Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained pain Hello, doctor. I have unexplained pain that occurs after squatting for too long. When I stand up, I feel pain between my chest and stomach, as well as between my breasts and the upper part of my stomach. This pain lasts for two to three days. When I press on the ...
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 tenderness upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gas...[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions
Understanding 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. When I press on the ...
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 spasms). Additionally, it could be due to gastroes...[Read More] Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions
Understanding the Likelihood of False Positive TPHA Results in Blood Tests
What is the likelihood of a false positive result for the TPHA test? In January, I donated blood and tested negative. However, in August, I was informed that my TPHA was positive and RPR was negative. In November, I went to the infectious disease department for testing, and the r...
Dr. Chen Bozhang Reply:
Hello! Syphilis infection typically enters the body through skin and mucosal lesions, but it is primarily transmitted through sexual intercourse; sharing bathroom facilities, kissing, hugging, and similar activities in daily life do not pose a risk. According to the self-reported...[Read More] Understanding the Likelihood of False Positive TPHA Results in Blood Tests
Which Specialist to See for Unexplained Breathing and Dizziness Issues?
I'm not sure which specialty to see? Hello Doctor, I have had the following symptoms since childhood: whenever it is too hot, stuffy, rainy, or in poorly ventilated indoor spaces with large crowds, I easily experience sudden shortness of breath, dizziness, and when mild, I t...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to vasovagal syncope or situational syncope. It is usually advisable to avoid triggering situations, such as the ones you mentioned: excessive heat, stuffiness, rainy days, poorly ventilated indoor spaces, and crowded places. Anemia can also pres...[Read More] Which Specialist to See for Unexplained Breathing and Dizziness Issues?
Unexplained Chest Pain and Neck Tightness: Seeking Answers
Chest pain and neck tightness with no identifiable cause? Hello Doctor: I sincerely apologize for the lengthy message, but this issue has been troubling me for over a year... Let me briefly describe my symptoms. Since June of last year, I have been experiencing unexplained tightn...
Dr. Lin Zhebin Reply:
Hello: Your symptoms of left chest pain, palpitations, left shoulder pain, neck tightness, shortness of breath, dizziness, and headaches raise concerns about potential cardiac issues. There is a possibility of acute arrhythmia; however, if you do not experience an episode during ...[Read More] Unexplained Chest Pain and Neck Tightness: Seeking Answers
Understanding Iron Deficiency Anemia: When Iron Supplements Aren't Enough
Anemia, issues with taking iron supplements? I would like to ask a question. I visited a hematologist who diagnosed me with iron deficiency anemia and prescribed iron supplements for two weeks. However, my hemoglobin level remains at 8.9 and has not increased, while my ferritin l...
Dr. Lin Zhebin Reply:
Hello: The most common cause of anemia at your age is iron deficiency anemia, which is often related to heavy menstrual bleeding. Generally, treatment with iron supplements requires at least three months to significantly improve the anemia; taking them for only two weeks usually ...[Read More] Understanding Iron Deficiency Anemia: When Iron Supplements Aren't Enough
Understanding Low MPV Results: Causes and Next Steps for Patients
Mean Platelet Volume (MPV) Hello Doctor, due to a recent health check-up, the reference range for Mean Platelet Volume (MPV) in the complete blood count is 9.10 to 11.90 fL, but my result is slightly low at 8.60. However, all other indices are normal. I would like to inquire what...
Dr. Liao Yaopan Reply:
Hello, MPV refers to Mean Platelet Volume. The reference values provided by different laboratories may vary slightly, but the range differences are not significant. A notably low MPV may be associated with conditions such as acute leukemia during chemotherapy, aplastic anemia, or...[Read More] Understanding Low MPV Results: Causes and Next Steps for Patients
Which Specialist to See for Simultaneous Gastrointestinal and Pain Issues?
When multiple conditions occur simultaneously, it's unclear which specialty to consult? Hello, doctor: I have a history of constipation, but I usually have a bowel movement at least once a week. Recently, I underwent surgery for poorly differentiated uterine cancer, and I&#x...
