Understanding Abnormal Blood Test Results: Key Questions Answered
Abnormal blood test results: related questions? Hello Doctor, I am #192661. I apologize for bothering you again! I may not have made it clear in my previous message; the sequence should be as follows: - 2022/6 Mono 5.4 - 2022/8 Mono 6.2 - 2022/10 Mono 9.2 - 2023/2 Mono 11.4 ...
Dr. Hong Yuanbin Reply:
Hello, since your other indices are normal, the likelihood of a hematological issue is very low. An increase in monocytes is just one possible manifestation of leukemia; clinically, there is no specific threshold for monocyte levels that defines leukemia. However, if your white b...[Read More] Understanding Abnormal Blood Test Results: Key Questions Answered
Understanding Elevated Liver Enzymes: Causes and Next Steps
Blood test value issues? Hello Doctor, I had a blood test at the hospital the day before yesterday and found that the following liver-related indices were elevated: SGOT: 20 (reference range 5-34), DGOT: 39 (reference range 5-40), and ALP (alkaline phosphatase): 150 (reference ra...
Dr. Hong Yuanbin Reply:
Hello, medications or a cold can indeed affect these values. Your ALP is only slightly elevated, but not significantly high, so it is unlikely to indicate other diseases. It is recommended to follow up in six months. Thank you for your inquiry.[Read More] Understanding Elevated Liver Enzymes: Causes and Next Steps
Understanding Elevated White Blood Cell Counts: When to Seek Further Testing
The white blood cell count report is elevated? Hello Doctor: My blood test reports from last year and this year show a white blood cell count consistently above 11 (elevated). Should I undergo any further tests since my white blood cell count remains high? P.S. The report indicat...
Dr. Hong Yuanbin Reply:
Hello, I would like to know what your earlier report was. Additionally, we will consider other test reports, such as the white blood cell differential count, to make a comprehensive assessment. It is advisable to repeat the blood test in 1-2 weeks. If there is a decrease, it may ...[Read More] Understanding Elevated White Blood Cell Counts: When to Seek Further Testing
Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Arrhythmia Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.
Dr. Xie Rongyuan Reply:
Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition. Thank you for your message![Read More] Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Understanding High ANA Levels: Impact on Pregnancy and Miscarriage
Antinuclear antibodies (ANA) Hello Doctor, I would like to ask a question. I previously experienced a pregnancy loss due to fetal cardiac arrest. After that, I went to the rheumatology and immunology department for blood tests and found that my ANA (antinuclear antibody) level wa...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. There are many reasons for fetal demise, and immune dysfunction is just one small factor. In cases related to immune dysfunction, it is important to consult with your physician, as there are other tests that can be performed in addition to the ...[Read More] Understanding High ANA Levels: Impact on Pregnancy and Miscarriage
Post-Cellulitis Complications: Understanding Your Ongoing Symptoms
What are the sequelae of cellulitis? In May 2021, I suddenly experienced severe pain on the inner side of my left tibia when getting out of bed. Walking was also very painful. Initially, I thought it was plantar fasciitis since I had been running a lot in the days prior. However,...
Dr. Hong Yuanbin Reply:
Hello, during the recovery process of cellulitis, it is indeed common for the surface to start peeling, which does not necessarily indicate a lack of improvement. However, the tissue is more fragile right after recovery, and continued exercise, work, or rehabilitation pressure ca...[Read More] Post-Cellulitis Complications: Understanding Your Ongoing Symptoms
Unexplained Left Back Pain: Causes and When to Seek Help
Unexplained back pain? Left-sided back pain that comes and goes mildly, with no pain during breathing. There is a slight tingling sensation in the left arm and a feeling of chest tightness. I have seen a cardiologist and also visited a clinic; my blood pressure is normal and lung...
Dr. Xie Rongyuan Reply:
Hello: You may consider visiting the pulmonary medicine outpatient clinic. Thank you for your message![Read More] Unexplained Left Back Pain: Causes and When to Seek Help
Negative Rapid Test but Positive RPR: Understanding Syphilis Diagnosis
Rapid test negative but RPR positive? Due to having a rash on my body, and aside from that, there are no signs of primary syphilis or rashes on my hands and feet. I saw a doctor this morning who ordered a blood test, and I will wait a week for the results. However, I took an anon...
