Understanding Pale Lips: Causes, Symptoms, and Remedies
Pale lips Hello Dr. Wu, I do not have any discomfort in my body, but I have been experiencing pale lips for a long time, which becomes more pronounced after intense exercise. In winter, I also have dry and cracked lips, which makes them even paler. My blood test results from a he...
Dr. Wu Fangcan Reply:
According to your description, this does not appear to be a manifestation of anemia. Please consult a traditional Chinese medicine practitioner or a family medicine physician for further examination and assessment.[Read More] Understanding Pale Lips: Causes, Symptoms, and Remedies
Understanding Variant Hemoglobin: Implications for Health and Mediterranean Anemia
Variant hemoglobin Hello, I recently underwent a self-paid health check-up with results showing MCH 28.4, MCV 85.4, and MCHC 33.2, all of which are normal. My previous health check-ups have also been fine, but this time I added an electrophoresis test with results showing HBH 0, ...
Dr. Liao Yaopan Reply:
Hello, regarding the above situation, it is recommended that you first consult your health check-up physician for assistance in interpreting the results. If necessary, please seek an evaluation from a hematologist at Changhua Hospital. Take care.[Read More] Understanding Variant Hemoglobin: Implications for Health and Mediterranean Anemia
Which Medical Specialty Should You Consult for Your Symptoms?
Which department should I consult? Hello, doctor. I have multiple and varied health issues, and I'm unsure what to pay attention to or which specialty to consult. 1. I frequently get mouth ulcers that take a long time to heal, sometimes occurring in two or three places at ...
Dr. Wu Fangcan Reply:
Based on the situation you described, it is advisable to consult a trusted family physician or a traditional Chinese medicine practitioner for examination and treatment. Thank you.[Read More] Which Medical Specialty Should You Consult for Your Symptoms?
Understanding Your Health Check Report: Key Blood and Urine Test Insights
Health Check Report Hello doctor, I would like to ask about my blood test results: - White blood cells: 9.8 - Red blood cells: 5.63 - Hemoglobin: 11.7 - Hematocrit: 36.3 - Mean corpuscular volume (MCV): 64.5 - Mean corpuscular hemoglobin (MCH): 20.8 - Mean corpuscular hem...
Dr. Wu Fangcan Reply:
According to your description, a blood test showing microcytic anemia (MCV < 80) may indicate iron deficiency anemia or thalassemia. An increased red blood cell distribution width suggests recent blood loss or increased production, such as after a gastrointestinal bleed or hem...[Read More] Understanding Your Health Check Report: Key Blood and Urine Test Insights
Understanding Mediterranean Anemia: Key Blood Test Insights
Is there Mediterranean anemia? My blood test results show white blood cells: 6.1, red blood cells: 6.48, hemoglobin: 14.3, platelets: 267, mean corpuscular volume (MCV): 68.4. Do I have thalassemia? What should I pay attention to regarding the mean corpuscular volume? Thank you.
Dr. Liao Yaopan Reply:
Hello, white blood cells: 6.1, red blood cells: 6.48, hemoglobin: 14.3, platelets: 267, mean corpuscular volume: 68.4. Hemoglobin is normal, but the mean corpuscular volume is slightly low. There may be a genetic abnormality associated with thalassemia, but it is not expressed. I...[Read More] Understanding Mediterranean Anemia: Key Blood Test Insights
Understanding Iron Deficiency Anemia and Splenomegaly: A Patient's Guide
Iron deficiency anemia and splenomegaly issues? Hello doctor, last November I was diagnosed with a hemoglobin level of 7.8. After taking iron supplements for four months, my hemoglobin increased to 12.9. However, I stopped the medication, and my recent blood test showed a hemoglo...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended to seek assistance from a hematologist and an obstetrician-gynecologist to evaluate and treat anemia. Identifying the underlying cause is essential for effective treatment. Changhua Hospital cares about you.[Read More] Understanding Iron Deficiency Anemia and Splenomegaly: A Patient's Guide
Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?
Feeling fatigued and drowsy? Could it be due to Mediterranean anemia or fatty liver disease? Hello Dr. Chen, I have been diagnosed with beta-thalassemia since childhood. I failed two blood tests before my military service, both due to "beta-thalassemia." Additionally, d...
