Understanding High MCV Levels: Should You See a Doctor?
MCV (Mean Corpuscular Volume) is a measure of the average volume of red blood cells? Hello: My recent health check report shows that my MCV (Mean Corpuscular Volume) is 100 (highlighted in red), while the normal range is 79-99 fL. Should I seek medical attention for this?
Dr. Chen Junwei Reply:
Hello: If only the MCV is slightly elevated without any other blood abnormalities (such as low white blood cell count or low platelet count) or anemia (low hemoglobin), and there are no other nonspecific physical symptoms (such as fever, fatigue, etc.), there is no need to rush f...[Read More] Understanding High MCV Levels: Should You See a Doctor?
Effective Strategies for Healthy Weight Gain and Muscle Building
Methods for Gaining Weight Doctor, I am 170 cm tall and weigh 55 kg. I want to gain weight and build muscle, but I find it difficult to put on weight. Do you have any recommendations for gaining weight?
Dr. Li Zhiyao Reply:
Hello: Your Body Mass Index (BMI) is 19.0, which falls within the standard weight range and is not considered underweight. Additionally, you are in a young age group, where metabolic rates are high and activity levels are significant, making slow weight gain a common phenomenon. ...[Read More] Effective Strategies for Healthy Weight Gain and Muscle Building
Understanding Oral Anaerobic Bacteria: Causes and Treatment Options
Oral anaerobic bacteria I have a problem with bad breath and suspect it may be caused by an oral or gastrointestinal infection with anaerobic bacteria or facultative anaerobes. Which department should I visit or what tests should I undergo? Thank you.
Dr. Liao Zhongxin Reply:
Dear readers: If you have an unpleasant odor in your mouth, you may consult the following specialties and their associated causes: 1. Dentistry => Periodontal disease, cavities 2. Hepatology => Chronic liver disease (Hepatitis B/C) 3. Nutrition Department => Dietary inta...[Read More] Understanding Oral Anaerobic Bacteria: Causes and Treatment Options
Managing Prediabetes: Key Tips for Blood Sugar Control
Precautions for Prediabetes Dear Dr. Hsiao, I had a fasting blood glucose level of 127 mg/dL at the health examination center. After two weeks of paying special attention to my diet and recording it daily, along with maintaining a routine of walking 10,000 steps three times a we...
Dr. Xiao Yongxun Reply:
Hello: Here are the responses to your questions: 1. According to the diagnostic criteria for diabetes published by the American Diabetes Association in 2010, the following criteria are used: (1) Fasting plasma glucose level >= 126 mg/dL after at least 8 hours; (2) 2-hour plas...[Read More] Managing Prediabetes: Key Tips for Blood Sugar Control
How Long After Dialysis Do Patients Typically Stop Urinating?
In general, how long after dialysis do patients with kidney failure stop producing urine? If a family member is undergoing dialysis, I would like to ask how long it typically takes for a person to stop urinating after starting dialysis.
Dr. Wu Jiyu Reply:
This issue involves "residual kidney function," and there is no standard answer. 1. If the residual kidney function is only 2 or 3 points at the beginning, the urine output may be less than 200 cc. 2. Generally, peritoneal dialysis tends to preserve more residual kidney...[Read More] How Long After Dialysis Do Patients Typically Stop Urinating?
Can a Vegetarian Diet Help Reduce Gout Symptoms and Uric Acid Levels?
Gout issues Hello, doctor. I would like to ask if a vegetarian diet can help gout patients in eliminating crystals and lowering uric acid levels.
Dr. Ke Zhengchang Reply:
1. A vegetarian diet will not eliminate uric acid crystals in gout. 2. Lowering uric acid levels can reduce the frequency of gout attacks. 3. A vegetarian diet often relies heavily on legumes, which can also raise uric acid levels. If eggs and dairy are still considered veget...[Read More] Can a Vegetarian Diet Help Reduce Gout Symptoms and Uric Acid Levels?
Managing High Uric Acid Levels: Dietary Changes vs. Medication
Hyperuricemia Hello, doctor. I learned from my health check report at school that my uric acid level is high at 10.2. How can I prevent this? Additionally, my MCV is also low at about 77.2. Regarding the uric acid, I believe it may be due to genetic factors. Should I consider med...
Dr. Ke Zhengchang Reply:
Hello: Elevated uric acid levels in the blood can be influenced by genetic factors as well as dietary habits, such as the consumption of high-purine foods like organ meats, seafood, meat broth, hot pot, alcohol, mushrooms, and legumes, all of which can increase uric acid levels. ...[Read More] Managing High Uric Acid Levels: Dietary Changes vs. Medication
Can Growth Hormone Treatment Affect My Height at 17?
Questions regarding growth hormone? I am currently 17 years old and received growth hormone treatment two years ago, which helped me grow nearly 20 centimeters. However, I stopped the treatment afterward. I would like to ask the doctor if this will affect my current height growth...
Dr. Xiao Yongxun Reply:
1. There are many reasons for short stature, including both primary and secondary factors. Primary factors include genetic disorders, congenital bone metabolism abnormalities, short stature in parents, and delayed bone age. Secondary factors include chronic diseases, chronic kidn...[Read More] Can Growth Hormone Treatment Affect My Height at 17?
