Understanding Blood Test Results: Anemia and High Platelet Count Explained
Blood report, please help me interpret it? White blood cell count: 4.7, red blood cell count: 4.73, hemoglobin: 6.5, MCV: <50, MCH: 13.7, MCHC: 27.7, platelet count: 481, neutrophil percentage: 60.0, lymphocyte percentage: 32.8. Is this indicative of anemia? Could continuous...
Dr. Wang Fangli Reply:
Hello, Xiao-Wen: An MCV of less than 50 indicates two possible conditions: iron deficiency anemia or thalassemia. In iron deficiency anemia, platelet counts tend to increase; however, in thalassemia, they do not. To determine whether it is iron deficiency anemia or thalassemia, f...[Read More] Understanding Blood Test Results: Anemia and High Platelet Count Explained
Understanding White Lesions on the Tongue: Causes and Concerns
Tongue The white objects on both sides at the back of the tongue, each measuring 1x2.5 cm and having some thickness that does not resolve, could be indicative of several conditions. It is advisable to consult a healthcare professional for an accurate diagnosis. Possible causes ma...
Dr. Xiao Yongxun Reply:
Hello, here is the response to your question: There are many different manifestations of tongue diseases. In addition to diseases of the oral mucosa and the tongue itself, systemic diseases (such as anemia, rheumatoid arthritis, tumors, endocrine disorders, amyloidosis, etc.) can...[Read More] Understanding White Lesions on the Tongue: Causes and Concerns
Why Can't I Gain Weight? Understanding Metabolism and Health Issues
No matter how much I eat, I can't gain weight! Hello, doctor! I am 174 cm tall and weigh 49 kg. I previously visited a gastroenterologist and had blood tests done, which indicated mild Mediterranean type A anemia (hereditary). A friend suggested I see a metabolic specialist,...
Dr. Yang Hongzhi Reply:
Mild Mediterranean anemia should not be related to low body weight. If the low body weight has been present for a long time and there are no other symptoms, it is mostly not indicative of a disease. However, if there has been a significant recent weight loss, it is necessary to u...[Read More] Why Can't I Gain Weight? Understanding Metabolism and Health Issues
Understanding Abnormal Health Check Results: A Guide for Patients
Health Check Report Hello, doctor. I have a lab report for my father, which shows some abnormal test values, and I would like to consult with you. Thank you. (My father is a carrier of hepatitis B.) Red blood cells: 4.06 Hemoglobin: 11.6 Blood urea nitrogen: 29 Creatinine: 1...
Dr. Wu Jiyu Reply:
1. Serum creatinine: 1.4 corresponds to an estimated glomerular filtration rate (eGFR) of approximately stage 3 chronic kidney disease. 2. Risk factors for preventing chronic kidney disease: hypertension, hyperglycemia, and hyperlipidemia. 3. Regular check-ups every 3 months....[Read More] Understanding Abnormal Health Check Results: A Guide for Patients
Understanding Mediterranean Anemia: Headaches and Health Concerns
Regarding Mediterranean anemia? Hello Doctor: Several years ago, I was diagnosed with Mediterranean anemia, and the doctor told me it was not serious, only at a level of seven. However, in the past year or two, I have been experiencing severe headaches that prevent me from sleepi...
Dr. Wang Fangli Reply:
Mediterranean anemia does not cause headaches. If headaches are severe, both internal medicine and ophthalmology should be consulted for examination.[Read More] Understanding Mediterranean Anemia: Headaches and Health Concerns
Understanding High MCV Levels: Should You See a Doctor?
MCV (Mean Corpuscular Volume) is a measure of the average volume of red blood cells? Hello: My recent health check report shows that my MCV (Mean Corpuscular Volume) is 100 (highlighted in red), while the normal range is 79-99 fL. Should I seek medical attention for this?
Dr. Chen Junwei Reply:
Hello: If only the MCV is slightly elevated without any other blood abnormalities (such as low white blood cell count or low platelet count) or anemia (low hemoglobin), and there are no other nonspecific physical symptoms (such as fever, fatigue, etc.), there is no need to rush f...[Read More] Understanding High MCV Levels: Should You See a Doctor?
Understanding Elevated MCV: Should You See a Doctor?
Regarding red blood cell volume? Hello: My recent health check report shows that my MCV (Mean Corpuscular Volume) is 100 (highlighted in red), while the normal range is 79-99 fL. Should I seek medical attention for this?
