Blood test?
Hello, doctor.
I have some symptoms such as irritability, fatigue, hair loss, blurred vision, iritis, excessive sweating in the chest, and slow wound healing.
I suspect that these may be related to anemia, diabetes, thyroid issues, or ankylosing spondylitis.
If I visit a family medicine clinic, can I have blood tests done to check for these issues all at once, or do I need to see individual specialists?
A-Kun, 30~39 year old female. Ask Date: 2022/10/10
Dr. Hou Angting reply Family Medicine
Hello: It is recommended that you visit the Rheumatology or Family Medicine outpatient clinic for evaluation and follow-up by a physician.
Wishing you good health.
Reply Date: 2022/10/10
More Info
When you present a range of symptoms such as irritability, fatigue, hair loss, blurred vision, iritis, excessive sweating, and slow wound healing, it is understandable to be concerned about potential underlying health issues. Your suspicion of conditions such as anemia, diabetes, thyroid disorders, and ankylosing spondylitis is valid, as these can indeed manifest through the symptoms you describe.
In family medicine, comprehensive blood tests can be conducted to assess multiple health concerns in a single visit. Family medicine practitioners are trained to evaluate a wide array of health issues and can order a variety of blood tests to help diagnose conditions that may be contributing to your symptoms.
1. Anemia: A complete blood count (CBC) is typically the first test to evaluate for anemia. This test measures hemoglobin levels, hematocrit, red blood cell count, and other parameters that can indicate the presence of anemia. Given your symptoms, particularly fatigue and slow wound healing, this is a crucial test.
2. Diabetes: To assess for diabetes, fasting blood glucose levels or an HbA1c test can be performed. These tests measure your blood sugar levels and can indicate whether you have diabetes or are at risk of developing it. Symptoms such as blurred vision and excessive sweating can be associated with fluctuations in blood sugar levels.
3. Thyroid Function: Thyroid disorders can lead to a variety of symptoms, including fatigue, hair loss, and changes in mood. A thyroid panel, which typically includes tests for Thyroid Stimulating Hormone (TSH) and free T4, can help determine if your thyroid is functioning properly.
4. Ankylosing Spondylitis: While this condition is primarily diagnosed through clinical evaluation and imaging studies, certain blood tests can support the diagnosis. Testing for the HLA-B27 antigen can be part of the evaluation, especially if there are symptoms suggestive of inflammatory arthritis.
5. Additional Tests: Depending on your symptoms and the initial findings, your family physician may also consider additional tests such as inflammatory markers (like CRP or ESR), vitamin and mineral levels (like iron, vitamin B12, and folate), and other specific tests based on your clinical presentation.
In summary, visiting a family medicine practitioner can be a convenient and effective way to address multiple health concerns in one appointment. They can order a comprehensive panel of blood tests that cover the conditions you are worried about. If any abnormalities are found, your family doctor can then refer you to specialists for further evaluation and management as needed.
It is important to communicate all your symptoms clearly to your physician, as this will help them determine the most appropriate tests to order. Additionally, if you have a family history of any of these conditions, be sure to mention that as well, as it can influence your risk assessment and the tests that are recommended.
In conclusion, a comprehensive blood test can be a valuable tool in diagnosing and managing your health concerns. It is advisable to schedule an appointment with a family medicine practitioner who can guide you through the process and ensure that all relevant tests are conducted efficiently.
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