Dr. Liao Zhongxin Reply:
1. First, let's take a look at what tests were performed in the anonymous screening to understand the negative report results. 2. Additionally, syphilis is generally tested using RPR/VDRL and TPHA/TPPA to clarify the patient's status. It is recommended to seek a nearby ...[Read More] Negative Rapid Test but Positive RPR: Understanding Syphilis Diagnosis
Understanding Muscle Pain and Nail Changes: When to Seek Medical Advice
Please ask your two questions? Hello doctor, I would like to ask about an issue I experienced. I was lying in bed in a poor position and suddenly tried to sit up like doing a sit-up. In that moment, I felt a sudden pulling or cramping sensation near my buttocks, close to the anus...
Dr. Hong Yuanbin Reply:
Hello, 1. What you mentioned is likely due to muscle strain caused by poor posture. If there are no specific discomforts afterward, it should be fine to just monitor it. 2. Regarding the nails, it appears that the variation in color is simply due to changes in blood flow and d...[Read More] Understanding Muscle Pain and Nail Changes: When to Seek Medical Advice
The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy New Year. I have a question. At the end of April last year, I underwent a PET scan, which revealed two osteolytic lesions in my body. Here are the excerpts from the report: 1. There are two osteo...
Dr. Wu Hongjie Reply:
Hello: 1. I am curious about the reason for your positron emission tomography (PET) scan. If it is due to cancer with suspected bone metastasis, certain cancers can secrete various proteins, which may lead to increased urinary protein levels even in the absence of bone metastas...[Read More] The Relationship Between Proteinuria and Osteolytic Lesions: A Clinical Inquiry
Understanding ANA Testing in Relation to Lupus and Allergies
Regarding ANA testing in systemic lupus erythematosus? Hello, around September 2022, I experienced redness and itching on my face and scalp, along with peeling skin and increased hair loss. I also felt fatigued and had difficulty concentrating. However, I did not have joint pain ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Although the ANA test result is negative, considering that the butterfly rash appeared in September, which was four months ago, how accurate is this blood test? Can systemic lupus erythematosus (SLE) have a negative ...[Read More] Understanding ANA Testing in Relation to Lupus and Allergies
Understanding Positive ANA and Normal Complement Levels in SLE Concerns
ANA positive homogeneous 1:160+ with normal C3 and C4 complement levels? Hello Doctor: Recently, I developed hives and visited the rheumatology and immunology department. After blood tests, it was found that my ANA was positive with a homogeneous pattern at 1:160. Other tests for...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A positive ANA (antinuclear antibody) test can occur in healthy individuals as well. To confirm this possibility, we will investigate the reasons for a positive ANA, including the series of tests you mentioned. If these tests return negative res...[Read More] Understanding Positive ANA and Normal Complement Levels in SLE Concerns
Concerns About Ants in My Cup: Diabetes Worries Explained
About ants? Hello doctor, I recently noticed that sometimes there are ants in my water cup, and I'm worried that I might have diabetes. (My situation: I have no family history of the disease, I'm currently 23 years old, and I usually go to bed late and wake up late, aro...
Dr. Hong Yuanbin Reply:
Hello, the presence of ants cannot indicate whether someone has diabetes. It is recommended to purchase or borrow a simple blood glucose meter to test fasting blood glucose levels. A fasting blood glucose level below 100 mg/dL is considered normal. Thank you for your inquiry.[Read More] Concerns About Ants in My Cup: Diabetes Worries Explained
Understanding HIV Testing: Key Questions and Answers for Patients
HIV testing issues? Hello Dr. Hong, thank you for your response. I would like to clarify a few points based on our previous discussion: 1. Is it correct to understand that as long as there is HIV virus present in the body, new antibodies will continuously be produced, maintaini...