Dr. Xiao Yongxun Reply:
Hello: In response to your questions, 1. Generally, the overall assessment of a health check report will provide recommendations based on a comprehensive evaluation of the report's contents. Please follow the suggestions of the examining physician. 2. An elevated MCV (Mean C...[Read More] Understanding Elevated MCV: Should You See a Doctor?
Managing High Uric Acid Levels: Dietary Changes vs. Medication
Hyperuricemia Hello, doctor. I learned from my health check report at school that my uric acid level is high at 10.2. How can I prevent this? Additionally, my MCV is also low at about 77.2. Regarding the uric acid, I believe it may be due to genetic factors. Should I consider med...
Dr. Ke Zhengchang Reply:
Hello: Elevated uric acid levels in the blood can be influenced by genetic factors as well as dietary habits, such as the consumption of high-purine foods like organ meats, seafood, meat broth, hot pot, alcohol, mushrooms, and legumes, all of which can increase uric acid levels. ...[Read More] Managing High Uric Acid Levels: Dietary Changes vs. Medication
Understanding Dizziness in Elderly Patients: Causes and Next Steps
Dizziness Consultation My mother is 70 years old and has been suffering from dizziness lately. She is almost completely bedridden and unable to move. She has hypertension, which is controlled with medication. She has seen various specialists but has not found a cause. Please cons...
Dr. Li Zhiyao Reply:
Hello Mr. Kuo: Based on the situation you described, the first consideration should be whether your blood pressure is too low. A blood pressure of 110/70 may be considered low for a 70-year-old, which could lead to weakness and confusion, making it difficult for the patient to ge...[Read More] Understanding Dizziness in Elderly Patients: Causes and Next Steps
Understanding School Health Checkups: Insights on Blood Test Results
School health check-up? White Blood Cell Count (WBC): 7.6 Hemoglobin (HGB): 7.1 Red Blood Cell Count (RBC): 5.52 Hematocrit (Ht): 29.8 Mean Corpuscular Volume (MCV): 54 Mean Corpuscular Hemoglobin (MCH): 12.9 Mean Corpuscular Hemoglobin Concentration (MCHC): 13.8 A...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, the mean corpuscular volume (MCV) is 54 fL, red blood cell count is 5.52 million cells/mL, hemoglobin (Hb) is in grams per deciliter, mean corpuscular hemoglobin (MCH) is 12.9 picograms per cell, and mean corpuscular hemoglobin concentration (...[Read More] Understanding School Health Checkups: Insights on Blood Test Results
Managing Kidney Health: Understanding Diet and Function in Patients
Kidney disease management Hello Dr. Yang, I have a smaller left kidney (congenital, not due to atrophy) and during winter, I experience high blood pressure, increased urination, and nocturia. After visiting the hospital for follow-up examinations, my kidney function has remaine...
Dr. Yang Zhongwei Reply:
Hello: 1. Frequent urination (is it the frequency or the volume?) and nocturia are not necessarily indicative of kidney problems; it is advisable to consult a urologist to examine the bladder. 2. There is currently insufficient evidence to determine the effectiveness of a low-pro...[Read More] Managing Kidney Health: Understanding Diet and Function in Patients
Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Types
Mediterranean anemia (also known as Thalassemia) Hello, Dr. Wang! Recently, I have been experiencing frequent dizziness, and everyone says my complexion looks poor. Therefore, I visited a nearby hospital for a blood test, and the results are as follows: WBC 4.5, RBC 3.96, Hb 8.8,...
Dr. Wang Fangli Reply:
Based on the above data, it is not iron deficiency anemia; further examination is needed to determine if there are other diseases causing anemia or if it is thalassemia.[Read More] Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Types
Can Iron Supplements Cause Constipation? Understanding the Side Effects
Taking iron supplements? Hello Doctor: It seems that my mother's condition may be causing her constipation due to the iron supplements she is taking. She has anemia, and her physician prescribed iron supplements for her. I would like to ask if taking iron supplements can lea...
Dr. Wang Fangli Reply:
Iron supplements can cause constipation.[Read More] Can Iron Supplements Cause Constipation? Understanding the Side Effects
Understanding Elevated Monocytes: Causes, Concerns, and Next Steps
Monocyte issues Hello Doctor: I recently had an examination, and the report indicated that my monocyte level is 14.9%, which is slightly elevated. Does this indicate any specific disease, or could there be an underlying condition? Should I pursue further monitoring or treatment? ...
