Dizziness After Bowel Movements: Causes and When to Seek Help
Dizziness after bowel movement? Hello, why do I feel dizzy after bowel movements? It lasts for about two hours before I recover, and I also experience nausea. I feel like I can't empty my bowels completely, and my stools are not well-formed. I have a sense of urgency before ...
Dr. Hou Angting Reply:
Hello, based on the symptoms you described, I recommend discussing with a gastroenterologist whether further examinations are necessary. Wishing you a speedy recovery.[Read More] Dizziness After Bowel Movements: Causes and When to Seek Help
Understanding Your Blood Test Results: Key Insights for Patients
Blood test report Could you please help me review this blood report for any issues? Hb: 13.6 Hct: 40.5 MCH: 29.9 MCHC: 33.6 MCV: 89.0 Platelet count: 221 R.B.C: 4.55 W.B.C: 5.22 A-Lym: 0.0 Band: 0.0 Baso: 1.0 Blast: 0.0 Eosin: 3.4 Lym: 41.2 Metamyelo...
Dr. Ye Qianyu Reply:
Hello! I'm not sure what the purpose of your blood test is. I suggest you ask the physician who ordered the test, as it would be more meaningful to interpret the results in conjunction with your clinical symptoms.[Read More] Understanding Your Blood Test Results: Key Insights for Patients
Dealing with Formaldehyde Exposure: Symptoms, Concerns, and Next Steps
Hello, doctor. I have been in an environment with high concentrations of formaldehyde for a period of time? At the beginning of March, I thought the paint smell was coming from the adjacent room, so I didn't avoid it. However, I didn't realize that the airflow ultimatel...
Dr. Liao Yaopan Reply:
Hello, regarding formaldehyde, I would like to provide a reference article from the National Health Research Institutes' National Toxicology Research Center, which is objective and easy to understand. The article can be found at http://nehrc.nhri.org.tw/toxic/toxfaq_detail_m...[Read More] Dealing with Formaldehyde Exposure: Symptoms, Concerns, and Next Steps
Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know
Elevated body temperature? Hello Doctor, I received the AZ vaccine a month ago, and it has been over 5 weeks now. My daytime temperature (ear temperature) is around 37.1 degrees Celsius, and during the warmer hours from noon to afternoon, it can reach 37.3 degrees. When I exercis...
Dr. Xiao Yongxun Reply:
Dear Ms. Lai, 1. The reactions that may occur after receiving the AstraZeneca vaccine are mostly pain and swelling at the injection site, which typically resolve within a few days. You may apply a cold compress, but please do not rub or scratch the injection site. Fever (≥38°C) ...[Read More] Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know
COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Questions related to COVID-19 vaccines? Hello, I am 52 years old. Last April, I visited a gynecologist and blood tests indicated that I have entered menopause. Since then, I have experienced menopausal symptoms such as insomnia, night sweats, anxiety, and palpitations, which have...
Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine containing the gene for the SARS-CoV-2 spike protein (S protein) and is used for the prevention of COVID-19. This vaccine has received emergency use authorization from the WHO, the EU, and ...[Read More] COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Which Specialist to See for Heart Palpitations and Sleep Issues?
Which specialty should I see? Hello Doctor: Since around the middle of last month, I have been experiencing episodes of strong heartbeats and a sensation of dizziness and floating when leaning forward while standing. Additionally, I feel a tingling sensation in my legs and an ina...
Dr. Liao Yaopan Reply:
Hello, if all possible physiological factors have been ruled out, stress or anxiety may also be the cause. It is advisable to seek assistance from a psychiatrist to help maintain a normal daily routine and engage in regular exercise, which is quite important. Online consultations...[Read More] Which Specialist to See for Heart Palpitations and Sleep Issues?
Is a Sudden Increase in Lymphocytes Normal? Understanding Blood Test Results
Sudden increase in lymphocytes? Hello, doctor. I had a blood test on August 9, where my lymphocyte count was 33.09 and my neutrophil count was 56.688. In this recent blood test, my lymphocyte count is now 40.81 and my neutrophil count is 50.31. Is it normal for the lymphocyte cou...
