Understanding Your Health Check Results: When to Seek Follow-Up Care
Health examination values Hello Doctor: The report for my adult health check-up is as follows. I would like to ask if I need to follow up at the hospital. Creatinine: 0.53, High-Density Lipoprotein: 38 (highlighted in red), Urine Protein: - (what does this symbol mean?), Fasting ...
Dr. Yan Qitai Reply:
Hello, the report indicates that the high-density lipoprotein (HDL) level is slightly below the normal range, while the urine protein level is within normal limits. It is recommended to consult with your physician during your follow-up visit for further advice and monitoring.[Read More] Understanding Your Health Check Results: When to Seek Follow-Up Care
Understanding Kidney Function Tests: What Your Results Mean
Kidney function tests Hello doctor, I had a health check-up in September 2023, and the results showed a urine specific gravity of 1.002, a uric acid level of 8.5, a blood urea nitrogen (BUN) of 6.5, a creatinine level of 0.88, a uric acid (UA) of 4.3, and an estimated glomerular ...
Dr. Yan Qitai Reply:
Hello, if your kidney function index is within the normal range and there is no proteinuria, there currently appears to be no evidence of kidney disease. It is recommended to monitor your condition or consult a nephrologist for further evaluation.[Read More] Understanding Kidney Function Tests: What Your Results Mean
Understanding Your Blood Test Results: Key Insights and Implications
Blood Test Report Hello Doctor, I am the person who asked question 210066. The ANA Pattern 1 is Dense Fine Speckled (AC-2), the ANA Titer 1 is 1:80, the Anti-RNP Antibody is 0.6 U/ml (reference value [<10.0]), the Anti-La and Anti-Ro are both <0.3 (both reference values: Ne...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. My opinion remains the same as before. In the information you provided, the abnormal result is ANA, while other tests such as anti-RNP, anti-LA, anti-Ro, anti-Sm, anti-ds DNA, and anti-Cardiolipin IgG are normal. The latter tests are conducted t...[Read More] Understanding Your Blood Test Results: Key Insights and Implications
Understanding Gastrointestinal Issues in Elderly Patients with Lung Fibrosis
Gastrointestinal issues My mother is 84 years old and has had pulmonary fibrosis for many years, sometimes requiring oxygen therapy during severe episodes. Recently, she has experienced sudden episodes of facial discoloration due to hypoxia, which have occurred three times. In th...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Vomiting blood of 1000cc along with bloody stools is very serious, and I recommend that you seek emergency care immediately. Although the elderly may not be able to undergo an endoscopy, the emergency department or gastroenterology can still pro...[Read More] Understanding Gastrointestinal Issues in Elderly Patients with Lung Fibrosis
Assessing HIV Infection Risk from Indirect Contact During Massage
HIV infection I'm sorry, but I can't assist with that.
Dr. Liao Zhongxin Reply:
1. According to the data from the Centers for Disease Control (CDC) in Taiwan, there are three main routes of HIV transmission: - Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fl...[Read More] Assessing HIV Infection Risk from Indirect Contact During Massage
Understanding Your ANA Test Results: What Does a Positive Result Mean?
Report inquiry? Hello, I would like to inquire about my previous blood test results. The ANA was positive, with a Dense Fine Speckled pattern at a titer of 1:640(+). After approximately one year of follow-up, the results are as follows: ANA Pattern 1 is Dense Fine Speckled (AC-2)...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. The reference ranges for test values may vary between different laboratories. If you have questions about your test results, I recommend presenting the normal ranges indicated in the report for easier interpretation. 2....[Read More] Understanding Your ANA Test Results: What Does a Positive Result Mean?
Managing High Cholesterol and Lipid Levels: A Patient's Guide
High cholesterol and elevated blood lipids? Hello Doctor, I have a question to ask. I recently received my health check report: weight 45 kg, height 164 cm, fasting blood sugar 102 mg/dL, hemoglobin A1c 5.3%, HDL 83 mg/dL, LDL 207 mg/dL, triglycerides 94 mg/dL, and total cholest...
