Understanding Elevated White Blood Cell Counts: When to Seek Further Evaluation
Elevated white blood cell count? Hello Doctor, I would like to ask about my condition. I have mild thalassemia and iron deficiency anemia. Recently, my blood tests have shown elevated white blood cell counts, sometimes over 100,000 and at times 110,000, but the differential white...
Dr. Zeng Guosen Reply:
The user's white blood cell count is between 10,000 and 11,000 (normal is ≤10,000), which is within a reasonable range and should not be a concern. If there are any doubts, it is advisable to consult a hematologist for further evaluation. Thank you.[Read More] Understanding Elevated White Blood Cell Counts: When to Seek Further Evaluation
Understanding the Link Between Cholesterol Levels and Thyroid Function
Cholesterol and Thyroid? Hello, doctor. I would like to ask about my recent health check-up. After receiving the report, I found that my white blood cell count is 3200, eosinophils are 1.2, cholesterol is 256, low-density lipoprotein (LDL) is 133, high-density lipoprotein (HDL) i...
Dr. Li Jian Reply:
To determine if the thyroid is underactive, TSH levels must be assessed. High-density lipoprotein (HDL) is considered good cholesterol and cannot be lowered. Thank you for your inquiry.[Read More] Understanding the Link Between Cholesterol Levels and Thyroid Function
Understanding Sudden Chest Pain: Causes and When to Seek Help
Chest pain? This morning, while trying to go back to sleep, I suddenly experienced a sharp pain in my heart for just a few seconds. This is the first time it has happened. However, I have been experiencing more frequent sharp pains in my right chest. Since it seems to be a chest ...
Dr. Lin Wufu Reply:
Hello, the description seems more related to muscle or nerve issues rather than the heart itself. Further evaluation is needed to determine the exact problem. It is recommended to consult with a family medicine physician, general internist, or neurologist for assessment.[Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Can HIV Infection Lead to Eye Removal? Understanding the Risks
Can HIV infection lead to eye enucleation? Can AIDS lead to eye removal?
Dr. Liao Zhongxin Reply:
Unless cancer or a virus directly invades the interior of the eyeball, enucleation is generally not necessary.[Read More] Can HIV Infection Lead to Eye Removal? Understanding the Risks
Does Wisdom Tooth Extraction Affect Inflammation Levels in Ankylosing Spondylitis?
Does having wisdom teeth removed surgically affect inflammation levels? Hello Dr. Tseng, I am 20 years old and a patient with ankylosing spondylitis. I had my wisdom teeth removed on February 22, and my cheeks were swollen and painful afterward. It has been 11 days since the proc...
Dr. Zeng Guosen Reply:
After surgery, swelling and pain may affect ESR/CRP levels, but unless it's severe, the impact is limited. Just inform your physician, and they will make the assessment. 2. In the case of sports injuries, such as sprains, muscle strains, or joint injuries, generally, they do...[Read More] Does Wisdom Tooth Extraction Affect Inflammation Levels in Ankylosing Spondylitis?
Understanding Shin Bone Indentation: Causes and Concerns
Tibial compression issues? Hello Dr. Chang, I have noticed that when I press on my shins, they indent and do not immediately bounce back. I remember that the tibia is mostly skin over bone, but recently I have observed that it looks different than before. When I touched it and pr...
Dr. Zhang Shixin Reply:
Hello Nick: Based on your description, this condition may be lower extremity edema. If the symptoms persist without improvement, it is recommended to visit a nephrology clinic for evaluation. Thank you for your inquiry![Read More] Understanding Shin Bone Indentation: Causes and Concerns
Understanding Blood in Stool: Causes and Solutions for IBS Symptoms
Rectal bleeding Recently, I seem to have developed irritable bowel syndrome (IBS). I often go to the bathroom two to three times a day; sometimes I have diarrhea, and other times I just pass gas without having a bowel movement. Most of the time, my stools are somewhat constipated...
