Blood test, Family Medicine FAQ - Page 5

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Understanding Abnormal Platelet Volume: What Your MPV and PCT Results Mean

Platelet volume Hello Doctor, I recently had a check-up at a medical center and two indicators were abnormal. The mean platelet volume (MPV) is 9.10 fL (normal range: 9.30–12.10 fL) and the plateletcrit (PCT) is 0.34% (normal range: 0.17–0.32%). All other general blood tests were...


Dr. Lin Zhebin Reply:
Hello: 1. Mean Platelet Volume (MPV) is associated with platelet function and activation. Some conditions such as anemia or autoimmune diseases may lead to a decrease in MPV. However, since your value is only 0.2 lower and all other blood tests are normal, there is no need for si...

[Read More] Understanding Abnormal Platelet Volume: What Your MPV and PCT Results Mean


Which Medical Specialty Should You Consult for Marshall White Syndrome?

Which specialty should one consult for the treatment of Marshall-Smith syndrome? Hello, doctor. I have noticed since elementary school that my legs (mostly around the knees and calves) often have small white spots that resemble vitiligo, but they only appear when I am standing. W...


Dr. Cai Dongqi Reply:
Hello Lena: It is recommended to first consult a dermatologist.

[Read More] Which Medical Specialty Should You Consult for Marshall White Syndrome?


Understanding Your Blood Test Results: Do You Have Anemia?

Blood test report Hello Doctor, I donated blood three times a few years ago. When I tried to donate again, the nurse checked my hemoglobin and said it was insufficient. Even though I have been eating iron-rich foods like pork liver and spinach, and exercising, my hemoglobin level...


Dr. Liao Yaopan Reply:
Hello, regarding your question, only some data cannot be determined. It is recommended to return to the original arrangement for a blood test and a complete evaluation by your physician. Online consultations are not equivalent to in-person medical visits and cannot provide diagno...

[Read More] Understanding Your Blood Test Results: Do You Have Anemia?


Exploring the Link Between Fatigue and Vitamin D Deficiency

The association between fatigue and vitamin D deficiency? I have been experiencing fatigue and excessive sleepiness for about 6 to 7 years. I have seen various internal medicine specialists and undergone tests for thyroid function, hormones, etc. I even visited a sleep clinic, an...


Dr. Lin Zhebin Reply:
Hello: Vitamin D deficiency may have the following effects: decreased immune function, anxiety, muscle weakness, osteoporosis, dry skin, cardiovascular diseases, etc. Based on your description of physical discomfort, some of it may indeed be related to vitamin D deficiency. Since...

[Read More] Exploring the Link Between Fatigue and Vitamin D Deficiency


Understanding Abnormal Lymphocyte Levels and COVID-19 Symptoms

Abnormal lymphocyte count? On January 25, I went to the emergency room due to dizziness, and my blood pressure spiked to 220. The doctor also ordered blood tests, which showed lymphocytes at 11.7, neutrophils at 84.9, and eosinophils at 0.4. Two days later, I was diagnosed with C...


Dr. Liao Yaopan Reply:
Hello, the results of the white blood cell classification at that time likely indicated a state caused by acute infection or inflammation. After all, the results of a complete blood count are dynamic. If you continue to feel unwell, it is advisable to return to your original trea...

[Read More] Understanding Abnormal Lymphocyte Levels and COVID-19 Symptoms


Understanding Blood Test Results: What Do They Mean for Your Health?

Blood test WBC White Blood Cells: 5.2 RBC Red Blood Cells: 5.65 HB Hemoglobin: 11 HCT Hematocrit: 34.8 MCH Mean Corpuscular Hemoglobin: 19.5 MCV Mean Corpuscular Volume: 61.6 MCHC Mean Corpuscular Hemoglobin Concentration: 31.6 PLT Platelets: 577 MPV Mean Platelet...


Dr. Liao Yaopan Reply:
Hello, the results of a complete blood count (CBC) are not static and can vary based on individual physiological conditions. Clinically, it is not appropriate to draw conclusions based solely on certain numbers. If you have concerns, it is advisable to consult your family physici...

[Read More] Understanding Blood Test Results: What Do They Mean for Your Health?


Understanding Occasional Visual Disturbances: When to Seek Medical Help

Occasionally experiencing flashes of light in the vision, but the ophthalmologist cannot identify the cause? Hello Dr. Lin, recently I've been experiencing a sensation in my left eye near the outer corner that feels like seeing stars (this seems to occur more often when sitt...