Dr. Yang Zhongwei Reply:
There are many reasons for elevated monocytes, the most common being viral infections, but it may also be due to hematologic malignancies. It is recommended that the user "Weiwei" seek medical attention at a hematology department in a medical center.[Read More] Understanding Elevated Monocytes: Causes, Concerns, and Next Steps
Understanding Hospitalization for Severe Pneumonia in Leukemia Patients
Hospitalization due to severe pneumonia complicated by cold and fever (rapid test negative)? My father has leukemia and is hospitalized with a cold, fever, and severe pneumonia (rapid test negative). He has been admitted to the intensive care unit, with lung shadows spreading acr...
Dr. Chen Junwei Reply:
Your father has been admitted to the intensive care unit due to respiratory failure caused by severe pneumonia. He has a history of leukemia, which places him in a category of patients with compromised immune function, resulting in a poorer prognosis compared to patients with nor...[Read More] Understanding Hospitalization for Severe Pneumonia in Leukemia Patients
Muscle Strain or Kidney Issues? Understanding Your Pain Symptoms
Muscle strain or kidney issues? Five days ago, while swimming, I noticed some pain near my kidney area, similar to the soreness one feels after intense exercise, like sprinting 500 meters. The next day, the pain intensified, but I didn't see a doctor at that time. Over the p...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, pain in the left back near the kidney can have many potential causes. Common conditions include fasciitis, kidney stones, inflammatory arthritis, myofascial pain syndrome, neuritis, skin disorders, tumors, and vascular lesions, among others. B...[Read More] Muscle Strain or Kidney Issues? Understanding Your Pain Symptoms
Improving Symptoms of Thalassemia: Tips for Better Oxygenation
Mediterranean anemia Hello Dr. Hsiao, I am a patient with thalassemia and often feel dizzy and have headaches due to brain hypoxia. I would like to ask if there are any ways to improve this condition. Thank you! Wishing you peace and joy, Ms. An.
Dr. Xiao Yongxun Reply:
Hello: Thalassemia, also known as Mediterranean anemia, is primarily caused by genetic defects and is commonly classified into alpha and beta types. The alpha type is located on the 16th pair of chromosomes, containing four alpha genes; the beta type is found on the 11th pair of ...[Read More] Improving Symptoms of Thalassemia: Tips for Better Oxygenation
Understanding Dark Circles: When to See a Specialist
Dark circles Hello doctor, I also have allergic rhinitis and I have very noticeable dark circles around my eyes. I haven't experienced much allergy symptoms in the past year, but the dark circles are still quite severe. Which specialist should I see? Thank you! :)
Dr. Xiao Yongxun Reply:
Hello: In response to your question. Dark circles (also known as periorbital dark circles) are commonly seen in clinical practice and trouble many individuals. There are various causes, including allergic conditions related to asthma or eczema, genetics, certain medications, anem...[Read More] Understanding Dark Circles: When to See a Specialist
Understanding Favism: Blood Tests and Military Exemption Criteria
Regarding the issue of Favism? Hello, doctor! I would like to ask if testing for G6PD deficiency can be done with a regular blood test? Additionally, I have heard that patients with G6PD deficiency may be exempt from military service. According to the current "Standards for ...
Dr. Yang Hongzhi Reply:
Hello: Favism is caused by a deficiency of the enzyme G6PD. Diagnosis can be made by testing the activity of G6PD through a blood sample. Most individuals with this condition are asymptomatic, and hemolytic anemia occurs only after the ingestion of certain medications or foods.[Read More] Understanding Favism: Blood Tests and Military Exemption Criteria
Managing Anemia and Cholesterol: Do I Need to Take My Medications?
Please help me with my medication concerns! Thank you? Hello Doctor: I am a housewife and I rarely exercise! I often feel dizzy. Last July and August, I went to a public hospital for an examination, and the doctor prescribed me an iron supplement for anemia, which is Cyanocobalam...
Dr. Chen Qingbin Reply:
Hello Tina: Your cholesterol and uric acid levels are slightly elevated. You can manage this through dietary control and may not necessarily need medication.[Read More] Managing Anemia and Cholesterol: Do I Need to Take My Medications?