Dr Chua Beng Chye蔡明财博士
Read Dr Chua’s articles by health topic, from liver and kidney health to metabolic, digestive and supportive cancer care.按疾病主题阅读蔡明财博士的文章，涵盖肝肾健康、代谢与慢性病、消化健康及肿瘤辅助照护。
Kidney Health肾脏健康
3 articles3篇文章
Can Dialysis Ever Be Stopped After It Has Begun开始洗肾后还有可能停止吗
Whether dialysis can be stopped depends mainly on whether kidney failure is acute or chronic and whether kidney function has genuinely recovered. Dialysis must never be reduced or stopped without specialist approval.能否停止透析，关键在于肾衰竭是急性还是慢性，以及肾功能是否真正恢复。患者不应自行减少或停止透析。
Why Lifelong Care Still Matters After a Kidney Transplant肾移植之后为何仍要长期管理
A kidney transplant can improve survival and quality of life for many people with kidney failure, but it is not a once-and-for-all cure. Lifelong medicines, monitoring and graft protection remain essential.肾移植可改善许多肾衰竭患者的生存和生活质量，但并非“一劳永逸”，术后仍须长期服药、复诊和保护移植肾。
Why Early Kidney Function Decline Often Goes Unnoticed肾功能下降早期为何往往没有感觉
Early chronic kidney disease may be silent. People at higher risk need blood and urine tests rather than relying on urine output or how they feel.慢性肾病早期可能没有症状。高风险人士需要通过血液和尿液检查发现问题，而不能只凭尿量或身体感觉判断。
Liver Health肝脏健康
2 articles2篇文章
Why Liver Cancer Can Be Difficult to Treat肝癌为什么较难治疗
Liver cancer often occurs alongside chronic liver disease and may cause few early symptoms. Treatment must therefore control the tumour while preserving the remaining liver function.肝癌常与慢性肝病并存，早期症状又不明显，因此治疗既要控制肿瘤，也要保护剩余肝功能。
Does Fatty Liver Matter If There Are No Symptoms脂肪肝没有症状就不用管吗
Fatty liver often causes no obvious symptoms but may be linked with weight, glucose, lipids and liver inflammation. Assessment should address overall metabolic risk rather than waiting for discomfort.脂肪肝常常没有明显症状，却可能与体重、血糖、血脂及肝脏炎症有关。发现后应评估整体代谢风险，而不是只等肝区不适。
Oncology Support肿瘤辅助照护
2 articles2篇文章
Is Cancer Still as Frightening as It Once Was癌症还那么可怕吗
Cancer is not one disease. Screening and treatment continue to improve, but risks vary widely. Cancer should neither be met with overwhelming fear nor dismissed in a way that delays assessment.癌症不是单一疾病。筛查和治疗不断进步，但不同癌症的风险差异很大，既不应过度恐惧，也不能因“与癌共存”而延误评估。
Managing Fatigue and Poor Appetite During Cancer Treatment癌症治疗期间如何面对疲倦与食欲下降
Fatigue and poor appetite are common during cancer treatment, but anaemia, infection, dehydration, medicines and inadequate nutrition may also contribute and should be assessed.癌症治疗期间的疲倦和食欲下降很常见，但也可能与贫血、感染、脱水、药物或营养不足有关，需要主动评估。
Metabolic Health代谢与慢性病
8 articles8篇文章
What to Do When Blood Sugar Is High but Not Yet Diabetes血糖偏高但还不是糖尿病 应该怎么办
Prediabetes usually causes no obvious symptoms, but it is an important window for action. Confirm the result and address food, activity, weight and sleep.糖尿病前期通常没有明显症状，却是采取行动的重要阶段。先确认检测结果，再从饮食、活动、体重和睡眠着手。
How Diabetes Affects the Eyes Kidneys and Nerves糖尿病为什么会伤害眼睛 肾脏和神经
Long-term high glucose can damage small blood vessels and nerves. Regular eye, kidney, urine-protein and foot checks help detect complications early.长期高血糖会损伤小血管和神经。定期检查眼底、肾功能、尿蛋白和足部，有助在并发症早期采取行动。