Dr. Lin Zhebin Reply:
Hello: The discomfort in your left eye may require consideration of a retinal issue. However, since you have already consulted an ophthalmologist without any specific findings, the next step would be to consider a possible neurological problem. You have also seen a neurologist, a...

[Read More] Understanding Occasional Visual Disturbances: When to Seek Medical Help


Understanding Prediabetes: Can Diet Changes Prevent Diabetes?

Prediabetes I went to the hospital for a blood test, and the doctor said I have prediabetes with a fasting blood glucose level of 101 mg/dL and a hemoglobin A1c of 6.2%. However, I only reviewed the report a week after the blood test, during which I had all-you-can-eat barbecue, ...


Dr. Lin Zhebin Reply:
Hello: Based on your test results, you are currently in the prediabetes stage. Generally, the progression to diabetes is gradual, so follow-up is typically done every three months. It is unlikely that a week of overeating will suddenly lead to diabetes. I recommend that you start...

[Read More] Understanding Prediabetes: Can Diet Changes Prevent Diabetes?


Understanding Hepatitis B Transmission Risks and Vaccination Options

Hepatitis B transmission issues? Hello Doctor: I was born in 2005 and previously received the hepatitis B vaccine, but due to my constitution, the antibodies later disappeared. On January 20, 2023, I had a French kiss and unprotected oral sex with a hepatitis B carrier, although ...


Dr. Lin Zhebin Reply:
Hello: 1. Because you have engaged in oral sexual contact, there is still a possibility of contracting Hepatitis B. However, since you have previously received the Hepatitis B vaccine, even though the antibody levels may have decreased to undetectable levels, there may still be s...

[Read More] Understanding Hepatitis B Transmission Risks and Vaccination Options


Understanding Blood Test Results: What Do They Mean for Your Health?

Blood test report I often experience dizziness, chest tightness, palpitations, fatigue, and excessive sleepiness, so I had a blood test done today. Could you please tell me if there are any issues with the lab report? Lab report: - White Blood Cell Count: 12,410 - Red Blood C...


Dr. Lin Zhebin Reply:
Hello: Your blood test report shows two main issues: 1. Severe microcytic anemia, which may require consideration of iron deficiency anemia and thalassemia. 2. Elevated white blood cell count with increased neutrophils and decreased lymphocytes, which may raise concerns about pos...

[Read More] Understanding Blood Test Results: What Do They Mean for Your Health?


Understanding Abnormal Blood Test Results: Do You Have Anemia?

Abnormalities in the blood test section of the health examination report? Hello Doctor, I had a health check-up this month and found that my blood test results showed several abnormalities. My white blood cell count is 11.43, red blood cell count is 4.62, hemoglobin is 10.8 g/dL,...


Dr. Ye Qianyu Reply:
Hello! Based on the data you provided, it appears to be microcytic anemia, which can be re-evaluated and monitored in general internal medicine, family medicine, or hematology.

[Read More] Understanding Abnormal Blood Test Results: Do You Have Anemia?


Essential Health Checkups: Addressing Your Concerns and Symptoms

Physical examination Hello Doctor, I have health anxiety, so I am very sensitive to changes in my body. I am particularly afraid of serious illnesses like cancer and often overthink minor issues (the family medicine doctors I’ve seen say I tend to overreact). I have undergone man...


Dr. Xiao Yongxun Reply:
Dear Mr. Chen: 1. A superficial lipoma in the abdominal area, if it has not increased in size or shown any other significant changes, is generally not a concern. However, if it continues to grow, it is advisable to follow up with a general surgery outpatient clinic at a regional...

[Read More] Essential Health Checkups: Addressing Your Concerns and Symptoms


Does Cholesterol Medication Affect Blood Test Results? Insights and Concerns

Will treatment for hyperlipidemia affect blood test results? 1. Last October, due to elevated cholesterol levels, my doctor recommended medication for hyperlipidemia (Rosuvastatin). Recently, in two check-ups, my GPT levels have increased (currently at 61 IU/L), while my GOT is a...


Dr. Hou Angting Reply:
Hello Mr. Hong: Coronary lipid-lowering agents may cause an increase in liver function tests, while changes in blood parameters are less common. Since we are unaware of any other diseases or medications you may have, it is advisable to consult with your primary physician to evalu...

