Understanding Causes of Normocytic Anemia: Is It Myeloma or Throat Bleeding?
The causes of normocytic anemia can vary, but in your case, the most likely reasons could include chronic disease, acute blood loss, or renal insufficiency? Hello Doctor, on August 22nd of this year, I suddenly experienced significant bleeding from my throat, with more than four ...
Dr. Hu Ziren Reply:
Causes of normocytic anemia may include bleeding or hemolysis; it appears to be acute anemia caused by hematemesis. It is recommended to follow up with further testing after three months, provided there are no discomforting symptoms.[Read More] Understanding Causes of Normocytic Anemia: Is It Myeloma or Throat Bleeding?
Hard Lump Near Pubic Hair: Should You Worry About Tumors?
A hard lump near the pubic hair? I discovered a hard lump near my pubic hair while taking a shower. The surface is slightly red, and it feels a bit painful when I squeeze it. It has been there for about three days, and I'm unsure if it could be a tumor. Previously, I had a s...
Dr. Chen Sirong Reply:
Hao / 15 years old / Male Hello, there are certainly many possibilities, and it is not possible to determine the issue through online consultation. You can tell your family to take you to a general surgery or family medicine clinic for evaluation. If you feel uncomfortable seeki...[Read More] Hard Lump Near Pubic Hair: Should You Worry About Tumors?
Understanding Elevated Platelet Count: Is It Related to Birth Control Pills?
Thrombocytosis I have been taking oral contraceptives for about 2 years. During a health check-up at university, I found out that my platelet count is elevated, around 427. I would like to know what this means and if it is related to the medication I am taking.
Dr. Chen Yunfang Reply:
Hello: The platelet count is acceptable, but we cannot determine the current status. It is recommended to have a follow-up blood test. Thank you.[Read More] Understanding Elevated Platelet Count: Is It Related to Birth Control Pills?
Understanding Renal Hemangiomas: Growth, Treatment, and Specialist Guidance
Renal angioma 1. In October 2019, during my health check-up, an ultrasound examination revealed a 1 cm benign hemangioma on my kidney. In October of this year, another ultrasound indicated that the benign hemangioma has grown to 1.3 cm. Is this growth considered rapid? 2. Is sur...
Dr. Hu Ziren Reply:
1. Are you referring to renal hemangioma or renal angiomyolipomas? If it is renal hemangioma, it is quite rare, and renal angiography is required for diagnosis. 2. Unless there is significant hematuria or symptoms (such as compression of other organs or tissues), benign tumors ty...[Read More] Understanding Renal Hemangiomas: Growth, Treatment, and Specialist Guidance
Key Questions in Cancer Treatment: Insights for Patients and Caregivers
Cancer treatment-related issues? 1. Regarding the issue of colorectal cancer with liver metastasis, after ten cycles of chemotherapy and targeted therapy, the CT scan shows no change in the metastatic tumors, but the tumor marker has decreased from fifty to thirty. How should thi...
Dr. Chen Yunfang Reply:
Hello: First of all, regarding your cancer issue, it is best to consult your oncologist for answers, as I am not familiar with your condition and cannot provide guidance. Secondly, 1. I do not understand this; I have not heard of it. 2. Chemotherapy drugs should not be taken with...[Read More] Key Questions in Cancer Treatment: Insights for Patients and Caregivers
Understanding Hard Lumps in the Armpit: Causes and When to Seek Help
There is a small hard lump in the armpit? I have noticed a small hard lump in my left armpit for about a month. It is currently approximately 1*0.5 cm in size. Since the appearance of the lump, I feel that it is continuing to grow. I often experience numbness and weakness in my l...
Dr. Chen Sirong Reply:
Zhuang / 23 years old / Male I can only respond based on what you wrote about the size being 1*0.5mm. 1. 0.5mm is very small; can you really feel it? 2. I do not believe your symptoms are caused by it, unless it is directly on a nerve. 3. For the mass, please consult a general...[Read More] Understanding Hard Lumps in the Armpit: Causes and When to Seek Help
Understanding Painful Lumps: Lymphoma or Acne?
