Anemia, Family Medicine FAQ - Page 6

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Concerns About Poisoning and Health Checkups After Water Purchase

Suspected poisoning? Last month, I went out to pick up a large container of drinking water. After getting the water, I thought about going to the market to buy some things. I left the water on the motorcycle footrest, not next to me. When I returned from shopping, I wondered if s...


Dr. Liao Yaopan Reply:
Hello, regarding the issue of "toxins," if there are any concerns, it may be necessary to report it to the authorities. For the second question, it is recommended to visit a nearby hospital for a self-paid health check-up. Please note that online consultations are not e...

[Read More] Concerns About Poisoning and Health Checkups After Water Purchase


Understanding Headaches: Causes, Management, and When to Seek Help

Causes of Headaches and Recommended Management Strategies Hello, I often experience headaches, at least once a month, which feel like they are coming from deep within my eye sockets, accompanied by nausea. Occasionally, I may vomit. After lying down for a short rest of about half...


Dr. Chen Bozhang Reply:
Hello! It is recommended that you consult with a family medicine clinic for a professional diagnosis to avoid delaying treatment. Thank you!

[Read More] Understanding Headaches: Causes, Management, and When to Seek Help


Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns

Numbness in the hands, feet, and head, as well as dizziness during sleep? Hello Dr. Hsiao, Over the past year, I have experienced intermittent numbness in my hands, feet, and head while sleeping. This does not occur continuously but happens during the sleep process. It seems to ...


Dr. Xiao Yongxun Reply:
Dear Miss, 1. There are many causes for numbness in the hands, feet, and head; more common and serious issues include atherosclerosis, atrial fibrillation, gout, hypertension, diabetes, cervical and lumbar spine diseases, vitamin deficiencies, and autonomic nervous system disord...

[Read More] Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns


Unexplained Skin Itching: Causes and When to Seek Medical Advice

Unexplained skin itching? Hello doctor, at the beginning of May, one morning I woke up and suddenly my knees were itchy, but it stopped after about an hour. About a week ago, the back of my right hand suddenly became itchy for no apparent reason, which lasted intermittently for a...


Dr. Xiao Yongxun Reply:
Dear Mr. Guang: Itching due to skin disorders is commonly associated with the following conditions: 1. Infections: fungal infections, bacterial infections, scabies, and lice infestations. 2. Inflammatory responses: psoriasis, seborrheic dermatitis, pityriasis rosea, xerotic de...

[Read More] Unexplained Skin Itching: Causes and When to Seek Medical Advice


Understanding Sudden Dizziness: When to Worry and When to Relax

Sometimes I suddenly feel dizzy? Hello Doctor: I am not sure if this is related to the increasingly hot weather, but I have occasionally experienced dizziness when sitting or standing up from a low position. I consulted an ENT specialist who mentioned that it is considered normal...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen, There are many causes of dizziness, which can be primarily categorized as follows: 1. Dizziness originating from peripheral issues (approximately 40%): - Meniere's disease - Vestibular neuronitis and acute labyrinthitis - Benign paroxysmal positiona...

[Read More] Understanding Sudden Dizziness: When to Worry and When to Relax


Understanding Sudden Dizziness: When to Worry and When to Relax

Sometimes I suddenly feel dizzy? Hello Doctor: I’m not sure if it’s related to the increasingly hot weather, but I have occasionally experienced dizziness when sitting or standing up from a low position. I consulted an ENT specialist who mentioned it was normal and gave it a name...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen: There are many causes of dizziness, which can be primarily categorized as follows: 1. Dizziness originating from peripheral issues (approximately 40%): - Meniere's disease - Vestibular neuronitis and acute labyrinthitis - Benign paroxysmal positiona...

[Read More] Understanding Sudden Dizziness: When to Worry and When to Relax


Understanding Sudden Dizziness: When to Worry and When to Relax

Sometimes I suddenly feel dizzy? Hello Doctor: I’m not sure if it’s related to the increasingly hot weather, but I have occasionally experienced dizziness when sitting or standing up from a low position. I consulted an ENT specialist who mentioned it was normal and referred to a ...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen: There are many causes of dizziness, which can be primarily categorized as follows: 1. Dizziness originating from peripheral issues (approximately 40%): - Meniere's disease - Vestibular neuronitis and acute labyrinthitis - Benign paroxysmal positiona...

