Understanding Mediterranean Anemia: Diagnosis and Concerns
Diagnosis of Mediterranean Anemia Hello Doctor, during my annual health check, I always have a lot of abnormal results in my complete blood count. This year's data is as follows: RBC 567 (high), HB 11.6 (low), MCV 66.1 (low), MCH 20.5 (low), MCHC 30.9 (low), with the rest be...
Dr. Chen Jianyu Reply:
Please follow up with the hematology outpatient clinic. Thanks.[Read More] Understanding Mediterranean Anemia: Diagnosis and Concerns
Understanding Long-Term Low Blood Pressure: Key Considerations
If blood pressure is consistently low, what should one pay attention to? In the past, my blood pressure readings (for example, when measured at a cold clinic) have been on the lower side. My most recent health check report showed a systolic pressure of 86, diastolic pressure of 5...
Dr. Li Zhiyao Reply:
Hello, Cocoa: Some young women may have lower blood pressure. If the readings are consistently similar and there are no symptoms, there is generally no need for concern. However, here are a few reminders: 1. Measure your blood pressure daily to determine the typical range. 2. Che...[Read More] Understanding Long-Term Low Blood Pressure: Key Considerations
Understanding the Risks of Discontinuing Antithyroid Medication
Medication discontinuation issues? Hello Doctor: I would like to inquire about the side effects of long-term discontinuation of Anastrozole. Since I have had a total thyroidectomy, what are the potential consequences of stopping Anastrozole without medical supervision? Thank you!
Dr. Xiao Yongxun Reply:
Dear Ms. Huang, 1. After a total thyroidectomy, the body can no longer produce thyroid hormones necessary for maintaining normal metabolic functions, which can lead to hypothyroidism. This condition affects various systems, including cardiovascular, hematologic, digestive, integ...[Read More] Understanding the Risks of Discontinuing Antithyroid Medication
Understanding High ANA Titers: Is 1:160 Considered Significant?
Re: High Titer ANA Hello, Doctor Gao. Thank you very much for your response. I still have some difficulties in interpreting the text. In your previous reply, you mentioned that normal individuals can also test positive for ANA. Does this mean that a titer of 1:160 is required to ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Indeed, we consider an ANA titer of 160 or higher (inclusive) to be significant, at least in my opinion. As for your current symptoms, it would be better to discuss them with your rheumatologist, as the diagnosis of Systemic Lupus Erythematosus...[Read More] Understanding High ANA Titers: Is 1:160 Considered Significant?
Managing Joint Pain in Systemic Lupus Erythematosus Patients
Issues related to systemic lupus erythematosus? Hello, doctor. I was diagnosed with systemic lupus erythematosus in early April this year. I have already started taking medication, but I am currently away and do not have the English name of the medication with me, so I cannot pro...
Dr. Xiao Yongxun Reply:
The diagnostic criteria for systemic lupus erythematosus (SLE) include: 1. The presence of a fixed erythematous rash on the cheeks, known as a malar rash or butterfly rash; it typically does not involve the nasolabial folds. 2. The appearance of discoid lupus erythematosus lesion...[Read More] Managing Joint Pain in Systemic Lupus Erythematosus Patients
How to Test for Tick-Borne Disease: A Guide for Patients
How to submit samples for Chagas disease testing? How should suspected cases of tick-borne encephalitis be sent for testing, and which institutions can perform tests for tick-borne encephalitis? Since there have been no reported human infection cases, the information available is...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the aforementioned condition, it seems that the diagnosis may not be accurate, and the patient is becoming increasingly weak. The following recommendations are suggested: 1. If there has been a tick bite => It is advisable to visit a larger hospital to ...[Read More] How to Test for Tick-Borne Disease: A Guide for Patients
Understanding Anemia: Causes of Dizziness and Treatment Options
Questions related to anemia? Hello: I have a history of anemia and previously received treatment with iron injections. Recently, I have been experiencing frequent dizziness. I went for an examination, and my blood count is better than before (not as low as it used to be). The doc...