Subcutaneous edema Hello, doctor: Recently, I noticed a bump the size of a one-dollar coin that suddenly appeared in the lower abdomen. It is painful to touch, and when pressed, it bleeds and releases yellow fluid with a foul odor. Even when not pressed, there is discharge coming...
Dr. Hu Ziren Reply:
It is likely just folliculitis; it is recommended to maintain hygiene and monitor the condition.[Read More] Understanding Painful Lumps: Lymphoma or Acne?
Painful Armpit Lumps: Causes and When to See a Dermatologist
Painful lump in the armpit? Recently, I have developed painful lumps under both armpits that hurt when touched or rubbed. What could be the cause of this? Would seeing a dermatologist be helpful? I have had lumps before, but they were due to eating fried foods, and I haven't...
Dr. Hu Ziren Reply:
It may just be folliculitis; I recommend seeing a dermatologist.[Read More] Painful Armpit Lumps: Causes and When to See a Dermatologist
Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights
Postoperative treatment issues for colorectal cancer? My father is in his seventies and has stage IV colon cancer with liver metastasis (both lobes have tumors of varying sizes). After undergoing bowel resection, he received 8 cycles of chemotherapy and 5 cycles of targeted thera...
Dr. Hu Ziren Reply:
1. The thickening of the peritoneum indicates localized inflammation of the intestines, which may be a localized inflammatory response caused by chemotherapy. 2. The gallbladder issue was discovered incidentally and is not indicative of metastasis; the report suggests it may be...[Read More] Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights
Morning Dizziness and Nausea: Is It Related to Anemia?
Dizziness and nausea? I would like to ask if feeling dizzy and nauseous upon waking in the morning is related to anemia?
Dr. Chen Yunfang Reply:
Hello: Not very relevant.[Read More] Morning Dizziness and Nausea: Is It Related to Anemia?
Is PRP Treatment Safe for Patients with a Cancer History?
Is it appropriate for patients with a history of cancer to undergo PRP (Platelet-Rich Plasma) therapy? Hello, Doctor. I was diagnosed with stage I colon cancer six years ago and underwent surgical treatment without chemotherapy. My follow-up has been smooth since then. I am also ...
Dr. Chen Sirong Reply:
Ah Xiong / 47 years old / Male believes that the so-called PRP is an intra-articular injection, not a systemic blood injection. Therefore, I personally think it is acceptable. Wishing you swift recovery, Chen Si-Rong, Taoyuan Hospital.[Read More] Is PRP Treatment Safe for Patients with a Cancer History?
Understanding Brain MRI Reports: Insights from a Tumor Specialist
Dear Dr. Chen, please interpret the brain MRI report. Thank you? 109/09/16 Imaging or pathology report content Outpatient Zhang Yingzhen 4573630-9 F 5099 050 REQ# PROCEDURE: (15020011) Order Date: 2020/06/04 14:30 Corrected Report D55JCM5 MRI/BRAIN (For GK Follow-up) Execution Da...
Dr. Chen Sirong Reply:
Mr. Lin / 57 years old / Male Regarding the interpretation of the report: 1. The images belong to Zhang Yingzhen, not you. 2. Online, you cannot prove that you are his relative; the outpatient clinic requires a dual identification authorization form, or you should have accompanie...[Read More] Understanding Brain MRI Reports: Insights from a Tumor Specialist
Understanding Lumps on Thigh: Possible Lymphadenopathy Concerns
Swelling in the thigh suspected to be lymphadenopathy? Hello Dr. Chen, around September 25th, I experienced lower back pain, thinking it would improve, but I only went for a consultation on October 1st. The diagnosis was sciatica, and one day I felt pain radiating to the left sid...
Dr. Chen Yunfang Reply:
Hello: If the lump does not disappear or decrease in size after two weeks, please see a hematologist or a general surgeon. If the doctor finds anything unusual, they will arrange for a lymph node biopsy. Thank you.[Read More] Understanding Lumps on Thigh: Possible Lymphadenopathy Concerns
Understanding Small Lymph Nodes: When to Seek Further Evaluation
Small lymph nodes Hello Doctor, I have a small lymph node about 0.5 cm in size located at the back of my neck, near the occipital area. It has been there for almost ten years. I have consulted two nearby ENT clinics, and the doctors examined it and said it was normal. Should I pa...