Why People with Diabetes Often Feel Tired糖尿病患者容易疲倦 是血糖问题还是体质虚弱
Fatigue in diabetes may relate to high or low glucose, sleep, anaemia, kidney disease, medicines or mood and should not automatically be labelled as constitutional weakness.糖尿病患者疲倦可能与血糖过高或过低、睡眠、贫血、肾病、药物和情绪有关，不应全部归因于“体虚”。
High Uric Acid May Be Painless but Should Not Be Ignored尿酸高不一定会痛 但仍然不能忽视
High uric acid may remain silent for years. Not everyone needs medicine, but gout, kidney stones, kidney function and overall risk should be considered.高尿酸可能多年没有症状，并非每个人都需要药物，但应结合痛风、肾结石、肾功能和整体风险作判断。
Metabolic Syndrome Is More Than Weight Gain代谢综合征 不只是体重增加那么简单
Increased waist size, high blood pressure, raised glucose and abnormal lipids often cluster together and jointly increase the risk of diabetes, heart disease and stroke.腰围增加、高血压、高血糖及血脂异常常会一起出现，并共同提高糖尿病、心脏病和中风风险。
Why High Blood Pressure Needs Treatment Even Without Symptoms高血压没有症状 为什么仍然需要治疗
Hypertension usually causes no obvious symptoms but can gradually damage the heart, brain, kidneys and blood vessels. Reliable measurement and sustained management matter more than treating by symptoms.高血压通常没有明显症状，却会长期损伤心脏、脑、肾脏和血管。可靠测量与持续管理比“凭感觉吃药”更重要。
Why Blood Pressure Can Fluctuate血压忽高忽低 是什么原因
Blood pressure changes with activity, emotion, pain, sleep and measurement technique. Confirm reliable readings before deciding whether treatment needs adjustment.血压会随活动、情绪、疼痛、睡眠和测量方式变化。先确认测量是否正确，再判断是否需要调整治疗。
Why High Cholesterol Matters Even Without Symptoms高胆固醇没有感觉 为什么仍会增加风险
High cholesterol usually has no symptoms but can promote atherosclerosis. Medicine decisions depend on overall cardiovascular risk, not one number alone.高胆固醇通常没有症状，却可推动动脉粥样硬化。是否需要药物，要结合整体心血管风险而不是只看一个数字。
General Health常见健康问题
2 articles2篇文章
Persistent Fatigue Where Should the Assessment Begin长期疲倦查不出原因 应该从哪里开始
Persistent fatigue may relate to sleep, anaemia, thyroid disease, infection, chronic illness, medicines or mood. A structured assessment is more useful than taking supplements blindly.长期疲倦可能来自睡眠、贫血、甲状腺、感染、慢性疾病、药物或情绪问题。系统记录与基本评估比盲目进补更有效。
Frequent Dizziness Is It TCM Deficiency or a Medical Warning经常头晕 是气血不足还是身体发出的警号
Dizziness may mean spinning, imbalance or feeling faint, and each points to different causes. A clear symptom description is the first step toward proper assessment.头晕可以是旋转、站立不稳或快要昏倒，不同感觉对应不同原因。先描述清楚症状，才能作出合适判断。
Digestive Health消化健康
2 articles2篇文章
Recurring Bloating and Heartburn Weak Digestion or Acid Reflux胃胀反酸反复出现 是胃弱还是胃食管反流
Bloating, heartburn and regurgitation may relate to reflux, food, medicines or other digestive conditions. Recurrent symptoms require attention to triggers and warning signs.胃胀、烧心和反酸可能与胃食管反流、饮食、药物或其他消化问题有关。反复症状需要找出诱因和警示征象。
Chronic Constipation Is More Than a Bowel Problem长期便秘不只是排便问题
Constipation includes infrequent bowel movements, hard stools, straining or incomplete emptying. Persistent symptoms require review of food, medicines, activity and possible illness.便秘包括排便次数减少、粪便干硬、用力或排不尽。长期反复时，应同时检视饮食、药物、活动及其他疾病。