Dr. Xiao Yongxun Reply:
Dear Mr. Wu: 1. The average number of white blood cells (WBCs) in the human body ranges from 4,000 to 11,000/mm³, with most only surviving for a few days; during an infection, they may only survive for a few hours. White blood cells can be classified into two categories based on...[Read More] Is a Sudden Increase in Lymphocytes Normal? Understanding Blood Test Results
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
Understanding Blood Test Results: Are High Neutrophils a Sign of Leukemia?
Blood test report inquiry? The report is as follows: WBC count: 6.78 Neutrophils: 5.3 (77.8%) normal range is 1.6-6.3, 41.5-73.8% Lymphocytes: 1.0 (14.3%) normal range is 1.1-3.2 Monocytes: 0.4 (5.8%) Eosinophils: 0.1 (1.5%) Basophils: 0.0 (0.6%) Red blood cells and platelets are...
Dr. Liao Yaopan Reply:
Hello, regarding the white blood cell report, no special treatment is needed. You can return for regular follow-ups based on your condition. Online consultations are not equivalent to in-person medical visits, and we cannot provide diagnoses or treatment recommendations. Changhua...[Read More] Understanding Blood Test Results: Are High Neutrophils a Sign of Leukemia?
Understanding Elevated Body Temperature: Causes and Concerns in Family Medicine
Elevated body temperature? Hello, doctor. Since the outbreak of the pandemic in Taiwan, I have been regularly monitoring my temperature due to overlapping exposure with confirmed cases. Previously, I only measured my forehead temperature at work, which mostly ranged from 36.6 to ...
Dr. Liao Yaopan Reply:
Hello, if infections or endocrine system abnormalities have been ruled out, it is recommended to consult with an allergist or immunologist for further evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatmen...[Read More] Understanding Elevated Body Temperature: Causes and Concerns in Family Medicine
Persistent Elevated Temperature After AZ Vaccine: When to Seek Further Evaluation?
Persistent elevated body temperature for several days after receiving the AZ vaccine? Hello Doctor, I received the AZ vaccine on August 5th. After experiencing a high fever of 38.5°C for two days, my temperature has remained around 37.5°C and has not returned to normal. Currently...
Dr. Liao Yaopan Reply:
Hello, typically the fever response after vaccination lasts about two days and usually subsides. If the high temperature persists, it is advisable to return for a check-up to confirm if there are other factors causing it. When seeking medical attention, you should inform the phys...[Read More] Persistent Elevated Temperature After AZ Vaccine: When to Seek Further Evaluation?
Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest pain Hello, Doctor. On the afternoon of the 30th, I was lying down looking at my phone for a few minutes. After that, I got up and felt fine, but after a while, I started to feel some pain in the middle of my chest, slightly to the left. I tried pressing on it, but it didn&...
Dr. Xiao Yongxun Reply:
Dear Miss Hsin-Hsin: 1. Based on the statement, "The doctor said I have some cysts, some of which are slightly calcified, and advised me to return for a check-up in six months to a year," it is recommended that you regularly follow up with a breast surgeon for monitori...[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Managing High Fasting Blood Sugar with Normal HbA1c: A Guide
Elevated fasting blood glucose with normal glycated hemoglobin (prediabetes)? Hello, Doctor. During my health check-up last year, my fasting blood sugar was found to be 110, so I started paying attention to my diet and exercise. My weight, which was originally 173 lbs at 77 kg, h...
Dr. Xiao Yongxun Reply:
Dear Mr. Peter: 1. Generally speaking, a normal fasting plasma glucose level is less than 100 mg/dL. If the level is between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the fasting glucose is greater than or equal to 12...[Read More] Managing High Fasting Blood Sugar with Normal HbA1c: A Guide
Could Your Symptoms Indicate Prediabetes? Understanding the Signs
Is it a sign of prediabetes? Hello, Doctor. Since I was young, I have easily experienced many symptoms of hypoglycemia when fasting, such as sudden severe shaking, palpitations, dizziness, and anxiety. Sometimes these symptoms last for 1-2 hours and then turn into stomach pain. A...
