Understanding Rhabdomyolysis: When Urine Color Signals Concern
Rhabdomyolysis and Urine Color Issues Hello Dr. Wu, I have previously read your article on rhabdomyolysis that you posted on September 1, 2014. Today, I visited an orthopedic department at a hospital (the front desk recommended me to go there) because I experienced severe thigh...
Dr. Wu Jiyu Reply:
One of the diagnostic tests for rhabdomyolysis is the measurement of serum creatine phosphokinase (CPK) levels. If the test results are normal and the pain subsequently decreases, with normal urine color, there is no need for concern. It is important to maintain a regular exercis...[Read More] Understanding Rhabdomyolysis: When Urine Color Signals Concern
Understanding Dryness Syndrome: Symptoms, Diagnosis, and Tests
Immunity and Sjögren's Syndrome Hello Doctor: Two years ago, I experienced joint swelling and inflammation in my little finger. My family doctor recommended tests, including rheumatoid arthritis (RA) and anti-citrullinated protein antibody (CCP) tests, both of which returned...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Sjögren's syndrome requires a detailed medical history, which includes not only questions about dry mouth but also inquiries about dry eyes and even respiratory symptoms. Blood tests should be arranged, including screening for antinuclear a...[Read More] Understanding Dryness Syndrome: Symptoms, Diagnosis, and Tests
Understanding Immune System Issues After Miscarriage: Key Tests to Consider
Is there a problem with the immune system? Hello doctors: Since my miscarriage last year, I have been experiencing persistent dry mouth symptoms. No matter how much water I drink, I still feel dry throughout the day. I have undergone immune system testing and ruled out Sjögren&#x...
Dr. Zeng Guosen Reply:
Hello, internet user. 1. There are many causes of dry mouth and dry tongue, with only a small percentage of cases attributed to immune issues. In addition to blood tests, a commonly overlooked examination for immune problems is a salivary gland biopsy, which is necessary for di...[Read More] Understanding Immune System Issues After Miscarriage: Key Tests to Consider
Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Consultation for Lipid Disorders Hello Dr. Lin, I am the person who consulted about cholesterol issues on 2020/03/25 <a href="https://adoctor.tw/article/154449">#154449</a>. Thank you for your previous response. I would like to follow up on my earlier questi...
Dr. Lin Jianliang Reply:
After medication, if blood lipid levels can be maintained within the standard range, it is generally less likely to experience hyperlipidemia.[Read More] Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Understanding Lipemia: Cholesterol Levels and Lab Test Accuracy
Cholesterol consultation? Hello Dr. Lin, due to my high cholesterol levels, I have been regularly taking cholesterol-lowering medications for the past few years. After starting the medication, all my lipid profile tests returned to normal ranges (my highest total cholesterol was ...
Dr. Lin Jianliang Reply:
The principles of general biochemical tests differ from those used to assess blood lipids. Therefore, when there is a phenomenon of lipemia, it can interfere with the mechanisms required for biochemical testing, leading to inaccurate results. Lipid-lowering medications are not th...[Read More] Understanding Lipemia: Cholesterol Levels and Lab Test Accuracy
Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Systemic lupus erythematosus (SLE) Anti-DNA Hello, Doctor. I have a history of systemic lupus erythematosus (SLE) for about 10 years, with my last flare affecting my kidneys three years ago. Since then, my condition has been stable, and for the past few months, my proteinuria has...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Anti-dsDNA levels are associated with disease activity in lupus. When assessing the activity of lupus, in addition to evaluating the patient's symptoms, we also refer to blood and urine test results. The indicators we examine include white...[Read More] Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Understanding Persistent Low-Grade Fever and Its Possible Causes
Slightly elevated body temperature over a prolonged period? Hello Doctor, I have been experiencing slightly elevated body temperature since before my vacation, particularly feeling uncomfortable when it reaches around 37.5 to 37.8 degrees Celsius, while my usual temperature is ab...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. If you are experiencing unexplained elevated body temperature or mild fever and have already consulted the specialties mentioned in your message without finding a solution, it would indeed be advisable to visit a Rheumatology and Immunology depa...[Read More] Understanding Persistent Low-Grade Fever and Its Possible Causes
Understanding Persistent High Platelet Count Despite Hydroxycarbamide Treatment
Elevated platelet count that does not decrease despite taking hydroxycarbamide? Hello Doctor: My girlfriend went to the emergency room in the UK due to a nosebleed that lasted five to six hours, accompanied by blood clots. The blood test report suggested a possible diagnosis of t...
Dr. Hong Yuanbin Reply:
Hello, the effectiveness of hydroxycarbamide treatment indeed varies from person to person, so not everyone will experience a significant reduction in platelet counts. As for nasal bleeding, it only requires a certain amount of active platelets to achieve hemostasis, so it may no...[Read More] Understanding Persistent High Platelet Count Despite Hydroxycarbamide Treatment
Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Unexplained fever with low-grade temperature, unintentional weight loss, and joint and muscle pain? Hello, doctor. I have undergone numerous tests in the infectious disease department, and the only abnormal finding was a slightly elevated cancer marker (for reference only) and a ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does align with the situation of "fever of unknown origin." We should indeed be cautious about atypical infections or bone marrow issues. Therefore, I agree with your infectious disease physician's recommendation to conduct furt...[Read More] Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Does Surgery for Right Radius Fracture Affect White Blood Cell Count?
Will surgery for a comminuted fracture of the right hand affect white blood cell count? Hello doctor, I was in a car accident last year and suffered a comminuted fracture in my right arm. The doctor performed surgery on the same day, but since I didn't know my blood type, th...
