Understanding Hemoglobin Electrophoresis Results for Thalassemia Diagnosis
Hemoglobin Electrophoresis Report Hello, Doctor He. Recently, I had a blood test that indicated a suspicion of beta-thalassemia, so I underwent hemoglobin electrophoresis. I would like your assistance in determining whether this confirms beta-thalassemia. There is a family histor...
Dr. He Dongjin Reply:
Hello, your condition appears to be Beta-thalassemia with elevated A2 levels, reference <4% F, and elevated reference <0.3%. Changhua Hospital is concerned about you.[Read More] Understanding Hemoglobin Electrophoresis Results for Thalassemia Diagnosis
Understanding Chest Discomfort: Possible Causes and Concerns
Chest discomfort Hello, doctor! I used to have a habit of swimming, but about six months ago, shortly after getting into the water, I began to feel discomfort in my chest. Initially, it happened in a cold water pool during the summer, and later I experienced the same sensation in...
Dr. He Dongjin Reply:
Hello, please visit the cardiology outpatient clinic for further examination of symptoms suspected to be related to angina. An exercise electrocardiogram or a computed tomography scan may be necessary. Changhua Hospital cares about you.[Read More] Understanding Chest Discomfort: Possible Causes and Concerns
Understanding Diabetes and Blood Pressure: Key Values and Assessments
Standards and Assessment of Normal Values for Diabetes Mellitus Hello Dr. Lin, I have mild hypertension symptoms, typically fluctuating between 118 and 152 (with occasional spikes). Most of the time, it ranges from 130 to 150. I do not have a good medication adherence habit and ...
Dr. Lin Jixiong Reply:
Dear Mr. Gong Yushi, First, I would like to provide you with the normal values for blood glucose levels: fasting blood glucose (AC Glucose) should be <100 mg/dL, and postprandial blood glucose (PC Glucose) should be <140 mg/dL two hours after eating. The normal range for g...[Read More] Understanding Diabetes and Blood Pressure: Key Values and Assessments
Understanding HDL and LDL Levels: Implications for Heart Health
Thank you, doctor? Hello doctor, my blood test results show that my high-density lipoprotein (HDL) is low at 31, and my low-density lipoprotein (LDL) is also low at 74.7, but my total cholesterol is 134, which doesn't seem low. It seems that the sum of HDL and LDL does not e...
Dr. He Dongjin Reply:
Hello, at your age, there is no need to worry too much about cardiovascular diseases; it's more important to be concerned about the elderly. Your numbers are all within the standard range. Your high-density lipoprotein (HDL) is not high because your total cholesterol is low;...[Read More] Understanding HDL and LDL Levels: Implications for Heart Health
Understanding Your Anemia: A Guide to Blood Test Results
Which type of anemia? Hello, doctor! I had a blood test at the laboratory, and I understand that I belong to a certain type of anemia. The results are as follows: Hgb 7.7, MCV 63.6, Stool OB (FOBT) negative, Hb A 98.1, Hb F 0.0, Hb A2 1.9, Serum iron (Fe) 11, TIBC 417, Ferritin 1...
Dr. Lin Jixiong Reply:
Hello: Based on the data, it appears to be iron deficiency anemia. I recommend that you visit a hospital to consult with a family medicine or internal medicine physician for further discussion. Additionally, if you experience heavy menstrual bleeding or prolonged periods, it coul...[Read More] Understanding Your Anemia: A Guide to Blood Test Results
Understanding Anemia: Essential Tests for Diagnosis and Insurance Requirements
Please provide information regarding the tests for "anemia." Dr. He: Hello, I apologize for the interruption. My sibling has a medical history of "anemia" due to excessive blood loss during childbirth. Currently, when applying for insurance, the insurance comp...
Dr. He Dongjin Reply:
Hello, theoretically, the insurance medical examination should include urine tests, and there should be no correlation between the presence of anemia and urine tests, as blood tests can determine anemia. Changhua Hospital cares about you.[Read More] Understanding Anemia: Essential Tests for Diagnosis and Insurance Requirements
Understanding Your Cardiovascular Test Results: Key Insights and Next Steps
Laboratory Report Hello Dr. Lin, I would like to ask you some questions regarding my lab report online. I previously consulted at Miaoli Hospital, but I just received the report from my family after serving in the military in the south. My medical history includes mild mitral v...
