Understanding Lymphocyte Decline: Causes and Next Steps in Family Medicine
Lymphocyte decrease? Hello, Doctor. Recently, my blood test results show that my lymphocyte count has decreased to 18 (normal range: 19-48), while the other values are generally normal. My neutrophil segment is at 73 (normal range: 40-74) and my white blood cell count is 5090 (no...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: The values you have presented are still considered within the normal range of clinical variation, meaning they represent acceptable minor fluctuations. If there are no specific symptoms or discomfort, you can continue to follow up at a general internal medicine ou...[Read More] Understanding Lymphocyte Decline: Causes and Next Steps in Family Medicine
Understanding Anemia: Insights from Recent Health Check Results
Anemia issues Hello Doctor, recently in March 2023, my health check showed hemoglobin at 12.6, hematocrit at 37.4, MCV at 85.4, MCH at 28.8, MCHC at 33.7, and RDW at 12.8. However, in June 2021, my hemoglobin was 14.4. Before the health check, my HbA1c was 5.6, and I have been co...
Dr. Lin Zhebin Reply:
Hello: Based on your blood test results, you have a condition of normocytic anemia, and there is a significant decrease compared to your values from two years ago. It is usually important to investigate whether there is any internal bleeding, with gastrointestinal bleeding being ...[Read More] Understanding Anemia: Insights from Recent Health Check Results
Understanding Your Pancreatic Health: AMY and Lipase Levels Explained
Health Check Report (Pancreas) I previously had a blood test where my amylase level was 78, which is normal (the reference range on the report is [29-103]). However, my lipase level was 117, which is elevated (the reference range is [11-82]). Should I undergo further testing? Tha...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a gastroenterology and hepatology specialist. Generally, an abdominal ultrasound examination may be arranged first, but it is important to follow the recommendations of the attending physician on-site.[Read More] Understanding Your Pancreatic Health: AMY and Lipase Levels Explained
Understanding Iron Supplementation and Its Effects on Health
Medication adherence issues Hello, doctor. During my company health check-up on December 7, 2021, my blood test results showed a white blood cell count of 7.7, red blood cell count of 4.19, hemoglobin of 10, hematocrit of 31.4, mean corpuscular hemoglobin of 23.9, and mean corpus...
Dr. Ye Qianyu Reply:
Hello! 1. The contraindications for taking iron supplements can affect iron absorption; your serum ferritin levels are quite low, so there should be no issue with iron deposition. 2. In some rheumatologic and autoimmune diseases, fingers may change to purple or white when the wea...[Read More] Understanding Iron Supplementation and Its Effects on Health
Understanding Abnormal Blood Test Results: What Low Lymphocytes Mean
Abnormal blood test results? Due to a blood test at a large hospital, the report showed the following abnormalities: lymphocytes are low at 8.1%, neutrophils are high at 88.8%, and monocytes are at 2.8%, but the WBC (white blood cell) count is normal at 7.17. The doctor who revie...
Dr. Chen Bozhang Reply:
Hello, it is recommended to bring your health check-up report to the family medicine clinic for consultation. Thank you.[Read More] Understanding Abnormal Blood Test Results: What Low Lymphocytes Mean
Understanding Your Blood Test Results: Is It Iron Deficiency Anemia?
Blood report (Hemoglobin 8.5, Serum Iron 14) Hello Doctor, I went for a blood test yesterday afternoon, and I checked the health insurance app in the evening to see that the report is out. However, since my follow-up appointment is not until the 26th, I would like to ask you firs...
Dr. Lin Zhebin Reply:
Hello: Based on the results of your two blood tests, it is concluded that you likely have iron deficiency anemia. However, in addition to taking iron supplements, it is important to check if there is any source of blood loss in your body. Common causes include heavy menstrual ble...[Read More] Understanding Your Blood Test Results: Is It Iron Deficiency Anemia?
Understanding Low Hemoglobin: Which Specialist Should You See?
Blood report (Hemoglobin 6.8) Hello, doctor. Here is my health check report, and I would like to ask which specialty I should consult. Could the thyroid cyst or uterine fibroid be causing my anemia? (I have no bleeding or pain, and my menstrual flow is normal.) Which department s...
