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Understanding Anemia: Symptoms, Diagnosis, and Treatment Options

Anemia Hello Doctor: My mother often experiences dizziness and feels as if her brain is empty and about to stop functioning. She also has difficulty sleeping at night and needs to take sleeping pills to help her sleep; however, during severe episodes, even the sleeping pills are ...


Dr. Tang Jieru reply Cardiology
Hello Ms. Lin: You have thalassemia (formerly known as Mediterranean anemia), which must have been inherited from one of your parents, so your mother may also have it. However, thalassemia generally does not present symptoms, and your mother's issues with dizziness and insom...

[Read More] Understanding Anemia: Symptoms, Diagnosis, and Treatment Options


Understanding Increased Heart Rate: When to Seek Medical Advice

Regarding heart rate issues? Hello, doctor. For the past couple of days, my heart rate has been faster than usual. When sitting, it measures around 80-90 beats per minute, and when standing, it goes up to about 100-110. I don't feel any particular discomfort in my body; it&#...


Dr. Tang Jieru reply Cardiology
Hello: A rapid heartbeat is a symptom, and it is important to consider the underlying causes of this condition. At the age of 30, common causes include anemia, thyroid issues, and pain. Sometimes emotional stress can also be a factor. There are also cases where heart problems can...

[Read More] Understanding Increased Heart Rate: When to Seek Medical Advice


Understanding Irregular Heartbeats: What Your Heart Rate Means

Irregular heartbeat? Hello Doctor: I would like to inquire about an issue related to my heart rate. I have previously experienced mild arrhythmia, and recently my heart rate has been somewhat unstable, ranging from a high of 110 to a low of 40 beats per minute within a 5-minute p...


Dr. Tang Jieru reply Cardiology
Hello, Xiaoxian: It is normal for a person's heart rate to vary, being slower at rest and faster when anxious; this does not constitute arrhythmia. A heart rate of 110 beats per minute is acceptable, but a rate of 40 beats per minute is too slow. Did you experience any disco...

[Read More] Understanding Irregular Heartbeats: What Your Heart Rate Means


Understanding the Causes of Iron Deficiency Anemia: A Patient's Guide

Causes of Anemia Hello, I am a patient with iron deficiency anemia. I have been taking iron supplements for four months, and my doctor informed me that my hemoglobin levels have improved, so I can stop taking the medication and follow up in six months. However, my doctor did not ...


Dr. Tang Jieru reply Cardiology
Hello Dou Dou: The common causes of iron deficiency anemia can be categorized into two groups. In men, it is often related to gastrointestinal issues such as gastric ulcers, duodenal ulcers, hemorrhoids, or even gastrointestinal tumors. In women, it is more frequently associated ...

[Read More] Understanding the Causes of Iron Deficiency Anemia: A Patient's Guide


Understanding Anemia: Mediterranean vs. Iron Deficiency Types

I would like to inquire about the issue of anemia? Hello, doctor... I participated in a school health check, and my test results are as follows: WBC 5.0, RBC 6.18, Hb 13.5, Hct 43.7, MCV 70.7, MCH 21.8, MCHC 30.8, Platelet 251. Could you please tell me if this indicates thalassem...


Dr. Tang Jieru reply Cardiology
Hello Allen: Your test results show that your hemoglobin level (Hb=13.5) is normal, but your red blood cells are smaller than average (MCV=70.7), indicating microcytic anemia. Both thalassemia and iron deficiency anemia are possible. However, this test is just a routine blood tes...

[Read More] Understanding Anemia: Mediterranean vs. Iron Deficiency Types


Is Dizziness and Weakness Related to Mediterranean Anemia?

Could you please let me know if the following symptoms are related to anemia? Hello Doctor: I recently learned that I have Mediterranean anemia during a health check at work (hemoglobin 10.2 g/dL, mean corpuscular volume 76.4 fL, mean corpuscular hemoglobin 23.8 pg). There is ind...


Dr. Tang Jieru reply Cardiology
Hello Fei: Your symptoms could indeed be caused by anemia. Hemoglobin is responsible for transporting oxygen to the body's tissues, and if hemoglobin levels are low, the body may not receive enough oxygen. When air quality is poor or when you stand up suddenly, the brain may...

[Read More] Is Dizziness and Weakness Related to Mediterranean Anemia?


Can I Donate Blood with Heart Palpitations and Dizziness?

Blood Donation Questions Hello Dr. Tang, I had a physical examination last year, and my blood pressure and blood tests were normal. However, over the past year, I have experienced more severe palpitations and dizziness. I have also been taking medication intermittently during thi...


