Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Urinalysis items in a health examination? Hello, I underwent a health check in September, and the report indicated positive results for urine bilirubin (1+), urine ketones (1+), and urine leukocyte esterase (1+), as well as elevated epithelial cells (6-10). On the day of the heal...
Dr. Wu Zongying reply Family Medicine
Hello: In cases of urethritis, the urine report should show a white blood cell count exceeding 5/HPF. The presence of urine ketones (1+) and urine bilirubin (1+) is not indicative of urethritis. Vaginal inflammation can certainly affect the test results. Additionally, frequent ur...[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Understanding Low Potassium: Hormonal Imbalance and Heart Palpitations
Hypokalemia, hormonal imbalance, palpitations? Hello doctor, I often feel discomfort in my throat, like something is stuck. Sometimes I also experience anxiety or palpitations. After work, when I get home to rest, I inexplicably feel cold. I frequently have low potassium levels. ...
Dr. Wu Zongying reply Family Medicine
Hello: Hypokalemia can be supplemented by consuming more fruits and vegetables, especially acidic fruits which are higher in potassium. Regarding the weight loss you mentioned in your letter, it is difficult for me to provide recommendations without your BMI. Increasing physical ...[Read More] Understanding Low Potassium: Hormonal Imbalance and Heart Palpitations
Understanding Elevated Hemoglobin Levels: Is 15.5 Too High?
Elevated hemoglobin levels? Is a hemoglobin level of 15.5 considered high? I found online that the normal value is 16, but my report indicates that a hemoglobin level of 15.5 is high. Could this indicate any diseases? Currently, I have no discomfort. Is 15.5 still within the norm...
Dr. Wu Zongying reply Family Medicine
Hello: Different hospitals may have varying reference ranges for laboratory values. For instance, some hospitals may consider a normal hemoglobin range to be 12-16 g/dL, while others may have an upper limit of 15.5 g/dL, and so on. Although your current level is 15.5 g/dL, it sho...[Read More] Understanding Elevated Hemoglobin Levels: Is 15.5 Too High?
Understanding Left Armpit Pain, Fever, and Potential Causes
Swelling and pain in the left armpit accompanied by fever? Hello, doctor. Starting from Sunday the 23rd, I began to feel a vague pain and discomfort under my left armpit. By Monday, I noticed soreness and tingling in my left shoulder and arm. That evening, I went to a breast surg...
Dr. Wu Zongying reply Family Medicine
Hello: Based on the situation you described, I cannot determine the specific disease without a personal examination. I recommend that you first adjust your routine and maintain a normal sleep schedule. If the symptoms persist, it is advisable to consult a specialist in endocrinol...[Read More] Understanding Left Armpit Pain, Fever, and Potential Causes
Understanding Fluctuations in Creatinine Levels: A Guide for Athletes
Creatinine issues Hello, doctor. During my freshman year (now preparing to enter my senior year), I had an entrance health examination, and my test results showed CR: 1 and BUN: 16, indicating normal kidney function. I have not had any chronic illnesses since childhood. I have be...
Dr. Wu Zongying reply Family Medicine
Hello: A long-term high-protein diet may increase the burden on the kidneys, so it is advisable to pay attention to your diet. Your last creatinine level from the nephrology department at the major hospital was still normal; however, your previous creatinine test at the clinic wa...[Read More] Understanding Fluctuations in Creatinine Levels: A Guide for Athletes
Understanding Prediabetes: A Doctor's Insight on Your Health Concerns
Doctor, I apologize for bothering you again? Hello, I always want to confirm whether I am currently in a prediabetic state. I have a chronic illness, and I am committed to taking good care of my body. I also appreciate the doctor's advice. I interpreted the doctor's rec...
Dr. Wu Zongying reply Family Medicine
Hello: First, don't worry. You are currently not in the prediabetic range (fasting blood glucose levels should be between 100-126 mg/dL). It is recommended that you exercise more and engage in outdoor activities, as this is beneficial for both your physical and mental well-b...[Read More] Understanding Prediabetes: A Doctor's Insight on Your Health Concerns
Am I at Risk for Prediabetes? Understanding Blood Sugar Levels
I am unsure if my blood sugar issues indicate prediabetes? Hello Doctor, let me describe my situation: Two and a half years ago, during a physical examination, my fasting blood glucose was 85 mg/dL, with no signs of diabetes, and the rest of the military examination results were ...
