Post-Fever Complications: Understanding Symptoms and Concerns
Problems that may arise after a high fever? Hello, I would like to ask about my condition. Two days ago, I had a high fever of 39.5 degrees Celsius and visited a family medicine clinic. The doctor mentioned that my high fever could be due to either a bacterial or viral infection....
Dr. Li Huixiong Reply:
Based on the symptoms you described, it does seem to be a respiratory infection. Typically, primary care physicians will only provide medications for symptomatic treatment. From the medications you are taking, it appears that the physician who examined you not only prescribed sym...[Read More] Post-Fever Complications: Understanding Symptoms and Concerns
Persistent Fever for 19 Days: Understanding Symptoms and Next Steps
Fever for 19 days? I have had a fever for 19 days, with intermittent spikes and drops in temperature. Seven days before the fever started, I underwent numerous tests, including WBC, CRP, platelet count, and other related blood tests in the infectious disease department, all of wh...
Dr. Qiu Zhengbin Reply:
Hello: Since your symptoms have not yet resolved and there are still reports pending from the rheumatology department, I recommend that you return to the rheumatology clinic to check for any issues. Wishing you a speedy recovery.[Read More] Persistent Fever for 19 Days: Understanding Symptoms and Next Steps
Understanding Abdominal Discomfort and Elevated White Blood Cell Count
There is a feeling of bloating in the stomach, and blood tests show a white blood cell count of 12,500? Initially, on the early morning of September 28, I felt very uncomfortable due to a sensation of gas in my stomach, so I went to the emergency department at Min-Sheng Hospital....
Dr. Hong Hongchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Your blood test report indicates elevated white blood cell count. It is advisable to undergo further examinations, such as for the pancreas or hepatobiliary system. ...[Read More] Understanding Abdominal Discomfort and Elevated White Blood Cell Count
Understanding Fluctuating ANA Results: Immune Issues Explained
The ANA (Antinuclear Antibody) test results can vary between different hospitals? Doctor, you mentioned that "some immune issues may cause fluctuations in ANA results." What specific immune problems are you referring to? I have lost about 9 kilograms in the past nine mo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Autoimmune diseases that can cause fluctuations in ANA levels include conditions such as Sjögren's syndrome. However, further diagnostic details must be evaluated and arranged by the attending clinician. For unexplained fevers, after being ...[Read More] Understanding Fluctuating ANA Results: Immune Issues Explained
Managing High Triglycerides and Liver Health: A Guide for Families
Triglyceride issues I would like to ask about my mother, who is 57 years old. She has been experiencing high cholesterol and triglyceride levels, and over the past six months, her liver enzymes have also been abnormal. However, blood tests have ruled out hepatitis. The doctor men...
Dr. Ke Zhengchang Reply:
Hello: High blood lipids can lead to fatty liver and abnormal liver function. Simply reducing the intake of sweets, avoiding alcohol, and minimizing fried foods, along with increasing physical activity and consuming more fish and fruits and vegetables, can lead to improvement. It...[Read More] Managing High Triglycerides and Liver Health: A Guide for Families
Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Finger joint soreness and numbness? Hello Doctor: I have a history of gout for about 10 years, and I haven't had an acute attack for over 6 years. This month, my blood test showed a uric acid level of 8.6. I would like to ask about an incident from early last year when I sud...
Dr. Zeng Guosen Reply:
Hello, the symptoms you are experiencing do not appear to be acute gout, but chronic gout cannot be ruled out. It is recommended that you visit a hospital for further examination. The sudden sensation of numbness and tingling in the joint of your right little finger and palm, alo...[Read More] Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
How Often Should You Get Blood and Urine Tests for Optimal Health?
excuse me? How often should general blood and urine tests be conducted for optimal health?
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Routine health check-ups typically include blood or urine tests, which are valid for a period of three months. After this time frame, retesting is required. Given the wide variety of tests available in hospitals today, the recommended follo...[Read More] How Often Should You Get Blood and Urine Tests for Optimal Health?
Does Taking Isoflavones for Over a Month Affect Blood and Urine Tests?
Isoflavones If I take isoflavones for more than a month, will it affect my blood tests and urine tests?
Dr. Wang Fangli Reply:
Routine blood tests and urinalysis are generally not affected.[Read More] Does Taking Isoflavones for Over a Month Affect Blood and Urine Tests?
Understanding Fluctuating Serum Creatinine Levels: A Clinical Perspective
Elevated creatinine levels issue? In 2009, I had a serum creatinine level of 1.9 at one hospital. After receiving treatment for hypertension and cataracts at another hospital in October 2009, my serum creatinine level was 1.5. Both the creatinine clearance and kidney ultrasound w...
Dr. Yang Weishun Reply:
Based on your creatinine levels and age, the estimated glomerular filtration rate (GFR), which is a similar indicator of kidney function to creatinine clearance, indicates that your kidneys are clearing between 32 to 50 milliliters of blood per minute, regardless of whether the c...[Read More] Understanding Fluctuating Serum Creatinine Levels: A Clinical Perspective
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 Immune-Related Miscarriage: Insights and Expert Opinions
Immune miscarriage Hello, Doctor. I would like to inquire about "immune-related miscarriage." In late February of this year, I experienced a miscarriage at around 35 weeks of pregnancy and underwent blood tests. The results for ANA, IgG, PTT, and protein S were all norm...
