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Understanding Your Blood Test Results: Analyzing Anemia and Cardiovascular Health

Blood test report blood test indices Hello, doctor. Here are my blood test results. There are several abnormal values, and I would like your help in analyzing them. I want to ask which type of anemia I might have. - LDL-C: 129 - NT-proBNP: 27.07 - UIBC: 394 - TIBC (UIBC + Iron)...


Dr. Huang Yinghe Reply:
Hello: A slightly low hemoglobin level (Hb 11.1 g/dL) indicates mild anemia. The mean corpuscular volume (MCV) is slightly low but there is no significant iron deficiency (Iron, TIBC is normal), and it does not appear to be thalassemia. Based on these data, iron deficiency anemia...

[Read More] Understanding Your Blood Test Results: Analyzing Anemia and Cardiovascular Health


Understanding Anemia and High Platelet Counts in Diabetic Patients

Blood test shows anemia and thrombocytosis? Good evening, doctor. My wife is 60 years old and has type 2 diabetes without complications for over two years. Her blood pressure is 143/77, and her heart rate is approximately 113. She has been taking the prescribed medication to cont...


Dr. He Dongjin Reply:
Hello, it is recommended to visit a hematology department for further examination due to worsening anemia and increased platelet count. It would be prudent to investigate potential issues with the hematopoietic system. Changhua Hospital cares about your well-being.

[Read More] Understanding Anemia and High Platelet Counts in Diabetic Patients


Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations

Medication Issues Regarding Prasugrel and Heart Failure Management Hello, doctor. I would like to consult you regarding my 70-year-old family member who has a history of depression. In August 2022, he underwent the implantation of a pacemaker due to arrhythmia, with a heart rate ...


Dr. He Dongjin Reply:
Hello, the mechanism of action of different anticoagulants varies. Pradaxa primarily aims to prevent stroke and has a low risk of bleeding, with dosage adjustments possible. Current reports indicate that the bleeding risk is very low. You may discuss with your attending physician...

[Read More] Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations


Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights

Myocarditis is an inflammatory condition of the heart muscle (myocardium) that can affect the heart's ability to pump blood and can cause arrhythmias I'm sorry, doctor. I was diagnosed positive on May 25, and now I often feel weak and fragile when going outside. I would...


Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if the discomfort persists, it is advisable to visit a hospital for further evaluation.

[Read More] Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights


Is My Low MCV a Sign of Iron Deficiency Anemia?

Could you please tell me if this is considered iron deficiency anemia? Hello Doctor, I received my health examination report today. The overall assessment from the physician is normal, and there are no red flags in the test items. However, my MCV is outside the reference range. T...


Dr. He Dongjin Reply:
Hello, you do not have anemia, so there is no need to worry. Changhua Hospital cares about you.

[Read More] Is My Low MCV a Sign of Iron Deficiency Anemia?


Understanding Your Blood Test Results: Are You Anemic?

Complete Blood Count (CBC) What is my condition - anemia? A. Complete blood count: White blood cells 6.26 (4-10.5 x10^3/µL), Red blood cells 6.62 (4.2-5.9 x10^6/µL), Hemoglobin 14.2 (13-17.5 g/dL), Hematocrit 42.6 (39-53%), Mean corpuscular hemoglobin 21.5 (26-34 pg), Mean corpus...


Dr. He Dongjin Reply:
Hello, you do not have anemia and can be monitored. Changhua Hospital cares about you.

[Read More] Understanding Your Blood Test Results: Are You Anemic?


Understanding Sudden Changes in Blood Test Results: A Cardiovascular Perspective

Abnormal blood test results? Can blast cells and atypical lymphocytes suddenly appear within 5 days? (Blast cells were 0% on November 29 and increased to 4% on December 4; atypical cells were 0% on November 29 and increased to 5% on December 4, with no specific tests conducted du...


Dr. He Dongjin Reply:
Hello, it is advisable to consult a hematologist in person to discuss the complete report once you receive it. Currently, there is limited information available, and I apologize for not being able to provide a comprehensive response. Changhua Hospital cares about your well-being.

[Read More] Understanding Sudden Changes in Blood Test Results: A Cardiovascular Perspective


Understanding Long-Term Dizziness and Brain Fog: When to Seek Help

Long-term feelings of head heaviness (a dull sensation in the brain) can impact daily life? During my student years (from 1995 to 2005), I experienced several episodes of sudden dizziness. While standing, I would suddenly feel dizzy (not necessarily after standing up from a squat...


