Should I Take Vitamins? A Guide for Healthy Young Women
Should I take vitamins? Dear Doctor, Hello! I am a 30-year-old woman in generally good health, with some minor issues such as mild constipation, a slightly yellow complexion, and cold hands and feet. I feel that as I age, I should take better care of myself. I am considering whe...
Dr. Liu Jinyong Reply:
1. If you are of your current age and do not have any major illnesses, experiencing mild constipation, please maintain a balanced diet, engage in regular exercise, and follow a normal daily routine. 2. If your complexion appears yellowish and your hands and feet are cold, it ma...[Read More] Should I Take Vitamins? A Guide for Healthy Young Women
Understanding Your Health Checkup Results: Key Insights and Next Steps
Could you please provide the specific questions regarding the health check report? Thank you? Hello, Dr. Huang... First of all, thank you. Last month, I went to the hospital for a health check-up, and the results showed some abnormalities, mainly as follows: Hemoglobin (RBC) 6.3,...
Dr. Huang Jianling Reply:
1) The hemoglobin (RBC) level is 6.3, with a mean corpuscular volume (MCV) of 70 and a mean corpuscular hemoglobin (MCH) of 231. These results may indicate thalassemia, and it is recommended to conduct further tests for serum iron and thalassemia screening. 2) The basophil perc...[Read More] Understanding Your Health Checkup Results: Key Insights and Next Steps
Understanding Dizziness: When to Seek Medical Advice for Symptoms
Dizziness Two days ago, I woke up in the morning and had a cup of hot chocolate. After sitting in front of the computer for about an hour, I decided to stand up and stretch. When I raised my hand to the highest point, my vision suddenly became blurry and I experienced a blackout....
Dr. Xu Li'an Reply:
Dear Miss Chang, I suspect that your dizziness may be caused by mild anemia, or it could simply be due to maintaining a fixed posture for too long, leading to a postural reflex. I recommend that you visit a family medicine clinic for a blood test. Additionally, after prolonged co...[Read More] Understanding Dizziness: When to Seek Medical Advice for Symptoms
Understanding Blood Cancer Screening: Insights from a Health Seminar
Regarding the concentration screening for hematologic cancers (forwarded from the Director's mailbox)? Dear Sir/Madam, I attended a blood live testing seminar on Saturday, where a person claiming to be a chief physician from a certain hospital spoke for about 30 minutes bef...
Dr. Lin Mingxing Reply:
Dear Mr. Huang, This is Dr. Hsu Li-Yao from the Family Medicine Department of Tainan Hospital, Ministry of Health and Welfare. Essentially, the results of blood tests are related to your physiological state at the time of testing. The specific tests that can be conducted and t...[Read More] Understanding Blood Cancer Screening: Insights from a Health Seminar
Understanding Low Blood Pressure: Symptoms, Risks, and Care Tips
Hypotension Hello Dr. Huang, I would like to ask you a few questions. Since giving birth (over a year ago), I feel that my body is not as good as it used to be, and my constitution seems to have changed. Previously, my blood pressure readings were always normal, but after givin...
Dr. Huang Jianling Reply:
Hello Amy: Your blood pressure is 92/68, which is slightly low. However, other conditions such as anemia, acute or chronic hepatitis, and diabetes may also cause symptoms like dizziness and fatigue. It is recommended to maintain a balanced diet, engage in moderate exercise, and g...[Read More] Understanding Low Blood Pressure: Symptoms, Risks, and Care Tips
Is Direct Blood Donation from Relatives Safe? Expert Insights Revealed
Is this true or false?????? Important Medical Knowledge -- The cessation of direct blood relative transfusions has been confirmed in response to inquiries from several friends about the authenticity of this information. An email was sent to Mackay Memorial Hospital for clarificat...
Dr. Zhan Deqin Reply:
Due to the close HLA typing among direct relatives, the recipient typically has a weakened immune system that cannot recognize foreign tissue antigens. Once the T-lymphocytes from the donor proliferate to a certain level after being transfused into the patient, they may mistakenl...[Read More] Is Direct Blood Donation from Relatives Safe? Expert Insights Revealed
Understanding the Causes of Elevated ESR Levels: A Guide for Patients
Inquire about the causes of elevated ESR levels? In the past two weeks, I have been continuously having blood tests, and my CRP levels have remained within the normal range, but my ESR levels have been consistently rising. I am unsure what could be causing the elevated ESR levels...
