Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Iron deficiency anemia with splenomegaly? Hello Doctor, I was informed during a recent company health check that I have splenomegaly measuring 9 centimeters. I had a medical history of iron deficiency anemia four years ago, for which I received iron supplements until my levels re...
Dr. Chen Pengsheng Reply:
Dear Ms. Wei, The symptoms you described could have many possible causes, and iron deficiency anemia is one of them. I recommend that you bring your test results to see a physician for a detailed discussion. If it is iron deficiency anemia, effective treatment should be availab...[Read More] Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Chronic Fatigue, Excessive Thirst, and Hair Loss: Which Specialist to See?
Chronic fatigue... excessive thirst... significant hair loss? Hello, I have been experiencing chronic fatigue, excessive thirst (no matter how much water I drink, I still feel thirsty), and significant hair loss. The hair loss is severe enough that after washing my hair, the amou...
Dr. Chen Taicheng Reply:
● Fatigue is a non-specific complaint, and many internal medical conditions or psychological stressors can be associated with it. ● Common causes of thirst include diabetes mellitus, diabetes insipidus, hyperaldosteronism, and side effects from certain medications (such as diuret...[Read More] Chronic Fatigue, Excessive Thirst, and Hair Loss: Which Specialist to See?
Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Abnormal blood test results? Hello, I experienced quite severe insomnia two years ago, but my sleep quality has improved significantly over the past six months, allowing me to fall asleep in about 20 minutes. However, I still feel very fatigued and weak; even after sleeping 8-9 h...
Dr. Chen Bozhang Reply:
Dear Ms. CY, I understand from your letter that you have been experiencing persistent fatigue. Your health check report indicates mild anemia and a slightly elevated eosinophil count. Here’s an explanation: 1) The ideal hemoglobin (Hb) level for women is above 12.0 g/dL. You ha...[Read More] Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Understanding Persistent Health Issues: A Guide to Family Medicine Concerns
Frequent health issues? Since March, I have been feeling unwell and have seen eight doctors so far. It all started one afternoon when I suddenly experienced pain in my lower right abdomen near the groin, so severe that I couldn't stand up straight, along with gastrointestina...
Dr. Chen Taicheng Reply:
● The diagnostic criteria for diabetes include four standards: (1) Fasting blood glucose ≥ 126 mg/dL, (2) Two-hour blood glucose ≥ 200 mg/dL after a 75 g oral glucose tolerance test, (3) Random blood glucose ≥ 200 mg/dL with symptoms of hyperglycemia, (4) Hemoglobin A1c ≥ 6.5%. ...[Read More] Understanding Persistent Health Issues: A Guide to Family Medicine Concerns
Understanding Prediabetes: Do You Need Medication or Dietary Changes?
Is it prediabetes, and is there a need for medication management? Hello Doctor: I had a routine check-up last June, where my fasting blood glucose was 88, but my hemoglobin A1c spiked to 9.4. The doctor advised that the testing lab should recheck the results. Later, I was asked t...
Dr. Chen Taicheng Reply:
●Conclusion first: Not necessarily, but there is a high chance of not having diabetes, and medication is not required. ●The diagnostic criteria for diabetes include four criteria: (1) Fasting blood glucose ≥ 126 mg/dL (2) Two-hour blood glucose ≥ 200 mg/dL after a 75 g oral gluco...[Read More] Understanding Prediabetes: Do You Need Medication or Dietary Changes?
Differentiating Between Iron Deficiency Anemia and Thalassemia
Mediterranean anemia (also known as thalassemia) Hello, Doctor! The recent complete blood count results are as follows: WBC 5.9 (x10^9/L), RBC 6.96 (x10^12/L), HB 14.8 (g/dL), HCT 48.9 (%), MCV 70.3 (fL), MCH 21.3 (pg), MCHC 30.3 (g/dL), PLT 219 (x10^9/L), RDW 16.6 (%), MPV 12.2 ...
Dr. Chen Pengsheng Reply:
Hello, Zhi-Hua: Your red blood cells are indeed smaller than normal. In addition to understanding whether your parents have a similar condition, you can visit a family medicine or hematology department for further testing, including serum ferritin and hemoglobin electrophoresis. ...[Read More] Differentiating Between Iron Deficiency Anemia and Thalassemia
Understanding Low Vitamin B12: Anemia and Health Implications
Regarding low levels of vitamin B12? I would like to ask the doctor again: I usually do not experience dizziness when squatting; does this mean I do not have anemia? Additionally, my vitamin B12 levels are lower than average. Could this be due to a possible hematopoietic dysfunct...
