Anemia, Internal Medicine FAQ - Page 4

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Is My Sore Throat a Cold or Something More Serious?

Is it a cold issue? Hello, doctor. About ten days ago, I had a cold and took medication twice. Later, the doctor said that since I no longer had a sore throat, I didn't need to return for a follow-up. However, today I felt something like a droplet shape stuck in my throat ne...


Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the previous cold symptoms, such as post-nasal drip, if they persist for a longer duration, it is usually recommended to rest more and stay hydrated, which should help in recovery. 2. As for the dizziness, it could be caused by multiple factors, including ...

[Read More] Is My Sore Throat a Cold or Something More Serious?


Understanding Bruising and Blood Test Results: A Guide for Patients

May I ask the doctor? Hello Doctor, I recently noticed sudden bruising, sometimes on my thighs and sometimes on my ribs. After blood draws, the swelling takes about a week to gradually subside. I would like to ask about the coagulation function values and whether they are abnorma...


Dr. Hong Yuanbin Reply:
Hello, in this report, the parameter related to coagulation function is PLT: Platelets, which is normal. However, more relevant to coagulation are PT/aPTT, which are not included in this report. You have mild anemia, but it is not severe and is likely not significantly related to...

[Read More] Understanding Bruising and Blood Test Results: A Guide for Patients


Why Do I Feel Dizzy When Standing Up Suddenly?

Feeling a bit dizzy when standing up suddenly? Hello, doctor. I was lying down using my phone and suddenly got up to help grab something, and I experienced sudden dizziness, unsteadiness, and slight blurriness in my vision. I would like to ask what kind of condition this might in...


Dr. Hong Yuanbin Reply:
Hello, this is not a vascular rupture but rather orthostatic hypotension, which refers to inadequate cardiovascular function leading to insufficient blood circulation to the brain when there is a sudden change in posture, such as standing up quickly from a seated position or sitt...

[Read More] Why Do I Feel Dizzy When Standing Up Suddenly?


Understanding Different Types of Anemia: What You Need to Know

What types of anemia are there? Hello, doctor: I recently had a health check-up, and many of my blood test results did not meet the standard values. I would like to ask which type of anemia this might indicate and whether further testing is necessary. My results are as follows: R...


Dr. Hong Yuanbin Reply:
Hello, based on your condition, the most likely diagnosis is iron deficiency anemia. However, it is still difficult to confirm the diagnosis solely based on the current values. I recommend consulting a hematologist or a family medicine physician for further evaluation. Thank you ...

[Read More] Understanding Different Types of Anemia: What You Need to Know


Understanding Sleep Paralysis: Causes, Symptoms, and Solutions

Waking up with a clear mind but unable to control the body, and always feeling very fatigued upon waking? Hello, doctor. This issue has been intermittently bothering me for several years. I am in my twenties, and it started when I was preparing for university in high school. Some...


Dr. Hong Yuanbin Reply:
Hello, the condition you described is a type of sleep disorder, which is quite common among people in Taiwan. There are many potential causes, including irregular sleep patterns, stress, and airway obstruction. It is recommended that you consult a sleep medicine clinic, where a s...

[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions


Daily High Fever and Weight Loss in a 70-Year-Old with Lupus

Persistent high fever every morning accompanied by weight loss? Hello, Doctor. Thank you for taking the time to read this amidst your busy schedule. My father, who is 70 years old, has been diagnosed with systemic lupus erythematosus and chronic obstructive pulmonary disease. He ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You can return for a follow-up appointment anytime you feel unwell, especially if you have a fever, without worrying about the physician's opinion. 2. If you have had a persistent fever for over a month, that is...

[Read More] Daily High Fever and Weight Loss in a 70-Year-Old with Lupus


Understanding the Disappearance of Thalassemia in Recent Blood Tests

I had thalassemia in middle school, but recent tests did not show any signs of it? Hello Doctor: I recently underwent a physical examination for military service, and I have some questions. In the past, I was diagnosed with thalassemia minor, but my recent tests did not indicate ...