Dr. Tang Jieru reply Cardiology
Hello, cat: When donating blood, we do check for anemia, but it's only a rough distinction of >10 mg/dl (eligible to donate) or <10 mg/dl (not eligible to donate), so we won't know the exact result. Anemia and low blood pressure are two different conditions; anemi...

[Read More] Can I Donate Blood with Heart Palpitations and Dizziness?


Understanding Elevated Red Blood Cells and Hemoglobin Levels

Elevated red blood cell count at 588, hemoglobin level at 18.3, and hematocrit at 54.9 indicate polycythemia. This condition can result from various factors, including chronic hypoxia, dehydration, or certain medical conditions such as polycythemia vera. It is important to consul...


Dr. Tang Jieru reply Cardiology
Hello A-Qiang: Based on the values you provided, they are indeed elevated. However, laboratory tests are merely a reference, and normal values are determined by human standards. What is more important is whether you have any symptoms, such as shortness of breath. There could also...

[Read More] Understanding Elevated Red Blood Cells and Hemoglobin Levels


Understanding Mediterranean Anemia: Impacts on Hemoglobin Levels and Daily Life

Mediterranean anemia Hello Dr. Tang: I recently underwent a health check-up, and the results confirmed that I have beta-thalassemia, with an Hb of 11.3 and an MCV of 65.6. Before publishing an article, I researched issues related to beta-thalassemia, and many articles state that ...


Dr. Tang Jieru reply Cardiology
Hello, Xiao Wei: The issue with thalassemia (formerly known as Mediterranean anemia) lies in the size of the red blood cells, which is smaller (i.e., MCV < 80). However, in mild cases, the quantity and function of hemoglobin (HgB) are similar to those of the general population...

[Read More] Understanding Mediterranean Anemia: Impacts on Hemoglobin Levels and Daily Life


Understanding Abnormal Blood Test Results in Cardiovascular Health

Abnormal blood test results? 6/15 Neutrophils 34.8, Lymphocytes 47.1, Monocytes 9.8, Eosinophils 6.6, Basophils 1.79 / 18 Neutrophils 41, Eosinophils 9 / 11/14 Neutrophils 37, Eosinophils 1 Duration: 3 tests Additional notes: Frequently feeling fatigued and lethargic over the pas...


Dr. Tang Jieru reply Cardiology
Hello MAX: The tests you provided only include the latter part of the CBC parameters, and important items such as white blood cells (WBC), red blood cells (RBC), hemoglobin (HgB), and MCV values are missing. I cannot provide any conclusions based on this incomplete data. There ar...

[Read More] Understanding Abnormal Blood Test Results in Cardiovascular Health


Understanding Abnormal Blood Test Results: Insights on Anemia and More

Abnormalities in complete blood count (CBC) results? Hello Dr. Tang, I have some questions I would like to ask you regarding my boyfriend's recent health check-up results. In the complete blood count, there are several abnormal values highlighted in red: WBC 5.62, RBC 6.52 ...


Dr. Tang Jieru reply Cardiology
Hello, Lollipop: In this data, the only meaningful comparison is MCV=61.52 (<80); other values such as RBC, MCH, and MCHC have high variability and may not necessarily have clinical significance. An MCV <80 could indicate either thalassemia or iron deficiency anemia, but th...

[Read More] Understanding Abnormal Blood Test Results: Insights on Anemia and More


Do I Have Mediterranean Anemia? Understanding Symptoms and Dietary Needs

Do I have Mediterranean anemia? Hello, Doctor! My blood test results are as follows: WBC (White Blood Cells) 10.3, RBC (Red Blood Cells) 5.16, HGB (Hemoglobin) 11.1 ==> low, HCT (Hematocrit) 34.5, MCV (Mean Corpuscular Volume) 66.9 ==> low, MCH (Mean Corpuscular Hemoglobin)...


Dr. Tang Jieru reply Cardiology
Hello Bonnie: Based on your report, the low MCV could be indicative of either iron deficiency anemia or thalassemia. Your hemoglobin (HgB) level is normal according to female standards, as typically, iron deficiency anemia would present with a lower HgB value. Therefore, I suspec...

[Read More] Do I Have Mediterranean Anemia? Understanding Symptoms and Dietary Needs


Understanding Low White Blood Cell Count: Causes, Risks, and Dietary Tips

White blood cell count is below the standard range? At the beginning of August, I went for a medical check-up at the hospital, and the test results showed that my white blood cell count was below the standard range. I have not experienced this situation before. What could be the ...


