Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Regarding kidney biopsy? Hello, doctor! I recently underwent a kidney biopsy and would like to ask a few questions... 1. I found online that after a kidney biopsy, one should avoid lifting heavy objects for at least two weeks. However, my attending physician is willing to allow...
Dr. Wu Jiyu Reply:
According to your inquiry: 1. After a kidney biopsy, there is no strict requirement for a specific number of days of rest; it depends on individual circumstances. If you feel physically capable of returning to your usual work after a week, it should be fine. 2. If there is no ede...[Read More] Post-Kidney Biopsy Care: Recovery Tips and Common Concerns
Concerns About Infection After Needle Stick Injury: What You Should Know
I have a question? Hello, doctor. I previously interned at a hospital and accidentally cut my finger while puncturing a rubber cap with scissors used for medical waste (like IV bottles). Although I squeezed out some blood at the time, I am still worried about the possibility of c...
Dr. Hong Yuanbin Reply:
Hello, if this occurs in a hospital, it should theoretically be reported as a sharp object injury, and the injury protocol should be followed. During this process, tests for Hepatitis B, Hepatitis C, Syphilis, and HIV will be conducted for both you and the patient, and follow-up ...[Read More] Concerns About Infection After Needle Stick Injury: What You Should Know
Understanding Anti-TPO Antibodies: Impact on Fertility and Thyroid Health
Thyroid Anti-TPO antibodies Hello Doctor, I would like to ask you about my report which shows a positive result for anti-TPO antibodies (348 IU/mL), but both TSH and T4 levels are normal. The rheumatologist mentioned that I currently do not have thyroid disease. Since I am prepar...
Dr. Li Jian Reply:
The prevalence of TPO antibodies is approximately 11%, which may be related to genetics. Women who test positive for these antibodies may have a higher likelihood of experiencing infertility or preterm birth; however, current research findings are inconsistent. It is recommended ...[Read More] Understanding Anti-TPO Antibodies: Impact on Fertility and Thyroid Health
Understanding Low Red Blood Cell Count and Hemoglobin Levels: Causes and Treatment
Low levels of red blood cells, hemoglobin, and hematocrit? Hello Doctor: I recently had a health check-up, and the report showed the following blood results: W.B.C: 7.13, R.B.C: 4 (below normal), Hemoglobin: 12, Hematocrit: 36.6 (both below normal), MCV, MCH, MCHC, and platelets ...
Dr. Xie Rongyuan Reply:
Hello: The above blood routine test results are generally within the normal range, and treatment is not necessary. As for the TG36 being slightly low, it may be due to insufficient nutrition, so follow-up testing is recommended. It could also be due to a congenital deficiency of ...[Read More] Understanding Low Red Blood Cell Count and Hemoglobin Levels: Causes and Treatment
Can Allergies Affect Inflammatory Markers Like CRP and ESR?
Does allergies affect inflammation levels? Hello Doctor: My son is 19 years old and has had allergies since childhood. Over a year ago, he was diagnosed with ankylosing spondylitis. He is currently being treated with Wankesit and Celebrex. In his most recent follow-up appointment...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Can allergies cause an increase in CRP and ESR? --> Not necessarily. Most of the time, they do not, but severe allergies may cause an increase. 2) My child currently has a CRP of 0.5 and an ESR of 20. Could part ...[Read More] Can Allergies Affect Inflammatory Markers Like CRP and ESR?
Understanding Persistent Upper Right Abdominal Discomfort: Possible Causes
The body has been experiencing issues for a long time? For the past two to three months, I have been experiencing a sensation of heat and swelling in the upper right abdomen, near the lower edge of the ribs (specifically in the area just above the navel and slightly below the rig...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The likelihood of multiple myeloma is low, as the levels of immunoglobulins (such as IgG, IgA, and IgM) are within normal ranges, and the albumin/globulin ratio is also normal, so there is no need to worry about myeloma. As for the pain below th...[Read More] Understanding Persistent Upper Right Abdominal Discomfort: Possible Causes
Understanding U-PCR and Urinary Protein: Implications for Kidney Health
The relationship between U-PCR (Urine Protein-to-Creatinine Ratio) and kidney function? Hello, doctor. I would like to ask about a recent health check-up for a 72-year-old male. The U-PCR result is 1336.47, indicating significant proteinuria (+++). Is this indicative of a problem...
