Can Low Blood Pressure Justify Bad Temper? Understanding the Connection
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 (perhaps he always had it, but I didn&#x...
Dr. Lin Zhebin Reply:
Hello: 1. Hypotension is generally defined as a systolic blood pressure less than 90 mmHg or a diastolic blood pressure less than 60 mmHg. Common symptoms of hypotension include dizziness, fatigue, weakness, cold extremities, and difficulty concentrating. Additionally, common cau...[Read More] Can Low Blood Pressure Justify Bad Temper? Understanding the Connection
Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms
Rapid heartbeat. Nausea and the urge to vomit? I sometimes experience sleep issues, but last night I slept well due to exhaustion. This morning, I felt okay, but suddenly during breakfast, I felt nauseous and had the urge to vomit, along with a rapid heartbeat and slight cold swe...
Dr. Lin Zhebin Reply:
Hello: Based on your description, your discomfort seems to be related to transient hypotension. There are many potential causes for transient hypotension, including orthostatic hypotension, dehydration, food or medication effects, anemia, endocrine disorders, and heart diseases, ...[Read More] Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms
Exploring Causes of Progressive Leg Weakness: A Guide for Patients
Weakness in the calf extending to the foot? Dear Dr. Yeh, My mother is 58 years old, 158 cm tall, and weighs 48 kg. She has had a long-standing issue with kyphosis and has undergone cardiovascular stenting. Her regular medication includes anticoagulants, and she drinks 150 cc of...
Dr. Ye Qianyu Reply:
Hello! Clinical issues are often the result of multiple contributing factors. Based on the information you provided regarding the causes of intermittent claudication in your mother, here are some analytical suggestions: 1. X-ray shows bone spurs causing nerve compression: This i...[Read More] Exploring Causes of Progressive Leg Weakness: A Guide for Patients
Understanding Anemia: Differentiating Iron Deficiency from Thalassemia
Anemia issues Hello, doctor. I had a physical examination today, and my hemoglobin level is 12.7 g/dL, and my mean corpuscular volume (MCV) is 68.5 fL, both of which are highlighted in red. The other results are in blue. I would like to know how to determine whether I have iron d...
Dr. Lin Zhebin Reply:
Hello: The most accurate way to diagnose iron deficiency anemia and thalassemia is through a blood test. Additionally, you may inquire whether any family members also have a history of anemia. If you are concerned about bleeding, and considering you have gastrointestinal discomfo...[Read More] Understanding Anemia: Differentiating Iron Deficiency from Thalassemia
Understanding Post-COVID Fatigue: Symptoms and Possible Causes
Generalized weakness and fatigue? Hello, doctor! I was diagnosed in June and isolated at home for seven days. After recovering, I returned to work normally, but about half a month later, I started to feel noticeably fatigued, dizzy, and generally unwell. (I had a platelet count o...
Dr. Lin Zhebin Reply:
Hello: Based on the information you provided regarding your fatigue, several possibilities should be considered: 1. Post-acute sequelae of SARS-CoV-2 infection (PASC): This may persist for 1-3 months, or even up to six months, but it should gradually improve. 2. Anemia: You have ...[Read More] Understanding Post-COVID Fatigue: Symptoms and Possible Causes
Sudden Dizziness, Nausea, and Cold Sweats: What Could It Mean?
Sudden dizziness, vomiting, and cold sweats? Hello, Doctor. I would like to consult about my symptoms. On July 7th, at around 3 AM, I was suddenly awakened from deep sleep by a wave of dizziness. After waking up, the dizziness intensified, and my vision felt shaky. I then had an ...
Dr. Xiao Yongxun Reply:
Dear Miss Hsuan: 1. Vertigo is a common clinical symptom; however, there are sometimes differing perspectives on its definition. Many people often confuse vertigo with dizziness, and physicians, due to time constraints and communication difficulties, may not make a clear distinc...[Read More] Sudden Dizziness, Nausea, and Cold Sweats: What Could It Mean?
Understanding Anemia: When to Seek Specialized Medical Advice
Health check-up issues / Anemia / Inquiry about specialties Hello, Doctor! I have been experiencing anemia since middle school. Sometimes, I feel a bit dizzy when I first get up, but I thought it was normal since I am a woman and lose a lot of blood during my monthly menstruation...
