Anemia, Family Medicine FAQ - Page 8

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Understanding Mediterranean Anemia: Diagnosis and Symptoms Explained

Mediterranean anemia Hello Doctor, I am 36 years old and have given birth to three children. I had surgery for an inguinal hernia at the age of 16 (at a medical center in Taipei). I have a few questions: 1. I was diagnosed with thalassemia in 2017, but I have had blood tests in t...


Dr. Liao Yaopan Reply:
Mediterranean anemia, also known as thalassemia, is a congenital blood disorder characterized by abnormal blood cells that do not appear suddenly and are not related to diet. It is recommended to visit a hematology clinic or consult your family physician for further evaluation of...

[Read More] Understanding Mediterranean Anemia: Diagnosis and Symptoms Explained


How to Improve Cold Feet: Dietary Changes and Tips

Cold feet Hello, I have been experiencing cold feet frequently lately. I would like to ask the doctor what methods or dietary changes can help improve this condition. Thank you.


Dr. Ye Qianyu Reply:
Hello! Recently, with the drop in temperature, if you feel cold in your extremities, you can add more warm clothing. You should also pay attention to whether you have symptoms of anemia, in which case you should increase your intake of iron-rich foods. Western medicine emphasizes...

[Read More] How to Improve Cold Feet: Dietary Changes and Tips


Confused About Which Specialist to See for My Symptoms?

Unsure which specialty to consult? Frequent dizziness or headaches, mild anemia (but it's been a year since I started medication), palpitations, shortness of breath, sore throat, irregular menstrual cycle with low flow, abdominal pain, nausea, constipation, low blood pressur...


Dr. Ye Qianyu Reply:
Hello! I recommend that you first visit a family medicine or general internal medicine clinic. Thank you for your inquiry!

[Read More] Confused About Which Specialist to See for My Symptoms?


Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions

Hemoglobin/Hematocrit Average Hemoglobin/Hematocrit Ratio Decrease Hello doctor, two years ago my blood test showed only a slightly low hemoglobin level of 11.5 g/dL, with a hematocrit of 35.1%, mean corpuscular volume (MCV) of 84.2 fL, and mean corpuscular hemoglobin (MCH) of 27...


Dr. Liao Yaopan Reply:
It is recommended to consult a hematologist for a comprehensive evaluation of the causes of anemia. Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations. Changhua Hospital cares about yo...

[Read More] Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions


Urgent Concerns About Low Hemoglobin Levels Before Medical Exam

I have a low hemoglobin level in my health check-up. I'm really anxious about it; please help me? On October 2nd, my blood test showed a hemoglobin level of 9.9, while the first test was 9.6. I need to pass a level of 11.6 before the end of October to qualify for my desired ...


Dr. Liao Yaopan Reply:
Hello, regarding anemia, it is important to identify the underlying cause. If necessary, a referral to a hematologist for further evaluation may be required. As for blood transfusions, it depends on whether there are life-threatening indications based on clinical assessment. Plea...

[Read More] Urgent Concerns About Low Hemoglobin Levels Before Medical Exam


Understanding Sudden Drops in Hemoglobin Levels: Causes and Solutions

Hemoglobin levels can drop suddenly due to several reasons, including: 1. Acute blood loss: This can occur from trauma, surgery, or gastrointestinal bleeding. 2. Hemolysis: Conditions that cause the destruction of red blood cells, such as autoimmune hemolytic anemia or certain i...


Dr. Chen Bozhang Reply:
Dear Ms. Jean, Regarding your recent blood test indicating anemia, here is the analysis: The mean corpuscular volume (MCV) of your red blood cells is 70.40 fL, which is low (normal range is 80-100 fL). Your red blood cell count is 5.10 x 10^6, which is high (normal range is 3.5-...

[Read More] Understanding Sudden Drops in Hemoglobin Levels: Causes and Solutions


Could Your Symptoms Indicate HIV Infection? Understanding the Risks

Could the presence of various symptoms in the body indicate HIV? Hello, Doctor. I apologize for the late inquiry, but I hope to receive your assistance. About two months ago, in early July (on July 1 and 2), I engaged in high-risk sexual behavior (unprotected) with my girlfriend....


