Managing Iron Deficiency Anemia: Key Questions for Your Follow-Up
Follow-up Issues for Iron Deficiency Anemia Dear Doctor, I was diagnosed with iron deficiency anemia in April and have been taking a long-term prescription (Ferrous Sulfate 150mg, twice a day) for three months. I was originally scheduled for a blood test next week and a follow-up...
Dr. Chen Yunfang Reply:
Hello: 1. No. 2. Yes. Generally, as long as the hemoglobin levels return to normal, the medication will be discontinued; it is not taken for a lifetime.[Read More] Managing Iron Deficiency Anemia: Key Questions for Your Follow-Up
Understanding Retinal Issues in Multiple Myeloma Patients: Symptoms and Solutions
Multiple myeloma causing retinal issues? Hello Doctor, I was diagnosed with multiple myeloma about two years ago, and after treatment, my symptoms stabilized for a year. Recently, however, my left eye suddenly became blurry and I couldn't see clearly. I visited the ophthalmo...
Dr. Chen Sirong Reply:
Zhang Ren'an / 72 years old / Male Your questions may exceed my ability to answer, please forgive me. 1. Are there more definitive examination methods for these eye symptoms? (e.g., fluorescein angiography) A: This should be directed to an ophthalmologist. The hematologi...[Read More] Understanding Retinal Issues in Multiple Myeloma Patients: Symptoms and Solutions
Can Patients with Implanted Vascular Devices Use Body Fat Scales During Chemotherapy?
Is it safe to use a body fat scale during chemotherapy if there is an artificial blood vessel implanted in the body? My mother is currently undergoing chemotherapy for breast cancer and has an artificial blood vessel implanted in her body. I have noticed that commercial body fat ...
Dr. Chen Sirong Reply:
Concerned individual / 20 years old / Woman. Cannot use body fat scale before the artificial blood vessel is removed. Wishing for a smooth treatment at Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Can Patients with Implanted Vascular Devices Use Body Fat Scales During Chemotherapy?
Understanding Desmoid Tumors: Concerns and Care for Patients
Small intestinal fibroma My father (72 years old) has been in and out of Chi Mei Hospital since the end of March this year, and as of May 7, he has not been discharged. His first surgery was a minimally invasive abdominal procedure, where the doctor mentioned that three incisions...
Dr. Hu Ziren Reply:
1. Inability to eat may be caused by adhesions resulting from surgery. 2. If the adhesions are removed and gastrointestinal function is normal, with no persistent vomiting or normal bowel movements, then the patient can gradually resume eating. 3. If the physician advises again...[Read More] Understanding Desmoid Tumors: Concerns and Care for Patients
Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options
Lymphadenopathy Last November, I was diagnosed with stage 2 thyroid cancer (2.5 cm) and underwent a total lobectomy. However, I discovered a round mass in the upper left neck that is not painful and feels immobile. I have no other discomfort in my body. In mid-November, I also re...
Dr. Hu Ziren Reply:
If there is a metastasis to the lymph nodes, it is recommended to first perform a lymphadenectomy, and then consider treatment with iodine-131 or radiation therapy. As for other concerns (such as bleeding risks, surgical risks, etc.), it is advisable to discuss them with the prim...[Read More] Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options
Understanding Lymph Node Enlargement: Key Questions and Concerns
Lymphadenopathy Hello Dr. Chen, about two weeks ago, I discovered a lump measuring 1.7 x 1.5 cm under my right clavicle. The characteristics of the lump are that it is hard, immovable, and painless. A week later, I went to a major hospital for an ultrasound and biopsy. The ultras...
Dr. Chen Yunfang Reply:
Hello: 1. I cannot respond as I am unsure about the content of the report. 2. I have not seen the report, so I cannot answer that either. 3. No, this is not a characteristic related to lymphoma. 4. Without a report, I cannot answer that either. Thank you.[Read More] Understanding Lymph Node Enlargement: Key Questions and Concerns
Red Swelling 10cm Below the Navel: Which Specialist to Consult?
There is a red and swollen area about 10 cm below the navel? You should see a specialist in Gastroenterology or General Surgery for a swollen and red area about 10 cm below the navel.