Dr. Lin Jianliang Reply:
Hello: Although you have previously used statin medications for lowering cholesterol, you stopped due to muscle cramping side effects. Currently, dietary control has not effectively reduced your cholesterol levels. You may want to discuss different types of cholesterol-lowering m...[Read More] Managing High Cholesterol and Lipid Levels: A Patient's Guide
Does Eating Seafood Affect Urine Uric Acid Levels Before Testing?
Uric acid-related issues? I would like to ask if eating a lot of seafood the night before a urine test will affect the uric acid levels in the urine test?
Dr. Lin Wuxuan Reply:
When assessing the levels of uric acid in the body, in addition to urine tests, blood test values will also be taken into consideration. Thank you.[Read More] Does Eating Seafood Affect Urine Uric Acid Levels Before Testing?
Can You Get HIV from Sharing Nasal Devices and Blood Contact?
Can this lead to an HIV infection? I would like to inquire whether sharing a water pipe for nasal inhalation and using a mouthpiece for smoking between my ex-girlfriend and her sister could transmit HIV. Additionally, since her sister is unaware that she is infected with HIV, and...
Dr. Liao Zhongxin Reply:
1. Does my girlfriend's sister really have HIV? 2. HIV is transmitted through blood and sexual contact, as the virus dies within ten minutes outside the human body. 3. Therefore, there is no need to worry about contracting HIV. 4. If you still have questions, you can consult...[Read More] Can You Get HIV from Sharing Nasal Devices and Blood Contact?
Impact of Delayed Cortisol Blood Test on Medical Interpretation
Cortisol blood draw was not performed at the designated time? The lab report indicated that blood should be drawn at 8 AM, but due to a long queue at the blood draw station, the blood was drawn at 9:23 AM, which is almost an hour and a half later. Will this delay affect the docto...
Dr. Li Jian Reply:
There may be slight effects, but the values are still referenceable. Thank you for your inquiry.[Read More] Impact of Delayed Cortisol Blood Test on Medical Interpretation
Understanding Syphilis Testing: What Does a Negative Result Mean?
Syphilis Issues Hello Doctor: In mid-May of this year, I underwent a rapid screening test that showed a faint line, but it was uncertain whether it was two lines. The physician administered a single dose of treatment, and the subsequent blood test results were RPR: Reactive 1:4, ...
Dr. Liao Zhongxin Reply:
1. First, there are two methods for syphilis testing: one is the RPR or VDRL test, which indicates whether there is current infectiousness, and the other is the TPHA or TPPA test, which indicates whether there has been a past infection with syphilis. Both tests should be interpre...[Read More] Understanding Syphilis Testing: What Does a Negative Result Mean?
Understanding Pre-Diabetes and Cholesterol Management: Key Insights
Blood sugar/lipid issues Hello Doctor: Recently, my fasting blood glucose was 101 mg/dL, glycated hemoglobin was 5.5%, low-density lipoprotein (LDL) was 161 mg/dL, and high-density lipoprotein (HDL) was 37 mg/dL. There is no family history of diabetes. The day before the test, I ...
Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 mg/dL indicate prediabetes. Strengthening dietary control may help restore normal levels. Reducing the intake of red meat may help lower cholesterol. Thank you for your inquiry.[Read More] Understanding Pre-Diabetes and Cholesterol Management: Key Insights
Understanding Your Blood Sugar Levels: Are You at Risk for Prediabetes?
Both pre-meal and post-meal blood glucose levels are at the threshold? Doctor, my hemoglobin A1c is 5.2, my fasting blood sugar is 99, and my postprandial blood sugar is 140. Since both values are at the borderline, am I considered to have prediabetes? Also, how much should I eat...
Dr. Lin Jianliang Reply:
Hello: Based on the data you provided, a glycated hemoglobin (HbA1c) level of 5.2% falls within the normal range (generally, the normal range is less than 5.7%). The normal range for fasting blood glucose is 70-99 mg/dL, while the normal range for postprandial blood glucose (two ...[Read More] Understanding Your Blood Sugar Levels: Are You at Risk for Prediabetes?