Dr. Ye Qianyu Reply:
Hello! Regarding your issue, I recommend that you visit the Infectious Disease and Dermatology clinics. If you suspect an infection, you can also go to an anonymous testing site for examination. I hope this helps, and I wish you a speedy recovery!

[Read More] Could Your Symptoms Indicate HIV Infection? Understanding the Risks


Understanding Vasovagal Syncope: Causes and Recovery Tips

Fainting without any apparent reason? Yesterday morning, from 9:00 to 10:00, I was practicing riding a motorcycle outside. After that, a kind person came to teach me some exam techniques for about 10 minutes. I started to feel my vision narrowing and turning black, and then I fai...


Dr. Chen Taicheng Reply:
It is indeed possible that the cause of vasovagal syncope is prolonged standing, leading to blood pooling in the lower extremities and resulting in lower blood pressure, which can cause fainting. The causes of syncope are numerous, and the first step is to rule out cardiac-relate...

[Read More] Understanding Vasovagal Syncope: Causes and Recovery Tips


Can You Donate Blood with Thalassemia Trait?

Oceanic anemia Hello Doctor: My grandfather and mother both have thalassemia. During my school entrance health check, I was also found to be a mild carrier, but I usually don't have any symptoms and feel fine. Can I donate blood under these circumstances?


Dr. Chen Taicheng Reply:
● In cases of mild thalassemia, individuals may not exhibit any symptoms, and hemoglobin levels can be within the normal range, typically above 11.5 g/dL for females. ● If your hemoglobin is normal, you may donate blood. However, if your hemoglobin is below 10 g/dL, it is advis...

[Read More] Can You Donate Blood with Thalassemia Trait?


Chest Pain and Discomfort: Is It Exercise-Related or Heart Issues?

Pain upon palpation of the lower edge of the left chest? Hello Doctor: Last night and today, I suddenly felt a bit of pressure and pain at the lower edge of my left chest. It also hurts a little when I press on it. Additionally, I have experienced some palpitations last night and...


Dr. Chen Taicheng Reply:
● Given your age, the likelihood of having heart problems is low; however, conditions such as arrhythmia, thyroid disease, anemia, and fluctuations in blood sugar levels can lead to palpitations. ● For the pain point under the left chest, it is advisable to observe it for 2-3 day...

[Read More] Chest Pain and Discomfort: Is It Exercise-Related or Heart Issues?


Am I Anemic? Understanding Blood Test Results and Causes

Doctor, is this anemia? HCT (Hematocrit) value: 37.5% (Reference range: 37-47%) HGB (Hemoglobin) value: 12.8 g/dL (Reference range: 12-16 g/dL) MCH (Mean Corpuscular Hemoglobin) value: 30.7 pg (Reference range: 27-34 pg) MCHC (Mean Corpuscular Hemoglobin Concentration) valu...


Dr. Chen Taicheng Reply:
● Except for a slightly low red blood cell count (the normal range for most people is above 4.2 million; yours is 4.17 million, which is just a little below), all other values are within the normal range. ● At this time, hemoglobin levels are normal, and the only issue is the sli...

[Read More] Am I Anemic? Understanding Blood Test Results and Causes


Understanding Blood Test Results: When to Seek Medical Advice

Blood Issues in Health Check Reports Hello Doctor, I have a hepatitis B carrier status and polycystic ovary syndrome. I underwent a health check in early June, and some results were flagged in red. The report shows: PLT (platelet count) 114, MPV (mean platelet volume) 10.4, PDW (...


Dr. Chen Taicheng Reply:
- Low platelet count may be caused by hepatitis B leading to splenomegaly, which consumes platelets. - An increased platelet distribution width is a nonspecific abnormality and does not require concern. - Mean Platelet Volume (MPV): A decrease in MPV may be associated with aplast...

[Read More] Understanding Blood Test Results: When to Seek Medical Advice


Understanding Complex Migraine Symptoms and Their Management

The chief complaint is migraine? Hello, Doctor. I apologize for writing this as I have multiple symptoms. My migraines are accompanied by tinnitus, and the pain can last for several days. Sometimes, I experience a heavy sensation in my head that causes it to droop forward. Occasi...