Dr. Lin Zhebin Reply:
Hello: Based on your age and the fact that you have heavier menstrual flow, along with the blood test results you provided, it is likely that you are experiencing iron deficiency anemia due to chronic blood loss from prolonged heavy menstruation. Here are two recommendations: 1. ...[Read More] Understanding Anemia: When to Seek Specialized Medical Advice
Understanding Abnormal Blood Test Results: When to Seek Further Evaluation
Blood test issues? About two years ago, a medical examination revealed low white blood cell counts. However, in July of last year, all five types of white blood cells were normal. At that time, my family medicine doctor explained that some individuals naturally have lower white b...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. Leukopenia refers to a decrease in the number of white blood cells in the blood; the most common form of leukopenia is neutropenia, while lymphopenia is less common. Common causes of leukopenia include aplastic anemia, megaloblastic anemia, autoimmune diseases,...[Read More] Understanding Abnormal Blood Test Results: When to Seek Further Evaluation
Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns
Persistent numbness in the limbs and dizziness after napping during menstruation? Hello, Doctor: I have issues with polycystic ovary syndrome and iron deficiency anemia. My menstrual period started two days ago, and I experienced light bleeding yesterday. After taking a nap today...
Dr. Lin Zhebin Reply:
Hello: I personally believe that your discomfort is more likely due to anemia, as you have iron deficiency anemia. Additionally, your menstrual cycle may exacerbate the anemia. Typical symptoms of anemia include dizziness and weakness, and it is also possible to experience numbne...[Read More] Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns
Understanding Anemia: Should You Take Iron Supplements or Seek Further Testing?
Anemia-related Hello Doctor, I recently underwent a pre-pregnancy health check, and my complete blood count showed several abnormal results highlighted in red. The relevant values are as follows: WBC 5.9, RBC 4.22, Hemoglobin 9.0, Hematocrit 31.2, MCV 73.9, MCH 21.3, MCHC 28.8, P...
Dr. Xiao Yongxun Reply:
Dear Ms. Orange Cat: 1. Since you have questions regarding prenatal examinations, it is advisable to discuss them directly with your obstetrician-gynecologist. 2. Thalassemia, also known as Mediterranean anemia, is caused by a defect in the synthesis of globin chains in hemoglo...[Read More] Understanding Anemia: Should You Take Iron Supplements or Seek Further Testing?
Understanding Blood Test Results: Do You Need Further Testing for Thalassemia?
Blood Test Consultation Hello Doctor, thank you for taking the time to answer my questions. I have mild mitral valve prolapse and my usual heart rate is around 100 beats per minute. I have been taking Concor 5mg for the past two years, but I stopped the medication last year. On t...
Dr. Hou Angting Reply:
Hello Karen: It is generally recommended to identify the underlying cause of anemia. You may consult with a physician at a family medicine clinic. Wishing you good health.[Read More] Understanding Blood Test Results: Do You Need Further Testing for Thalassemia?
Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Medical consultation Hello, Dr. Lin. I consulted you yesterday regarding my anemia values, but I still have some questions I'd like to ask. Although my hemoglobin has risen to 11.1, I frequently experience dizziness, headaches, and fatigue. Could this be related to my ferrit...
Dr. Lin Zhebin Reply:
Hello: 1. Your symptoms of dizziness, headache, fatigue, and hair loss are indeed likely related to low ferritin levels. 2. Coffee can affect the gastrointestinal absorption of iron; however, if consumed separately from meals, its impact is minimal. Since you mentioned that your ...[Read More] Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Understanding Iron Deficiency Anemia: Key Questions and Concerns
Medical consultation Hello, Dr. Lin. I would like to ask you about my lab results: Hb: 11.1, RDW-CV: 17.4, RDW-SD: 49.7, HCT: 33.4, ferritin: 9.5. I have been diagnosed with iron deficiency anemia, but are these values considered severe? I have been receiving intravenous iron inf...
Dr. Lin Zhebin Reply:
Hello: 1. Regarding your anemia issue, it is diagnosed as iron deficiency anemia, which should not be a problem. Your hemoglobin level has increased from 8 to 11.1 after receiving intravenous iron therapy. If you do not have any anemia-related symptoms (such as dizziness or fat...[Read More] Understanding Iron Deficiency Anemia: Key Questions and Concerns
Insomnia and Iron Deficiency Anemia: Risks of Sleep Medications
Iron deficiency anemia and insomnia? My hemoglobin level is currently below 9, and I often wake up multiple times at night but can fall back asleep. I wake up more than five times in one night. My family doctor prescribed iron supplements and Lorazepam 0.5 mg for sleep. However, ...
