Blood test, Internal Medicine FAQ

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...

Understanding Declining GFR: When to See a Nephrologist?

The glomerular filtration rate (GFR) has been continuously declining? I would like to inquire about my health check report. My glomerular filtration rate (GFR) is 78, creatinine is 1.09, blood urea nitrogen (BUN) is 13.2, and uric acid is 4.9. All other reports are normal, and th...

Dr. Wu Hongjie Reply:
Hello: The glomerular filtration rate (GFR) is a variable value. If the GFR is <60 ml/min and persists for more than three months, the likelihood of a diagnosis of renal failure is high. If the GFR is >60 and there are no other pathological findings (such as renal biopsy), ...

Am I at Risk for Diabetes? Understanding Symptoms and Dietary Habits

Am I at risk for diabetes? I am 179 cm tall and weigh 54 kg. Since I contracted pneumonia at the age of 12, I have been experiencing irritable bowel syndrome and fatigue. No matter what I eat, I can't gain weight. After a car accident at 14, I began to show symptoms of traum...

Dr. Hong Yuanbin Reply:
Hello, the risk of diabetes is very complex and includes factors such as body composition and genetics, which cannot be generalized. However, it is recommended to reduce the intake of sugary beverages and increase physical activity, as these measures can indeed lower the risk. Ad...

Understanding HIV Testing: Common Questions and Concerns

HIV/AIDS? 1. Can a standard blood test determine if someone has HIV, or is a special test required? 2. If both parents are HIV-negative, can their child still contract HIV? (Without any sexual activity...) 3. Is there a risk of contracting HIV from oral sex if ejaculation doe...

Dr. Su Zhehong Reply:
Blood tests are the most definitive method for determining HIV infection, but it is important to specifically request an HIV test. The traditional HIV testing begins with an Enzyme Immunoassay (EIA). If the initial EIA result is positive, a second test is conducted. If both tests...

Do Health Supplements Affect Blood Test Results for Infections?

Follow-up questions regarding needle stick infection testing? Hello Dr. Hong, regarding the follow-up question on the 163238 needle stick infection test, will taking health supplements such as fish oil, probiotics, or Antrodia camphorata extract affect the test results for hepati...

Dr. Hong Yuanbin Reply:
Hello, theoretically, food or medication should not affect the test results, so there is no need for special avoidance. Thank you for your inquiry.

Understanding Urine Odor: Causes and Dietary Influences

The odor of urine? Hello Doctor, I would like to ask if urine generally has a smell. Recently, I have been staying up late until dawn occasionally, and I notice that my urine has a stronger odor the next day after some DIY activities. Drinking more water helps alleviate this. How...

Dr. Hong Yuanbin Reply:
Hello, the odor of urine is primarily related to food intake and hydration levels; however, a strong urine odor does not necessarily indicate a problem. Further examination is still needed. Your blood test results for kidney function are indeed normal. Maintaining a regular routi...

Understanding Vertical Transmission of HIV: Risks and Testing Explained

HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome) I would like to ask if there is still a risk of vertical transmission of infection after more than ten years. When getting a blood test, will they check for HIV specifically, or is it a separate test? If m...

Dr. Xie Rongyuan Reply:
Hello: As long as the HIV virus is present, there is a risk of infection. You can go to the hospital to get tested for HIV. Of course, you need to inform the physician in order to receive the test. The transmission routes for HIV include blood, semen, and vaginal fluids, especial...

Understanding Elevated Thyroglobulin Antibodies: When to Seek Medical Advice

Abnormal levels of thyroid globulin antibodies? In the past few years after receiving high-dose iodine-131 treatment, my thyroglobulin levels have been consistently below 1, rarely exceeding 2. However, this time my thyroglobulin antibody (aTG) level is 15. Should I schedule a fo...

Dr. Li Jian Reply:
This antibody index needs to be evaluated in reference to the initial surgical period, a series of blood test changes, and the follow-up results of the thyroid ultrasound in order to make a judgment. Please return to the original hospital for regular check-ups.

Understanding Hand Tremors: Causes, Concerns, and Management Tips

Please consult a doctor? Hello, about four years ago, I occasionally noticed that one of my fingers would shake while I was eating with chopsticks, which my family also observed. When I intentionally tried to straighten it, there was a slight tremor. Later, I consulted a neurolog...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it is more likely that the hand tremors are caused by emotional factors, which is quite common, especially during moments of anger and anxiety. This is usually a normal physiological response, so some tests may come back normal. It is recommended...

Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance

Sebaceous gland abnormalities Symptoms: 1. Several small white spots on the inner side of the lips (appeared at the end of October, confirmed by a dentist as sebaceous glands). 2. Dense small white spots on the upper eyelids and around the eyes (have been present for some time, c...