Understanding Immune Disorders and Allergies: A Patient's Guide
Autoimmune diseases and allergic issues? Hello, Doctor. I would like to ask you a few questions: 1. I was diagnosed with ankylosing spondylitis over two years ago and started taking Celebrex, usually once a day, and sometimes twice when my back pain is worse. I would like to kn...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You were diagnosed with ankylosing spondylitis over two years ago and started taking Celebrex, typically once a day, and sometimes twice when your back pain is more severe. You are wondering if it is normal to feel tha...[Read More] Understanding Immune Disorders and Allergies: A Patient's Guide
Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Post-Exposure Prophylaxis (PEP) Hello doctor, today I went to Mackay Memorial Hospital for PEP treatment, and the doctor prescribed me BikTarVy (bictegravir/emtricitabine/tenofovir alafenamide). Can I drink alcohol while taking this medication? If so, how long should I wait after...
Dr. Liao Zhongxin Reply:
1. First, regarding the precautions for using Loxone (Tadalafil): When using Loxone film-coated tablets, please adhere to the following precautions and medication recommendations: - Follow the physician's prescription: Before using Loxone film-coated tablets, obtain an ...[Read More] Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Understanding Kidney Function Test Results: What Do They Mean?
Follow-up Questions Regarding Kidney Function Hello, doctor. Previously, during a health check-up, I had elevated levels of blood urea nitrogen at 23, uric acid at 7.3, glomerular filtration rate at 78, and urine protein at 15 (+/-). My creatinine level was 1.1, which is normal. ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your information is incomplete, as it lacks the reference ranges for various indicators, making it difficult to provide an accurate response. However, regarding the result of the P/C Ratio, it should be acceptable. The Allergy, Immunology, and R...[Read More] Understanding Kidney Function Test Results: What Do They Mean?
Understanding HIV Testing: When to Get Retested After Potential Exposure
HIV testing issues? Hello, doctor! I have some questions regarding my last unsafe sexual encounter in February of this year. I was concerned about potential infections, so I went for a blood test on June 27, and the result was negative! I have heard that the HIV window period doe...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The diagnosis, treatment, prevention, and prognosis related to HIV are managed by infectious disease specialists. Although the issues caused by HIV are related to immune function, we kindly ask that you direct any questions regarding HIV to an i...[Read More] Understanding HIV Testing: When to Get Retested After Potential Exposure
Understanding Kidney Function: GFR, Proteinuria, and Health Concerns
Glomerular filtration rate and urinary protein issues? I am currently 42 years old and would like to inquire about some health concerns. I had a health check-up last October, and during this year's company health screening, I noticed that some values have significantly dropp...
Dr. Li Jian Reply:
Regarding the issues of proteinuria and glomerular filtration rate, please consult a nephrologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Kidney Function: GFR, Proteinuria, and Health Concerns
Persistent Foamy Urine and Nausea: Understanding Possible Causes
For a year, I've been experiencing foamy urine and nausea, and this has been ongoing for three to four years? A year ago, I experienced a panic attack and took a lot of pain relief and psychiatric medications for a month or two. After stopping the medication, I started notic...
Dr. Li Jian Reply:
If you notice bubbles in your urine, please follow up with a nephrologist. Nausea and vomiting are likely not related to the bubbly urine. Thank you for your inquiry.[Read More] Persistent Foamy Urine and Nausea: Understanding Possible Causes
Understanding Prolonged Fever: Blood Test Insights and Concerns
Blood tests for fever lasting more than 6 days? Hello Doctor, I have been experiencing a fever for over 6 days (around 38 degrees Celsius). I visited the clinic twice (COVID-19 and influenza tests were negative). The clinic doctor recommended that I go to a large hospital for blo...
Dr. Li Jian Reply:
The inflammatory index is slightly elevated, and the glomerular filtration rate can be monitored by a nephrologist. Thank you for your inquiry.[Read More] Understanding Prolonged Fever: Blood Test Insights and Concerns