Dr. Wu Zongying Reply:
Hello: Based on the symptoms you mentioned in your letter, they do not appear to be indicative of diabetes. Your weight is on the lower side, and your food intake is not substantial; the symptoms resemble hypoglycemia. It is advisable to maintain a normal food intake (to sustain ...[Read More] Could Your Symptoms Indicate Prediabetes? Understanding the Signs
Understanding Your Blood Test Results: Anemia Types and Heart Rate Concerns
Laboratory Report Hello Dr. Yeh, I recently had a blood test done. During the period leading up to the blood draw, I was experiencing a poor appetite and didn't eat much. My sleep quality was also poor, and at rest, my heart rate sometimes increased to around 110 beats per m...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, it appears to be microcytic anemia. If the red blood cell count is elevated, it may indicate thalassemia; if it is low, it could be due to iron deficiency anemia, among other causes. Acute bleeding should also be considered as a possi...[Read More] Understanding Your Blood Test Results: Anemia Types and Heart Rate Concerns
Understanding Blood Test Results: Concerns About Lymphocytes and Monocytes
Please ask questions regarding blood draws and related issues? Hello Doctor, about a year ago, I started follow-ups in family medicine due to a liver enzyme level of 60. I was advised to have blood tests every three to six months. Later, during one of the tests, my lymphocyte cou...
Dr. Xiao Yongxun Reply:
1. White blood cells are classified into neutrophils, eosinophils, basophils, lymphocytes, monocytes, etc., each with its own reference range. 2. Their distribution can vary due to different diseases or physiological states. Atypical lymphocytes may appear in peripheral blood dur...[Read More] Understanding Blood Test Results: Concerns About Lymphocytes and Monocytes
Can Family Doctors Treat Inflammation of the Glans and Foreskin?
Inflammation of the glans and foreskin? Hello Doctor: My glans is slightly red, the inner side of the foreskin is red, and the glans is very sensitive to touch. Can this be managed by a family doctor? I cannot afford the high fees of a urologist. Thank you for taking the time to ...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: Inflammation of the glans and foreskin typically requires a physician's examination and medical history inquiry to differentiate between a general inflammatory response or a specific sexually transmitted infection. Sometimes, blood tests may also be neces...[Read More] Can Family Doctors Treat Inflammation of the Glans and Foreskin?
Understanding Your Blood Test Results: Do You Have Diabetes?
Is there diabetes? Total cholesterol (132) Triglycerides (57) Fasting blood glucose (107) Uric acid (8.6) Creatinine (1.18) eGFR (76.0) Sodium (140) Potassium (5.0) Aspartate aminotransferase (AST) (35) Alanine aminotransferase (ALT) (50) Low-density lipoprotein cholesterol (LDL-...
Dr. Wu Zongying Reply:
Hello: Based on your data, while it is not yet sufficient to diagnose diabetes, there are already indications of hyperglycemia, elevated uric acid levels, and increased liver function indices. It is suspected that you may have overweight and fatty liver disease. It is recommended...[Read More] Understanding Your Blood Test Results: Do You Have Diabetes?
How Long to Wait After Vaccination to Test for Antibodies?
Vaccine antibodies How long should I wait after receiving the Hepatitis B, MMR, and varicella vaccines before getting a blood test to check for antibodies?
Dr. Liao Yaopan Reply:
Hello, you can consider getting a self-paid examination after one month. Please note that online consultations are not equivalent to in-person medical visits, and we are unable to provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] How Long to Wait After Vaccination to Test for Antibodies?
Understanding Low Hemoglobin and Positive ANA: Your Questions Answered
Consultation Inquiry Hello, doctor. I have a few questions to ask you. 1. My hemoglobin levels are between 9 and 10. Is this considered low? Do I need to take iron supplements? What will happen if I leave it untreated? 2. In a previous blood test, one of my antinuclear antibo...
Dr. Liao Yaopan Reply:
Hello, your hemoglobin level is indeed somewhat low. It is recommended to further consult a hematologist for evaluation of the positive antinuclear antibodies. Please note that online consultations with the rheumatology department are not equivalent to in-person medical visits an...[Read More] Understanding Low Hemoglobin and Positive ANA: Your Questions Answered