Dr. Li Jian Reply:
Excessive hair loss and weight loss can be evaluated for thyroid function abnormalities, while sebaceous gland issues should be referred to a dermatologist.

Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels

Follow-up examination? Hello, I have a follow-up appointment to discuss my blood test results and I would like to take some of your time to ask the doctor some questions. On August 5, 2020, my lab results showed ALT 40, AST 22, Cholesterol 224, LDL 150, Neutrophils 26%, Lymphocyt...

Dr. Hong Yuanbin Reply:
Hello, 1. Based on your previous reports, the likelihood of a viral infection causing your cold is high. Most colds are caused by viral infections, and a key characteristic of viral infections is an increase in lymphocytes and a decrease in neutrophils. It is recommended to ret...

Understanding HIV Testing and Risks for Newborns and Adolescents

HIV/AIDS..? Is it possible to know if a newborn has HIV right after birth? If a person has not contracted HIV for over a decade, does that mean they are HIV-negative (considering no sexual activity)? If someone performs oral sex without a condom and does not ejaculate in the part...

Dr. Xie Rongyuan Reply:
Hello: In response to your inquiry, please find the information below: HIV can only be confirmed through blood testing, with the most accurate testing time being three months after engaging in high-risk behaviors. The transmission routes of the HIV virus include blood, semen, and...

Is Blood in Stool After Medication a Cause for Concern?

Rectal bleeding Hello Doctor: I recently had mumps complicated by epididymitis, and I have been taking anti-inflammatory medication. After recently stopping the medication, I started experiencing pellet-like stools (which has lasted for almost two weeks), and there is a small amo...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely that the bleeding from the intestinal mucosa is caused by hard stools or hemorrhoidal bleeding. If blood is visible to the naked eye, performing a fecal occult blood test may not be very meaningful. I recommend consulting a colorecta...

Understanding Potential Diabetes and PCOS: Symptoms and Management

Suspected diabetes / polycystic ovary syndrome (PCOS) issues? Hello, Doctor. I apologize for the lengthy explanation, and I appreciate your patience. About mid-last year, I consulted an endocrinologist because I felt that my weight loss efforts were ineffective, and I suspected i...

Dr. Lin Jianliang Reply:
You can discuss your condition and how to monitor it with your physician. Most doctors are willing to engage in a collaborative discussion with you, but please clearly communicate your concerns. You may eat between meals, but it is important to avoid foods that could affect your ...

Understanding Creatinine Levels and eGFR Changes: What You Need to Know

Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, I have a few questions regarding my blood test reports. I am currently 35 years old and had surgery a while ago. Before the surgery, I had a blood test, and the report showed an estimated glomerular filtration rate (eG...

Dr. Wu Hongjie Reply:
The estimated glomerular filtration rate (eGFR) is not a fixed value at any given time. Chronic kidney disease (CKD) is defined as an eGFR of less than 60 ml/min/1.73 m² for a duration of three months, meaning that both the eGFR three months ago and today must be less than 60 to ...

Managing Cholesterol and Wound Care: Your Health Questions Answered

Two questions? Hello Doctor, I received my health check results today as school is starting. The only red flags were a heart rate of 92 and a cholesterol level of 219. I would like to ask if there are any methods to lower cholesterol. I feel that my weight is not high, but this c...

Dr. Hong Yuanbin Reply:
Hello, regarding your health check-up, a heart rate of 92 is still within the normal physiological range, and a liver enzyme level of 37 is also within normal limits, so there is no need to worry. The only thing you should consider is your cholesterol level of 219; it is recommen...

Concerns About Infection After Picking Up Trash: What You Should Know

Please consult a doctor for your questions? Hello doctor, I am a freshman this year. During class today, I noticed that last week there was some trash or a bag left under the seat next to me. Today, I sat next to a different person, but the trash ended up being kicked in front of...

Dr. Hong Yuanbin Reply:
Hello, based on your description, you noticed a small abrasion on your hand after picking up trash and are concerned about potential injury during the process. Theoretically, unless the trash contained sharp objects that were contaminated with blood, the risk of infection is mini...

Can Ankylosing Spondylitis Cause Stomach Pain? Exploring the Connection

Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, along t...

Dr. Zeng Guosen Reply:
Hello, a positive HLA-B27 test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do your symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pai...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, a positive HLA-B27 blood test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomac...

Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection

Dr. Zeng Guosen Reply:
Hello, the presence of HLA-B27 positivity in a blood test does not necessarily indicate that one has ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not direct...

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