[Read More] Does Cholesterol Medication Affect Blood Test Results? Insights and Concerns


Why Your Weight Drops Overnight: Understanding Morning Weight Changes

Weight typically decreases upon waking up? Hello, doctor. I have been weighing myself recently and noticed that my weight every morning is lower than my weight the night before. Is this normal? I always thought that after eating throughout the day, my weight would increase by the...


Dr. Lin Zhebin Reply:
Hello: If you have experienced a weight loss of more than 5 kilograms or more than 5% of your original body weight within the past six months to a year, it is advisable to seek medical evaluation. Possible causes include diabetes, hyperthyroidism, gastrointestinal diseases, cance...

[Read More] Why Your Weight Drops Overnight: Understanding Morning Weight Changes


Understanding Leg Pain and Chest Discomfort After COVID-19 Recovery

Tingling sensations in the left calf and chest? Hello: After being diagnosed with COVID, I noticed that my heart beats very strongly. I have seen a cardiologist, had an electrocardiogram and a Holter monitor, and had blood tests, all of which were reported as normal. Recently, I ...


Dr. Lin Zhebin Reply:
Hello: The sensations of a strong heartbeat, discomfort in your left calf, and chest tightness with stabbing pain may be related to a confirmed COVID-19 infection, specifically long COVID symptoms. Currently, the management of long COVID sequelae primarily focuses on symptom cont...

[Read More] Understanding Leg Pain and Chest Discomfort After COVID-19 Recovery


Understanding Leg Pain and Chest Discomfort After COVID-19 Recovery

Tingling in the left calf and chest? Hello, after being diagnosed with COVID, I noticed that my heart beats very strongly. I have seen a cardiologist who performed an electrocardiogram and monitored my heart rhythm, and after blood tests, the doctor said everything was normal. Re...


Dr. Lin Zhebin Reply:
Hello: The sensations of a strong heartbeat, discomfort in your left calf, and chest tightness with stabbing pain may be related to a confirmed COVID-19 infection, specifically long COVID symptoms. Currently, the management of long COVID sequelae primarily focuses on symptom cont...

[Read More] Understanding Leg Pain and Chest Discomfort After COVID-19 Recovery


Unexplained Chest and Abdominal Pain: Causes and Solutions

Unexplained pain Hello, doctor. I have unexplained pain that occurs whenever I squat for too long and then stand up. The pain is located between my chest and stomach, as well as in the upper part of my stomach, and it lasts for two to three days. When I press on the muscles, I fe...


Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, such as muscle spasms, since it occurs when you squat and pressing on the muscles causes pain. Additionally, it could be due to gastroesophageal reflux, ...

[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions


Understanding Post-Surgery Back Pain: When to Seek Medical Advice

Regarding lower back pain? Hello, doctor. I have a question. I underwent surgery on both legs in January and July of this year (one leg at a time) with spinal anesthesia. After the surgeries, I often feel soreness and pain in my lower back (the area where the anesthesia was admin...


Dr. Lin Zhebin Reply:
Hello: The likelihood of nerve injury causing lower back pain due to spinal anesthesia is indeed very low. Additionally, it is possible that inflammation of the soft tissues (muscles, tendons, ligaments) near the spine during the spinal anesthesia procedure could lead to lower ba...

[Read More] Understanding Post-Surgery Back Pain: When to Seek Medical Advice


Unexplained Chest and Abdominal Pain: Causes and Solutions

Unexplained pain? Hello, doctor. I have unexplained pain that occurs when I squat for too long and then stand up. The pain is located between my chest and stomach, as well as between my breasts and the upper part of my stomach. It lasts for two to three days, and I feel tendernes...


Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is pain upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gastroeso...

[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions


Understanding Blood Sugar Tests: Do You Really Need A HbA1c Test?

Diabetes testing Hello, doctor. Recently, I've been experiencing excessive sweating in my upper body and my wounds are healing slowly. Since my mother has diabetes, I suspect I might have it too. I went to a large local hospital's endocrinology department to get a blood...


Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you maintain a healthy diet and engage in moderate exercise, and follow up with the family medicine clinic in three months. The quantity of food you consume can affect your...

[Read More] Understanding Blood Sugar Tests: Do You Really Need A HbA1c Test?


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