Dr. Huang Jianling Reply:
CRP and ESR (erythrocyte sedimentation rate) are both related to inflammatory responses, but CRP is more sensitive than ESR during inflammation. Therefore, in general clinical practice, CRP can replace ESR. Both markers can show positive results in various infectious diseases, rh...[Read More] Understanding the Causes of Elevated ESR Levels: A Guide for Patients
Nutritional Needs for Home Care: Ensuring Adequate Caloric Intake
Nutritional issues If your mother is bedridden and relies on a ventilator at home, the daily caloric intake from canned nutritional supplements should not be less than a certain amount, which typically ranges from 25 to 30 calories per kilogram of body weight, depending on her sp...
Dr. Lin Mingxing Reply:
Dear Ms. Jiang, This is Dr. Lin Ming-Hsing from the Department of Family Medicine at Tainan Hospital, Ministry of Health and Welfare. Basically, a daily caloric intake of 1,600 kilocalories serves as a baseline. To assess whether nutrition is adequate, we consider the followin...[Read More] Nutritional Needs for Home Care: Ensuring Adequate Caloric Intake
Managing Dizziness and Wrist Pain: What You Need to Know
Dizziness along with wrist pain... I'm not sure what to do about it? Hello Dr. Lai, About six months ago, I was diagnosed with vertigo by an otolaryngologist. At that time, I indeed experienced a spinning sensation when getting out of bed, but lying down did not trigger di...
Dr. Zhan Deqin Reply:
There are many causes of dizziness. In younger individuals, Meniere's disease, which is caused by an imbalance of inner ear lymphatic fluid, is more common. Additionally, benign paroxysmal positional vertigo (BPPV) is also frequently encountered. It is important to check for...[Read More] Managing Dizziness and Wrist Pain: What You Need to Know
Understanding Breathing Difficulties: Causes and Concerns in Family Medicine
I have been experiencing shortness of breath recently? Recently, I have been experiencing symptoms of shortness of breath, with a feeling of tightness in my chest. It feels somewhat like the air is trapped in my throat, and I need to take deep breaths to feel more comfortable. Ad...
Dr. Huang Mingde Reply:
It may be caused by respiratory diseases, blood disorders, or mental health issues. Since your description is incomplete (only partial symptoms), I recommend that you consult a pulmonologist for evaluation.[Read More] Understanding Breathing Difficulties: Causes and Concerns in Family Medicine
Understanding Your Health Check Report: Key Lab Results Explained
Health Check Report Hello, I completed my health check report at work. Overall, it's okay, but I don't understand some of the indices. Urinalysis: leukocyte esterase (+++); liver function tests: alkaline phosphatase (30), gamma-glutamyl transferase (35), lactate dehydro...
Dr. Lin Mingxing Reply:
To the Laboratory Department of Tainan Hospital, Department of Health, Executive Yuan: Hello, Regarding the questions you raised, here are the brief responses: Urinalysis: The presence of leukocyte esterase (+++) indicates a test for the presence of white blood cells in the ur...[Read More] Understanding Your Health Check Report: Key Lab Results Explained
Understanding Your Blood Test Results: Anemia Types and Severity Explained
Health check-up Hello, I would like to ask about my health check results: White blood cells 6680, Red blood cells 402, Hemoglobin 10.9, Hematocrit 31, MCV 77.11, MCH 27.11, MCHC 35.16, Platelets 41.1. What type of anemia do I have? How severe is the anemia? Is it mild or severe, ...
Dr. Lin Mingxing Reply:
Dear Jean, Dr. Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan, respectfully responds: Based on your age group and the description provided, it appears that you are experiencing mild iron deficiency anemia, whic...[Read More] Understanding Your Blood Test Results: Anemia Types and Severity Explained
Essential Guide to First-Time Health Checkups: What to Expect and Prepare
Health check-up Hello! If you're considering your first health check-up, here are some recommended tests you might want to include: 1. **Complete Blood Count (CBC)** - This test evaluates your overall health and detects a variety of disorders, such as anemia and infection....
Dr. Huang Jianling Reply:
Please call our hospital's health examination center, and the nursing staff will provide detailed answers. Alternatively, you can visit our hospital's family medicine website for more information. The health examination center's phone number is (03) 369-9721, exten...[Read More] Essential Guide to First-Time Health Checkups: What to Expect and Prepare
Nail Issues in Children: Seeking Solutions for Your Daughter's Condition
Nail problems (children) Dear Dr. Huang, I have a nine-year-old daughter. Since she was two years old, her normal nails have undergone changes; the surface of her nails has become dull, and there are signs of surface peeling, resembling the effects of a child biting their nails....