Dr. Chen Taicheng Reply:
● Anemia should not be assessed solely based on whether one experiences dizziness; it is advisable to have a blood test, as women are prone to iron deficiency anemia due to menstrual cycles. ● Vitamin B12 deficiency may present with mild symptoms such as fatigue; however, severe ...[Read More] Understanding Low Vitamin B12: Anemia and Health Implications
Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Suspected Antiphospholipid Syndrome Hello, doctor. At the beginning of January this year, I suddenly experienced sharp chest pain, followed by numbness in my limbs. After that, I had many symptoms, such as sudden body jerks that would wake me up when I was about to fall asleep, i...
Dr. Chen Taicheng Reply:
● Antiphospholipid syndrome is typically diagnosed due to venous and arterial thrombosis or recurrent miscarriages in women of childbearing age. It is an autoimmune disease characterized by the presence of "antiphospholipid antibodies" in the blood, which cause blood to...[Read More] Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Understanding Low Blood Pressure in Hypertensive Patients: Causes and Solutions
Patients with hypertension experiencing persistently low blood pressure? About ten years ago, my father was diagnosed with metabolic syndrome, and since then, he has been regularly having blood tests and follow-up appointments. His blood pressure has generally been well-controlle...
Dr. Chen Taicheng Reply:
● Low blood pressure may be caused by the strong effects of antihypertensive medications, and it is recommended to adjust the medication. Other potential causes include dehydration (such as from diuretics for hypertension), low blood volume (possibly due to chronic blood loss), a...[Read More] Understanding Low Blood Pressure in Hypertensive Patients: Causes and Solutions
Understanding Recent Dizziness: Possible Causes and Concerns
I have been feeling a bit dizzy lately? In the past few days, I have experienced mild dizziness, similar to the sensation of being unsteady after spinning in circles. This usually occurs when lying in bed and at the moment of getting up, but I also occasionally feel this way whil...
Dr. Hou Angting Reply:
"Since there are many potential causes for dizziness, it is recommended to visit a family medicine specialist for further evaluation."[Read More] Understanding Recent Dizziness: Possible Causes and Concerns
Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend
Fatigue and early sleep? Doctor, may I ask why my girlfriend has suddenly become fatigued? Her work and class schedule have been normal, and previously, she would stay up until 1 or 2 AM regardless of her menstrual cycle, and she was always energetic during the day. However, ever...
Dr. Wu Fangcan Reply:
According to your statement: Does your girlfriend have any signs of anemia? Is she taking any medication? Please have your girlfriend consult a family medicine physician nearby and arrange for an examination. Thank you.[Read More] Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend
Understanding Your Anemia Diagnosis: Key Insights and Next Steps
I would like to know what type of anemia I have based on my health screening results? Hello, doctor. I have been working abroad for many years, and recently, at my company's request, I underwent a health check-up. My blood tests were conducted twice, and although the doctors...
Dr. Huang Xunying Reply:
Hello: If possible, it is recommended to recheck your white blood cell count. The mention of no blasts indicates a lower concern for cancerous changes, but if you are still worried, a retest can be done. Regarding the red blood cell count, you have microcytic anemia, which is mos...[Read More] Understanding Your Anemia Diagnosis: Key Insights and Next Steps
Managing Dizziness and Fainting: Understanding Symptoms and Seeking Help
Dizziness and syncope? Hello, Doctor. Since high school, I have experienced similar symptoms multiple times. The symptoms include weakness in my limbs, vision going black, cold sweats, and nausea, lasting about 5 to 10 minutes. If I do not sit or lie down immediately, I will lose...
Dr. Chen Taicheng Reply:
● There are many causes of syncope, and the first thing to rule out is cardiac-related issues, including arrhythmias and structural heart problems (including valve issues), which have already been evaluated by a cardiologist. Please pay attention to whether your pulse is too slow...[Read More] Managing Dizziness and Fainting: Understanding Symptoms and Seeking Help
Which Specialist to Consult for Persistent Shortness of Breath?