Dr. Chen Yunfang Reply:
Hello: Lymph nodes larger than 1 centimeter should be taken seriously and warrant further examination.[Read More] Understanding Small Lymph Nodes: When to Seek Further Evaluation
Understanding Left Lower Abdominal Masses: Possible Causes and Concerns
Hard mass in the left lower abdomen? Hello, doctor. Recently, when lying flat, I can feel 4 to 5 firm lumps arranged in a line in my lower left abdomen. They are not painful or itchy, and they are especially noticeable in the morning, feeling larger (about one to two finger joint...
Dr. Chen Sirong Reply:
Tang / 29 years old / Female Hello, 1. The outpatient appointment is scheduled for a CT scan in two weeks: further remote consultation is no longer meaningful. 2. Thank you, doctor, for taking the time to address my concerns and alleviate my anxiety. A: You have already rec...[Read More] Understanding Left Lower Abdominal Masses: Possible Causes and Concerns
Exploring Treatment Options for Advanced Diffuse Liver Cancer
Diffuse hepatocellular carcinoma in advanced stage? Hello, my husband, who is 51 years old, was diagnosed with advanced diffuse liver cancer in early September. The doctors have said that it is untreatable. His bilirubin level has reached 12. I would like to know if there are any...
Dr. Chen Sirong Reply:
Afen / 51 years old / Female I can only repeat: doctors say it is untreatable. A glimmer of hope: it depends on your definition: everyone will reach the end point, and those with diffuse liver cancer are very close to it. You can try: targeted therapy, chemotherapy, immunotherapy...[Read More] Exploring Treatment Options for Advanced Diffuse Liver Cancer
Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Next Steps
Inquiry about anemia issues? Hello, doctor. My health check report shows the following values: white blood cell count 7030, red blood cell count 420, hemoglobin 9.3, hematocrit 32.5, mean corpuscular volume 77.4, mean corpuscular hemoglobin 22.1, mean corpuscular hemoglobin conce...
Dr. Chen Yunfang Reply:
Hello: Common causes of anemia in young women, aside from thalassemia, include iron deficiency anemia, which is also quite prevalent. I believe your report may more likely suggest iron deficiency as the cause. You can visit a hematology clinic for a blood test to confirm. If it i...[Read More] Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Next Steps
Understanding Your Mother's Blood Test Results: Key Values Explained
Please assist in interpreting the examination report? Hello doctor, could you please help me review my mother's test report and identify which values are problematic? Thank you. Blood Test Parameters: - White Blood Cell Count (WBC): 4.7 - Red Blood Cell Count (RBC): 4.23 - ...
Dr. Chen Yunfang Reply:
Hello: There are abnormal blood cells in your blood; please see a hematologist. Thank you![Read More] Understanding Your Mother's Blood Test Results: Key Values Explained
Understanding Neck Lumps: When to Seek Medical Attention
Cervical lymphadenopathy Hello doctor, I have a lump located at the junction of my chin and neck, and the situation is as follows: 1. Duration: It has been over 1.5 years. 2. Size and texture: 1 to 1.5 cm, smooth, elastic, and movable. 3. Medical history: (1) In the past, wheneve...
Dr. Chen Sirong Reply:
Hello, because I am an oncologist, I can only answer questions related to tumors. 1. There is a lump in the middle of the junction between the chin and neck, and the situation is as follows: A: It has been over 1.5 years. The lump is smooth, elastic, and movable. It does not ap...[Read More] Understanding Neck Lumps: When to Seek Medical Attention
Managing Nutrition and Diabetes During Stage IV Oral Cancer Chemotherapy
Patient is undergoing chemotherapy for stage IV oral cancer but has diabetes? Hello Doctor, my father is 50 years old, does not smoke, drink, or chew betel nut, and does not have dentures, yet he was recently diagnosed with stage IV oral cancer that has spread to the lymph nodes....
Dr. Chen Yunfang Reply:
Hello: For my cancer patients, I do not expect them to maintain perfect blood sugar levels; keeping it below 200 is sufficient. There is no need for strict control, as the cancer itself and the treatment process often lead to decreased appetite. By the end of the treatment, most ...[Read More] Managing Nutrition and Diabetes During Stage IV Oral Cancer Chemotherapy