Dr. Lin Wuxuan Reply:
Hello: There are many reasons for an increase in white blood cell count, with the most common being infection and inflammation. Other common causes include allergies or hematologic malignancies. In rare cases, temporary increases can occur due to intense exercise or bathing. Base...[Read More] Does Surgery for Right Radius Fracture Affect White Blood Cell Count?
Understanding Low C3 and C4 Levels: Do They Indicate Immune System Disorders?
Immune system Hello Doctor: Recently, I had a blood test at the Metabolism Department and found that my C3 and C4 complement levels were low, and my white blood cell count was around 3100. I would like to ask if this indicates an immune system disease? Do I need treatment, or sho...
Dr. Gao Jiankai Reply:
Hello Rita, thank you for your message. Complement proteins are related to the immune system and typically increase during infections; however, in some immune system disorders, complement levels may be low, which can serve as a reference for diagnosing related immune diseases and...[Read More] Understanding Low C3 and C4 Levels: Do They Indicate Immune System Disorders?
Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Blood sugar issues? Hello Doctor, I would like to ask about my situation. Last year, I had several blood tests for other issues, and my blood sugar levels were normal. However, during my physical examination last month, my fasting blood sugar was measured at 106. Does this indica...
Dr. Chen Jianyu Reply:
1. Not counted. 2. Exercise control. 3. Yes.[Read More] Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Understanding Your Blood Test Results: Key Abnormal Values Explained
Blood Test Report Hello Doctor, here are my blood test results. There are several abnormal values that I would like your help in analyzing: - WBC: 8.95 x 10^3/µL - RBC: 4.56 x 10^6/µL - HGB: 14.3 g/dL - HCT: 43.3% - MCV: 95.0 fL - MCH: 31.4 pg - MCHC: 33.0 g/dL - Platelet: 166 x...
Dr. Hong Yuanbin Reply:
Hello, the normal range for Mean Platelet Volume (MPV) in males is approximately 8.8-12.2. Your value falls below the normal range by three units. We will consider this alongside the white blood cell count and clinical symptoms. N-seg is at 81.1% (which is indicated as elevated b...[Read More] Understanding Your Blood Test Results: Key Abnormal Values Explained
Understanding Chronic Joint and Muscle Pain: Causes and Treatment Options
Muscle and joint pain? Hello Dr. Tseng, I have been experiencing increasing fatigue upon waking up every day for the past few years (average sleep time from 12:30 AM to 6:30 AM). During sleep, I often experience pain in my shoulders, elbows, and finger joints, as well as swelling...
Dr. Zeng Guosen Reply:
Hello, it is abnormal to experience pain in the shoulder, elbow, and finger joints while sleeping, and even to wake up due to joint pain during sleep. Blood tests for rheumatoid arthritis factors and uric acid levels have returned normal, but other rheumatic diseases cannot be ru...[Read More] Understanding Chronic Joint and Muscle Pain: Causes and Treatment Options
Understanding Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients
Understanding High hs-CRP Levels: What SLE Patients Should Know
Elevated hs-CRP!?? Hello, doctor. I am a patient with SLE, and during my recent follow-up visit, my blood test showed a high hs-CRP level of 40. However, the doctor did not mention it specifically, and I am a bit concerned. What does this value indicate? Is it related to cardiova...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. hs-CRP does have units, and I believe the value of 40 is in mg/L, which is still considered elevated. There are many reasons that can cause hs-CRP to be elevated, including infections such as dental pain, diarrhea, colds, or recent surgery. The...[Read More] Understanding High hs-CRP Levels: What SLE Patients Should Know
Managing Fatty Liver and Food Expiration: Expert Advice for Patients
I would like to consult a physician? Hello: (1) I am a psychiatric patient. My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverage...
Dr. Hong Yuanbin Reply:
Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication. I believe there is still a chance for success. I recommend consulting with a specialist in obesity medicine. As for expired food, it is ...[Read More] Managing Fatty Liver and Food Expiration: Expert Advice for Patients
Understanding Infection Risks and Vaccination After a Minor Injury
Infection issues Hello, doctor. Previously, I had a cut on my cheek from a blade while getting a haircut, and I consulted you about it. Yesterday, I went to the hospital to see an infectious disease specialist. The doctor administered the hepatitis B vaccine and scheduled blood t...
Dr. Hong Yuanbin Reply:
Hello, based on your condition, the chance of infection is indeed very low. Therefore, the more important aspect is the follow-up. Currently, among the diseases mentioned, only hepatitis B has a vaccine. Your physician likely determined that preventive vaccination for hepatitis B...[Read More] Understanding Infection Risks and Vaccination After a Minor Injury
Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Health check-up issues Hello, doctor. I would like to ask about my adult health check-up I had in May. Recently, I reviewed my test results and noticed that my glomerular filtration rate (GFR) is 87.9, with a note indicating mild chronic kidney injury. What does this mean? Does i...
Dr. Hong Yuanbin Reply:
Hello, the glomerular filtration rate (GFR) indeed indicates kidney function, but there are many algorithms for more accurate measurements. The most precise method is to collect 24-hour urine for calculation. However, based on your description, if this is just a routine health ch...[Read More] Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Understanding Oily Stools: When to Seek Further Medical Evaluation
Oily stools during bowel movements? In the past month or two, I have noticed some oily residue in the toilet water after bowel movements. Although my stools are well-formed, I still feel an oily sensation when wiping. I don't experience much abdominal pain. I have undergone ...
Dr. Hong Yuanbin Reply:
Hello, the first step is to confirm whether it is "oil." It is recommended to not flush the toilet after a bowel movement. If it is oil, you will see oil floating on the surface of the water next to the stool. If you do not see this, the likelihood of it being "oil...[Read More] Understanding Oily Stools: When to Seek Further Medical Evaluation