Understanding Liver Fibrosis: Causes, Treatment, and Care Options
Liver issues? Hello doctor, I recently had an abdominal ultrasound that showed liver fibrosis. My blood tests did not indicate hepatitis B or C. Is it possible that I had hepatitis B or C in the past and it resolved on its own, leading to the fibrosis? I also do not drink alcohol...
Dr. Li Zhiyao Reply:
Hello: In addition to hepatitis B and C, there are other causes. It is recommended that you consult a gastroenterologist specializing in hepatobiliary medicine.[Read More] Understanding Liver Fibrosis: Causes, Treatment, and Care Options
Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results
Can You Get HIV from a Needle Stick? Understanding the Risks
Thank you, doctor? A few years ago, I was accidentally pricked in the foot by an unknown syringe. Is there a risk of contracting HIV? What happens if the needle didn't penetrate deeply?
Dr. Liao Zhongxin Reply:
Dear readers, regarding the needle stick injury, the following recommendations are suggested: 1. First, visit a nearby medical facility to assess the risk and receive health education. 2. If the risk level is higher, you should regularly return to the medical facility for blood t...[Read More] Can You Get HIV from a Needle Stick? Understanding the Risks
Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Blood test The blood test results show four abnormalities: WBC 17.3, EOS 0.5, GLUCOSE 61, and CREA 1.5. Possible causes for these abnormalities could include: 1. **Elevated White Blood Cell Count (WBC 17.3)**: This may indicate an infection, inflammation, stress, or a hematologi...
Dr. Li Zhiyao Reply:
Hello: Diagnosis requires correlation with medical history, clinical symptoms, and physical examination.[Read More] Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Can Rheumatoid Arthritis Go Undetected? Understanding the Challenges
Is it possible for rheumatoid arthritis to go undetected in tests? Hello, earlier this year my mother (born in 1971, 52 years old) has been experiencing unbearable pain in both hands, especially at night when the pain is particularly severe in her finger joints. Additionally, her...
Dr. Zeng Guosen Reply:
Hello, Ping Ping; the diagnosis of rheumatoid arthritis must consider 1. clinical joint symptoms 2. rheumatoid factor and anti-CCP antibody tests 3. inflammatory markers 4. duration of symptoms 5. imaging studies such as X-rays and ultrasound for evaluation. Joint discomfort can ...[Read More] Can Rheumatoid Arthritis Go Undetected? Understanding the Challenges
Managing Hyperthyroidism: Pregnancy Risks and Treatment Options Explained
Hyperthyroidism issues? Hello Doctor: I would like to ask about my condition. I have had hyperthyroidism for over a decade, and although my levels were very high in the past, they have been stable and normal for the past two years. My most recent lab results show T3 at 153.35, T4...
Dr. Xiao Yongxun Reply:
Your question involves issues related to endocrinology and obstetrics; it is advisable to discuss this with your attending physician. 1. There are many causes of hyperthyroidism, with Graves' disease being the most common, likely due to an autoimmune response. Once well-co...[Read More] Managing Hyperthyroidism: Pregnancy Risks and Treatment Options Explained
Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Post-operative care considerations after stage II thyroid surgery? I went to the hospital for an examination due to swelling in my neck. Initially, the biopsy report indicated that the thyroid nodule was benign, but since it was 3.5 cm, I was scheduled for a total left thyroidect...
Dr. Xiao Yongxun Reply:
1. The surgeon diagnosed a 3.5 cm thyroid nodule, and despite the fine needle aspiration cytology indicating a benign tumor, he decided to perform a left lobectomy due to the tumor's size or other imaging evidence. The pathological report confirmed it was a follicular thyroi...[Read More] Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Understanding Renal Vascular Calcification: Causes and Implications
Renal vascular calcification Doctor, I previously underwent a health check-up at the hospital where I had an abdominal X-ray and a kidney ultrasound. The kidney ultrasound results were normal, but the abdominal X-ray indicated vascular calcification in the kidneys. Could you plea...
Dr. Wu Jiyu Reply:
Based on the information provided, we are unable to address your medical condition. We recommend that you consult a nephrologist for blood tests to check your "creatinine" levels and a urinalysis to clarify the issue. Thank you for your inquiry. The Nephrology Departmen...[Read More] Understanding Renal Vascular Calcification: Causes and Implications
Understanding Reduced Saliva Production: Causes and Solutions
Hello, doctor. I have a question regarding decreased saliva production? Four years ago, I noticed a decrease in saliva production, which has led to difficulties swallowing. I often need to drink liquids while eating. I went to the rheumatology and immunology department for blood ...
Dr. Zeng Guosen Reply:
Hello, there are many reasons for dry mouth. Currently, there are medications available to alleviate the symptoms, as well as toothpaste, oral gels, and mouthwashes that can help. It is advisable to consult an otolaryngologist for further evaluation.[Read More] Understanding Reduced Saliva Production: Causes and Solutions
Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...
Dr. Wu Jiyu Reply:
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Is it related to endocrinology? Hello, Doctor. The patient has been experiencing long-term fatigue, excessive daytime sleepiness, and difficulty concentrating. After being diagnosed with sleep apnea and undergoing surgery, the sleep oxygen levels have improved significantly. Fati...
Dr. Zeng Guosen Reply:
Hello, online user: The endocrine system has many functions, and its glands are located from the pituitary gland to various parts of the body. If you need further examination, it is recommended to visit an endocrinology specialty clinic for a resolution. Thank you for your questi...[Read More] Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Understanding Blood Sugar Changes After Tuberculosis Treatment
Please ask your questions regarding blood sugar? Hello Doctor, my mother has been taking anti-tuberculosis medication (Rifampicin + EMB + PZA + INH) for a month, and her fasting blood glucose has increased from the 90s to 105. She has a history of gestational diabetes and has bee...