If you are experiencing difficulty breathing, you should see a pulmonologist? Hello, my mother is 73 years old. Six months ago, she started experiencing shortness of breath (even while walking on flat ground), but she does not cough. She underwent X-rays, a resting electrocardiog...
Dr. Chen Taicheng Reply:
There are many causes of shortness of breath, and it is important to prioritize the exclusion of heart and lung issues. Regarding the heart, conditions such as heart failure (common in the elderly), arrhythmias (such as atrial fibrillation, also common in older adults), myocardia...[Read More] Which Specialist to Consult for Persistent Shortness of Breath?
Unsteady Walking and Balance Issues: When to Seek Medical Help
Unsteady gait and inability to maintain balance? Hello doctor, I started feeling dizzy when I got up on the 13th. I have difficulty walking steadily and feel like I could easily be pushed over at any moment. I don't feel like the surroundings are spinning; it's just tha...
Dr. Chen Taicheng Reply:
Considering your age, the sudden unsteadiness while walking, and any recent illnesses such as a cold or gastroenteritis, it may be due to post-infectious peripheral vestibular dysfunction (such as vestibular neuritis, which is an inner ear issue that typically improves over a few...[Read More] Unsteady Walking and Balance Issues: When to Seek Medical Help
Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective
Cold, diarrhea, numbness in hands? Hello, Doctor. I would like to ask a couple of questions. Q1: I have had a cold for almost a week, with symptoms including nasal congestion, runny nose, cough, and phlegm in my throat (both the nasal discharge and phlegm are clear). I visited ...
Dr. Chen Taicheng Reply:
● Abdominal pain may be related to a first-time cold or could be a new symptom. It is advisable to visit a large hospital's family medicine or gastroenterology department for further evaluation and treatment. Generally, cold symptoms and gastrointestinal issues will graduall...[Read More] Understanding Cold Symptoms, Diarrhea, and Numbness: A Family Medicine Perspective
Which Medical Specialty Should You Consult for Sudden Vision Loss?
Which specialty should I see? A couple of years ago, I experienced several episodes where my vision suddenly went completely dark for a few seconds. During that time, I had difficulty maintaining my balance, and my limbs would tremble. I was conscious but unable to control my bod...
Dr. Chen Taicheng Reply:
● When you suddenly experience a blackout, what were you doing? For example, prolonged standing or sitting, dehydration can lead to poor blood circulation, resulting in low blood pressure and symptoms similar to fainting (such as seeing black, inability to stand, etc.); if you ch...[Read More] Which Medical Specialty Should You Consult for Sudden Vision Loss?
Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms
Having many health issues can make it difficult to know what to do? Hello Doctor, I have symptoms of mitral valve prolapse, gastroesophageal reflux disease, being a carrier of thalassemia, and headaches. I have previously undergone surgery for bilateral tonsillectomy and a liposa...
Dr. Chen Taicheng Reply:
● There are many possible causes for chest tightness, including the issues you mentioned, such as bronchial problems or gastroesophageal reflux (you can refer to my other article at https://goo.gl/jkWwha). Generally, mild mitral valve prolapse is mostly asymptomatic and does not ...[Read More] Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms
Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Management
Mediterranean anemia Hello Doctor: My white blood cell count is 6.6, red blood cell count is 5.8, hemoglobin is 12.1, hematocrit is 37.4, mean corpuscular volume is 64.5, mean corpuscular hemoglobin is 20.9, mean corpuscular hemoglobin concentration is 32.4, red cell distribution...
Dr. Chen Pengsheng Reply:
Hello: This is a case of beta-thalassemia carrier. Mr. A is a healthy carrier, but when getting married and having children, it is important to check if his wife is also a carrier of the same type. If she is a carrier of beta-thalassemia, prenatal diagnosis is necessary to avoid ...[Read More] Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Management
Understanding Temperature Discrepancies Between Body Sides: When to Seek Help
There is a significant temperature difference between the right and left sides of the body? Hello, doctor. I would like to ask about the fact that the right side of my body (from the neck down to the right hand and right foot) is always colder than the left side. I noticed this d...
Dr. Chen Taicheng Reply:
● It is recommended to first confirm whether there is an objective bilateral temperature difference in the body, for example, by measuring the axillary temperature on both sides or using a non-contact infrared thermometer. If objective measurements show a difference of more than ...[Read More] Understanding Temperature Discrepancies Between Body Sides: When to Seek Help