Dr. Chen Bozhang Reply:
Dear Mr. A-Shan, You mentioned a history of thalassemia, and recent health check-ups have revealed severe fatty liver with elevated levels of GOT and GPT, indicating that your fatty liver has led to chronic hepatitis. You often feel fatigued or sleepy, occasionally experience di...[Read More] Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?
Morning Nausea and Loss of Appetite: Understanding Stress and Health Issues
Feeling nauseous upon waking up and throughout the day? Hello Doctor, I would like to ask about my girlfriend who is 154 cm tall and weighs 43 kg. She has a small build and her health is not very good; she often experiences anemia and feels dizzy when standing up from a seated po...
Dr. Liao Yaopan Reply:
Hello, based on your inquiry, I would first recommend consulting a gastroenterologist to evaluate your gastrointestinal function. If it is not a gastrointestinal issue, stress cannot be ruled out as a contributing factor. Changhua Hospital cares about you.[Read More] Morning Nausea and Loss of Appetite: Understanding Stress and Health Issues
How Long to Wait After Taking Iron Supplements Before Anemia Testing?
Anemia testing If you have symptoms of anemia and occasionally take over-the-counter iron supplements, you may want to get a blood test. However, fasting for 12 hours can be challenging with an irregular meal schedule. Sometimes you may manage to have a 12-hour fasting period, bu...
Dr. Liao Yaopan Reply:
Hello, if you only need to test for anemia, it is not significantly related to food intake, and there is no need to deliberately stop taking iron supplements. However, it is also not advisable to take iron supplements casually; it is best to have them prescribed by a physician. C...[Read More] How Long to Wait After Taking Iron Supplements Before Anemia Testing?
Head Injury Before Tibet Trip: Should You Be Concerned?
I am about to travel to Tibet, but I fell and hit my head yesterday? Hello, doctor. I am planning to travel to Tibet in early June and have no history of anemia or other diseases. Yesterday, on May 23, my left hand's four fingers were forcefully pinched by a glass door (the ...
Dr. Liao Yaopan Reply:
Hello, your dizziness may have a lower correlation with the injury. If the symptoms persist, it is advisable to consult a neurologist for evaluation. Of course, we cannot rule out the possibility that recent travel to high altitudes may have had an impact. Please continue to be c...[Read More] Head Injury Before Tibet Trip: Should You Be Concerned?
Understanding Occasional Forehead Pain: Symptoms and When to Seek Help
Intermittent frontal headaches, occasional chest tightness, nausea, excessive sleepiness, and weakness in the limbs? Hello, Dr. Yeh. I work in marketing and have mild allergic rhinitis. Occasionally, I experience dry heaving upon waking up. Since November of last year, I have als...
Dr. Ye Qianyu Reply:
Thank you for your question! If there are significant changes in the type or intensity of your headache, you should consult a neurologist. Additionally, the other symptoms you mentioned may suggest anemia, so please seek evaluation from a hematologist or gynecologist as soon as p...[Read More] Understanding Occasional Forehead Pain: Symptoms and When to Seek Help
Understanding Left Lower Abdominal Pain and Nausea: When to Seek Help
Left lower abdominal pain and nausea? Hello, Doctor. Recently, I've been experiencing occasional cramping pain in my lower left abdomen. On March 28th, from 7 PM to midnight, I had severe cramping pain in my lower left abdomen, which was relieved only when standing or lying ...
Dr. Xu Peiqi Reply:
Hello, thank you for your question. The most common cause of cramping pain in the lower left abdomen is intestinal colic due to constipation, so you should observe whether the pain is related to bowel movements. Other possibilities include pelvic inflammatory disease or pain from...[Read More] Understanding Left Lower Abdominal Pain and Nausea: When to Seek Help
Which Medical Specialty Should You Consult for Persistent Symptoms?
Which department should I consult? Hello Doctor, I have been experiencing various uncomfortable symptoms that come and go, but recently they have started to affect my daily life, and I would like to find out the cause. 1. I often experience unexplained dizziness that lasts for ...
Dr. Liao Yaopan Reply:
Hello, based on your inquiry, all symptoms may potentially be caused by the same underlying issue. It is advisable to further investigate this matter, and I recommend discussing it with your family physician. You may also consider arranging a comprehensive health assessment at yo...[Read More] Which Medical Specialty Should You Consult for Persistent Symptoms?
Difficulty Swallowing or Dizziness: Which Specialist Should You See?