Dr. Hu Ziren Reply:
General Surgery[Read More] Red Swelling 10cm Below the Navel: Which Specialist to Consult?
Understanding Anemia: Insights from Four Blood Tests and Gastrointestinal Issues
Anemia status from four blood test reports? Hello, Doctor. I have had a total of four blood tests from last year to this year. In March of last year: Red blood cell count: 4.6 (4.5-5.9), Hemoglobin: 13.6 (13.5-17.5), Hematocrit: 41 (41-53), Mean corpuscular volume: 87 (80-100), G...
Dr. Chen Yunfang Reply:
Hello: To me, your report is considered normal, and I will directly dismiss it in the outpatient clinic. The numbers are not fixed values; this is quite common. Thank you.[Read More] Understanding Anemia: Insights from Four Blood Tests and Gastrointestinal Issues
Understanding Low White Blood Cell Count: Causes and Concerns
Causes of low white blood cell count..? The new employee's health check report shows a white blood cell count of 2.90 (with the report indicating a normal range of 3.80-10.4), which is low, while other values are normal: red blood cells at 4.18 and platelets at 168. Since th...
Dr. Chen Yunfang Reply:
Hello: This time it doesn't represent anything significant. When you have time, please visit the hematology clinic again for a re-evaluation. Thank you.[Read More] Understanding Low White Blood Cell Count: Causes and Concerns
Which Specialist Should I See for a Neck Tumor and Numbness?
Which specialty should I see? You should see a neurologist.
Dr. Hu Ziren Reply:
You can see general surgery, plastic surgery, or neurosurgery.[Read More] Which Specialist Should I See for a Neck Tumor and Numbness?
Choosing Between Injectable and Oral Chemotherapy for Post-Gastric Cancer Surgery
Selection of Chemotherapy Agents and Oral Medications After Gastric Cancer Surgery Hello Dr. Chen! My mother underwent surgery to remove most of her stomach due to gastric cancer on March 3rd. She is now facing the decision of whether to receive chemotherapy through injections or...
Dr. Chen Yunfang Reply:
Hello: 1. Currently, only TS-1 has been used for one year in "postoperative stage III gastric cancer," which shows clearer benefits (the pharmaceutical company is willing to invest in research costs because it is a patented drug). The older drug Ufur, which has a simila...[Read More] Choosing Between Injectable and Oral Chemotherapy for Post-Gastric Cancer Surgery
Understanding Lumps in the Armpit: When to Seek Further Medical Advice
There is a hard lump in the armpit? Hello Doctor: Two years ago, I discovered a lump in my right armpit while taking a shower, and I also felt pain in my chest. I went to a breast surgeon for an ultrasound, and the results were normal. Earlier this year, I noticed that the pain i...
Dr. Chen Sirong Reply:
Xiaohua / 46 years old / Female Hello: 1. I am still troubled by intermittent pain. Could you please tell me what symptoms this might indicate? A: 1.1 As a human being, it is important to undergo regular cancer screenings according to age guidelines to detect any issues early...[Read More] Understanding Lumps in the Armpit: When to Seek Further Medical Advice
Understanding a Hard Lump Above the Chin: Possible Causes and Concerns
There is a hard lump above the lower lip and below the chin? Hello Dr. Chen: I have noticed a lump in the area just below my lower lip and above my chin, which is visible from the front. It is neither hard nor soft, and it is slightly painful when pressed. The size is approximate...
Dr. Chen Yunfang Reply:
Hello: This cannot be overlooked, and it is important to address this issue. Please consult a dermatologist. Thank you.[Read More] Understanding a Hard Lump Above the Chin: Possible Causes and Concerns
Duodenal Perforation After 5FU Chemotherapy: What to Expect Next
The chemotherapy process using 5-FU resulted in a duodenal perforation? Hello Doctor, my father recently started treatment for esophageal cancer with 5-FU chemotherapy. However, on the fourth day of treatment, he experienced a duodenal perforation and underwent emergency surgery....
