Understanding Hepatitis B Test Results: Window Period and Vaccination Advice
Regarding the test values related to hepatitis B..? Due to engaging in risky behavior and concerns about infection, I had blood tests for Hepatitis B and C. The HBsAg value was 0.11 (Negative) and the HBsAb value was 11.3 mIU/mL. I was tested approximately 5 weeks after the incid...
Dr. Xie Rongyuan reply Internal Medicine
Hello: According to the test results, since antibodies are already present, there is no need for vaccination. An HBsAb level of <10 IU/L is considered negative, while >=10 IU/L is considered positive. Thank you for your message![Read More] Understanding Hepatitis B Test Results: Window Period and Vaccination Advice
Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms
Suspected heart failure with mitral valve issues? Hello Doctor, thank you for your response. To provide some background, last year I experienced several months of sleep deprivation. I usually do not drink alcohol, but one night while out with friends, I was forced to drink a cock...
Dr. Xie Rongyuan reply Internal Medicine
Hello: MVP is a common condition characterized by the prolapse of one or both leaflets of the mitral valve into the left atrium during systole due to mitral valve insufficiency. The pathological mechanism is not fully understood. Pro-BNP testing can assist in the diagnosis of con...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms
Persistent Dizziness: Understanding Causes and Seeking Solutions
Dizziness and lightheadedness? I have been experiencing dizziness for some reason lately, and it has persisted for a week. I visited an otolaryngologist last week and took medication, but the issue has not improved. It doesn't seem to be a cold. I have a habit of practicing ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If the dizziness does not improve, further examination is necessary to determine the cause. It could be an issue with the vestibular system of the inner ear, or it may be due to conditions such as benign paroxysmal positional vertigo (BPPV), Meniere's disease, brain t...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
Understanding Low Hemoglobin Levels: Do You Need Further Testing?
Blood test report issues? Hello, doctor! My blood test report shows low hemoglobin at 12.9, hematocrit at 39.3, MCH at 26.2, MCHC at 32.8, and MCV at 79.7. Do I need to undergo any further tests? Thank you!
Dr. Xie Rongyuan reply Internal Medicine
Hello: The blood test report should be normal and not low; it can be monitored further. Thank you for your message![Read More] Understanding Low Hemoglobin Levels: Do You Need Further Testing?
Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained
Mitral valve prolapse Doctor, is my report normal? Is the difficulty in breathing, chest tightness, and dizziness caused by mitral valve prolapse? AO 27 mm (normal range 20-37) IVS 7 mm (normal range 7-10) LVEF M 70.8% AV 16 mm (normal range 16-26) LVPW 7 mm (normal ran...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Mild mitral regurgitation (MR) and tricuspid regurgitation (TR) are abnormal findings. If there are any concerns, you should consult a cardiologist. Thank you for your message![Read More] Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained
Understanding Abdominal Heat: Symptoms, Causes, and Treatment Options
Abdominal heat flow Hello, Doctor. About a week ago, I experienced a warm sensation in the middle-left area of my abdomen (slight warmth and mild pain when pressed). I have noticed an increase in flatulence and burping. Four days ago, I visited a doctor who prescribed medication ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: The gastroscopy examination showed no issues, but taking stomach medication from the pharmacy has improved your condition. It is recommended that if symptoms persist, you should consult a gastroenterologist to identify the underlying problem. Thank you for your message![Read More] Understanding Abdominal Heat: Symptoms, Causes, and Treatment Options
Understanding Nerve Pain: Managing Stress-Induced Tingling Sensations
Tingling sensations during times of stress? Doctor, I apologize for the interruption. Over the past year, I have noticed that whenever I experience a certain level of anxiety (which seems to have happened once or twice in my childhood as well), I start to feel localized tingling ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If these symptoms persist, it is advisable to visit a hospital for examination to confirm the diagnosis. Thank you for your message![Read More] Understanding Nerve Pain: Managing Stress-Induced Tingling Sensations
Understanding Painless Bumps Under the Tongue: Causes and Concerns
Oral issues Hello doctor, I would like to ask about the small bumps under my tongue. They look a bit like blisters but are completely painless. Is this a normal phenomenon?
Dr. Xie Rongyuan reply Internal Medicine
Hello: It is recommended to visit an oral surgeon for a definitive diagnosis. Thank you for your message![Read More] Understanding Painless Bumps Under the Tongue: Causes and Concerns
Understanding Black Stool: Causes and Concerns During Menstruation
Black stool color? Hello, doctor. Thank you for taking the time to reply 😊. I just started my period two days ago, and today during a bowel movement, I noticed a stool that was black in color... I'm a bit scared 😱 and I'm not sure if it's related to my period... I ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Black stools may be due to upper gastrointestinal bleeding or the use of iron supplements. To determine the cause, a medical examination is necessary. Thank you for your message![Read More] Understanding Black Stool: Causes and Concerns During Menstruation
Managing Slightly Elevated Cholesterol: Medication or Lifestyle Changes?
Slightly elevated total cholesterol? Hello doctor, I recently received my cholesterol test results as follows: Total cholesterol 228, triglycerides 155, high-density lipoprotein (HDL) 102.3, low-density lipoprotein (LDL) 107.8, and atherosclerosis risk index 2.23. Should I take m...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If there is no diabetes or cardiovascular disease, improvements can be made through diet and exercise. However, if such conditions are present, medication may be necessary for management. Thank you for your message![Read More] Managing Slightly Elevated Cholesterol: Medication or Lifestyle Changes?
