Understanding Eosinophils and RDW-CV: What Your Blood Test Results Mean
Eosinophils Hello, doctor. During this health check, there were two abnormal blood indices: 1. Red Blood Cell Distribution Width Coefficient of Variation (RDW-CV): 11.4% (normal range is 11.5% to 14.5%) 2. Eosinophils: 6.9% (normal range is 0% to 6%). The other indices are normal...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Red Cell Distribution Width - Coefficient of Variation (RDW-CV): 11.4% (normal range is 11.5% to 14.5%) --> This indicates that there is little variation in red blood cell size. However, as long as hemoglobin leve...[Read More] Understanding Eosinophils and RDW-CV: What Your Blood Test Results Mean
Understanding HIV and HPV Risks: PEP Efficacy and Autoimmune Concerns
HIV infection HPV infection Hello, Doctor. I have a question. After performing oral sex on a woman, I noticed small red spots on my abdomen two days later, which made me very anxious. I quickly went to a clinic and had a blood test for HIV, which came back negative. I started tak...
Dr. Liao Zhongxin Reply:
First, let's look at the information about HIV: The HIV virus has three main transmission routes: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fluids carries a risk of infec...[Read More] Understanding HIV and HPV Risks: PEP Efficacy and Autoimmune Concerns
Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Hypoglycemia Report [Radioimmunoassay Nuclear Medicine Test] Hypoglycemia Report Date: 01/08/2021 [Thyroglobulin] 25.51 ng/ml [hGH] 11.13 ng/ml [C-Peptide] 1.01 ng/ml [Insulin] 2.52 uIU/ml [Cortisol] 15.35 (17:39) µg/dl [Free T4] 1.06 ng/ml [TSH] 2.44 uIU/ml [Ab-T...
Dr. Lin Jianliang Reply:
Hello: 1. The above report cannot determine whether it is hypoglycemia or type 1 diabetes; it seems to be looking for causes of hypoglycemia. 2. In the early or pre-stage of diabetes, due to abnormal insulin secretion in the body, postprandial hypoglycemia may occur. The assessme...[Read More] Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Blood Draw Infection Risks: Understanding Safety Protocols in Clinics
Blood draw infection issues? Hello, doctor: (1) Last month, I went to a private laboratory for a blood test. Normally, the procedure is to draw blood first and then pay, but that day I paid first before the blood draw. The technician counted out change for me using seven one-hund...
Dr. Liao Zhongxin Reply:
First, it is important to note that the HIV virus can only survive outside the human body for about 10 minutes. Therefore, unless the other person is covered in fresh blood and is in direct contact with your open wound, the risk of infection is very low. If you still have concern...[Read More] Blood Draw Infection Risks: Understanding Safety Protocols in Clinics
Understanding Allergic Rhinitis: Immunology vs. ENT Treatment Approaches
Allergic rhinitis Can I also see the immunology department? May I ask if your treatment methods in immunology involve regular appointments for medication management? What is the difference between immunology and otolaryngology?
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Personally, I believe the differences between our department and the otolaryngology department are as follows: 1. We primarily focus on medication, while otolaryngologists can use endoscopy to observe changes in the nasal cavity, throat, and ea...[Read More] Understanding Allergic Rhinitis: Immunology vs. ENT Treatment Approaches
Managing Viral Warts and Hemorrhoids: Key Questions Answered
Having viral warts and hemorrhoids? Hello Doctor, about one or two weeks ago, I noticed something on my buttocks and went to see a dermatologist. The doctor said it was a viral wart, which I believe is genital warts. I have undergone one session of cryotherapy and have some quest...
Dr. Liao Zhongxin Reply:
To encourage men to receive the HPV vaccine, it has been renamed the Papillomavirus vaccine. Generally, adults carry the papillomavirus, but certain strains can lead to cancer or sexually transmitted infections. Therefore, the government encourages both young men and women to get...[Read More] Managing Viral Warts and Hemorrhoids: Key Questions Answered
Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Bloating, inability to burp, and unexplained fever issues? Hello doctor, I would like to ask about my issues with frequent bloating and an inability to burp, which has made me feel nauseous for over five years. Every morning, I wake up feeling very nauseous, and I almost always e...