Dr. Zhang Shixin Reply:
Hello: If there is bleeding when wiping the anus but no blood is found in the stool, it may be due to hemorrhoids. Contributing factors include a diet low in fiber, frequent diarrhea or constipation, prolonged sitting or standing, and irregular lifestyle habits. If there is persi...[Read More] Understanding Blood in Stool: Causes and Solutions for IBS Symptoms
Understanding ANA Test Results: Eczema and Lupus Family History
Inquiry about ANA report? Hello, doctor. Three months ago, I started experiencing a significant rash on my lower back and abdomen. I have seen dermatologists at three different hospitals, and it was ultimately diagnosed as eczema due to a family history of lupus erythematosus on ...
Dr. Zeng Guosen Reply:
After obtaining a result of 1:80(+) from the test, a direct follow-up test at 1:160 will be conducted. If the 1:160 result is negative, the report will be issued as 1:80. Generally, a result of 1:80 is not considered problematic. It is recommended to consult a rheumatologist for ...[Read More] Understanding ANA Test Results: Eczema and Lupus Family History
Can SLE Patients Safely Take Probiotics for Digestive Issues?
Can individuals with SLE take probiotics? Hello Doctor, I am a patient with SLE. Recently, I have been experiencing some digestive issues, including bloating and gastrointestinal discomfort (without abdominal pain, constipation, and with a normal appetite). I have seen a gastroen...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe it is possible. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to assist you.[Read More] Can SLE Patients Safely Take Probiotics for Digestive Issues?
Can Swallowing Toilet Water Lead to Infections? Expert Insights
Infection concerns? Using a public restroom in a department store, I accidentally dropped something into the toilet water, and the water splashed out, directly hitting my mouth. In a moment of panic, I swallowed it before I could react. Will this cause an infection?
Dr. Lin Wufu Reply:
Hello, the risk of swallowing a small amount of dirty water is similar to eating contaminated food. The main concern is that a higher number of bacteria could lead to gastrointestinal discomfort or diarrhea. If the amount is small, it usually does not cause any symptoms. The risk...[Read More] Can Swallowing Toilet Water Lead to Infections? Expert Insights
Understanding Proteinuria: What Your Kidney Health Tests Mean
Proteinuria testing Hello Doctor, I am 22 years old. Recently, I underwent a health check-up, and the report indicated that my glomerular filtration rate (GFR) is around 83. Is this a bit low for my age? Can drinking more water and exercising help restore it to above 100? I also ...
Dr. Zhang Shixin Reply:
Good morning! The definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60, and there is...[Read More] Understanding Proteinuria: What Your Kidney Health Tests Mean
Does Wisdom Tooth Extraction Affect Inflammation Markers in Ankylosing Spondylitis?
Does having wisdom teeth removed through surgery affect inflammation levels? Hello, Director Gao. I am 20 years old and a patient with ankylosing spondylitis. I had my wisdom teeth extracted on February 22. After the extraction, my cheek was swollen and painful. It has been 10 da...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) My appointment on March 8th is for a quarterly follow-up with the rheumatology department, where I will have blood drawn for monitoring. Should I wait until the swelling and pain in my mouth completely subside before ...[Read More] Does Wisdom Tooth Extraction Affect Inflammation Markers in Ankylosing Spondylitis?
Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Kidney-related issues? Hello Doctor, I recently felt inspired to undergo a health check-up, and after receiving the results, I am a bit concerned. My estimated Glomerular Filtration Rate (eGFR) is only 81.25, but my urine protein level is negative (<30). I have been monitoring...
Dr. Zhang Shixin Reply:
Hello, the definition of chronic kidney disease (CKD) is a glomerular filtration rate (eGFR) of less than 60 mL/min for more than three months, or the presence of proteinuria, hematuria, or structural abnormalities of the kidneys. Your eGFR is greater than 60 and there is no prot...[Read More] Understanding Kidney Health: Concerns About eGFR and Bilirubin Levels
Can HIV Be Transmitted Through Blood and Alcohol Contact?