Dr. Xie Rongyuan Reply:
Hello: (1) Oral iron supplements can treat iron deficiency anemia, but they are ineffective for thalassemia. (2) There are many causes of dizziness, not just anemia; for example, issues with the inner ear balance system or problems in the brain can also cause dizziness. It is bes...[Read More] Understanding Anemia: Causes of Dizziness and Treatment Options
Understanding Foamy Urine: When to See a Doctor for Kidney Health
The issue of foamy urine? Hello: What symptoms are associated with foamy urine that would require seeing a doctor for kidney examination? Thank you.
Dr. Wu Jiyu Reply:
First, let’s define what you refer to as "bubbly urine." When observing bubbly urine with the naked eye, it is important to further investigate for proteinuria, as proteinuria can cause bubbly urine. However, bubbly urine does not necessarily indicate proteinuria; it ma...[Read More] Understanding Foamy Urine: When to See a Doctor for Kidney Health
Understanding Dizziness and Blurred Vision: Anemia Symptoms Explained
Sudden dizziness, blurred vision, and anemia? This condition has been present for about three to four months. Sometimes I experience sudden dizziness, and occasionally I feel nauseous. The dizziness feels similar to that of anemia, and at times, when I feel dizzy and uncomfortabl...
Dr. Chen Qingbin Reply:
Hello Jun, if you are experiencing symptoms such as dizziness and nausea, I recommend that you go to the hospital for a blood test to further assess your health condition for an accurate evaluation. Thank you for your message.[Read More] Understanding Dizziness and Blurred Vision: Anemia Symptoms Explained
Understanding Mediterranean Anemia: Symptoms and Specialist Consultation
Mediterranean anemia (also known as thalassemia) Hello doctor, a few years ago I had surgery at the hospital and was diagnosed with Mediterranean anemia. The hospital said my hemoglobin level was seven, but I didn't feel dizzy at that time. However, in the past few days, I&#...
Dr. Cai Zonglin Reply:
There are different types of Mediterranean anemia, varying in severity. If hemoglobin levels are low at around 7 and symptoms are present, blood transfusion may be considered, and it is advisable to consult a hematologist.[Read More] Understanding Mediterranean Anemia: Symptoms and Specialist Consultation
Understanding Neurological Imbalance: Symptoms and Next Steps
Regarding neuro imbalance? Hello Doctor: My father is 62 years old and has a history of diabetes for about 6 years, which has been well controlled. This morning (October 14), he suddenly experienced dizziness, blurred vision (only in the left eye, with double vision), nausea, and...
Dr. Cai Zonglin Reply:
Sudden onset of dizziness, blurred vision, nausea, and cold sweats may indicate hypoglycemia. If possible, checking fingertip blood glucose levels can provide confirmation; if immediate testing is not feasible, consuming sugar cubes or juice can be helpful. If there is uncontroll...[Read More] Understanding Neurological Imbalance: Symptoms and Next Steps
Understanding Anemia: Is Pale Eyelids a Sign of Blood Issues?
About Anemia Hello, doctor. Five years ago, I had a physical examination, and my blood test results showed no anemia. However, recently I noticed that the inside of my lower eyelids looks pale and lacks color, although my lips and nails are quite pink. I haven't experienced ...
Dr. Zeng Guosen Reply:
Hello, Xiao Bu: Pale lower eyelids do not necessarily indicate anemia. It is recommended to visit a hospital or laboratory for a hemoglobin test. If anemia is confirmed, further investigation into the underlying cause of the anemia should be conducted. Remember! Do not take iron ...[Read More] Understanding Anemia: Is Pale Eyelids a Sign of Blood Issues?
Understanding Urethritis: Symptoms, Treatment, and Kidney Concerns
Urethritis and lower back pain? Hello Doctor: Since last week, I have been experiencing painful urination and frequent urination, so I saw a doctor last Wednesday. The doctor prescribed me two medications: BAKTER (CHEMIX) and PYRIDIUM (UROPYRIN) to take twice a day for five days,...