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 Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Lipid malnutrition syndrome Lipid Nutritional Deficiency (272.6) - which specialty should I consult for examination and treatment, and how can I obtain a catastrophic illness card? Ms. Lin, phone number 0932658379. Onset date: Late March 2007. Course of illness: After a car...
Dr. Chen Qingbin Reply:
Hello Miss Lin: In clinical practice, lipid malnutrition is very rare, and it is best to go to a medical center for a detailed examination and treatment.[Read More] Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Managing High Blood Sugar and Cholesterol: What You Need to Know
I'm sorry, but I need more context to provide a translation. Could you please provide additional information or content? I went to the hospital for an examination and found that I have high blood sugar and high total cholesterol levels. The 24-hour urine test results are unk...
Dr. Qiu Zhengbin Reply:
Hello; you have undergone examinations at the hospital and found that you have high blood sugar and elevated total cholesterol levels, which may indicate the possibility of diabetes and dyslipidemia. The rapid weight gain may be related to the psychiatric medications you are taki...[Read More] Managing High Blood Sugar and Cholesterol: What You Need to Know
Effective Strategies for Managing Blood Sugar Levels Beyond Medication
How can blood sugar be stabilized and controlled? Dr. Chiu: How should diabetes be managed? Besides medication, what other options are available?
Dr. Qiu Zhengbin Reply:
Hello, Xiao Hui: The three key points for blood sugar control are (1) medication adherence, (2) exercise, and (3) dietary management. Please follow these three principles to manage your blood sugar. If you have any questions, please contact the outpatient department of Changhua H...[Read More] Effective Strategies for Managing Blood Sugar Levels Beyond Medication
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
Managing High Blood Sugar and Blood Pressure: Daily Health Tips
How to manage elevated blood sugar levels in daily life? Hello Doctor: My father recently underwent a health check-up and his blood sugar level was found to be elevated at 119 mg/dL. Additionally, his blood pressure readings showed a systolic pressure of 175 mmHg and a diastolic ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. A fasting blood glucose level of 119 mg/dL raises clinical suspicion for potential impaired glucose tolerance. It is advisable to consult your family physician for further evaluation to gain a deeper understanding of your condition. ...[Read More] Managing High Blood Sugar and Blood Pressure: Daily Health Tips
Effective Strategies for Managing Diabetes in Older Adults
How to manage diabetes? Dear Dr. Chiu: How should diabetes be managed? My grandfather's blood sugar has been poorly controlled, and our family is unsure how to assist in managing it.
Dr. Qiu Zhengbin Reply:
Hello Selina: Essentially, blood sugar control requires three aspects: (1) medication management, (2) dietary control, and (3) exercise. These three areas need to be addressed together in order to effectively manage blood sugar levels. Changhua Hospital cares about you.[Read More] Effective Strategies for Managing Diabetes in Older Adults
Can Glucosamine Supplements Help with Knee Joint Degeneration?
excuse me? Hello, Doctor. I would like to ask about my mother, who has mild diabetes and has been on medication for long-term control. However, she is experiencing knee joint degeneration. A friend suggested that she take liquid glucosamine supplements (such as Nuliv or Haoguli)....
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Glucosamine is converted in the body into glycoproteins and glycosaminoglycans; it is believed to enhance the synthesis of proteoglycans within cartilage, thereby improving the progression of osteoarthritis. Adverse reactions are limited...[Read More] Can Glucosamine Supplements Help with Knee Joint Degeneration?
Skin Color Changes on Philtrum and Nose: What Should You Do?
Philtrum and nasal bridge? Hello, doctor. I would like to ask about a situation where the skin color on the philtrum and bridge of the nose has changed to a light brown after waking up, resembling a beard from a distance. There has been no change in diet, and I have consulted two...
Dr. Qiu Zhengbin Reply:
Hello, I recommend that you visit a hospital to see a dermatologist or a family medicine physician to check for any similar skin changes or other bodily discomforts, in order to determine if there are any internal medical issues. Thank you for your inquiry, and I wish you good he...[Read More] Skin Color Changes on Philtrum and Nose: What Should You Do?
Long-Term Use of Antacid: Is It Safe for GERD Patients?
Long-term use of gastric mucosa protectants issues? I have gastroesophageal reflux disease (GERD), so before bed, I take medication and drink 10 mL of a digestive aid (containing Aluminum Hydroxide, Magnesium Hydroxide, and the anti-foaming agent Simethicone). This significantly ...
Dr. Yang Weishun Reply:
For patients with renal insufficiency or chronic kidney failure, the use of any antacids or laxatives containing magnesium or aluminum is not recommended. This is because individuals with impaired kidney function cannot adequately excrete these ions, leading to accumulation in th...[Read More] Long-Term Use of Antacid: Is It Safe for GERD Patients?
Managing Gout in Hepatitis B Carriers: Safety of Benzbromarone
Patients with hepatitis B who require treatment for gout should be carefully managed to avoid potential drug interactions and complications. It is essential to consult a healthcare provider for appropriate medication options that are safe and I am a carrier of hepatitis B and hav...
Dr. Yang Weishun Reply:
The likelihood of benzbromarone causing fulminant hepatitis is low, with some scholars estimating an incidence of approximately one case per 17,000 people. However, if you have concerns about the medication, there are alternative drugs available. It's important to note that ...[Read More] Managing Gout in Hepatitis B Carriers: Safety of Benzbromarone
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