Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained pain? Hello, doctor. I have unexplained pain that occurs when I squat for too long and then stand up. The pain is located between my chest and stomach, as well as between my breasts and the upper part of my stomach. It lasts for two to three days, and I feel tendernes...
Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is pain upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gastroeso...[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained pain Hello, doctor. I have unexplained pain that occurs after squatting for too long. When I stand up, I feel pain between my chest and stomach, as well as between my breasts and the upper part of my stomach. This pain lasts for two to three days. When I press on the ...
Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is tenderness upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gas...[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions
Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained pain? Hello, doctor. I have unexplained pain that occurs when I squat for too long and then stand up. The pain is located between my chest and stomach, as well as between my breasts and the upper part of my stomach. It lasts for two to three days. When I press on the ...
Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is pain upon muscle palpation (for example, muscle spasms). Additionally, it could be due to gastroes...[Read More] Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions
Which Specialist to See for Unexplained Breathing and Dizziness Issues?
I'm not sure which specialty to see? Hello Doctor, I have had the following symptoms since childhood: whenever it is too hot, stuffy, rainy, or in poorly ventilated indoor spaces with large crowds, I easily experience sudden shortness of breath, dizziness, and when mild, I t...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to vasovagal syncope or situational syncope. It is usually advisable to avoid triggering situations, such as the ones you mentioned: excessive heat, stuffiness, rainy days, poorly ventilated indoor spaces, and crowded places. Anemia can also pres...[Read More] Which Specialist to See for Unexplained Breathing and Dizziness Issues?
Understanding Iron Deficiency Anemia: When Iron Supplements Aren't Enough
Anemia, issues with taking iron supplements? I would like to ask a question. I visited a hematologist who diagnosed me with iron deficiency anemia and prescribed iron supplements for two weeks. However, my hemoglobin level remains at 8.9 and has not increased, while my ferritin l...
Dr. Lin Zhebin Reply:
Hello: The most common cause of anemia at your age is iron deficiency anemia, which is often related to heavy menstrual bleeding. Generally, treatment with iron supplements requires at least three months to significantly improve the anemia; taking them for only two weeks usually ...[Read More] Understanding Iron Deficiency Anemia: When Iron Supplements Aren't Enough
Understanding Low MPV Results: Causes and Next Steps for Patients
Mean Platelet Volume (MPV) Hello Doctor, due to a recent health check-up, the reference range for Mean Platelet Volume (MPV) in the complete blood count is 9.10 to 11.90 fL, but my result is slightly low at 8.60. However, all other indices are normal. I would like to inquire what...
Dr. Liao Yaopan Reply:
Hello, MPV refers to Mean Platelet Volume. The reference values provided by different laboratories may vary slightly, but the range differences are not significant. A notably low MPV may be associated with conditions such as acute leukemia during chemotherapy, aplastic anemia, or...[Read More] Understanding Low MPV Results: Causes and Next Steps for Patients
Understanding Elevated Red Blood Cell and Platelet Counts: Causes and Solutions
Elevated red blood cells and platelets? Hello Dr. Lin, I would like to inquire about the reasons for my elevated red blood cell (RBC) and platelet counts over the past three years. Can these values be improved on my own? Here are my annual test results: —2022 RBC 5.58 (10^6/uL) P...
Dr. Lin Zhebin Reply:
Hello: 1. In the case of red blood cells, we typically also assess hemoglobin (Hb) and mean corpuscular volume (MCV) for a comprehensive evaluation. An elevated red blood cell count may be due to conditions such as thalassemia or polycythemia. 2. If platelet counts are elevated a...[Read More] Understanding Elevated Red Blood Cell and Platelet Counts: Causes and Solutions
Understanding High Red Blood Cell Distribution Width (PDW) and Its Implications
Red blood cell distribution width (RDW) The platelet distribution width (PDW) test result shows 15.3. Is this considered high? How can it be improved? What does the platelet distribution width mean?
