Recently, I have been experiencing various health issues?
Hello Doctor: My recent symptoms include: (1) Occasional blood-streaked sputum and intermittent pain in the left side of my back (since January 1st of this year, chest X-ray showed no abnormalities); (2) Cloudy urine with many persistent bubbles (during a health check in November 2015, low urea levels were noted); (3) Occasional lower back pain; (4) Intermittent feeling of fullness or pressure in my ears (ENT examination revealed no significant abnormalities); (5) After showering, my skin develops rashes that resemble mosquito bites; (6) *Weight loss of 2 kilograms.
I have a history of congenital beta-thalassemia, and I sometimes feel unwell, but the recent symptoms have caused me significant concern.
Should I undergo a full health check-up again?
Xi, 10~19 year old female. Ask Date: 2016/03/20
Dr. Liao Yaopan reply Family Medicine
Hello, based on your inquiry, it is recommended that you first consult your family physician for an evaluation.
They can determine if further examinations are necessary and consider any subsequent treatment plans.
Changhua Hospital cares about you.
Reply Date: 2016/03/20
More Info
It's understandable to feel anxious about your health, especially when experiencing multiple symptoms that can be concerning. Let's break down your symptoms and discuss when it might be appropriate to seek further medical advice.
1. Blood-streaked Sputum and Back Pain: The presence of blood in sputum (hemoptysis) can be alarming and may indicate various conditions, ranging from benign issues like bronchitis to more serious conditions such as pulmonary embolism or lung cancer. Given that you have had a chest X-ray that showed no abnormalities, it’s good news, but persistent symptoms warrant further investigation. If the blood-streaked sputum continues or worsens, or if you develop additional symptoms like shortness of breath or significant weight loss, you should consult a healthcare provider for further evaluation, possibly including a CT scan or bronchoscopy.
2. Cloudy Urine with Persistent Bubbles: Cloudy urine can indicate a urinary tract infection (UTI), dehydration, or other kidney-related issues. The presence of bubbles may suggest protein in the urine, which can be a sign of kidney problems. Since you have a history of low urea levels, it would be wise to have a urinalysis done to check for proteinuria or any signs of infection. If you notice changes in urination patterns, such as increased frequency or urgency, or if you experience pain during urination, seek medical attention promptly.
3. Occasional Lower Back Pain: While lower back pain is common and can be due to muscle strain or poor posture, if it is persistent or associated with other symptoms like numbness, tingling, or weakness in the legs, it could indicate a more serious condition, such as a herniated disc or kidney issues. Monitoring the pain and discussing it with your doctor if it persists is advisable.
4. Ear Pressure or Fullness: Occasional feelings of ear fullness can be related to allergies, sinus issues, or Eustachian tube dysfunction. If this sensation is accompanied by hearing loss, dizziness, or persistent pain, a follow-up with an ENT specialist may be necessary.
5. Skin Rash After Showering: The rash resembling mosquito bites could be an allergic reaction, possibly to soap, shampoo, or even water temperature. If the rash persists or worsens, or if you develop additional symptoms like itching or swelling, consider consulting a dermatologist.
6. Weight Loss: A weight loss of 2 kg (about 4.4 lbs) can be concerning, especially if it is unintentional. Weight loss can be a sign of various underlying health issues, including metabolic disorders, infections, or malignancies. It is essential to discuss this with your healthcare provider, particularly in the context of your other symptoms.
Given your history of thalassemia, it's crucial to monitor your health closely. Thalassemia can lead to complications such as anemia, which may exacerbate fatigue and other symptoms. If you are feeling unwell or if your symptoms are causing you significant anxiety, it is advisable to seek a comprehensive evaluation from your healthcare provider. They may recommend a full health check-up, including blood tests, urinalysis, and possibly imaging studies, to rule out any serious conditions.
In summary, while some of your symptoms may be benign, the combination of them, especially with your medical history, warrants a thorough evaluation. Don't hesitate to reach out to your healthcare provider to discuss your concerns and determine the best course of action. Remember, it's always better to err on the side of caution when it comes to health matters.
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