Dr. Wang Weijie Reply:
Dear Lele, Symptoms of kidney inflammation include pain, anemia, muscle weakness, fatigue, nausea, vomiting, and loss of appetite. The use of medications like BAKTER may have side effects that vary from person to person, potentially causing crystallization and resulting in lower...[Read More] Understanding Urethritis: Symptoms, Treatment, and Kidney Concerns
Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Health Consultation In the morning, my urine is foamy, and it is usually yellow and cloudy. I frequently feel the urge to urinate, have lower back pain, and feel fatigued.
Dr. Wang Weijie Reply:
Dear Aron, In the early stages of kidney disease, there are often no obvious symptoms. However, if you experience the following symptoms, it is crucial to seek medical attention promptly, especially for individuals with hypertension, hyperlipidemia, heart disease, or diabetes. R...[Read More] Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?
Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Understanding Low Red Blood Cell Count and Its Implications for Health
Regarding issues with red blood cells? Hello, doctor. Since I was young, during every blood test for health check-ups, the doctors have always reminded me that my red blood cell volume is low and my hemoglobin levels are also low. I still remember a doctor from Changhua Christian...
Dr. Cai Zonglin Reply:
Low hemoglobin (Hb) levels may result in symptoms such as fatigue, dizziness, palpitations, and pallor. Low hemoglobin does not necessarily correlate with low hematocrit, as it depends on the type of anemia. Further evaluation may be required, including tests for serum iron level...[Read More] Understanding Low Red Blood Cell Count and Its Implications for Health
Can Anemia Cause Hair Loss? Understanding the Connection and Solutions
Can anemia cause hair loss????? Hello, I have anemia, which I believe is hereditary since my mother also has it! I have been experiencing hair loss since high school and have tried many methods without success. I wonder if this could be due to anemia, as my mother, sister, and au...
Dr. Cai Zonglin Reply:
Hair loss can have many causes, including stress, infections, thyroid dysfunction, elevated androgens, medications, and iron deficiency anemia. It is advisable to consult a dermatologist for further evaluation. Dr. Tsai Tsung-Lin, Internal Medicine Physician at National Cheng Kun...[Read More] Can Anemia Cause Hair Loss? Understanding the Connection and Solutions
Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy
Uremia Hello Doctor: My friend is 56 years old and was diagnosed with uremia due to diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialysis? How long can he expect to ...
Dr. Chen Jianyu Reply:
1. If vomiting is caused by uremic symptoms, it should improve after dialysis; if it is not caused by uremia, vomiting will likely persist. 2. Dialysis is not a terminal condition; the duration of life is more closely related to the control of diabetes and its vascular complicati...[Read More] Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy
Can Kidney Disease Patients Safely Conceive and Have Children?
Can a patient with kidney disease become pregnant? Can kidney patients become pregnant? My daughter underwent dialysis for three years and has had a kidney transplant for fourteen years now. Her creatinine levels fluctuate, currently maintaining around 3 to 4 mg/dL. Is it possibl...
Dr. Wang Weijie Reply:
Dear Ms. Wang, Hello. Women who have successfully undergone kidney transplantation can often regain normal reproductive function, provided that their kidney function is stable, there is no rejection of the transplanted kidney, no proteinuria, no hypertension, and that immunosupp...[Read More] Can Kidney Disease Patients Safely Conceive and Have Children?
Understanding Post-Gastroenteritis Recovery: Managing Symptoms and Medications
Issues related to gastroenteritis after more than two months? Hello doctor, I started experiencing symptoms at the end of August, and it has been over two months since then. There has been some improvement, but I'm not sure if I am fully recovered because I still occasionall...
Dr. Hong Hongchang Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: An unbalanced diet can lead to gastrointestinal dysfunction. It is advisable to consult with a nutritionist. During episodes of gastrointestinal dysfunction, a ...[Read More] Understanding Post-Gastroenteritis Recovery: Managing Symptoms and Medications