Dr. Wu Zongying reply Family Medicine
Hello: According to your current blood glucose test report, you have not yet reached the criteria for diabetes. The diagnostic criteria for diabetes (which must be confirmed on different days) are: fasting blood glucose levels of 126 mg/dL or higher, postprandial or random blood ...[Read More] Am I at Risk for Prediabetes? Understanding Blood Sugar Levels
Managing Health: Is Regular Exercise and Diet Enough for Wellness?
Regarding the previous question? Hello, I am the same person who asked the question last time. So, it's not prediabetes. I maintain a regular exercise routine (I usually walk for 40 minutes) and eat well. Can I feel reassured that this is a proper approach?
Dr. Wu Zongying reply Family Medicine
Hello: Regarding exercise: Since you are still young, unless there are abnormalities in physical movement, I recommend that you do not limit yourself to just walking or strolling. Instead, focus on aerobic exercises such as running and playing sports, which can increase metabolis...[Read More] Managing Health: Is Regular Exercise and Diet Enough for Wellness?
Managing Persistent Heat Sensation and Discomfort: A Guide
Fever I have been feeling a noticeable warmth in my body, neck, and head over the past few weeks, with a body temperature ranging from 36.9 to 37.2 degrees Celsius. Previously, I also experienced difficulty breathing. I consulted a traditional Chinese medicine doctor who diagnose...
Dr. Wu Zongying reply Family Medicine
Hello: It is recommended to make adjustments in three areas: First, reduce the consumption of fried foods, pastries, hot pot dishes, and spicy-sour foods. Second, choose clothing that is breathable, made of cotton, sweat-absorbent, and sleeveless. Third, drink plenty of water (no...[Read More] Managing Persistent Heat Sensation and Discomfort: A Guide
Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?
After taking the Japanese B-complex supplement, I experienced numbness in the soles of my feet? Hello Doctor: I am a 54-year-old woman with two children, currently taking medications for heart disease, pseudodiabetes, and sleeping pills (taken before bed). I have been experiencin...
Dr. Wu Zongying reply Family Medicine
Hello: If you confirm that the numbness in your feet is caused by taking the medication, you may consider discontinuing it. Aside from the elderly, those with poor dietary habits, or individuals with gastrointestinal absorption issues, vitamins can typically be obtained from natu...[Read More] Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?
Understanding Drug Allergies: Symptoms and When to Seek Help
Drug allergy issues Hello Doctor, I visited the doctor this Thursday due to back pain and was prescribed Voren EMC Cap 50mg, an anti-inflammatory medication. After taking two capsules, I noticed a sore at the base of my tongue and experienced throat pain when eating (though I...
Dr. Wu Zongying reply Family Medicine
Hello: Anti-inflammatory and analgesic medications can indeed cause allergic reactions in some users. Most commonly, individuals may experience urticaria, characterized by redness, swelling, and itching of the skin. In more severe cases, it can lead to mucosal blistering, mucosal...[Read More] Understanding Drug Allergies: Symptoms and When to Seek Help
Understanding Intermittent Pain in the Right Middle Toe: Causes and When to See a Doctor
There is a sharp pain in the middle toe of the right foot? Doctor, I have a stabbing pain in my right middle toe that comes and goes intermittently. Recently, the pain has become more severe. What could be causing this? If I need to see a doctor, which specialty should I consult?...
Dr. Wu Zongying reply Family Medicine
Based on your description of experiencing a tingling sensation only in your right middle toe, it is difficult to determine a diagnosis. However, based on experience, it could potentially be related to either a skin issue or a nerve issue. I recommend that you consult a neurologis...[Read More] Understanding Intermittent Pain in the Right Middle Toe: Causes and When to See a Doctor
Understanding Blood Sugar Levels and Skin Issues: A Comprehensive Guide
Blood glucose test Hello, Doctor! I have some questions regarding my blood sugar issues. Last year, my hemoglobin A1c was 5.5, and my fasting blood glucose was 85. Since last year, I have noticed some skin changes that resemble hyperpigmentation. I had a biopsy done on my arm, an...
Dr. Wu Zongying reply Family Medicine
Hello: Based on the blood test data you provided, your current HbA1c (glycated hemoglobin) and fasting blood glucose levels do not meet the criteria for a diabetes diagnosis. Acanthosis nigricans is typically caused by insulin resistance and can be reduced by controlling weight, ...[Read More] Understanding Blood Sugar Levels and Skin Issues: A Comprehensive Guide
Understanding Your Blood Test: Do You Have Anemia Symptoms?