Dr. Lin Wufu Reply:
Hello, U-PCR 1336.47 or urine bag protein 3+ are both indicators of proteinuria, which is most commonly associated with diabetes, but may also indicate other intrinsic kidney issues. Your overall kidney function is currently normal, but it is still recommended to schedule an appo...[Read More] Understanding U-PCR and Urinary Protein: Implications for Kidney Health
Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide
Health check-up shows elevated fasting blood glucose levels? Hello Doctor, I had a health check-up in 2021 with a fasting blood glucose level of 100 mg/dL and low-density lipoprotein (LDL) cholesterol of 139 mg/dL. On January 15, 2022, my fasting blood glucose was 112 mg/dL and t...
Dr. Lin Jianliang Reply:
Hello: It is recommended to avoid foods and beverages that contain alcohol. Fruits and carbohydrate-rich foods, such as desserts, can also lead to issues with blood sugar and blood lipids. It is advised to have a controlled diet for breakfast, and to exercise regularly and consis...[Read More] Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide
Understanding Blood Abnormalities: Treatment Options and Guidance
Blood disorders Dear Doctor, regarding the following lab results, there are multiple abnormalities in the blood. How should they be treated? Thank you! WBC (White Blood Cell Count): 8590 /μL RBC (Red Blood Cell Count): 5.32 x 10^6 /μL Hgb (Hemoglobin): 10.5 g/dL Hct (Hemat...
Dr. Lin Jianliang Reply:
Hello, please refer to the Hematology department. Thank you.[Read More] Understanding Blood Abnormalities: Treatment Options and Guidance
Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...
Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...[Read More] Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels
Can You Contract HIV or Other Infections from Haircut Tools?
Regarding the risk of contracting HIV and other various infectious diseases? Hello, doctor: I would like to ask if the hair clippers or trimmers used for cutting hair, which may have come into contact with blood from someone with HIV or other infectious diseases, could pose a ris...
Dr. Hong Yuanbin Reply:
Hello, HIV is primarily transmitted through sharing needles, blood transfusions, or sexual intercourse. The hair-cutting activities you mentioned do not transmit HIV. Thank you for your question.[Read More] Can You Contract HIV or Other Infections from Haircut Tools?
Understanding HIV and Infectious Disease Transmission Risks
Regarding issues related to HIV/AIDS and various other infectious diseases? Hello, Doctor: I would like to ask two questions. First, if a person with HIV or other infectious diseases uses a toilet and leaves potentially infectious materials on the flush handle, and I later use it...
Dr. Hong Yuanbin Reply:
Hello, HIV is primarily transmitted through blood transfusions, sharing needles, or sexual intercourse. There are no reports of infection related to the three scenarios you described. Thank you for your question.[Read More] Understanding HIV and Infectious Disease Transmission Risks
Understanding ANA Test Results: What Do They Mean for Your Health?
Antinuclear antibody (ANA) issues? Hello Doctor, my blood test report shows an ANA antibody titer of 1:80 with Pattern 1: homogeneous and Pattern 2: fine speckled. In a second test at a different hospital, the ANA was 40 (-). The doctor said there are no antibodies, and the anti-...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. The first test showed an ANA titer of 1:80, but the second test showed none at all. Does this mean there is a higher chance of being negative and healthy? --> I believe the antibody levels may be low, which can le...[Read More] Understanding ANA Test Results: What Do They Mean for Your Health?
