroid function is necessary. If Hashimoto's thyroiditis is accompanied by reduced thyroid function, then thyroid hormone replacement therapy is needed. If there is a history of Hashimoto's thyroiditis, it is essential to regularly monitor thyroid function and, under the guidance of a doctor, determine whether medication is necessary.
What are the harms of hyperuricemia?
The dangers of hyperuricemia: Firstly, some individuals might experience gouty arthritis, characterized by localized joint swelling, redness, heat, and pain, affecting mobility. Secondly, prolonged hyperuricemia can damage the kidneys, leading to chronic renal failure. Thirdly, if hyperuricemia persists long-term, it may result in the formation of tophi. Tophi deposited in joints can cause joint deformities and limited mobility. Additionally, hyperuricemia is an independent risk factor for cardiovascular and cerebrovascular diseases, and thus should be taken seriously.
Is it good for people with diabetes to soak their feet?
Diabetic foot is primarily classified into a level 0 diabetic foot and levels 1 to 5 diabetic foot. If it is a level 0 diabetic foot and the patient does not have any wounds, then soaking the feet is permissible. Level 0 diabetic foot mainly refers to a high-risk diabetic foot, in which case soaking is allowed. However, care must be taken to ensure that the water temperature is not too high to avoid scalding the skin. If the diabetic foot has reached levels 1 to 5, where the patient has wounds and ulcerations, soaking the feet is not recommended, as it can easily worsen and exacerbate the wound ulcerations. Therefore, people with diabetes should consider their individual conditions to determine whether foot soaking is suitable.