Are there any issues related to anemia? Hello, doctor. This is my blood test report. When I received the report, I was informed that some values were low, which made me quite anxious. Could this indicate symptoms of anemia? Is it a serious issue? (Like MDS or something...) WBC 4....
Dr. Wu Zongying reply Family Medicine
Hello: Based on the data you provided, your hemoglobin (HGB) levels are normal, so there is no need for excessive concern at this time. Your red blood cell (RBC) and hematocrit (HCT) values are slightly low, but treatment is not necessary. It is recommended that you maintain a no...[Read More] Understanding Your Blood Test: Do You Have Anemia Symptoms?
Understanding Pulsating Lumps: What Your Symptoms Could Mean
Pulsating mass I recently felt a lump in the upper left part of my abdomen that pulsates like a heartbeat, and sometimes my stomach feels a bit uncomfortable and bloated.
Dr. Wu Zongying reply Family Medicine
Hello: Based on your description in the letter, "there is a mass in the upper left abdomen that pulsates like the heart," I recommend that you undergo an ultrasound for an initial examination to differentiate whether it is a vascular mass or something else. The manageme...[Read More] Understanding Pulsating Lumps: What Your Symptoms Could Mean
Disappearance of Inner Thigh Lump: Should You Be Concerned?
The lump on the inner thigh has disappeared? Previously, I was unsure if it was due to wearing tight underwear (as there were noticeable indentations on the inner thighs), combined with my obesity, which led to friction and resulted in a red, swollen area about 1.5 centimeters in...
Dr. Wu Zongying reply Family Medicine
Hello: Most lumps that disappear are usually not a cause for concern. As for the original cause of the lump (soft), I cannot determine it since I have not seen it in person. However, in addition to the lymph nodes you mentioned in your letter, it could also be a skin rash or fung...[Read More] Disappearance of Inner Thigh Lump: Should You Be Concerned?
Understanding Lower Back Pain: When to Seek Medical Help
Lumbar issues Hello doctor, three days ago I had pain in my left lower back and went to see a doctor. The doctor said it was likely a muscle strain and prescribed pain medication, but it hasn't helped. This morning, while standing, the pain suddenly shifted from the left sid...
Dr. Wu Zongying reply Family Medicine
Hello. The issue of lower back pain is not necessarily due to muscle strain. Urinary tract infections in women can also lead to kidney inflammation, causing lower back pain. If you are experiencing symptoms such as frequent urination, urgency, or discomfort while urinating, the l...[Read More] Understanding Lower Back Pain: When to Seek Medical Help
High Fever and Gastrointestinal Symptoms: Is It Stomach Flu?
Fever persisting for two consecutive days accompanied by vomiting and diarrhea? From approximately July 22 to July 25, I experienced up to three episodes of diarrhea per day, which is not normal for me. From July 24 to July 25, I had a slightly elevated body temperature, felt let...
Dr. Wu Zongying reply Family Medicine
Based on your symptoms, it appears to be acute gastroenteritis. During the summer, the hot weather can lead to food spoilage, and sometimes the ingredients used in dining out may not be fresh, which can trigger gastroenteritis. If it is a mild case, it usually resolves within a f...[Read More] High Fever and Gastrointestinal Symptoms: Is It Stomach Flu?
Managing Panic Disorder and Hypertension: Insights and Strategies for Relief
Panic disorder (hypertension and values) Hello, Doctor. I have been taking medication for panic disorder (Xanax 0.5mg) for nearly twenty years, and I also have hypertension, which I manage with medication (Micardis/Concor). Whenever I experience a panic attack, my blood pressure ...
Dr. Wu Zongying reply Family Medicine
Hello: There are many factors that can affect high blood pressure. The prevalence of hypertension is higher among modern individuals, primarily due to lifestyle factors such as stress and tension, which can lead to increased secretion of adrenaline in the endocrine system, result...[Read More] Managing Panic Disorder and Hypertension: Insights and Strategies for Relief
Am I at Risk for Diabetes? Understanding Family History and Lifestyle Factors
Will I develop diabetes? Hello doctor, I have recently seen many reports indicating that individuals with a family history of diabetes are at a higher risk of developing the condition themselves. During my time in school before graduation, I rarely drank water, often consuming on...
Dr. Wu Zongying reply Family Medicine
Hello: Diabetes is related to genetics as well as lifestyle factors. Being overweight, lack of exercise, having a large waist circumference, and a high-calorie diet are all high-risk factors for diabetes. To prevent diabetes, one should focus on weight management, diet, and exerc...[Read More] Am I at Risk for Diabetes? Understanding Family History and Lifestyle Factors