Dr. Lin Jixiong Reply:
Hello: Elevated liver function tests indicate fatty liver, and you may follow up with a gastroenterologist or hepatologist. The liver enzymes are elevated, and the physician has prescribed Sulfin 100mg. Please pay attention to your diet and exercise, take your medication regularl...[Read More] Understanding Your Cardiovascular Test Results: Key Insights and Next Steps
Understanding Atrial Fibrillation: Symptoms, Severity, and Next Steps
Arrhythmia Hello Dr. He: I apologize for the lengthy content, but I would like to ask for your clarification. Thank you. The doctor informed me that I have arrhythmia, but I am not quite clear on whether my condition is serious. What type of condition is it? How should I proceed ...
Dr. He Dongjin Reply:
Dear Tina, you have mild arrhythmia primarily caused by premature ventricular contractions, with a total of 269 occurrences within 24 hours. In fact, having up to 1000 occurrences in a day can be considered normal. This is a benign arrhythmia, and there is no need for medication ...[Read More] Understanding Atrial Fibrillation: Symptoms, Severity, and Next Steps
Understanding Mediterranean Anemia: Risks and Genetic Considerations
Mediterranean anemia (also known as thalassemia) Hello Doctor, I would like to ask about thalassemia. My father and brother both have mild thalassemia, but my blood tests during high school and college were normal. I am unsure if I might have it. My boyfriend also has mild thalas...
Dr. He Dongjin Reply:
Hello, instead of worrying at home, it is advisable to take action. I recommend that you and your boyfriend visit a hematology clinic for further examination. Based on the results of the tests, you can discuss the findings with the physician for the most accurate guidance. Changh...[Read More] Understanding Mediterranean Anemia: Risks and Genetic Considerations
Understanding Palpitations: Are They Heart-Related or Anxiety-Induced?
Palpitations with a rapid heartbeat? Hello, about a week ago, I suddenly started feeling chest tightness while sitting, needing to take deep breaths intermittently. After a day or two, the frequency of feeling unable to breathe increased, and I began to notice an unusual sensatio...
Dr. He Dongjin Reply:
Hello, your symptoms are clearly caused by autonomic nervous system dysfunction, which may be triggered by recent stress or changes in climate. Please try to relax. I have attached a list of common symptoms of autonomic nervous system dysfunction for your reference. I would also ...[Read More] Understanding Palpitations: Are They Heart-Related or Anxiety-Induced?
Understanding Mitral and Tricuspid Valve Prolapse: Symptoms and Management
Valvular prolapse issues Last year, I experienced sudden strong heartbeats and a warm sensation in my left chest when I was fatigued. After undergoing an echocardiogram, a 24-hour Holter monitor, and some blood tests, I was diagnosed with mitral valve prolapse and tricuspid valve...
Dr. He Dongjin Reply:
Hello, actually, the issue of mitral valve prolapse is not significant, and the chances of deterioration are low. The symptoms often vary greatly and are mostly caused by autonomic nervous system dysregulation. Patients with this condition tend to be more sensitive to changes in ...[Read More] Understanding Mitral and Tricuspid Valve Prolapse: Symptoms and Management
Understanding Rapid Heartbeat and Chest Pain: When to Seek Further Evaluation
Rapid heartbeat, chest tightness and pain, dizziness? Hello, doctor: Previously, I felt my heart racing and experienced dizziness, so I quickly went to the emergency room. I had an electrocardiogram (ECG) and X-rays done, and the doctor said there were no issues, just a faster he...
Dr. He Dongjin Reply:
Hello, myocardial infarction can be detected through examinations. Since you have undergone multiple tests that have all returned normal results, there should be no concerns in this regard. The symptoms you are describing sound like they may be caused by anxiety or autonomic nerv...[Read More] Understanding Rapid Heartbeat and Chest Pain: When to Seek Further Evaluation
Managing High Blood Pressure and Diabetes: Urgent Care Insights for Patients
Hypertension/Diabetes Mellitus In late February, due to feeling unwell, my mother went to the emergency room and was diagnosed with hypertension (over 200) and diabetes (hyperglycemia). She is approximately 57 years old and has been consistently following up with outpatient visit...
Dr. He Dongjin Reply:
Hello, the recent fluctuations in weather may affect blood pressure. In fact, any changes in internal or external environments can cause blood pressure variations, including sudden temperature changes, anger, poor sleep, menopause, and external stressors. It is important to addre...[Read More] Managing High Blood Pressure and Diabetes: Urgent Care Insights for Patients
Understanding Myocardial Perfusion Scans: Necessity and Safety Concerns
Myocardial perfusion imaging - Dynamic Dipyridamole & Resting Hello Dr. Lin, I have some symptoms of mild hypertension and have been taking antihypertensive medication, but I do not take it regularly due to forgetfulness, which has led to interruptions of several days or wee...