Understanding Causes of Lower Limb Edema: When to Seek Further Medical Advice
What are the possible causes of lower extremity edema? Hello Doctor: My father has been experiencing lower limb edema (with pitting), abdominal bloating, loss of appetite, subjective fatigue (increased sleep duration), along with pain in the skin of both legs and ankle joint pain...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If the albumin level in the blood is too low, it may also cause lower extremity edema. It is recommended to check the albumin level data, as low levels can lead to lower limb swelling. Thank you for your message![Read More] Understanding Causes of Lower Limb Edema: When to Seek Further Medical Advice
Choking on Pills: Understanding Risks and Symptoms of Medication Ingestion
Choking on medication? I went to see a doctor because of a sore throat. Previously, I had a vitamin C tablet get stuck in my throat, so I have been avoiding pills since then. However, during my recent visit, the doctor prescribed me pills again. After picking up the medication, I...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If a medication is lodged in the trachea, it can potentially cause aspiration pneumonia. A chest X-ray can be performed at the hospital. Common symptoms of aspiration pneumonia may include coughing, wheezing, and even fever. Thank you for your message![Read More] Choking on Pills: Understanding Risks and Symptoms of Medication Ingestion
Understanding Long Intestines: When to Consider Surgery for Constipation
Longer intestines Hello, Doctor. I have been experiencing occasional constipation for a long time, but it has become very noticeable in the past two months, with bowel movements occurring only 1-2 times a week, producing very small amounts of stool, about the size of a fingernail...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Since I am unaware of your specific clinical issues, I cannot provide you with concrete advice. However, you may try taking medication or consuming certain foods. If there is no improvement, please discuss the next steps with your physician. Thank you for your message![Read More] Understanding Long Intestines: When to Consider Surgery for Constipation
Could My Blood Test Results Indicate Thalassemia?
Am I experiencing Mediterranean anemia? Hello doctor, I recently tested for anemia and my results are as follows: MCHC 30.5, MCH 19.8, MCV 65.0, RBC 6.71, RDW 16.8, TIBC 356, HbA 97.4%, HbA2 2.6%, HGB H (Positive). Does this indicate thalassemia?
Dr. Xie Rongyuan reply Internal Medicine
Hello: Based on the data above, it is possible. Therefore, it is best to seek medical attention at a hospital. Thank you for your message![Read More] Could My Blood Test Results Indicate Thalassemia?
Understanding Abdominal Pain: Causes and Solutions for Young Adults
Abdominal cramping? I am 20 years old and usually have a bowel movement once a day, but I only eat one or two meals daily (I've been doing this for a year). However, something strange has happened recently: on the first day of my menstrual period (October 31), I experienced ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Please visit the hospital for a medical examination and undergo an abdominal X-ray to investigate the cause. Thank you for your message![Read More] Understanding Abdominal Pain: Causes and Solutions for Young Adults
Choking on Capsules: Understanding Risks and Remedies
Choking on a capsule? This morning, I swallowed a capsule that got stuck on the left side of my throat. Later, I tried to push it down by eating something and drank a lot of water. I ended up coughing so hard that I vomited, and I'm not sure if I expelled the capsule as well...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If you still have symptoms, please go to the hospital for evaluation to determine the issue. Thank you for your message![Read More] Choking on Capsules: Understanding Risks and Remedies
Stepping on Glass: Understanding Tetanus Risks and Symptoms
Stepping on glass? On Saturday, September 16, I stepped on a small piece of broken glass at home. The wound was very small, about 2-3 millimeters, so I didn't get a tetanus shot. However, by September 21, the muscle near my right zygomatic bone became a bit tense (the left s...
Dr. Xie Rongyuan reply Internal Medicine
Hello: If there are any changes in the wound, please visit a hospital for diagnosis. Thank you for your message![Read More] Stepping on Glass: Understanding Tetanus Risks and Symptoms
Concerns About Choking on Pills: Risks and Solutions for Safe Swallowing
Choking on a pill? Hello, Doctor: Recently, I have been taking medication frequently, but sometimes I am afraid that the pills might go down the trachea. After taking the medication, I often feel a sensation of something stuck in my throat, and sometimes I cough. Could this be as...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Aspiration pneumonia can cause coughing, fever, and shortness of breath. A chest X-ray is necessary. As for whether Codemin can be opened and dissolved in water, please consult a pharmacist. Thank you for your message![Read More] Concerns About Choking on Pills: Risks and Solutions for Safe Swallowing
Understanding HIV Symptoms: What to Know After Exposure
HIV/AIDS issues Hello Doctor: I kissed my boyfriend, including French kissing. On the first to third day, I felt fine, but by the fourth day, my throat started to feel uncomfortable. I experienced pain on both sides of my throat when swallowing saliva. I also felt weak, had some ...
Dr. Xie Rongyuan reply Internal Medicine
Hello: These upper respiratory symptoms require testing to determine if a diagnosis can be confirmed, and whether there is an HIV infection, which can only be confirmed through a visit to a hospital. Thank you for your message![Read More] Understanding HIV Symptoms: What to Know After Exposure
Can Elevated Liver Enzymes Affect Sexual Function?
Can elevated liver enzymes affect sexual function? A few days ago, I visited a urologist due to issues related to sexual function and had blood tests done. Upon returning for a follow-up, the test results showed that all values were within normal ranges except for GOT and GPT, wh...
Dr. Xie Rongyuan reply Internal Medicine
Hello: Generally, mild liver function abnormalities do not cause sexual dysfunction. It is recommended to consult a urologist to determine the cause. Thank you for your message![Read More] Can Elevated Liver Enzymes Affect Sexual Function?