Dr. Hong Yuanbin Reply:
Hello, 1. Theoretically, the human body will produce corresponding antibodies; however, the quantity and types of antibodies may vary due to the functionality of the immune system and the progression of the disease. 2. If previous tests have been negative but there is a concer...[Read More] Understanding HIV Testing: Key Questions and Answers for Patients
Post-COVID Coughing: When to Seek Chest X-Ray for Blood-Streaked Phlegm?
What is the appropriate timing for a chest examination after being diagnosed with a condition and still experiencing hemoptysis? Hello doctor, I was diagnosed at the end of last year and completed isolation in early January. I continued to self-isolate until I tested negative on ...
Dr. Hong Yuanbin Reply:
Hello, if you cough forcefully, it can easily cause microvascular rupture in the throat, leading to blood-tinged sputum. This should gradually improve as the cough resolves. Whether a follow-up chest X-ray is necessary mainly depends on whether you experience shortness of breath ...[Read More] Post-COVID Coughing: When to Seek Chest X-Ray for Blood-Streaked Phlegm?
Understanding HIV Antibody Testing: Common Concerns and Clarifications
HIV Antibody Testing Issues Hello, I am someone who has been panicking about HIV testing recently. 1. So even though HIV antibodies may decrease over time, they will not decrease to the point of being undetectable, right? I am mainly worried about a potential missed diagnosis f...
Dr. Hong Yuanbin Reply:
Hello, 1. Currently, most hospitals use a combined test for antigens and antibodies, so it can still be detected. 2. If tests are negative after three months of unsafe sexual behavior, the chance of infection is very low. 3. This depends on the sensitivity of each test. 4. C...[Read More] Understanding HIV Antibody Testing: Common Concerns and Clarifications
Preparing for Stool Tests: Dietary Guidelines and Allergies Explained
Examination issues Hello Doctor, today I visited a gastroenterologist because I was experiencing abdominal pain and was a bit worried. There is currently no family history of gastrointestinal issues, although my grandfather had some, but my parents do not. They only arranged for ...
Dr. Hong Yuanbin Reply:
Hello, your stool test should be a fecal occult blood test. It is indeed recommended to avoid red meat or blood products, such as pig's blood cake or rice blood cake, the night before. As for medications and vitamins, they should not have an impact. Thank you for your inquir...[Read More] Preparing for Stool Tests: Dietary Guidelines and Allergies Explained
Understanding Abnormal Blood Test Results After COVID-19 Vaccination
Abnormal blood test results? Hello, Doctor: I received my fourth dose of the COVID-19 vaccine on November 26, 2022, and I underwent a health check at my company on December 13, 2022. I am unsure if some abnormal values are related to the vaccination. The results are as follows: N...
Dr. Hong Yuanbin Reply:
Hello, based on your values, the main issues are low neutrophils and high lymphocytes. The most common causes are viral infections, such as COVID-19 or influenza. In addition to viral infections, other hematological disorders may also be a possibility. It is recommended to retest...[Read More] Understanding Abnormal Blood Test Results After COVID-19 Vaccination
Is There a Connection Between Urticaria and Immune System Disorders?
Is urticaria related to immune system disorders? Hello Doctor, I have been experiencing itching in my limbs for the past three weeks. The itching has progressively worsened, so I consulted a dermatologist who diagnosed me with urticaria, although I have never had this condition b...
Dr. Zeng Guosen Reply:
There is a connection between immune dysregulation and urticaria. For further differential diagnosis, you can consult a dermatologist or an immunology/allergy specialist. Thank you for your question.[Read More] Is There a Connection Between Urticaria and Immune System Disorders?
Can You Get HIV from a Sharp Object Injury? Prevention Options Explained
HIV infection While cleaning up in the sink, I suspect I was cut on my finger by a sharp object like a toothpick from a customer, causing bleeding (the object should not have had any blood on it). The customer was here about 10 minutes ago. Is there a risk of HIV infection from t...
Dr. Hong Yuanbin Reply:
Hello, the likelihood of infection in the situation you mentioned is very low. Unless it is confirmed that the other person has HIV, there should be no need for prophylactic medication. Thank you for your question.[Read More] Can You Get HIV from a Sharp Object Injury? Prevention Options Explained