Dr. Huang Jianling Reply:
Mrs. Wong: There are many reasons for nail changes, such as: 1) Dry and brittle nails (lack of vitamin A and calcium) 2) Thickened and gray nails (fungal infection) 3) Nail splitting and peeling (prolonged exposure to cleaning agents, hyperthyroidism, bacterial infection, anemia)...[Read More] Nail Issues in Children: Seeking Solutions for Your Daughter's Condition
Understanding Your Health Check Results: Key Questions and Insights
Health check results A few days ago, I sent you a letter, but since I haven't received a response, I am sending it again. Hello: Important medical history: Congenital heart disease, corrected Tetralogy of Fallot. Current symptoms: I often experience cramps in my left leg...
Dr. Cai Jueren Reply:
Dear Ms. Ahua, In response to your questions, I will address them one by one: 1. Your health check report indicates a mean corpuscular volume (MCV) of 70.4 (<80), which suggests microcytic anemia. Aside from thalassemia, other potential causes for the decreased MCV include d...[Read More] Understanding Your Health Check Results: Key Questions and Insights
Understanding Dizziness, Nausea, and Back Pain: When to Seek Help
Dizziness, nausea, and vomiting? Hello, I have a few questions I would like to ask. 1. I need to use a computer at work, but recently, whenever I stare at the screen for too long, I suddenly feel dizzy (with a sensation of body swaying, as if I'm about to faint). I immedia...
Dr. Huang Jianling Reply:
1. There are many causes of dizziness, such as Meniere's disease, benign paroxysmal positional vertigo, anemia, hypertension or hypotension, and migraines that can also lead to dizziness. The most important thing is to identify the cause and provide targeted treatment. You c...[Read More] Understanding Dizziness, Nausea, and Back Pain: When to Seek Help
Understanding Geographic Tongue: Causes, Symptoms, and Genetics
Geographic tongue I have deep cracks on my tongue with white stripes and noticeable protrusions. My mother says this is hereditary, as maternal relatives all have these characteristics. Is this what is commonly referred to as geographic tongue?
Dr. Huang Jianling Reply:
Geographic glossitis is characterized by the atrophy and regeneration of the filiform papillae on the tongue in various areas. It is more commonly seen in adults, although it can also occur in children. The exact cause is unknown, but it may be related to genetic factors, anemia,...[Read More] Understanding Geographic Tongue: Causes, Symptoms, and Genetics
Understanding Blood Test Results: High Red Blood Cells and Low Hemoglobin
Blood test report Hello, recently the school conducted a blood test, and the report showed that my red blood cell count is high (5.43 million/µL), hemoglobin is low (11.4 g/dL), and mean corpuscular volume is low (65.7 fL). What do these results indicate, and how can I improve th...
Dr. Cai Jueren Reply:
Response to Miss Xiao Miao: The normal range for red blood cell count (RBC) is 3.8 to 6.0 million/µL for males and 3.8 to 5.5 million/µL for females. Elevated levels may indicate polycythemia or thalassemia, while low levels may suggest anemia. The normal range for hemoglobin (Hb...[Read More] Understanding Blood Test Results: High Red Blood Cells and Low Hemoglobin
Understanding Shortness of Breath: Insights for Patients with Hepatitis B
Shortness of breath? I have hepatitis B, but whenever I don't get enough sleep, I experience dizziness and shortness of breath, as if I'm not getting enough air. However, I'm afraid to breathe deeply, which causes my head to feel numb. As a result, I tend to breath...
Dr. Huang Jianling Reply:
Jane is experiencing dizziness, shortness of breath, weakness in all four limbs, and numbness. There are many potential causes, such as hepatitis B, anemia, endocrine disorders, and hyperventilation. It is advisable to follow up with an internal medicine or family medicine clinic...[Read More] Understanding Shortness of Breath: Insights for Patients with Hepatitis B
Understanding Thalassemia: Symptoms, Diagnosis, and Management
Is there such a condition as oceanic anemia? Hello Doctor: I recently underwent a health check-up, and many of my blood test results did not meet the standard values. I would like to ask if I might have thalassemia. (On the day of the health check, I happened to be at the end of ...
Dr. Huang Jianling Reply:
Your blood test results show low MCV (mean corpuscular volume) and low Hb (hemoglobin), which clinically suggests microcytic hypochromic anemia. This is often associated with either thalassemia or iron deficiency anemia. It is advisable to visit an internal medicine or family med...[Read More] Understanding Thalassemia: Symptoms, Diagnosis, and Management