Dr. Chen Yunfang Reply:
Hello: Regarding the question of whether to continue using 5-FU, you should consult the physician who prescribed this chemotherapy medication. Thank you.[Read More] Duodenal Perforation After 5FU Chemotherapy: What to Expect Next
Understanding Prolonged APTT in Children: What Parents Should Know
Blood Disorders / Prolonged APTT Time in Children Hello, doctor. My son is seven years old this year! In October 2019, he had a fever due to influenza, and there were some red spots on his hands. The clinic doctor suspected they were petechiae and recommended checking his coagula...
Dr. Hu Ziren Reply:
It is advisable to consult a pediatric hematologist. Laboratory values can fluctuate due to different testing times or varying physiological conditions. A difference of more than 10 seconds is clinically significant—this means that if the difference exceeds 10 seconds, it is more...[Read More] Understanding Prolonged APTT in Children: What Parents Should Know
Understanding Long-Lasting Lumps: When to Worry About Lymph Nodes and Breast Cysts
Lymphadenopathy behind the ear, submandibular and submental lymphadenopathy, breast mass? Hello, doctor. I have several palpable lumps on my body that have been present for 5 to 10 years and are not painful. I am 174 cm tall and weigh 85 kg, which indicates that I am overweight w...
Dr. Chen Yunfang Reply:
Hello: There is no definitive answer to this. If you are concerned, please visit a hospital and consult with an oncologist or an otolaryngologist. Thank you.[Read More] Understanding Long-Lasting Lumps: When to Worry About Lymph Nodes and Breast Cysts
Understanding Painful Lumps in the Armpit: Causes and Concerns
There is a hard lump in the armpit? There is a hard lump under my left armpit that hurts when pressed and also hurts without pressure. It is about the size of a five-dollar coin, but the skin shows no abnormalities. Could this be inflammation?
Dr. Chen Sirong Reply:
Patient: Bai Yu / 40 years old / Male 1. The pain occurs even without pressure. A: You should see a doctor for evaluation. 2. Could this be inflammation? A: It is possible, and there may be a bacterial infection. Is there redness, swelling, heat, and pain? I believe you shoul...[Read More] Understanding Painful Lumps in the Armpit: Causes and Concerns
Post-Surgery Concerns: Using Denosumab for Giant Cell Tumors
What are the issues related to the use of Denosumab after surgery for giant cell tumor of bone? I have a giant cell tumor on the third lumbar vertebra, and later I consulted a neurosurgeon who performed surgery. The doctor mentioned that for tumors located on the spine, a Total E...
Dr. Chen Sirong Reply:
Ming, 23 years old, male. 1. The doctor said the surgery was very successful and the tumor was completely removed, but I still need to take Denosumab to reduce the recurrence rate. A: Essentially, Denosumab is used to treat tumors by shrinking them before surgery or for patients...[Read More] Post-Surgery Concerns: Using Denosumab for Giant Cell Tumors
Understanding Rising CEA Levels During Chemotherapy for Colon Cancer
Elevated CEA levels in recurrent colorectal cancer? Hello Dr. Chen, I am from Taoyuan and currently in Canada. In May 2019, I was diagnosed with cancer located between the ascending colon and the transverse colon, which was classified as stage III. After an emergency surgery for ...
Dr. Chen Sirong Reply:
Tony Chen / 57 years old / Male Hello, medical condition: 1. Diagnosed with recurrent metastatic colorectal cancer in the lymph nodes near the aorta, measuring 17mm in diameter. 2. CEA levels have been consistently rising. The Canadian physician recommends continuing chemotherap...[Read More] Understanding Rising CEA Levels During Chemotherapy for Colon Cancer
Consultation on Lymph Node Concerns: Understanding Blood Test Results
I would like to consult about lymph node issues? Hello Doctor, I previously underwent a health check-up at the hospital. My red blood cell count was 5.02 (reference range 4.20-6.20 x 10^6/uL), white blood cell count was 5.67 (reference range 4.00-11.00 x 10^3/uL), lymphocyte perc...
Dr. Chen Yunfang Reply:
Hello: 1. Agreed. 2. Once these tests are completed, can we not worry? This cannot address subjective feelings. 3. This is the responsibility of your attending physician, and I cannot answer on their behalf. 4. It can be considered normal, but the possibility of lymphoma cannot b...[Read More] Consultation on Lymph Node Concerns: Understanding Blood Test Results