Cardiology or Otolaryngology? Experiencing difficulty swallowing liquids, where it feels like you're about to choke and you need to slow down to avoid it, can be considered a form of dysphagia. This issue occurs specifically with drinking, not with eating. Additionally, you ...
Dr. Gao Qingyun Reply:
Hello: The relevant symptoms can only be assessed after an in-person examination. Please visit the Family Medicine outpatient clinic for evaluation by a specialist. Thank you! Wishing you safety and health. Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyuan Hospital...[Read More] Difficulty Swallowing or Dizziness: Which Specialist Should You See?
Persistent Dizziness and Tinnitus: Seeking the Right Specialist
Dizziness and tinnitus issues? Hello, doctor. Due to long-term dizziness and tinnitus, I recently underwent hearing tests and brainstem auditory evoked potential tests at an otolaryngology clinic, and the results were normal. There are no issues with my inner ear. The ENT special...
Dr. Wu Fangcan Reply:
Dizziness and tinnitus require checking blood lipids, VDRL, TPHA, and other tests. If accompanied by high-frequency tinnitus or hearing loss, Meniere's disease should be suspected. Long-term use of antihistamines may cause dizziness and poor sleep, and some blood pressure me...[Read More] Persistent Dizziness and Tinnitus: Seeking the Right Specialist
Understanding Iron Deficiency Anemia: Causes and Treatment Options
Iron deficiency anemia Hello doctor, my hemoglobin level is 7.8. After taking iron supplements for one month and twenty days, my hemoglobin has risen to 9.6. The doctor said my iron levels are still insufficient and advised me to continue taking iron supplements. What could be th...
Dr. Liao Yaopan Reply:
Hello, in addition to iron supplementation for iron deficiency anemia, it is more important to identify the underlying cause. It is recommended to consult a hematologist for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Iron Deficiency Anemia: Causes and Treatment Options
Post-Lunch Head Pressure and Drowsiness: Causes and Solutions
Head heaviness and drowsiness after lunch? Hello Doctor: I often feel a sense of head fullness within an hour after meals, and sometimes I feel sleepy. This occurs only after breakfast and lunch, while dinner does not cause this issue. I do not overeat (I don't eat much), bu...
Dr. Wu Fangcan Reply:
After a meal, blood flow increases to the digestive system, which can reduce blood flow to the brain and cause dizziness. This effect is more pronounced in individuals with anemia, and those who are sedentary may experience a strong heartbeat. It is advisable to consult a family ...[Read More] Post-Lunch Head Pressure and Drowsiness: Causes and Solutions
Understanding Persistent Dizziness: Causes and Concerns in Family Medicine
Regarding dizziness? I have been experiencing dizziness for over two years. It feels like my head becomes very heavy and my whole body is about to collapse when I stand still or sit still for a moment. Additionally, I have a sensation of my brain being deprived of oxygen, along w...
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, you have undergone several examinations that showed no abnormalities, yet you still experience dizziness. It is advisable to consult an otolaryngologist to evaluate for any inner ear balance dysfunction. Additionally, you should monitor for signs of...[Read More] Understanding Persistent Dizziness: Causes and Concerns in Family Medicine
Understanding Dizziness When Looking Up: Causes and Solutions
Dizziness when bending down? When sitting and reading, if you suddenly lift your head and experience dizziness, but you do not have anemia, it may be related to changes in blood flow or tension in the neck muscles. It could also be due to a condition known as cervical vertigo, wh...
Dr. Liao Yaopan Reply:
Hello, regarding your question, dizziness may also be related to changes in posture. It is recommended to consult an otolaryngologist for further evaluation at Changhua Hospital. We care about your well-being.[Read More] Understanding Dizziness When Looking Up: Causes and Solutions
What Specialist to See for High Cholesterol Concerns?
If you have high cholesterol, you should see a cardiologist or a primary care physician? Hello Doctor, I have been vegetarian since childhood and I don't exercise much. My height is 164 cm and my weight is 48 kg. My family has a history of diabetes and heart-related issues. ...
Dr. Wu Fangcan Reply:
Based on the above description: Long-term vegetarian diet, high blood pressure, high cholesterol, and recent episodes of strong heartbeats. It is recommended to see a cardiologist or a family medicine physician for evaluation to rule out anemia, metabolic syndrome, and premature ...[Read More] What Specialist to See for High Cholesterol Concerns?