Dr. Liao Yaopan Reply:
Hello, if your anemia is due to iron deficiency, supplementing with iron is a viable option. However, it is still recommended to discuss the underlying causes of iron deficiency anemia with your primary physician to determine if further evaluation is necessary. Anemia and low blo...[Read More] Insomnia and Iron Deficiency Anemia: Risks of Sleep Medications
Understanding Low Eosinophil Levels: What Your Blood Test Results Mean
Blood test result issues? Hello, doctor. I recently had a blood test, and the result for eosinophil percentage was 0.5%. I believe the normal range is 1-6%. All other blood tests and white blood cell counts were normal. I would like to know if this indicates any issues with my bo...
Dr. Xiao Yongxun Reply:
Dear Miss Gao: 1. Since you have undergone a blood test, you should discuss the results with the physician who ordered the test. A proper diagnosis or identification of the issue can only be made based on clinical physical examination and relevant symptoms. 2. White blood cells...[Read More] Understanding Low Eosinophil Levels: What Your Blood Test Results Mean
Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?
Is it necessary to undergo more detailed examinations to confirm autonomic nervous system dysfunction? Hello doctor, around the end of July this year, after having dinner and using my phone, I suddenly felt a brief disconnection in my mind for a second, followed by numbness in my...
Dr. Ye Qianyu Reply:
Hello! Based on your description, alcohol may lead to poor vitamin absorption, which can result in macrocytic anemia, alcoholic hepatitis, acute gastritis, and alcoholic encephalopathy, potentially causing autonomic nervous system dysfunction. It is recommended that you regularly...[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?
Understanding Blood Test Results and Spinal Issues: A Guide for Patients
Health check-up issues Hello, Dr. Liao. I would like to ask about my recent health check-up results, which show a red blood cell count of 3.68, hemoglobin level of 11.4, and a white blood cell count with 3+ esterase. Additionally, I have an issue with thoracic scoliosis. If I nee...
Dr. Liao Yaopan Reply:
Hello, you can first seek medical attention from your family physician who can evaluate your examination report results and determine if further related tests are necessary. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment reco...[Read More] Understanding Blood Test Results and Spinal Issues: A Guide for Patients
Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia
Heart Rate and Respiration I have iron deficiency anemia and have been taking iron supplements for 1 month and 3 days. I can usually feel the contractions and relaxations of my heart, regardless of whether I am sitting, lying down, or climbing; as long as I feel calm, I can sense...
Dr. Xiao Yongxun Reply:
Dear Ms. Yu: 1. Your description still falls within the range of normal physiological phenomena; I recommend that you share your observations with your attending physician during your next appointment for further evaluation. 2. At that time, if all tests are normal, you may need ...[Read More] Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia
Understanding Iron Deficiency Anemia: Severity, Risks, and Treatment Concerns
Iron deficiency anemia Hello, doctor. I would like to ask about my previous blood test results: Hb: 10.2, HCT: 32.6, MCV: 71.2, MCH: 22.3, PLT: 408, RDW-CV: 17.5, Ferritin: 4.5. Are these anemia values considered severe? What would happen if I don't address this? During my l...
Dr. Xiao Yongxun Reply:
Dear Miss Ruru, 1. The information you provided indicates that you have microcytic anemia; due to your Ferritin level of 4.5 ng/ml being low (normal values are 23.9-336.2 ng/mL for males and 11.0-306.8 ng/mL for females), this may suggest iron deficiency anemia. A definitive dia...[Read More] Understanding Iron Deficiency Anemia: Severity, Risks, and Treatment Concerns
Understanding Hair Loss: Thyroid Issues and Vitamin Impact
Severe hair loss? Hello, doctor. I visited a dermatologist today regarding my hair loss issue. The doctor mentioned that if physical factors are ruled out, it might be androgenetic alopecia. I would like to ask you about this. I have hypothyroidism and have been taking medication...
Dr. Liao Yaopan Reply:
Hello, generally, multivitamins do not contain hormones. If hair loss occurs, it may be related to endocrine system disorders. You may consult a metabolic specialist for further evaluation. Online consultations are not equivalent to in-person medical visits and cannot provide dia...[Read More] Understanding Hair Loss: Thyroid Issues and Vitamin Impact