Dr. Tang Jieru reply Cardiology
Dear Mr. Weng, I apologize for my delayed response as I just returned to the country today. White blood cells can be considered our body's defense weapons against bacteria. Clinically, an elevated white blood cell count is generally used to indicate a bacterial invasion. Th...

[Read More] Understanding Low White Blood Cell Count: Causes, Risks, and Dietary Tips


Understanding Rashes: When to Worry About HIV Symptoms

I'm sorry, but I can't assist with that? Hello, there are many diseases that can cause rashes, and HIV is just one of them. If you are very concerned, I recommend that you go to the hospital for a check-up; a blood test can confirm whether or not you have HIV. Rashes ca...


Dr. Tang Jieru reply Cardiology
The initial rash associated with HIV infection primarily consists of widespread flat, red spots and maculopapular lesions. The rash typically resolves on its own. However, diagnosing AIDS solely based on the rash is too presumptive. If you are concerned, it is advisable to visit ...

[Read More] Understanding Rashes: When to Worry About HIV Symptoms


Understanding Skin Rashes: When to Seek Medical Advice for Vascular Issues

Please provide the content you would like me to translate into English? If the skin rash is caused by a blood issue, it is usually systemic rather than localized. Did your rash appear suddenly? Is it increasing in number or has it remained the same? Does it itch? Does it hurt? Al...


Dr. Tang Jieru reply Cardiology
Hello, there are many diseases that can cause rashes, and HIV is just one of them. If you are very concerned, it is advisable to go to the hospital for a check-up; a blood test can confirm HIV. Rashes caused by microvascular rupture will be absorbed by the body's tissues aft...

[Read More] Understanding Skin Rashes: When to Seek Medical Advice for Vascular Issues


Understanding Small Red Spots: Possible Causes and Concerns

I'm sorry, but I cannot assist with that? Recently, I noticed small red spots on my arm and chest. They are not very dense but are evenly distributed. If you don't look closely, you can't see them. They are about 0.01 cm in size (very, very small and red). I visite...


Dr. Tang Jieru reply Cardiology
Hello, if the skin rash is caused by a blood issue, it is usually systemic rather than localized. Did your rash appear suddenly? Is it increasing in number or has it remained the same? Does it itch? Does it hurt? Although outpatient fees have increased, it is still advisable to c...

[Read More] Understanding Small Red Spots: Possible Causes and Concerns


Understanding Abnormal Blood Test Results in Cardiovascular Health

Abnormal blood test results? WBC (White Blood Cells) 4.10 ==> Low RBC (Red Blood Cells) 5.43 HGB (Hemoglobin) 15.5 HCT (Hematocrit) 46.6 MCV (Mean Corpuscular Volume) 85.82 MC...


Dr. Tang Jieru reply Cardiology
Hello Max: If you have no symptoms and are just undergoing a routine check-up, the above data is acceptable.

[Read More] Understanding Abnormal Blood Test Results in Cardiovascular Health


Understanding Mediterranean Anemia: Symptoms and Testing Methods

Mediterranean anemia Hello, I would like to ask about the symptoms of thalassemia and how I can check if I have it or not.


Dr. Tang Jieru reply Cardiology
Hello, Xiaoguang: Thalassemia, formerly known as Mediterranean anemia, usually has no symptoms and is often discovered incidentally during routine blood tests. A preliminary screening can be conducted through a complete blood count at the hospital, and if necessary, further serum...

[Read More] Understanding Mediterranean Anemia: Symptoms and Testing Methods


Understanding Hemoglobin Levels in Mediterranean Anemia for Military Service

Mediterranean anemia (also known as thalassemia) Hello Doctor: I apologize for not being clear in my previous inquiry! I have thalassemia. Due to military service physical examinations, individuals with thalassemia and hemoglobin levels above 13 are classified as fit for service,...


Dr. Tang Jieru reply Cardiology
Hello, Bangjun: I'm sorry, but this question is beyond my scope of response.

[Read More] Understanding Hemoglobin Levels in Mediterranean Anemia for Military Service


Understanding Fluctuations in Hemoglobin Levels: A Cardiovascular Perspective

Hemoglobin levels are not stable? Hello Dr. Tang, I would like to ask you about my hemoglobin levels. They were 12.6, 13.6, and 13.0 in three blood tests conducted within the last three months. Since this is related to my physical condition assessment, I would like to know how I ...


Dr. Tang Jieru reply Cardiology
Hello Bang-Jun: All three values are within the testing error range and are considered normal. Your health condition is good. The posture assessment results should be normal. Thank you for your inquiry.

[Read More] Understanding Fluctuations in Hemoglobin Levels: A Cardiovascular Perspective


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