Dr. Lin Zhebin Reply:
Hello: Your blood test report indicates that you have microcytic anemia, which is commonly caused by the following: 1. Thalassemia 2. Iron deficiency anemia. Thalassemia is genetically inherited, while iron deficiency anemia is usually due to blood loss. Common causes of bleeding...[Read More] Understanding Low Hemoglobin: Which Specialist Should You See?
Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Managing Weight and Blood Sugar: A Guide for Diabetic Patients
Inquiry about weight loss in diabetes? Hello, doctor. I have been managing gestational diabetes for 13 years with medication, but my blood sugar levels have not been ideal. My recent blood test showed a fasting glucose level of 172 mg/dL and a hemoglobin A1c of 8.5%. I am 163 cm ...
Dr. Liu Hongxiang Reply:
Dear Ms. Dong, I hope this message finds you well. After reading your letter several times, I can sense your efforts in managing your blood sugar levels; please continue to maintain this. If you want to achieve weight loss effectively, it is essential to focus primarily on dieta...[Read More] Managing Weight and Blood Sugar: A Guide for Diabetic Patients
Understanding Shortness of Breath: When to Seek Medical Attention
Shortness of breath? Last Wednesday, I went to see a doctor due to chest pain. An electrocardiogram (ECG) was performed, and the doctor said there were no significant issues, just that my heart rate was a bit elevated, so he prescribed me New Kangle. However, I went back to see t...
Dr. Lin Zhebin Reply:
Hello: Regarding your discomfort in the chest and difficulty breathing, if both the electrocardiogram and chest X-ray show no significant abnormalities, it is less likely to be a serious heart or lung condition. Given your mother's history of thyroid-related issues and your ...[Read More] Understanding Shortness of Breath: When to Seek Medical Attention
Persistent Low-Grade Fever After COVID-19: Is It a Long-Term Effect?
Since being re-diagnosed at the end of January this year, my body temperature has remained elevated? Hello, I was diagnosed with COVID-19 for the second time at the end of January this year, and I tested negative three days later. However, my body temperature has been slightly el...
Dr. Hou Angting Reply:
Hello Mr. Chang: It is normal for body temperature to fluctuate after general activities. If your temperature is within the normal range in the morning and you do not have any discomfort, the likelihood of post-COVID syndrome is lower. I suggest you relax and develop a habit of e...[Read More] Persistent Low-Grade Fever After COVID-19: Is It a Long-Term Effect?
Understanding Asthma Blood Test Results: When to Seek Medical Advice
Inquiry about asthma blood test report? Hello, doctor. Recently, my shortness of breath has become more frequent, and I often have to exert myself to breathe, which causes discomfort and tightness in my chest. This has already affected my daily life. My family members also have s...
Dr. Lin Zhebin Reply:
Hello: The blood test report shows elevated eosinophils, which can be strongly associated with your allergic constitution. The main diseases related to allergic conditions include three types: asthma, atopic dermatitis, and allergic rhinitis. Given that you have recently experien...[Read More] Understanding Asthma Blood Test Results: When to Seek Medical Advice
Does Eating Pineapple Affect Urine Odor? Understanding the Connection
After eating pineapple, urine may have a pineapple scent? Hello, doctor. As the title suggests, my urination is normal usually, but today after eating pineapple, I noticed a similar smell in the bathroom, and I'm a bit worried if there might be an issue with my body. Three y...
Dr. Xiao Yongxun Reply:
Dear Anonymous Sir: 1. The food or beverages we consume undergo processes of absorption, distribution, metabolism, and excretion in the body, with most being eliminated through urine. Some substances are transformed into various metabolites, while others are metabolized but reta...[Read More] Does Eating Pineapple Affect Urine Odor? Understanding the Connection
Understanding Common Health Issues: Dizziness, Cholesterol, and Home Blood Sugar Testing
Dizziness, low high-density lipoprotein (HDL) cholesterol, abnormal white blood cell count, home blood glucose monitoring, painless hematuria? 1. **[Adult Health Check, Results Indicated in Red, What Does It Mean?]** Examination Date: 10/19/2022 Test Code: 09015C Creati...