Understanding Renal Vascular Compression and Stent Surgery Risks
Renal blood vessels Renal vascular compression due to the position of the abdominal aorta and mesenteric veins. After undergoing stent placement surgery in July last year, a follow-up CT scan in December revealed stent displacement causing renal vascular compression again. The do...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the stent procedure is likely intended to address concerns regarding the renal and mesenteric blood vessels, as there may be worries about the impact on the kidneys and intestines. It is advisable to follow your physician's recommendation to...[Read More] Understanding Renal Vascular Compression and Stent Surgery Risks
Understanding Elevated Total Protein and Globulin Levels in Blood Tests
Blood Test Report Recently, during a health check-up, I had two elevated values: total protein (TP) and globulin (GLO). All other blood counts, as well as urine kidney function and liver function tests, were normal. The serum total protein (TP) was 8.7 g/dL, albumin (ALB) was 4.8...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I think it's okay. In addition to looking at the values, we also consider the albumin/globulin ratio, so there shouldn't be any issues. If you're still concerned, you can visit the Allergy, Immunology, and Rheumatology Department....[Read More] Understanding Elevated Total Protein and Globulin Levels in Blood Tests
Should I Consider Rehabilitation for Ankylosing Spondylitis Pain?
Should I go to a rehabilitation department for stiffness? Hello Doctor: I am a 20-year-old patient with ankylosing spondylitis. I would like to ask you a few questions: 1) Initially, I only experienced pain in my left buttock (no pain in other areas). After taking Celebrex, the...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) Initially, I only experienced pain in my left buttock (no pain in other areas). After taking Celecoxib, the pain subsided. However, after stopping the medication for 1.5 months, I began to experience pain only in my ri...[Read More] Should I Consider Rehabilitation for Ankylosing Spondylitis Pain?
Can I Get Hepatitis Vaccine While Receiving COVID Booster?
Hepatitis vaccine issues? Hello, doctor: I am scheduled to receive the third dose of the COVID-19 BNT vaccine on March 1. I would like to know if I can also receive the hepatitis vaccine at that time. Thank you. Additionally, is it true that I should avoid street food due to the ...
Dr. Hong Yuanbin Reply:
Hello, as long as there is an interval of more than one week between vaccinations, they can be administered to avoid contaminated food. The main concern is to prevent Hepatitis A and other bacterial or viral gastroenteritis. As for Hepatitis B and C, the primary risk is from need...[Read More] Can I Get Hepatitis Vaccine While Receiving COVID Booster?
Understanding Infection Risks from Injections: Subcutaneous vs. Intramuscular
Infection issues? When receiving an injection, if I did not pay attention to whether the needle was new, and considering that I am not in Taiwan where the equipment is reusable, the injection was administered subcutaneously or intramuscularly. 1. What is the risk of infection for...
Dr. Liao Zhongxin Reply:
1. According to data from the Centers for Disease Control, there are three main routes of HIV transmission: A. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. B. B...[Read More] Understanding Infection Risks from Injections: Subcutaneous vs. Intramuscular
Understanding Blood Sugar Fluctuations: Dawn Phenomenon or Poor Sleep?
Diabetes issues Hello Doctor, I was diagnosed with diabetes in early February. I would like to ask you about my blood sugar levels. On the evening of February 23rd, after taking my blood sugar medication following dinner, my blood sugar was 94 two hours post-meal. However, my fas...
Dr. Li Jian Reply:
This is typically referred to as the dawn phenomenon, which is commonly observed in patients with diabetes.[Read More] Understanding Blood Sugar Fluctuations: Dawn Phenomenon or Poor Sleep?
Understanding eGFR and Creatinine Levels: Should You Be Concerned?
eGFR, creatinine Hello doctor, I would like to ask about my situation. In September 2021, my blood test showed an eGFR of 67.06 and a creatinine level of 1. After seeing these values outside the normal range, I consulted my doctor, who suggested that if I was concerned, I could h...
Dr. Huang Yaoxuan Reply:
Hello Ms. Chi, you mentioned that you have had two blood creatinine tests in the past six months, with results of 1 and 1.1, and eGFR values of 67.06 and 60.08, respectively. The urine test report indicated no issues. Here is some information for your reference: 1. eGFR stands f...[Read More] Understanding eGFR and Creatinine Levels: Should You Be Concerned?