Dr. Li Zhiyao Reply:
Hello: Antituberculosis medications do not cause diabetes; elevated blood sugar levels may be due to increased food intake. During tuberculosis treatment, regular blood tests will be conducted. Please monitor your blood sugar levels regularly and discuss them with your attending ...[Read More] Understanding Blood Sugar Changes After Tuberculosis Treatment
Understanding Abnormal Anti-Thrombin III Levels After Abortion: What You Need to Know
Abnormalities in blood test immune markers? Hello Doctor, I underwent a surgical abortion on November 6th (the embryo's heartbeat stopped at eight weeks), and on November 7th, I had blood drawn for immune testing. The abnormal result highlighted in red is: anti-thrombin III,...
Dr. Zeng Guosen Reply:
Hello, user: The issue regarding anti-thrombin III generally falls within the field of hematology in clinical practice. To ensure a complete and accurate response to your question, I recommend consulting a hematology specialist. Thank you.[Read More] Understanding Abnormal Anti-Thrombin III Levels After Abortion: What You Need to Know
Understanding Hypothyroidism: Why Continuous Medication is Essential
Hypothyroidism I was diagnosed with hypothyroidism at the age of sixteen and took thyroid hormone replacement for two years. Later, I secretly stopped taking the medication. A few months ago, I had a blood test due to chest pain, and the doctor suspected hypothyroidism, but the r...
Dr. Li Zhiyao Reply:
Hello: You should first understand the cause of your hypothyroidism. In young women, it is often caused by autoimmune issues, which require long-term medication. If it is due to a short-term inflammation or certain medications, long-term medication may not be necessary. Please co...[Read More] Understanding Hypothyroidism: Why Continuous Medication is Essential
Understanding Low Insulin and High Adrenaline: Insights on Addison's Disease
Low insulin, high adrenal hormones? Hello, Dr. Li recently visited a naturopathic doctor and had some blood tests done. The doctor mentioned that it could possibly be Addison's disease. My symptoms include a constant feeling of dizziness and brain fog 24 hours a day. I have ...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you visit the Department of Endocrinology and Metabolism at a hospital, where an endocrinologist can provide you with more reliable diagnosis and treatment.[Read More] Understanding Low Insulin and High Adrenaline: Insights on Addison's Disease
Understanding Joint Pain: Insights on Arthritis and Fibromyalgia Management
Joint pain I have juvenile arthritis and fibromyalgia. I have been managing my condition with medication for about a year, and it has improved significantly. However, after an accidental ankle sprain and fracture, my joints suddenly started to hurt again. Strangely, my blood test...
Dr. Zeng Guosen Reply:
Hello, internet user: Joint pain can be caused not only by arthritis but also by surrounding structures such as cartilage, ligaments, and muscles. Therefore, it is possible to experience joint pain even if blood test results are normal. Medications for fibromyalgia and arthritis ...[Read More] Understanding Joint Pain: Insights on Arthritis and Fibromyalgia Management
Understanding Mediterranean Anemia: Blood Test Insights and Next Steps
Mediterranean anemia Hello, based on my blood test report, is it possible that I have Mediterranean anemia? What is the likelihood? Or what additional tests should I undergo? Thank you. RBC: 5.28 (Male: 4.2-6.2; Female: 3.7-5.5) MIL/cumm Hemoglobin: 13.2 (Male: 12.3-18.3; Fem...
Dr. Xiao Yongxun Reply:
1. The complete blood count and hemoglobin electrophoresis tests you provided should ideally be ordered by a physician, who should also provide a thorough discussion and explanation of the results. If you have any further questions, please be sure to discuss them with your physic...[Read More] Understanding Mediterranean Anemia: Blood Test Insights and Next Steps
Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Polyarthritis 1. I have an ASLO index of 247 (or 274?). Is this caused by genetics or an infection? My family has a history of almost all hereditary diseases, including lupus erythematosus, ankylosing spondylitis, gout, rheumatoid arthritis, kidney stones, kidney disease, stroke,...
Dr. Gao Jiankai Reply:
Hello Ms. Yang, I hope this message finds you well. Your questions are somewhat complex, and since I haven't actually seen you, many of my thoughts are merely speculation. It is best for you to discuss these matters with a physician who has examined you in person. Here are m...[Read More] Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Understanding Limb Swelling: Causes and Solutions for Office Workers
Swelling of the limbs? I have to sit for long periods at work, and after each shift, I notice that my entire foot is much more swollen than in the morning. When I press on it, it doesn't take long to rebound, but it's clearly different from how my foot looked in the mor...
Dr. Xie Rongyuan Reply:
Hello: If this continues, it would be safer to go to the hospital for a detailed examination. For example, low albumin levels can also cause lower extremity edema and low blood pressure. Thank you for your message![Read More] Understanding Limb Swelling: Causes and Solutions for Office Workers
Potential Infection Risks for Dental Assistants: What You Need to Know
Stabbed by a needle? As a dental assistant, I have recently experienced several minor accidents, including being pricked by a patient's anesthetic needle, getting sprayed with a small amount of blood, and cutting my foot on a sharp object while disposing of clinic waste, alt...
Dr. Xiao Yongxun Reply:
In larger hospitals, there is usually a standard operating procedure for needlestick injuries. Generally, it is as follows: 1. Report to the infection control department, and the occupational safety and health office will document the incident and provide the personnel department...[Read More] Potential Infection Risks for Dental Assistants: What You Need to Know