[Read More] Understanding Sudden Dizziness: When to Worry and When to Relax


Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Treatment Options

Mediterranean anemia (also known as thalassemia) Hello, Doctor. I would like to inquire about my son's blood test results from his health check in 2019, which showed the following abnormalities: WBC 6.9 (normal range: 4.8–10.8), RBC* 6.70 (normal range: 4.7–6.1), HgB* 13.6 (...


Dr. Cai Dongqi Reply:
Hello, thalassemia is the most common congenital anemia among Taiwanese people. Most patients with thalassemia are actually asymptomatic and are often discovered to have low hemoglobin levels during health check-ups or other blood tests. It is only upon further examination at a h...

[Read More] Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Treatment Options


Choosing Multivitamins for Mild Thalassemia: What to Avoid

Several doctors have said that I have mild thalassemia? My main issue is that my diet is very unnutritious while working night shifts. I want to supplement with a multivitamin, but I noticed that many multivitamins contain iron. However, I have mild thalassemia and I remember tha...


Dr. Chen Bozhang Reply:
Hello Mr. Eric: If it is a case of simple Mediterranean anemia, it is indeed not advisable to supplement with large amounts of iron. The iron content in most commercially available multivitamins is not significant. If you are concerned, you can simply supplement with B vitamins. ...

[Read More] Choosing Multivitamins for Mild Thalassemia: What to Avoid


Understanding Low Lymphocyte Count: What It Means for Your Health

The lymphocyte count is very low? Hello, doctor. Last month, my health check report showed that my lymphocyte count is only 7. What does this value indicate? It seems extremely low; am I at risk of immediate health issues? (I'm quite anxious.) How should I proceed with furth...


Dr. Huang Xunying Reply:
Lymphocytosis may indicate an infection with a filtrating virus or tuberculosis; conversely, lymphopenia may suggest issues such as immunodeficiency diseases or aplastic anemia. It is common to also evaluate the "neutrophil count," which often serves as an indicator for...

[Read More] Understanding Low Lymphocyte Count: What It Means for Your Health


Understanding Low Lymphocyte Count: What It Means for Your Health

The lymphocyte count is very low? Hello, doctor. Last month, my health check report showed that my lymphocyte count is only 7. What warning signs does this value indicate? It seems extremely low; am I at risk of immediate bodily changes? (I'm quite anxious.) How should I pro...


Dr. Huang Xunying Reply:
Lymphocytosis may indicate an infection with a filterable virus or tuberculosis; a decrease in lymphocytes could suggest immunodeficiency diseases, aplastic anemia, and other issues. It is common to also evaluate neutrophil counts, which can serve as indicators of immune resistan...

[Read More] Understanding Low Lymphocyte Count: What It Means for Your Health


Understanding Abnormal Neutrophils and Lymph Nodes: Causes and Concerns

Abnormal lymphocytes and neutrophils, along with lymphadenopathy? Hello Doctor, I visited the obstetrics and gynecology department in mid-November due to adenomyosis and endometriosis. The gynecologist ordered blood tests to assess whether I had anemia and if I was suitable for t...


Dr. Hou Angting Reply:
Hello Ms. Nsi321, the distribution of white blood cells in the body can vary, so if your white blood cell count is normal, temporary abnormalities in neutrophils and lymphocytes can be monitored without concern. You may also consult with an obstetrician-gynecologist to address yo...

[Read More] Understanding Abnormal Neutrophils and Lymph Nodes: Causes and Concerns


Low Lymphocyte Count: Understanding Your Blood Test Results and Next Steps

Low lymphocyte count: 0.912/nL Hello Dr. Chen, On December 4, 2019, my blood test report from a health check showed the following results: - Leukocyte: 6.09/nL (Normal: 3.9-10.2) - MCHC: Low at 31.2 g/dL (Normal: 31.5-36.0) - Lymphocytes: Low at 15.02%; 0.912/nL (Normal: 20-4...


Dr. Chen Bozhang Reply:
Dear Ms. Hsiao-Ling, Your blood test report from the health check on December 4, 2019, shows that your white blood cell count is normal, but the proportion of neutrophils is slightly elevated at 76.6%, while the proportion of lymphocytes is somewhat low at 15.02%. This slight al...

[Read More] Low Lymphocyte Count: Understanding Your Blood Test Results and Next Steps


Understanding Rectal Bleeding: Symptoms, Causes, and When to Seek Help

Rectal bleeding Hello doctor, I would like to ask about my symptoms. I have been experiencing rectal bleeding, and two days ago I had severe abdominal pain (very painful). I have a habit of sitting for long periods since I am a student. Today, I noticed a lot of blood in my stool...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it is advisable for you to visit a colorectal surgery clinic soon. If the amount of bleeding is significant, it could lead to acute anemia, so it is crucial to promptly identify the source and cause of the bleeding and to take measures to stop it...