Dr. He Dongjin Reply:
Hello, your heart is fine and there is no anemia. The electrocardiogram and cardiovascular examinations showed no abnormalities and are unrelated to your symptoms. A series of tests conducted at Linkou Chang Gung Memorial Hospital yielded normal results with no anemia. Blood pres...

[Read More] Understanding Long-Term Dizziness and Brain Fog: When to Seek Help


Understanding Mediterranean Anemia: Impacts and Treatment Options

Mediterranean anemia (also known as thalassemia) I had a health check-up in my first year of high school and was diagnosed with anemia. I would like to know what effects it might have. Here are my lab results: - White blood cells: 6.8 (normal range: 4-10) - Red blood cells: 4.9...


Dr. He Dongjin Reply:
Hello, very mild anemia can be treated with iron supplements to improve the condition, so there's no need to worry. Changhua Hospital cares about you.

[Read More] Understanding Mediterranean Anemia: Impacts and Treatment Options


Understanding Mediterranean Anemia: Concerns for Your Daughter's Health

Blood test issues? Hello Doctor: I have thalassemia and I'm concerned that my daughter may inherit it. A year ago, my daughter's blood test results were as follows, and I would like to ask if she has anemia. My daughter is 17 years old; can she take iron supplements or ...


Dr. He Dongjin Reply:
Hello, based on the report you provided, there are no signs of anemia, which is normal. As for whether you can take iron supplements or folic acid, there are no contraindications; however, iron supplements are typically taken only if there is iron deficiency anemia, and folic aci...

[Read More] Understanding Mediterranean Anemia: Concerns for Your Daughter's Health


Understanding Low Platelet Counts: Concerns and Management for Seniors

Low platelet count? Dear Chief Physician, My father is 66 years old and has been on medication for hypertension for four years. Currently, he has a low platelet count, which is at 20,000. He has been taking steroids for six months, during which his platelet count has fluctuated ...


Dr. He Dongjin Reply:
Hello, your questions should be directed to a hematologist. Based on my understanding: 1. Bleeding is caused by low platelet counts rather than a decrease in platelets due to the recent tooth extraction. 2. Corticosteroids should not be stopped abruptly, as fluctuations in drug c...

[Read More] Understanding Low Platelet Counts: Concerns and Management for Seniors


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


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:
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 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:
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 Red Blood Cell Changes and Potential Liver Toxins

Red blood cells exhibit hepatotoxicity! Hello Dr. Zhou, I would like to ask you a few questions! Recently, while observing my blood in the school laboratory, I noticed many particles in my blood (similar in size to platelets), which were mostly attached to red blood cells. Almos...


Dr. Zhou Wenjian Reply:
1. I suspect there may be some issues with your blood smear preparation, as it is unlikely for a single disease to cause all red blood cells to have attached particles. Therefore, I cannot determine if this is a case of red blood cell alteration. 2. Ovulation or exam stress is no...

[Read More] Understanding Red Blood Cell Changes and Potential Liver Toxins


Understanding Blood Coagulation Disorders: Internal vs. External Causes

Blood coagulation disorders Is a blood coagulation defect one of the intrinsic causes within the body, or is it an external factor?


Dr. Tang Jieru Reply:
Hello, Miss Fu: Blood coagulation is primarily managed by platelets and coagulation factors within the body. Any factors that affect these two components can lead to coagulation issues, including both intrinsic and extrinsic factors, such as blood disorders, liver disease, medica...

[Read More] Understanding Blood Coagulation Disorders: Internal vs. External Causes


Managing Mediterranean Anemia: Dietary Tips and Treatment Options

Treatment of Mediterranean anemia? Hello, doctor. My hemoglobin level is generally around 10, sometimes dropping to 9. Blood tests indicate that I have thalassemia, but my levels can easily drop to 7 or 8 (I have previously required a blood transfusion of 1500cc when it was as lo...


Dr. Tang Jieru Reply:
Hello, Ms. Hsu: Mild thalassemia only causes a decrease in red blood cell size (MCV < 80), while hemoglobin (HgB) remains normal, and red blood cell function is completely normal. It would not drop below 10 as you described. In contrast, severe thalassemia presents with serio...

[Read More] Managing Mediterranean Anemia: Dietary Tips and Treatment Options