Dr. Li Jian Reply:
If traveling abroad can improve the issue, it may be caused by psychological factors. It would be advisable to consider consulting a psychosomatic medicine specialist. Thank you for your inquiry.[Read More] Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Understanding T3, T4, TSH Tests and Thyroid Ultrasound Results
T3, T4, and TSH tests along with thyroid ultrasound? Hello Doctor, The results of the T3, T4, and TSH tests are as follows: TSH (Thyroid Stimulating Hormone): 7.4, T3 (Triiodothyronine): 101, Free T4: 0.88. The thyroid ultrasound results are as follows: Examination Report: F...
Dr. Lin Jianliang Reply:
Hello Eason: The current report indicates two main issues: 1. Thyroid disease caused by immune factors: further blood tests, physical examinations, and medical history inquiries are required in the outpatient clinic. 2. Thyroid nodules: a follow-up visit is needed to assess the c...[Read More] Understanding T3, T4, TSH Tests and Thyroid Ultrasound Results
Understanding Uric Acid Levels: Insights on Gout and Health Management
Interpretation of Uric Acid Levels Hello, Doctor. I am 175 cm tall and weigh 97 kg. I have had high blood pressure since I was 16 years old. I do not drink alcohol but often stay up late. On March 15, I sprained my left ankle; at the time, there was no pain or swelling. However, ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have been losing weight for over a month, with my weight dropping from 104 kg to 97 kg. I would like to know if my lowest uric acid level in my life, which is 5.6 mg/dL, is due to dietary control or because I previ...[Read More] Understanding Uric Acid Levels: Insights on Gout and Health Management
Can Eating Expired Food Damage Your Liver and Kidneys?
Food issues Hello doctor, I would like to ask if food poisoning can lead to liver and kidney damage, or if it can cause the function of previously healthy liver and kidneys (with normal blood test results) to deteriorate. I accidentally ate an expired Shaqima and experienced gast...
Dr. Zhang Shixin Reply:
Hello Kiki: Bacterial or viral gastroenteritis, when occurring in healthy adults, typically does not have a significant impact on liver or kidney function unless there is a state of shock due to severe dehydration from persistent vomiting and diarrhea, or if a serious infection l...[Read More] Can Eating Expired Food Damage Your Liver and Kidneys?
Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...
Dr. Zhang Shixin Reply:
Hello: 1. Regarding the glomerular filtration rate, if your blood pressure and blood sugar are well-controlled, it is recommended to monitor the trends. 2. Diabetic nephropathy is usually accompanied by proteinuria; therefore, maintaining stable blood sugar and blood pressure is ...[Read More] Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Understanding Antithyroid Medication: Nodules, Hashimoto's, and Dietary Considerations
Antenatal medication Thyroid ultrasound revealed four nodules, each less than 1 cm, which the doctor indicated are benign and require regular monitoring. Blood tests showed Hashimoto's thyroiditis, and I have started taking Euthyrox (levothyroxine) 50 mcg, one tablet daily. ...
Dr. Li Jian Reply:
If there is hypothyroidism and one takes Antithyroid medication, long-term use of thyroid hormone to suppress the growth of nodules may also lead to bone loss or arrhythmias. Thank you for your inquiry.[Read More] Understanding Antithyroid Medication: Nodules, Hashimoto's, and Dietary Considerations
Understanding Blood Test Results: Interpreting Anti-HBc and HCV Ab Findings
Blood Test Report Doctor, I have a question. Because a family member has herpes zoster and needs to get an injection, I had blood drawn at National Cheng Kung University. Is it normal for the blood test report to show the following results? Anti-HBc test result: Repeatedly reacti...