[Read More] Understanding Rectal Bleeding: Symptoms, Causes, and When to Seek Help


Managing Vitamin B12 and Other Supplements for Oral Health Issues

Medication issues Hello Doctor, I have been experiencing abnormal oral symptoms and am currently taking medication prescribed by a neurologist to alleviate these symptoms. This includes Rifampicin 4 mg daily, Zanaflex once before bedtime, and Methylcobalamin capsules 500 mcg thre...


Dr. Ye Qianyu Reply:
Hello, Miss Lin! Regarding your inquiry about vitamins, vitamin B complex is classified as a water-soluble vitamin, and any excess is generally excreted by the body. Currently, there have been no reported issues related to excessive vitamin B12. Oral ulcers typically heal on thei...

[Read More] Managing Vitamin B12 and Other Supplements for Oral Health Issues


Understanding Anemia: What to Do When Blood Tests Show Abnormal Results

Blood disorders During each health check-up, I have been told that I have anemia. This time, the abnormal results from my check-up were as follows: Mean Corpuscular Volume (MCV) 61.4 (normal range 80-100), Hemoglobin 19.9 (normal range 26-34), Red Blood Cell count 6.87 (normal ra...


Dr. Liao Yaopan Reply:
Hello, to determine if you have anemia, it is important to look at the levels of hemoglobin. However, the units and reference values for hemoglobin in the report you provided seem to differ from commonly used clinical standards. If anemia is indeed present, and the mean corpuscul...

[Read More] Understanding Anemia: What to Do When Blood Tests Show Abnormal Results


Chloramphenicol Eye Drops: Concerns and Blood Test Recommendations

Chloramphenicol eye drops Hello doctor, I recently visited an ophthalmology clinic due to conjunctivitis, and the doctor prescribed me chloramphenicol eye drops to use four times a day, one drop each time. After using it for 4-5 days, I researched chloramphenicol online and found...


Dr. Xiao Yongxun Reply:
Dear Mr. Ryan, 1. Chloramphenicol eye drops are widely used in clinical practice due to their excellent lipid solubility and superior corneal penetration. Based on actual conditions, they can be administered approximately every 1 to 4 hours; the treatment course must be complete...

[Read More] Chloramphenicol Eye Drops: Concerns and Blood Test Recommendations


Chest Pain, Dizziness, and Rapid Heartbeat: Which Specialist to See?

Chest tightness, dizziness, and rapid heartbeat. Which medical specialty should I consult? Hello Doctor, this morning while commuting to work, I had to jog up about two flights of stairs to catch the MRT. After getting on the train, I experienced some chest pain accompanied by sh...


Dr. Ye Qianyu Reply:
Hello! Regarding your concerns, you are primarily experiencing palpitations accompanied by postural dizziness. Since you have already experienced syncope, it is advisable for you to visit a medical facility for evaluation. It would be best to see a cardiologist first to confirm w...

[Read More] Chest Pain, Dizziness, and Rapid Heartbeat: Which Specialist to See?


Dizziness, Anemia, or Vision Issues? Understanding Your Symptoms

Dizziness, anemia, or eye problems? Yesterday, after cleaning the graves, I stood up and suddenly experienced a blackout. I could vaguely see the shadows of objects, people, and the grass around me, which felt like symptoms of anemia. However, after standing for about three to fi...


Dr. Xiao Yongxun Reply:
Dear Miss Qiqi: 1. It is advisable for you to consult directly with your family physician regarding your concerns. 2. There are many causes of dizziness that require differential diagnosis, including: a. Cardiovascular system: for example, orthostatic hypotension, hyperten...

[Read More] Dizziness, Anemia, or Vision Issues? Understanding Your Symptoms


Why Iron Supplements Aren't Improving Your Anemia: What to Do Next

If anemia does not improve with iron supplements, which specialist should you see? Hello Doctor, I visited a dermatologist last year due to severe hair loss. After a blood test, most of my values were normal, but my hemoglobin was at the lower limit and my ferritin was too low. (...


Dr. Xu Peiqi Reply:
The relationship between ferritin, anemia, and hair loss is not absolute. If your primary concern is hair loss, there are many factors involved, and sometimes it can be difficult to pinpoint a single cause! However, reducing life stress, improving sleep quality, and supplementing...

[Read More] Why Iron Supplements Aren't Improving Your Anemia: What to Do Next


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