Dr. Chen Taicheng Reply:
● There are many causes of headaches, with common types including migraines and tension-type headaches. Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exace...

[Read More] Understanding Complex Migraine Symptoms and Their Management


Can Slouching Affect Rib Structure and Cause Heart Palpitations?

Is there a relationship between protruding ribs and palpitations? What are the potential harms of having a hunchback? Can it be corrected? Since elementary school, I have been slouching while sitting every day until now at the age of 22. My body is completely relaxed (just slumpe...


Dr. Xu Peiqi Reply:
Hello Mr. Ahua, thank you for your question. The protrusion of the ribs and palpitations should not be related. Severe deformities of the spine or thorax can potentially affect breathing and even compress the heart. However, based on your description, it seems you have not reache...

[Read More] Can Slouching Affect Rib Structure and Cause Heart Palpitations?


Dizziness When Standing After Sitting: Causes and Concerns

Feeling dizzy when standing up after sitting for a while? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness and my vision goes black, but the symptoms disappear quickly. I used to have ...


Dr. Chen Taicheng Reply:
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down; then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...

[Read More] Dizziness When Standing After Sitting: Causes and Concerns


Dizziness When Standing After Sitting: Causes and Concerns

Experiencing dizziness when standing up after sitting? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness, with my vision going black, but the symptoms disappear quickly. I used to have ...


Dr. Chen Taicheng Reply:
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down. Then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...

[Read More] Dizziness When Standing After Sitting: Causes and Concerns


Why Am I Experiencing Shortness of Breath After Minimal Exercise?

Decreased physical stamina? After almost a week of no exercise, I found myself very out of breath after running one lap (200 meters) around the track this week. Running two laps felt like my limit. I've always disliked running on the track and have poor endurance (I tend to ...


Dr. Chen Taicheng Reply:
● Exercise tolerance decreases with lack of physical activity. Engaging in a small amount of moderate exercise may help reduce shortness of breath. There are many reasons for dizziness, such as anemia or low blood pressure. Gastrointestinal discomfort may simply be caused by anxi...

[Read More] Why Am I Experiencing Shortness of Breath After Minimal Exercise?


Understanding Chronic Dizziness: When to Seek Medical Help

Chronic dizziness I have low blood pressure and anemia, which often causes me to feel dizzy. Although I usually don't have major issues in my daily life, recently I've experienced severe dizziness at times, and there have been a few occasions when I couldn't stand ...


Dr. Chen Taicheng Reply:
Anemia (iron deficiency anemia is common in women due to menstruation) and low blood pressure can both cause dizziness. If it is iron deficiency anemia, iron supplementation may help, or it is necessary to determine if menstrual flow is excessive (consult a gynecologist); low blo...

[Read More] Understanding Chronic Dizziness: When to Seek Medical Help


Year-Long Dizziness: Seeking Answers from Western and Traditional Medicine

Dizziness for over a year? Hello, doctor. Over the past year, I have seen many doctors and undergone numerous tests, both Western and traditional Chinese medicine. The Western doctors have suggested that I might be experiencing panic disorder or sleep apnea, while the traditional...


Dr. Chen Taicheng Reply:
● It sounds like you are experiencing a sensation of swaying and imbalance, which can be exacerbated by neck movement or exposure to hot water, leaning more towards a feeling of unsteadiness. If you also experience a spinning sensation, this is referred to as "vertigo" ...

[Read More] Year-Long Dizziness: Seeking Answers from Western and Traditional Medicine


Understanding Anemia and Dizziness: When to Seek Medical Help

Anemia. Dizziness? Hello, I would like to ask the doctor that I went to the hospital for a blood test, and the results were normal. However, after the blood draw, I continued to feel dizzy and had difficulty breathing. Additionally, during my menstrual period, I often feel dizzy ...


Dr. Wu Fangcan Reply:
According to your description: the examination is normal, but you feel dizzy after blood tests, and the dizziness worsens during your menstrual period. It is recommended to consult a family medicine or gynecology physician for a comprehensive evaluation, and it is not advisable t...

[Read More] Understanding Anemia and Dizziness: When to Seek Medical Help


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