Dr. Zhang Shixin Reply:
Hello: A negative HBsAg combined with a positive Anti-HBc may indicate a past infection with the hepatitis B virus; a positive HCV Ab indicates a hepatitis C infection. This preliminary interpretation of the blood test results regarding hepatitis B and C is suggested to be discus...[Read More] Understanding Blood Test Results: Interpreting Anti-HBc and HCV Ab Findings
Understanding Side Effects of Levothyroxine in Hypothyroidism Treatment
Thyroid medication consultation I have hypothyroidism (Hashimoto's disease) and have been under follow-up for over two years with no significant symptoms. During my last follow-up in March, my levels worsened slightly, and my doctor prescribed Eltroxin 50, instructing me to ...
Dr. Li Jian Reply:
The dosage of Antithyroid medication needs to be monitored by blood tests for TSH and free T4 levels in order to determine the appropriate dosage. Thank you for your inquiry.[Read More] Understanding Side Effects of Levothyroxine in Hypothyroidism Treatment
Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Blood sugar issues? Hello Doctor, I am 22 years old, and my height, weight, and BMI are all normal. I do not have hypertension, hyperlipidemia, or any other unhealthy values. On March 1st of this year, my fasting blood glucose was 89, and today, March 20th, my fasting blood gluco...
Dr. Li Jian Reply:
The current blood test results are normal, so please do not worry excessively. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Thyroid cancer My mother is 55 years old and has been monitored for nodules for several years. She was recently informed of malignant changes and was subsequently diagnosed with thyroid cancer at a larger hospital. Initially, when it was uncertain whether the cancer was malignant...
Dr. Li Jian Reply:
Thyroid dysfunction can also lead to abnormal cholesterol levels, and diet has a significant impact as well. Thank you for your inquiry.[Read More] Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Understanding Skin Rashes and Positive ANA: What You Need to Know
Rash and ANA positive at 1:80? Hello Doctor, I would like to ask about some recent developments. I have noticed three new red spots on the skin of my right cheek. Upon closer inspection, they seem to resemble either subcutaneous bleeding or pigmentation, but they are neither pain...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Should I be concerned about my ANA test results? Does a change from negative to positive indicate that my health is deteriorating? --> Since the value is still quite low (80) and within an acceptable range, I reco...[Read More] Understanding Skin Rashes and Positive ANA: What You Need to Know
Understanding Persistent Skin Rashes: Possible Immune System Disorders
Red rashes on the back, posterior legs, arms, and anterior chest, with itching at night that makes it impossible to sleep, and some areas of skin peeling? Since January 2024, the patient has been experiencing symptoms and has visited three clinics where eczema or urticaria was su...
Dr. Zeng Guosen Reply:
The skin condition described by the netizen seems to be unrelated to the positive antinuclear antibody (ANA) titer of 1:5120. There may be other autoimmune diseases involved, and it is advisable to seek further medical evaluation. It is recommended to first visit a dermatology de...[Read More] Understanding Persistent Skin Rashes: Possible Immune System Disorders
Understanding Elevated White Blood Cell Counts: When to Seek Further Evaluation
Elevated white blood cell count? Hello Doctor, I would like to ask about my condition. I have mild thalassemia and iron deficiency anemia. Recently, my blood tests have shown elevated white blood cell counts, sometimes over 100,000 and at times 110,000, but the differential white...
Dr. Zeng Guosen Reply:
The user's white blood cell count is between 10,000 and 11,000 (normal is ≤10,000), which is within a reasonable range and should not be a concern. If there are any doubts, it is advisable to consult a hematologist for further evaluation. Thank you.[Read More] Understanding Elevated White Blood Cell Counts: When to Seek Further Evaluation
Does Wisdom Tooth Extraction Affect Inflammation Levels in Ankylosing Spondylitis?
Does having wisdom teeth removed surgically affect inflammation levels? Hello Dr. Tseng, I am 20 years old and a patient with ankylosing spondylitis. I had my wisdom teeth removed on February 22, and my cheeks were swollen and painful afterward. It has been 11 days since the proc...
Dr. Zeng Guosen Reply:
After surgery, swelling and pain may affect ESR/CRP levels, but unless it's severe, the impact is limited. Just inform your physician, and they will make the assessment. 2. In the case of sports injuries, such as sprains, muscle strains, or joint injuries, generally, they do...[Read More] Does Wisdom Tooth Extraction Affect Inflammation Levels in Ankylosing Spondylitis?