Dr. Gao Jiankai Reply:
Hello, currently, immune-related miscarriage is gradually gaining attention in reproductive medicine. Although this concept is not yet fully accepted domestically, clinical experience cannot ignore the role of the immune system during pregnancy. However, when considering whether ...[Read More] Understanding Immune-Related Miscarriage: Insights and Expert Opinions
Should You Start Antiviral Treatment for Hepatitis B with Normal Liver Function?
Liver function and liver ultrasound are normal, but there was one instance where the viral load exceeded 10,000 copies. Should medication be taken? Hello Dr. Hsiao: I am a 53-year-old male. I was diagnosed as a carrier of Hepatitis B in 1982, and I have been under follow-up for a...
Dr. Xiao Jingqin Reply:
According to the current expert consensus, if liver function is normal, antiviral medications are only required if cirrhosis or severe liver fibrosis is present along with a viral load exceeding 10,000 copies/ml. The use of antiviral medications is primarily divided into two diff...[Read More] Should You Start Antiviral Treatment for Hepatitis B with Normal Liver Function?
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
Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help
Shortness of breath and palpitations? Hello, doctor. I usually have a habit of drinking alcohol and smoking. About two weeks ago, after drinking, I suddenly felt palpitations and difficulty breathing the next day, which persisted for a long time, along with some dizziness. I went...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, palpitations, shortness of breath, and dizziness each have many potential causes, and these three symptoms can be interrelated. Normal chest X-ray, electrocardiogram (ECG), blood tests, or blood pressure measurements may help rule out some pos...[Read More] Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help
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
Unexplained Fever: When to Seek Medical Attention?
Fever of unknown origin (FUO) Hello Doctor: I would like to inquire about an unexplained fever that has lasted for three weeks, with a temperature ranging from 37.6 to 38.5 degrees Celsius. I have been to the hospital for blood tests, and the doctor said the results were normal. ...
Dr. Lin Mingfeng Reply:
Your condition can be classified as fever of unknown origin, which has many potential causes. You should seek medical attention.[Read More] Unexplained Fever: When to Seek Medical Attention?
Understanding Nighttime Abdominal Pain: Possible Causes and Solutions
excuse me? Dear Dr. Hsiao, I suddenly experienced intermittent abdominal pain (below the navel) in the middle of the night, which was severe enough to cause a fever, accompanied by symptoms of belching and nausea. I went to the hospital for blood tests, and it seems that my prol...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, here are the details: 1. There are many causes of abdominal pain, including gastrointestinal diseases, biliary diseases, irritable bowel syndrome, chronic pelvic inflammatory disease, endometriosis, mesenteric lymphadenitis, chronic pancreat...[Read More] Understanding Nighttime Abdominal Pain: Possible Causes and Solutions
Understanding Causes of Foamy Urine Beyond Proteinuria
In addition to proteinuria, other causes of foamy urine include dehydration, urinary tract infections, kidney disease, and the presence of excess sugar or fat in the urine? Hello, doctor. I have noticed bubbles in my urine for a while, but it's not present every time. Howeve...
Dr. Yang Weishun Reply:
Dear Schulman, The presence of foamy urine does not necessarily equate to proteinuria. If the foam dissipates after standing for a while, it may not indicate proteinuria. Typically, proteinuria is often present for most of the day, especially in the first morning urine, so colle...[Read More] Understanding Causes of Foamy Urine Beyond Proteinuria
Understanding Chest Discomfort After Testing Positive for Influenza A
Influenza A Hello Doctor: I previously tested positive for COVID-19 at the hospital. I am currently taking antiviral medication. However, I am experiencing significant chest tightness. I do not have a fever, and the hospital doctor mentioned that my symptoms are mild. My chest ti...
Dr. Li Zhiyao Reply:
Hello, A-Jie: Most individuals infected with the H1N1 influenza virus experience mild symptoms and typically recover within a week without the need for special treatment, allowing most people to rest at home. However, there are a small number of cases where the condition can rapi...[Read More] Understanding Chest Discomfort After Testing Positive for Influenza A
Understanding High White Blood Cell Count: Causes and Next Steps for Your Health
White blood cells In mid-July, while I was at work, I suddenly experienced severe headaches and dizziness, which caused me to collapse and be taken to a large hospital for emergency care. The nurse administered pain relief and anti-nausea medication, and I felt much better afterw...
Dr. Li Zhiyao Reply:
Hello, the white blood cell count typically fluctuates within a certain range depending on the body's condition, so it is not specific; unless there is a hematological disorder or other special reasons. Regarding your concerns about dizziness and headaches, I recommend that ...[Read More] Understanding High White Blood Cell Count: Causes and Next Steps for Your Health