Dr. Lin Jixiong Reply:
Hello: The dosage of the contrast agent required for myocardial perfusion imaging has established standards. This examination has been performed for many years. For elderly patients suspected of having cardiovascular obstruction diseases, when it is not suitable to arrange for a ...[Read More] Understanding Myocardial Perfusion Scans: Necessity and Safety Concerns
Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Stroke Risks
Atrial fibrillation (AF) Hello Dr. He, During a recent health check-up, my doctor informed me that I have an arrhythmia issue. At that time, I didn't pay much attention to it, but unexpectedly, last March, while exercising one morning, I suddenly experienced a blank mind an...
Dr. He Dongjin Reply:
Hello, I’m sorry to inform you that this condition cannot be completely cured; it can only be managed with medication. The only option is to take warfarin and monitor the drug levels to maintain an INR of 2-3. This will help minimize the risk of thrombosis. An esophageal ultrasou...[Read More] Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Stroke Risks
Understanding Abnormal Blood Test Results: Could It Be Thalassemia?
Could you please clarify what specific information you are seeking regarding blood tests? Hello Doctor: A few days ago, I went to the hospital for a pre-pregnancy check-up, and after receiving the report, it showed that my average red blood cell volume had abnormal values as foll...
Dr. He Dongjin Reply:
Hello, this is microcytic anemia, which may be due to iron deficiency anemia, so taking iron supplements is fine. As for folic acid, it is associated with macrocytic anemia, so currently taking folic acid does not help. Red meat, raisins, and spinach can be beneficial. Changhua H...[Read More] Understanding Abnormal Blood Test Results: Could It Be Thalassemia?
Are Unusual Bruising and Bleeding Side Effects of Dilatrend 6.25mg?
Is there a risk of unusual bleeding or bruising as side effects from taking "Daliquel 6.25mg"? Hello Doctor: Five weeks ago, my current attending physician switched my original medications from Diovan 80 mg and Cintsu 240 mg (half a tablet) to HYZAAR 100/12.5 mg and Bet...
Dr. He Dongjin Reply:
Hello, I haven't heard of this medication having such side effects. Are you taking any other medications? Given your age, why do you need to take the aforementioned medications? Is it for hypertension? Heart failure? We may need to further understand your condition in order ...[Read More] Are Unusual Bruising and Bleeding Side Effects of Dilatrend 6.25mg?
Understanding Mediterranean Anemia: Blood Test Insights and Next Steps
Questions about Mediterranean Anemia? Doctor, here is my blood test report: White blood cells 7800 (4500~10000/UL), Red blood cells 5.46 (4.5~6.0), Hemoglobin 15.3 (14~18), Hematocrit 42.8 (36~54), Mean corpuscular volume 78.4 (80~100) - which is low, Mean corpuscular hemoglobin ...
Dr. He Dongjin Reply:
Hello, your hemoglobin level is above the standard range, but the entire report appears to be normal and does not suggest thalassemia. Please rest assured. If you would like to undergo further blood tests, you can schedule an appointment with the Hematology Department at Changhua...[Read More] Understanding Mediterranean Anemia: Blood Test Insights and Next Steps
Understanding Varicose Veins: When to Seek Specialized Care
Varicose veins My mother is 76 years old and has had varicose veins for over 40 years. Recently, she developed a large area on her ankle that looks like a bruise. After a blood test at a medical clinic in Zhudong, no cause was found. I would like to know which department she shou...
Dr. He Dongjin Reply:
Hello, you can seek assistance from a vascular surgeon in the cardiovascular surgery department every Monday and Tuesday afternoon. Thank you for your concern from Changhua Hospital.[Read More] Understanding Varicose Veins: When to Seek Specialized Care
Understanding Palpitations: When to Seek Medical Advice
Irregular heartbeat? Palpitations? Hello, doctor. Recently, I've been hesitant about whether I need to see a doctor again due to my palpitations. Last year, I had an electrocardiogram and blood tests, and all the results were normal. So, after reading some articles online, I...
Dr. He Dongjin Reply:
Based on your description, it seems more like paroxysmal benign arrhythmia, such as premature ventricular contractions. If this is causing you distress, you may consider visiting a cardiologist for a 24-hour Holter monitor evaluation. Thank you, He Dongjin.[Read More] Understanding Palpitations: When to Seek Medical Advice