Understanding Persistent Low-Grade Fever and Throat Discomfort
Body temperature issues Hello Doctor, on April 21, I experienced mild throat irritation and phlegm, along with a slight fever starting after 5 PM (around 37 degrees Celsius). After a week without improvement, I visited a family medicine clinic on April 30. Since my father had a m...
Dr. Liao Yaopan Reply:
Hello, a body temperature of 37 degrees Celsius is still within the normal range. However, it is advisable to continue monitoring any changes in temperature. Additionally, the association between mycoplasma and gastroesophageal reflux disease is likely minimal. If you have sympto...[Read More] Understanding Persistent Low-Grade Fever and Throat Discomfort
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
Understanding Persistent Low-Grade Fever and Immune System Concerns
Mild fever with elevated body temperature? Hello Doctor, since April 22, my body temperature has been elevated, with ear temperature around 37-37.5 degrees Celsius. The next day, I visited a pulmonologist, and I had increased sputum production in my lungs, so I was prescribed med...
Dr. Liao Yaopan Reply:
Hello, the primary cause of fever is still likely to be an infection. If the fever persists, other causes should also be investigated. It is advisable to have an evaluation by an infectious disease specialist. Online consultations are not equivalent to in-person medical visits an...[Read More] Understanding Persistent Low-Grade Fever and Immune System Concerns
Understanding Your Blood Test: High Neutrophils and Low Lymphocytes Explained
White blood cell (WBC) blood test report Hello Doctor, I recently received my blood test report. The total white blood cell count is normal, but the neutrophils are elevated at 87.7 (normal range is 40-75), and the lymphocytes are low at 7.1 (normal range is 20-45). The other val...
Dr. Liao Yaopan Reply:
Hello, you may be experiencing an acute inflammatory condition that is causing changes in the proportions of various white blood cells. It is recommended that you return to the outpatient clinic for further follow-up. Online consultations are not equivalent to in-person medical v...[Read More] Understanding Your Blood Test: High Neutrophils and Low Lymphocytes Explained
Understanding Pre-Diabetes: Your Concerns Addressed
Yesterday's issue? Hello, I have some questions regarding your response from yesterday: (1) When you said "currently there is no diabetes," does that mean I might be in the prediabetic stage and could develop diabetes later? Is that why you advised me to get tested...
Dr. Ye Qianyu Reply:
Hello! Based on the data you provided, you currently do not have diabetes. Since you do not have a family history, your chances of developing diabetes are low, provided you maintain good dietary and exercise habits. If you are really concerned, in the current healthcare environme...[Read More] Understanding Pre-Diabetes: Your Concerns Addressed
Understanding Persistent Lower Left Back Pain: When to Seek Medical Help
Lower left corner of the back near the spine? Hello, doctor. Since Wednesday, April 15th, around 3 PM, I have been experiencing sharp pain in the lower left corner of my back, near the spine. Although I have had similar issues since my university days, I thought it would resolve ...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit the Rehabilitation Medicine department for treatment.[Read More] Understanding Persistent Lower Left Back Pain: When to Seek Medical Help
Understanding Heat Sensation in Hands and Neck: Possible Causes and Solutions
Heat sensation in the palms and back of the neck? Hello doctor, I have been experiencing chest tightness, warmth in my palms, and heat in the back of my neck lately. I went for an internal medicine check-up, including X-rays and blood tests, which showed no signs of inflammation ...
Dr. Xiao Yongxun Reply:
Dear Mr. Hsu: 1. Based on your statements and records, it is difficult to determine the exact issue. 2. I can personally suggest maintaining a regular diet with three balanced meals a day, avoiding high-fat, high-sugar, and overly salty foods. Additionally, do not overeat; it is...[Read More] Understanding Heat Sensation in Hands and Neck: Possible Causes and Solutions
Understanding Your Blood Test Results: A Guide for Patients
Blood Test Report Hello Doctor, Here are my blood test results. There are several abnormal values that I would like your help in analyzing: - WBC: 8.95 x 10^3/µL - RBC: 4.56 x 10^6/µL - HGB: 14.3 g/dL - HCT: 43.3% - MCV: 95.0 fL - MCH: 31.4 pg - MCHC: 33.0 g/dL - Platelet: 166...
Dr. Liao Yaopan Reply:
Hello, it is recommended that you return to your original treating physician for a comprehensive assessment of your symptoms. Online consultations are not equivalent to in-person visits and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares about you...[Read More] Understanding Your Blood Test Results: A Guide for Patients
Improving HDL Cholesterol Levels Through Dietary Changes
Recent data Recently, during a health check-up, the blood test results showed HDL-C in the red at 38 mg/dL, total cholesterol at 116 mg/dL, and triglycerides at 36 mg/dL. The individual has no exercise habits, does not enjoy eating fatty meats, but does consume vegetables and fri...
Dr. Ye Qianyu Reply:
Hello! Regarding HDL-C, I recommend improving your lifestyle as follows: 1. In your diet, consume an adequate amount of fruits and vegetables, whole grains, and limit fats. Avoid fried foods and fatty meats, as well as pickled and processed products. 2. It is advisable to increas...[Read More] Improving HDL Cholesterol Levels Through Dietary Changes
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 Serum Protein Electrophoresis and Immunoglobulin Results in Plasma Cell Disorders
Blood test report: Serum protein electrophoresis (SPEP) and immunoglobulin test (Ig levels)? Hello, doctor. In order to check for any abnormalities in plasma cells, the hospital arranged several blood tests. These include alkaline phosphatase, LDH, IgG, IgM, IgA, calcium, CBC, pr...
Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is advisable to discuss the relevant examination results with the specialist physician who arranged the tests for you, as they can provide insights into the relationship with your condition. The examination results are also crucial for determinin...[Read More] Understanding Serum Protein Electrophoresis and Immunoglobulin Results in Plasma Cell Disorders
Understanding Low White Blood Cell Count: Causes and Implications
Low white blood cell count (WBC) Hello Doctor, I received my health check-up results last month, and my white blood cell count (WBC) was slightly low at 4.41 (reference range: 4.8–10.8). All other blood tests were normal, and I do not feel any discomfort. I have a history of nasa...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, white blood cell counts can vary among different laboratories, and reference values may differ. Unless there are significantly high or low results, a complete evaluation should also consider the differential white blood cell count. It is recommende...[Read More] Understanding Low White Blood Cell Count: Causes and Implications
Should College Students Get a Hepatitis B Vaccine Boost or Complete the Series?
Hepatitis B vaccine Hello Doctor, I am a college freshman. During the freshman health check-up, I was advised to consult about receiving the Hepatitis B vaccine. After consulting with a family medicine doctor at school, the doctor presented two options: (1) pay out of pocket fo...
Dr. Xiao Yongxun Reply:
Dear Mr. Hank: 1. In our country, since 1985, infants and young children have been comprehensively vaccinated against Hepatitis B. Therefore, given your age, you should have received the complete series of Hepatitis B vaccinations; you can verify this by checking the vaccination...[Read More] Should College Students Get a Hepatitis B Vaccine Boost or Complete the Series?
Understanding Elevated Lymphocyte Levels: Causes and Concerns
Elevated lymphocyte count? Hello, doctor... Two weeks ago, I went to the emergency room due to dizziness, general weakness, nausea, and abdominal bloating. I have a history of gastroesophageal reflux disease (GERD). They drew several vials of blood, and the results showed mild ja...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Leukemia is primarily classified into four types: acute myeloid leukemia, chronic myeloid leukemia, acute lymphoblastic leukemia, and chronic lymphoblastic leukemia; it also includes a few rarer, more specific types of leukemia. Many leukemias are related...[Read More] Understanding Elevated Lymphocyte Levels: Causes and Concerns
Chronic Lower Abdominal Discomfort: Causes and Solutions
Chronic lower abdominal discomfort? Hello doctor, I have been experiencing a persistent dull pain in my lower abdomen for three months. It's not the typical stomach pain and it's not very severe, but it feels uncomfortable and strange. I have already visited a gastroent...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is recommended that you visit a rehabilitation specialist to rule out any issues such as nerve compression in the lumbar spine, or you may choose to regularly follow up with a trusted physician. For your pain, it is important to provide comple...[Read More] Chronic Lower Abdominal Discomfort: Causes and Solutions
Unexplained Black Spots on Skin: Possible Causes and Solutions
Unexplained black lesions on the skin? Hello doctor, my skin has been like this for two to three years. It doesn't hurt or itch unless I touch it, and deeper areas feel normal while shallower areas feel slightly raised (the calf is more sensitive). Since it's on the bac...
Dr. Huang Hongshuo Reply:
I apologize for the delayed response. Could you please provide any photos for reference? Based on the description of the symptoms, it seems to be a lesion in the superficial skin or subcutaneous tissue.[Read More] Unexplained Black Spots on Skin: Possible Causes and Solutions
Understanding Low Hemoglobin: Causes and Solutions for Symptoms Like Dizziness and Fatigue
A hemoglobin level of only 10 g/dL may lead to symptoms such as dizziness, headaches, blurred vision, generalized weakness, and loss of appetite? Hello, I would like to ask about my mother. Recently, she has been experiencing bloating, stomach pain, dizziness, headaches, blurred ...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. Based on your description, the management by various specialists appears to be reasonable and correct from a medical standpoint. 2. You may consider visiting a neurology outpatient clinic to rule out any neurological issues. If all tests are normal, it may be...[Read More] Understanding Low Hemoglobin: Causes and Solutions for Symptoms Like Dizziness and Fatigue
Unexplained Fever: A Comprehensive Approach to Diagnosis and Management
Persistent unexplained fever Since the beginning of this year, I have been experiencing frequent urination and urinary weakness. On March 9, I visited a urologist and was diagnosed with hematuria, with red blood cells >100, white blood cells 15, and hydronephrosis. I started t...
Dr. Liao Yaopan Reply:
Hello, may I ask if you are still experiencing a fever? Infection remains the most common cause of fever, and the treatment duration varies depending on the cause and location of the infection. If the fever persists, it is important to differentiate whether there are other underl...[Read More] Unexplained Fever: A Comprehensive Approach to Diagnosis and Management
Understanding Recurrent Subconjunctival Hemorrhage: Causes and Next Steps
Recurrent subconjunctival hemorrhage Hello, I have been experiencing frequent eye bleeding lately. I have seen several ophthalmologists who all diagnosed it as subconjunctival hemorrhage, stating that it does not affect my vision. However, the recurring microvascular ruptures in ...
Dr. Xiao Yongxun Reply:
Dear Ms. Jean: 1. Subconjunctival hemorrhage typically has no specific underlying cause; however, considerations may include trauma, conjunctival vascular torsion, bleeding disorders, anticoagulant use, hypertension, among others. It usually occurs unilaterally, presents as loca...[Read More] Understanding Recurrent Subconjunctival Hemorrhage: Causes and Next Steps