Dr. Liao Yaopan Reply:
Hello, if you are experiencing persistent discomfort, it is recommended that you return for a follow-up consultation with your physician to assess whether there are any underlying issues. Do not wait until your scheduled appointment to seek medical attention. Online consultations...[Read More] Which Specialist to See for Simultaneous Gastrointestinal and Pain Issues?
Understanding Normal Blood Count Values for High School Boys
Complete Blood Count (CBC) What are the normal blood count values for high school boys? Is a hematocrit level of 48.0 considered high? How can it be improved? Thank you.
Dr. Liu Hongxiang Reply:
Hello Jane, The normal ranges for male blood tests are as follows: hemoglobin is 13-17.5 g/dL, MCV (mean corpuscular volume) is 80-100 fL, and hematocrit is 39-48%. While there may be slight variations in the normal ranges among different medical institutions, they generally do...[Read More] Understanding Normal Blood Count Values for High School Boys
Understanding Abnormal Blood Test Results: Neutrophils and Monocytes Explained
Blood test report - Abnormal values of neutrophil Seg and monocyte Mono? Hello, doctor. Recently, my blood test results showed two abnormal values: Neutrophils Seg at 38.9% (reference range: 41.2-74.7%) and Monocytes Mono at 21.1% (reference range: 2.0-10.0%). I would like to ask...
Dr. Liao Yaopan Reply:
Hello, these are the proportions of white blood cell classifications. A comprehensive assessment is needed, rather than just looking at the numbers. If there are significant differences, you should return to the hematology department for further evaluation. Online consultations a...[Read More] Understanding Abnormal Blood Test Results: Neutrophils and Monocytes Explained
Understanding Abnormal Urine Sediment: Causes and Next Steps
Abnormal urine sediment? Dear Doctor, I recently underwent urine and blood tests along with an abdominal ultrasound, and there are two abnormalities: 1. Abdominal ultrasound: The doctor mentioned "chronic changes" in the kidney area. 2. Urine sediment examination: The r...
Dr. Lin Zhebin Reply:
Hello: 1. An abdominal ultrasound showing chronic kidney changes typically indicates that kidney function has been affected. It is essential to identify the underlying causes of the impaired kidney function, which are commonly diabetes, hypertension, etc. 2. A urinalysis generall...[Read More] Understanding Abnormal Urine Sediment: Causes and Next Steps
Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns
Anemia-related issues Hello Doctor, my health check report shows that my average red blood cell volume has been continuously decreasing over the past three years, except for the year 2019, while my platelet count has been steadily increasing. In November of last year, my health c...
Dr. Lin Zhebin Reply:
Hello: 1. The diagnosis of anemia generally begins with evaluating hemoglobin (Hb) levels. For normal females, a hemoglobin level below 12 g/dL can objectively indicate anemia. Based on your description, your hemoglobin levels should be normal. 2. The decrease in your mean corpus...[Read More] Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns
Understanding Low White Blood Cell Counts: When to Seek Specialist Care
Questions about leukopenia? Hello Doctor, in early September, I had a health check-up as a student, and in mid-October, I received the report which showed that my WBC (white blood cell count) was 3.42, with a reference range of 4.50–10.0, indicating leukopenia. I then went for a ...
Dr. Lin Zhebin Reply:
Hello: 1. The reasons for your low white blood cell count and low segmented neutrophils may include the following considerations: (1) Normal variation: The reference range for blood tests is based on the majority of the population, and you may belong to a small group with i...[Read More] Understanding Low White Blood Cell Counts: When to Seek Specialist Care
Persistent Abdominal Pain for Over a Month: Seeking Answers
Abdominal pain lasting for one month? Hello doctor, I have been experiencing abdominal pain for over a month. I have undergone examinations in gynecology, gastroenterology, and orthopedics, and everything came back normal. The tests I have had include a Pap smear, vaginal ultraso...
Dr. Xiao Yongxun Reply:
Dear Ms. Ake: 1. Abdominal pain is inherently challenging in clinical practice due to the wide range of organs and systems involved. 2. Taking upper abdominal pain or discomfort as an example, common diagnoses include gastric ulcers or gastritis, duodenal ulcers or duodenitis, ...[Read More] Persistent Abdominal Pain for Over a Month: Seeking Answers
Understanding Sudden Weakness: When to Seek Medical Advice
Waking up in the middle of the night with weakness in the limbs? My boyfriend, 35 years old, does not smoke or drink. A few nights ago, he woke up in the middle of the night and found it very difficult to get out of bed, needing to lean against the wall for support. After finally...