Dr. Lin Zhebin Reply:
Hello: 1. Creatinine is typically a concern when elevated, as high levels indicate declining kidney function, while low levels are often due to lower body weight or muscle mass. The TC/HDL ratio reflects whether there is sufficient good cholesterol (HDL), which has a protective...[Read More] Understanding Common Health Issues: Dizziness, Cholesterol, and Home Blood Sugar Testing
Understanding Urine Changes After Eating Pineapple: What You Need to Know
About urine? Hello, doctor. After eating pineapple yesterday, I had to use the restroom, and afterward, I noticed a faint, pungent smell of pineapple in the bathroom. Three years ago, I had blood tests for liver, kidney, and blood sugar levels, and my doctor said everything was n...
Dr. Lin Zhebin Reply:
Hello: The pineapple-like odor in your urine may be caused by ammonia present in the urine, which is commonly associated with factors such as holding in urine, dehydration, or urinary tract infections, among others. Additionally, dietary factors could also be a concern, such as g...[Read More] Understanding Urine Changes After Eating Pineapple: What You Need to Know
Understanding Normal Weight Fluctuations: What You Need to Know
Standard for Weight Loss Hello Doctor, I have found many different standards online regarding weight fluctuations, and I would like to ask you what is considered normal for daily or monthly weight changes. The information I found states that a decrease of 5% within a month is abn...
Dr. Liao Yaopan Reply:
Hello, significant weight loss should indeed be taken seriously. Minor fluctuations in weight throughout the day are acceptable, but if the overall average weight trend shows a noticeable decline, it is important to investigate the cause. It is advisable to first consult your fam...[Read More] Understanding Normal Weight Fluctuations: What You Need to Know
Understanding Left Chest and Upper Back Pain: When to Seek Medical Help
Pain in the lower left chest and upper back? Hello Doctor: Around February 20th of this year, I started experiencing cold symptoms, including a runny nose and a persistent cough that has become quite severe and continues to this day. I recently visited a traditional Chinese medic...
Dr. Liao Yaopan Reply:
Hello, based on your description, if the symptoms persist or change, it is advisable to return to the original treating physician for further evaluation. It is also appropriate to have a specialist in pulmonary medicine assess for any specific underlying causes. If necessary, ref...[Read More] Understanding Left Chest and Upper Back Pain: When to Seek Medical Help
Can Frequent Blood Donation Cause Anemia Recurrence?
Can blood donation lead to recurrent anemia? I have been experiencing anemia with a hemoglobin level of 9.6 until last February when I started taking iron supplements. After three months, my hemoglobin level rose to 12.5. Once it returned to normal, I donated blood three times (o...
Dr. Lin Zhebin Reply:
Hello: The two most common causes of iron deficiency anemia are: 1. Chronic blood loss, which, given your age, is often due to heavy menstrual bleeding; gastrointestinal bleeding should also be considered. 2. Nutritional deficiency, which is more common among vegetarians or picky...[Read More] Can Frequent Blood Donation Cause Anemia Recurrence?
Persistent Low-Grade Fever After Viral Infection: What to Know
Since a certain day when I caught a chill, I have been experiencing a persistent low-grade fever? Since last Tuesday, there has been continuous wind, and starting from Wednesday, I experienced mild throat pain along with a body temperature ranging between 37°C and 37.8°C. The nex...
Dr. Liao Yaopan Reply:
Hello, there are many possible reasons for an elevated body temperature, with the most common being infections. Other potential causes include inflammatory diseases or tumors. If the high temperature persists, it is advisable to have an evaluation by an infectious disease special...[Read More] Persistent Low-Grade Fever After Viral Infection: What to Know
Understanding GERD Symptoms During Exercise: A Comprehensive Guide
Gastroesophageal reflux, chest tightness, exercise? Hello, Doctor. I would like to seek your advice. I have noticed that during activities such as walking, brisk walking, running, climbing stairs (about three floors), right after taking a shower, or suddenly standing up after squ...
Dr. Liao Yaopan Reply:
Hello, based on the description above, if it is gastroesophageal reflux disease (GERD), it is advisable to seek proper treatment. You may first consult your family physician for evaluation, maintain a regular routine, ensure a balanced diet, and avoid excessive psychological stre...[Read More] Understanding GERD Symptoms During Exercise: A Comprehensive Guide