Dr. Liao Yaopan Reply:
Hello, PDW refers to Platelet Distribution Width, which is used to determine platelet size and can provide information about the distribution of platelet sizes. It can also detect conditions related to varying platelet sizes. Different laboratories may have slightly different ref...[Read More] Understanding High Red Blood Cell Distribution Width (PDW) and Its Implications
Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns
Anemia-related issues Hello Doctor, my health check report shows that my average red blood cell volume has been continuously decreasing over the past three years, except for the year 2019, while my platelet count has been steadily increasing. In November of last year, my health c...
Dr. Lin Zhebin Reply:
Hello: 1. The diagnosis of anemia generally begins with evaluating hemoglobin (Hb) levels. For normal females, a hemoglobin level below 12 g/dL can objectively indicate anemia. Based on your description, your hemoglobin levels should be normal. 2. The decrease in your mean corpus...[Read More] Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns
Understanding Low White Blood Cell Counts: When to Seek Specialist Care
Questions about leukopenia? Hello Doctor, in early September, I had a health check-up as a student, and in mid-October, I received the report which showed that my WBC (white blood cell count) was 3.42, with a reference range of 4.50–10.0, indicating leukopenia. I then went for a ...
Dr. Lin Zhebin Reply:
Hello: 1. The reasons for your low white blood cell count and low segmented neutrophils may include the following considerations: (1) Normal variation: The reference range for blood tests is based on the majority of the population, and you may belong to a small group with i...[Read More] Understanding Low White Blood Cell Counts: When to Seek Specialist Care
Managing Coexisting Mediterranean Anemia and Iron Deficiency Anemia
Coexistence of Mediterranean anemia and iron deficiency anemia? The doctor would like to ask you, what should be done if a patient has both thalassemia and iron deficiency anemia? Iron supplementation is needed for iron deficiency anemia, but it may conflict with thalassemia. How...
Dr. Chen Bozhang Reply:
Hello Roy: If you have both thalassemia and iron deficiency anemia, the physician will evaluate the cause of your iron deficiency anemia and whether it can be corrected. Additionally, they will assess your iron levels (such as ferritin and transferrin) to determine if iron supple...[Read More] Managing Coexisting Mediterranean Anemia and Iron Deficiency Anemia
Understanding Iron Supplementation in Managing Iron Deficiency Anemia
Anemia and Iron Supplement Issues On August 23, the blood test report showed Hb: 9.9, MCV: 68.9, serum iron: 14, and ferritin: 1.21, indicating iron deficiency anemia. After taking iron supplements (ferrous gluconate) for about one and a half months, a follow-up blood test on Oct...
Dr. Lin Zhebin Reply:
Hello: In addition to iron supplementation for iron deficiency anemia, it is important to identify the underlying cause of chronic blood loss that may be contributing to the anemia. Given your age, a common cause could be heavy menstrual bleeding. Generally, iron supplementation ...[Read More] Understanding Iron Supplementation in Managing Iron Deficiency Anemia
Understanding Iron Deficiency Anemia: Slow Hemoglobin Recovery and Treatment Duration
Anemia and Iron Supplement Issues On August 23, the blood test report showed Hb: 9.9, MCV: 68.9, serum iron: 14, and ferritin: 1.21, indicating iron deficiency anemia. After taking iron supplements (ferrous gluconate) for about one and a half months, the blood test on October 15 ...
Dr. Lin Zhebin Reply:
Hello: In addition to iron supplementation for iron deficiency anemia, it is important to identify the underlying causes of chronic blood loss that may be contributing to the anemia. Given your age, a common cause could be heavy menstrual bleeding. Generally, iron supplementation...[Read More] Understanding Iron Deficiency Anemia: Slow Hemoglobin Recovery and Treatment Duration
Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Inquiry Regarding Blood Test Report Hello, doctor. I went to a laboratory for blood tests and would like to ask you a few questions. I have issues with gastroesophageal reflux, insomnia, and anxiety, and my blood pressure is around 105-120/78-90. Recently, I've been feeling ...
Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you follow up with a family medicine clinic in three months. IgE levels tend to be elevated in cases of allergies or parasitic infections, so it is advisable for you to see...[Read More] Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Understanding Blood Test Results: What Do Abnormal Values Mean?
Blood test report Hello, doctor. Last month, I had a check-up for urinary stones and had a blood test done. The report showed several values highlighted in red. I have been sleeping around midnight for over two years, and in the past few months, I have noticed that using a fan at...
Dr. Liao Yaopan Reply:
Hello, based on the data, there is mild anemia. Further evaluation is necessary to determine if it is related to your discomfort. If you have any concerns, it is advisable to seek medical attention. Please note: online consultations are not equivalent to in-person visits and cann...[Read More] Understanding Blood Test Results: What Do Abnormal Values Mean?
Comprehensive Blood Tests for Multiple Health Concerns in Family Medicine
Blood test? Hello, doctor. I have some symptoms such as irritability, fatigue, hair loss, blurred vision, iritis, excessive sweating in the chest, and slow wound healing. I suspect that these may be related to anemia, diabetes, thyroid issues, or ankylosing spondylitis. If I visi...
Dr. Hou Angting Reply:
Hello: It is recommended that you visit the Rheumatology or Family Medicine outpatient clinic for evaluation and follow-up by a physician. Wishing you good health.[Read More] Comprehensive Blood Tests for Multiple Health Concerns in Family Medicine
Does Iron Infusion Affect Blood Test Results for Anemia?
Regarding blood tests for iron supplements? Hello, Dr. Yeh. I usually have iron deficiency anemia, so I receive intravenous iron injections. If I have a blood test immediately after receiving the iron injection, will it affect the iron test results? I need the results for other t...
Dr. Ye Qianyu Reply:
Hello! In cases of iron deficiency anemia, the body's iron stores are significantly insufficient. When supplementing iron, serum ferritin is usually monitored to avoid issues related to excessive iron accumulation. A slightly elevated level right after iron supplementation i...[Read More] Does Iron Infusion Affect Blood Test Results for Anemia?
Improving Microcytic Anemia: Tips for Blood Donation Eligibility
Methods for Improving Microcytic Anemia Hello Doctor: To provide you with sufficient information for your assessment, I am sharing my recent blood test report. I have included the entire report, so it is a bit lengthy. Thank you for taking the time to review it. I have a habit of...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, it is suspected that you may have mild thalassemia. Since women experience monthly menstrual blood loss, if there is insufficient recovery time between blood donations, it can lead to situations that do not meet blood donation standar...[Read More] Improving Microcytic Anemia: Tips for Blood Donation Eligibility
Is a Pale Lower Eyelid Always a Sign of Anemia?
Is the lower eyelid always pale in cases of anemia? Doctor, I researched online and found that a pale lower eyelid can indicate anemia. Although I have symptoms of dizziness and palpitations, my lower eyelids are pinkish-red. However, in the past few days, I have been diagnosed w...
Dr. Hou Angting Reply:
Hello: I recommend that you visit a family medicine clinic for further evaluation. Wishing you good health.[Read More] Is a Pale Lower Eyelid Always a Sign of Anemia?
Can Low Blood Pressure Justify Irritability in Relationships?
Can low blood pressure justify getting angry? Hello, doctor... My boyfriend is 35 years old, and we have been together for over ten years, living together for five years. In recent years, he has started to show symptoms of low blood pressure (or perhaps he always had it, but I co...
Dr. Lin Zhebin Reply:
Hello: 1. Hypotension is generally defined as a systolic blood pressure of less than 90 mmHg or a diastolic blood pressure of less than 60 mmHg. Common symptoms of hypotension include dizziness, fatigue, weakness, cold extremities, and difficulty concentrating. Additionally, comm...[Read More] Can Low Blood Pressure Justify Irritability in Relationships?