Dr. Lin Zhebin Reply:
Hello: 1. Stress and insomnia can indeed affect the body, but your boyfriend's sudden onset of generalized weakness suggests that he should seek medical evaluation to rule out any issues related to the nervous system, cardiovascular system, or endocrine system. 2. It is a go...[Read More] Understanding Sudden Weakness: When to Seek Medical Advice
Understanding Iron Supplementation in Managing Iron Deficiency Anemia
Anemia and Iron Supplement Issues On August 23, the blood test report showed Hb: 9.9, MCV: 68.9, serum iron: 14, and ferritin: 1.21, indicating iron deficiency anemia. After taking iron supplements (ferrous gluconate) for about one and a half months, a follow-up blood test on Oct...
Dr. Lin Zhebin Reply:
Hello: In addition to iron supplementation for iron deficiency anemia, it is important to identify the underlying cause of chronic blood loss that may be contributing to the anemia. Given your age, a common cause could be heavy menstrual bleeding. Generally, iron supplementation ...[Read More] Understanding Iron Supplementation in Managing Iron Deficiency Anemia
Understanding Iron Deficiency Anemia: Slow Hemoglobin Recovery and Treatment Duration
Anemia and Iron Supplement Issues On August 23, the blood test report showed Hb: 9.9, MCV: 68.9, serum iron: 14, and ferritin: 1.21, indicating iron deficiency anemia. After taking iron supplements (ferrous gluconate) for about one and a half months, the blood test on October 15 ...
Dr. Lin Zhebin Reply:
Hello: In addition to iron supplementation for iron deficiency anemia, it is important to identify the underlying causes of chronic blood loss that may be contributing to the anemia. Given your age, a common cause could be heavy menstrual bleeding. Generally, iron supplementation...[Read More] Understanding Iron Deficiency Anemia: Slow Hemoglobin Recovery and Treatment Duration
Understanding Joint Pain After COVID-19 Vaccination: A Patient's Journey
After receiving the COVID-19 vaccine Since receiving the COVID-19 vaccines, my reactions have varied with each dose. Last year, after the first dose of AstraZeneca (AZ), I experienced swollen tonsils (commonly referred to in Taiwanese as "柱仔") and visited an ENT special...
Dr. Lin Zhebin Reply:
Hello: It is difficult to determine whether your knee pain is related to the COVID-19 vaccine. You mentioned visiting a rheumatology clinic, where objective examinations revealed synovitis and mild degenerative arthritis. However, the presence of synovitis and mild degenerative a...[Read More] Understanding Joint Pain After COVID-19 Vaccination: A Patient's Journey
Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Inquiry Regarding Blood Test Report Hello, doctor. I went to a laboratory for blood tests and would like to ask you a few questions. I have issues with gastroesophageal reflux, insomnia, and anxiety, and my blood pressure is around 105-120/78-90. Recently, I've been feeling ...
Dr. Hou Angting Reply:
Hello: Based on your blood glucose report, you are currently in a prediabetic state. It is recommended that you follow up with a family medicine clinic in three months. IgE levels tend to be elevated in cases of allergies or parasitic infections, so it is advisable for you to see...[Read More] Understanding Blood Test Results: Diabetes and Anemia Concerns Explained
Understanding Blood Test Results: What Do Abnormal Values Mean?
Blood test report Hello, doctor. Last month, I had a check-up for urinary stones and had a blood test done. The report showed several values highlighted in red. I have been sleeping around midnight for over two years, and in the past few months, I have noticed that using a fan at...
Dr. Liao Yaopan Reply:
Hello, based on the data, there is mild anemia. Further evaluation is necessary to determine if it is related to your discomfort. If you have any concerns, it is advisable to seek medical attention. Please note: online consultations are not equivalent to in-person visits and cann...[Read More] Understanding Blood Test Results: What Do Abnormal Values Mean?