Dr. Hong Yuanbin Reply:
Hello, 1. Mediterranean anemia requires further genetic testing to determine. The data you have is from a basic blood test, which can only indicate whether there is currently anemia. Based on this value, we can only say that there is no anemia at this moment; it does not rule o...

[Read More] Understanding the Disappearance of Thalassemia in Recent Blood Tests


Understanding High Adrenaline Levels: Causes and Health Implications

Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...


Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...

[Read More] Understanding High Adrenaline Levels: Causes and Health Implications


Understanding Anemia: What to Do When Common Tests Come Back Normal

Anemia issues Hello Doctor: In my health check reports, I always see red markings next to my red blood cell count, hemoglobin, and hematocrit levels. However, I have been tested at the clinic for both thalassemia and iron deficiency anemia, and neither was found. What should I do...


Dr. Lin Wuxuan Reply:
Hello: There are many causes of general anemia, and for young women, iron deficiency anemia is indeed the most common. Mediterranean anemia is also not uncommon, which is why most health screening centers or clinics include it as part of routine examinations. If these two causes ...

[Read More] Understanding Anemia: What to Do When Common Tests Come Back Normal


Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation

Health check-up About a month ago, I underwent a routine health check-up, and my hematocrit (HCT) was 37% (reference range: 38-47%). My alkaline phosphatase (ALK-P) level was 16 U/L (reference range: 34-104 U/L). Based on my family physician's recommendation, I was referred ...


Dr. Lin Jianliang Reply:
Hello, I recommend that you continue to follow up with a gastroenterologist. Thank you.

[Read More] Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation


Understanding Low Urine Creatinine Levels and Kidney Function

Low urine creatinine levels? Hello, doctor: I have a history of iron deficiency anemia and hypothyroidism, and I tend to experience mild edema. Recently, I underwent a physical examination, which included blood tests showing BUN 10, Cr 0.8, and urine tests showing Protein (urine)...


Dr. Wu Jiyu Reply:
Renal function is assessed based on eGFR. According to the data you provided, eGFR = 81.718 ml/min/1.73 m², which indicates that renal function is still within the normal range for your age. Regarding your question about urine creatinine (21.5 mg/dl), it is used to correct protei...

[Read More] Understanding Low Urine Creatinine Levels and Kidney Function


Low Hemoglobin Levels with No Clear Cause: What to Do Next?

Low hemoglobin levels with no identifiable issues? Hello Doctor, My father, who is around 60 years old, was recently involved in a car accident. He did not sustain any internal injuries, mostly just some abrasions and contusions. He was hospitalized for a little over a week, but...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the hemoglobin level is indeed abnormal. We usually need to know if your father has had previous hemoglobin tests. If he has, we can compare the current values with the previous ones. If the previous values were low, it indicates that there may b...

[Read More] Low Hemoglobin Levels with No Clear Cause: What to Do Next?


Understanding Mediterranean Anemia: CBC Screening and Genetic Implications

Inquiry about CBC in relation to Mediterranean anemia? Hello, I have a question for the doctor regarding the screening for Mediterranean anemia. Generally, a complete blood count (CBC) is performed first, and most institutions use a standard of MCV less than 80 (or MCH less than ...


Dr. Hong Yuanbin Reply:
Mild patients with thalassemia do not exhibit significant symptoms. Hematological tests typically show only mild anemia unless influenced by menstruation, diet, or bleeding, which can lead to a decrease in iron levels in the body, making the anemia more pronounced. Therefore, fur...

[Read More] Understanding Mediterranean Anemia: CBC Screening and Genetic Implications


Understanding Anemia: Symptoms and Self-Assessment Tips

Anemia issues I recently noticed that the outer ring of my conjunctiva is pink, while the area just inside it appears whitish. Could this be a sign of anemia? Also, how can I perform a preliminary self-check for anemia?


Dr. Lin Wuxuan Reply:
Hello: Based on your described condition, it seems to have little direct correlation with anemia. It is recommended to visit an ophthalmologist for examination to rule out any ocular pathology.