Suspected contact with blood that has been exposed to alcohol? Hello, doctor. I'm sorry to ask, but can HIV be transmitted through blood? Today, while disinfecting in the exhibition restroom, I noticed that the alcohol dispenser seemed to have some blood mixed with the alcoh...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control and Prevention, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fluids carries a risk o...[Read More] Can HIV Be Transmitted Through Blood and Alcohol Contact?
Concerns About Eating Tomato Pasta: Health Risks and Myths Explained
Please ask your question? Hello doctor, this evening I was persuaded by a friend to eat something I usually dislike, which is tomato. While eating the tomato pasta, I noticed a transparent, slightly sticky substance that resembled mucus. I'm not sure if this is how tomatoes ...
Dr. Liao Zhongxin Reply:
1. All items (including food) cooked at temperatures exceeding 100 degrees Celsius should not harbor any surviving pathogens, unless they are undercooked. 2. If you are concerned about the above situation, you can express your concerns to the establishment or choose not to eat, ...[Read More] Concerns About Eating Tomato Pasta: Health Risks and Myths Explained
Can High Blood Pressure and Kidney Issues Justify Stopping Medication?
Can medication be discontinued for hypertension, proteinuria, and poor kidney function? Recently, my husband wants to buy a supplement in Japan called "Serum High" to replace the medication prescribed by his doctor. The ingredients of "Serum High" include saff...
Dr. Lin Wuxuan Reply:
Hello, to control and stabilize the condition, it is not advisable for patients to abruptly discontinue medication. Physicians prescribe medications based on the patient's condition. If there are any concerns regarding the medication, it is recommended to schedule a follow-u...[Read More] Can High Blood Pressure and Kidney Issues Justify Stopping Medication?
Is Your Daily Medication Dosage for Hypertension and Supplements Appropriate?
Medication dosing issues? Hello, doctor. Currently, I am taking two pills of antihypertensive medication, two pills of chlorophyll, one multivitamin (Centrum), and two pills of a B-complex nerve medication daily. Is this dosage appropriate? Thank you.
Dr. Li Jian Reply:
Hello, please take dietary supplements according to the instructions; there should be no risk of overdose. For antihypertensive medications, please follow your physician's guidance. Thank you for your inquiry.[Read More] Is Your Daily Medication Dosage for Hypertension and Supplements Appropriate?
Understanding Low-Grade Dysplasia: What It Means for Your Health
Low-grade dysplasia refers to a condition where there are abnormal changes in the cells of a tissue, but these changes are not severe enough to be classified as cancer. It is Hello Dr. Cheng: During the Lunar New Year, I suddenly experienced abdominal pain (just above the navel),...
Dr. Zhang Shixin Reply:
Hello Mr. Hsieh: Low-grade dysplasia refers to a stage where cells exhibit abnormal proliferation but have not yet transformed into cancer cells. The causes of abnormal proliferation may be related to environmental factors (such as Helicobacter pylori, high salt or pickled diets,...[Read More] Understanding Low-Grade Dysplasia: What It Means for Your Health
Understanding Urticaria Linked to Thyroid Hormone Medications
Thyroid hormone medication can cause urticaria? Hello, doctor! I had my thyroid removed many years ago, so I have been taking thyroid hormone for years. My current dosage is one Eltroxin 100 mcg tablet per day. In recent years, I have frequently experienced hives, and I am unsure...
Dr. Li Jian Reply:
There are other thyroid hormones available, but if thyroid function is normal, urticaria caused by thyroid hormones is rare. Thank you for your inquiry.[Read More] Understanding Urticaria Linked to Thyroid Hormone Medications
Probiotics for Dialysis Patients: Benefits and Considerations
Patients on dialysis taking kidney-protective probiotics? My father has been a dialysis patient for many years due to uremia. He has always enjoyed various health supplements, and he continues to do so after starting dialysis. Recently, he has seen advertisements for kidney-prote...
Dr. Li Jian Reply:
Patients on dialysis who take probiotics may not see significant effects; it is sufficient to follow a diet plan provided by a nutritionist. Thank you for your inquiry.[Read More] Probiotics for Dialysis Patients: Benefits and Considerations