[Read More] Understanding Anemia: Symptoms and Self-Assessment Tips


Understanding Mild Anemia: Symptoms, Causes, and Recovery Tips

Mild anemia? Recently, I suspect that I have mild anemia (experiencing shortness of breath, fatigue, etc.). My gums and conjunctiva also appear somewhat pale, but I am not anemic by birth (I believe I have been tested for this). I often drink tea, usually one bottle a day, and so...


Dr. Lin Wuxuan Reply:
Hello: First of all, it is recommended to visit a medical facility for a blood test to confirm whether there is an issue with anemia. The treatment for anemia depends on establishing a diagnosis and identifying the underlying cause before appropriate treatment can be administered...

[Read More] Understanding Mild Anemia: Symptoms, Causes, and Recovery Tips


Understanding Low Neutrophil and High Lymphocyte Levels in Blood Tests

Blood Test Report The report indicates that the neutrophil percentage is 35.8%, which is low, and the lymphocyte percentage is 54.6%, which is high. These findings could suggest an underlying issue. A low neutrophil count (neutropenia) may increase the risk of infections, as neut...


Dr. Lin Wuxuan Reply:
Hello: The interpretation of blood test reports requires the complete report, so the physician will still need your white blood cell count report and the complete differential white blood cell count. Although your inquiry lacks sufficient details, generally speaking, a decrease i...

[Read More] Understanding Low Neutrophil and High Lymphocyte Levels in Blood Tests


Struggling with Weight Loss: Overcoming Challenges and Finding Solutions

Weight loss and related issues? Hello, (1) I was diagnosed with Mediterranean anemia during a health check-up, but my doctor said it is not severe and does not require treatment. My BMI is 27, which classifies me as overweight. I do not have a specific plan for weight loss and ...


Dr. Ke Taiyuan Reply:
1. The fundamentals of weight loss are still dietary control and regular exercise. Dietary principles include low calories, high protein (meat, fish, beans, eggs, dairy), high fiber, low salt, low oil, and low sugar. Reduce calorie intake outside of main meals, and if you feel hu...

[Read More] Struggling with Weight Loss: Overcoming Challenges and Finding Solutions


Understanding Inconsistent Symptoms in Juvenile Rheumatoid Arthritis

I'm sorry, but I need more context or specific information to provide an accurate translation or response? Hello Doctor, I was diagnosed with juvenile rheumatoid arthritis about three years ago when I was around 14 years old. It started with pain in my left knee, and then mo...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Juvenile rheumatoid arthritis (JRA) or juvenile idiopathic arthritis (JIA) is different from adult rheumatoid arthritis, so juvenile rheumatoid arthritis does not directly transition into rheumatoid arthritis in adulthood. Therefore, some patie...

[Read More] Understanding Inconsistent Symptoms in Juvenile Rheumatoid Arthritis


Post-Exercise Weakness: Heart Pain, Breathing Issues, and Cold Sweats

Post-exercise generalized weakness, difficulty breathing, chest pain, and profuse sweating? This morning, I overslept and rushed to the station. When I arrived, I felt very dizzy and thought I would wash my face at the nearby McDonald's. However, as soon as I walked in, my h...


Dr. Xie Rongyuan Reply:
Hello: If you have the above symptoms, please go to the hospital for a detailed examination. Anemia can increase the workload on the heart, which is certainly related to cardiac issues. Thank you for your message!

[Read More] Post-Exercise Weakness: Heart Pain, Breathing Issues, and Cold Sweats


Understanding Dizziness: Causes and Solutions After a Cold

Dizziness issues? Hello, doctor... Since I caught a cold and had a fever on the 23rd of last month, I've been feeling dizzy, heavy-headed, and lethargic, constantly wanting to sleep. After more than two weeks, the cold symptoms and dizziness improved, but shortly after the d...


Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Dizziness can generally be categorized into four types: vertigo, presyncope, disequilibrium, and lightheadedness. Research statistics indicate that the most common diagnosis among these is vertigo. 2. The causes of dizziness are numerous. For example: ort...

[Read More] Understanding Dizziness: Causes and Solutions After a Cold


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