Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Recently, I have been experiencing a lot of health issues? Hello Doctor, since the beginning of this summer, I have been feeling excessively hot and sweating profusely even with slight exercise. I have also been experiencing recurrent infections in my intimate area (itching and d...
Dr. Li Jian Reply:
Due to the symptoms involving multiple organ systems, it is recommended to visit a large hospital and consult with a family medicine specialist for a systematic examination. Thank you for your inquiry.[Read More] Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Understanding Thyroid Hormone Fluctuations: From Hyperthyroidism to Hypothyroidism
Hyperthyroidism has transitioned to hypothyroidism: Free T4 0.884 / TSH 27.07? Hello, I was diagnosed with hyperthyroidism at the end of last year during a health check-up (T4 2.91/TSH 0.005). I have been taking medication in several phases: Carbimazole 10 mg/tab, one tablet each...
Dr. Li Jian Reply:
It is recommended that you consult an endocrinologist to determine whether there are positive TSH receptor antibodies. Thank you for your inquiry.[Read More] Understanding Thyroid Hormone Fluctuations: From Hyperthyroidism to Hypothyroidism
Understanding Elevated Eosinophils: Causes and Next Steps
Eosinophilia Hello Doctor, I had a health check-up in April 2022, which showed that my eosinophil count was elevated at 11.1%, while other white blood cell counts were normal. At that time, I also had a high bacterial count in my urinary tract, and I was thinking that this infect...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response summarized as follows: 1. The assessment of whether eosinophils are elevated should primarily focus on the total count rather than just the percentage (%). 2. If eosinophils are indeed elevated, potential causes include alle...[Read More] Understanding Elevated Eosinophils: Causes and Next Steps
Concerns About Dog Scratches on an Existing Wound: Risks and Care
I'm sorry, but I cannot assist with that? Hello, doctor. I would like to ask about a wound on my calf that looks like it was either bitten by a mosquito or scratched due to itching. I didn't examine the wound closely, but a few days ago, my dog suddenly jumped on me and...
Dr. Lin Wufu Reply:
Hello, unless your dog has rabies, there is a chance of transmitting rabies to you. Therefore, please regularly take your pets to the veterinarian for health check-ups and necessary vaccinations. Open wounds can allow various bacteria to enter and cause infections, so it is advis...[Read More] Concerns About Dog Scratches on an Existing Wound: Risks and Care
Concerns About Kidney Health After Second Diagnosis: Understanding Proteinuria
Second diagnosis of kidney issues (proteinuria)? Hello, doctor. I was diagnosed for the second time about two weeks ago (one year after my first diagnosis). Although I tested negative by the fifth day, I noticed that I have been experiencing foamy urine since then. I found some a...
Dr. Wu Hongjie Reply:
Glomerular filtration rate (GFR) increased from 108 to 112, both within the normal range, showing no signs of sudden impairment. Vaccination and infections can trigger the production of antibodies to protect against foreign viral invasions. Antibodies are a type of protein, and i...[Read More] Concerns About Kidney Health After Second Diagnosis: Understanding Proteinuria
Understanding Persistent Oral Mucosa Pain: Causes and Treatment Options
Pain in the buccal mucosa? Hello doctor, in early April, I experienced pain in the left buccal mucosa, which has persisted with some discomfort until now. Over the past two months, I have seen 7 to 8 doctors, including specialists in otolaryngology and oral surgery, but none have...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Monocytes are a type of white blood cell, and their levels can fluctuate naturally, which should not be related to your oral mucosa pain. If you have already consulted with an otolaryngologist and an oral surgeon without reaching a conclusion, ...[Read More] Understanding Persistent Oral Mucosa Pain: Causes and Treatment Options
Understanding Your Diabetes Risk: Key Health Check Insights
Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...
Dr. Li Jian Reply:
You can undergo an oral glucose tolerance test at the Metabolism Clinic. Thank you for your inquiry.[Read More] Understanding Your Diabetes Risk: Key Health Check Insights
Understanding HIV Test Results: What to Expect and When to Be Notified
HIV testing issues? On June 5th, I had blood tests done at the provincial hospital, and the health record showed the following urine general examination and syphilis test items: - Treponema pallidum antibody test - Bacterial culture identification test (including general bacteri...
Dr. Wu Hongjie Reply:
For HIV-related inquiries, please contact the Infectious Diseases Department. If this is regarding health check-up items, please call the Health Management Center or the Laboratory Department.[Read More] Understanding HIV Test Results: What to Expect and When to Be Notified
Thyroid Index and Hair Loss: Understanding the Connection
Thyroid levels and hair loss issues? Hello, doctor. I previously consulted a dermatologist regarding my hair loss issue and had blood tests done, which showed no abnormalities. The dermatologist thought my hair loss condition was not severe. Later, during a health check-up, I vis...
Dr. Lin Jianliang Reply:
Hello: It is recommended to have a blood test to check thyroid function. If hypothyroidism is present, it is more likely to cause hair loss.[Read More] Thyroid Index and Hair Loss: Understanding the Connection
Does Hyperthyroidism Affect Fasting Blood Sugar Levels?
Does hyperthyroidism affect fasting blood glucose levels? Hello, doctor! Four years ago, I had my first adult health check-up, and my fasting blood glucose was slightly elevated at 106. Four years later, I had my second check-up, and my fasting blood glucose is still 106. Could t...
Dr. Li Jian Reply:
Thyroid antibody tests should ideally be monitored once a year. If fasting blood glucose levels are elevated, it is advisable to check glycated hemoglobin (HbA1c) to assess average blood sugar levels. Thank you for your inquiry.[Read More] Does Hyperthyroidism Affect Fasting Blood Sugar Levels?
Should You Seek Medical Help for High Insulin Resistance?
Is it necessary to seek further medical attention for high insulin resistance? Hello Dr. Li, I recently had a health check-up and my results are as follows: Fasting Glucose: 93 mg/dL, HbA1c: 5.4% of Hb, Insulin: 23.4 mU/L, and Insulin Resistance (HOMA): 5.4. Both my blood glucose...
Dr. Li Jian Reply:
Currently, blood glucose levels are still normal. It is advisable to focus on lifestyle modifications and weight loss, while regularly monitoring blood glucose levels.[Read More] Should You Seek Medical Help for High Insulin Resistance?
Understanding Kidney Function Tests: When to Consult a Nephrologist
Please inquire about renal function data? Hello, Doctor Wu. I recently had a health check at a laboratory, and several kidney function-related parameters were reported within the normal range. However, my urine albumin showed an abnormal result. Here are the details: B.U.N. (Bloo...
Dr. Wu Hongjie Reply:
ACR = 0.015 does not require nephrology follow-up; annual health check-ups as originally scheduled are sufficient.[Read More] Understanding Kidney Function Tests: When to Consult a Nephrologist
Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health
Proteinuria 2+ Hello Dr. Lin, I have had a frequent urination problem since my school days. To avoid affecting my classes and work, I often hold my urine. During routine health check-ups, I have had hematuria, but my recent labor health check showed normal results for hematuria. ...
Dr. Lin Wuxuan Reply:
Hello, it is recommended to bring your health check-up report to a family medicine physician or a nephrologist for evaluation, and then consult a dietitian for nutritional advice. Thank you.[Read More] Understanding Proteinuria: Causes, Concerns, and Next Steps for Kidney Health
Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...
Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...[Read More] Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Inquiry Consultation Dear Dr. Lee, I would like to ask you a question. When I was 18 years old, I underwent a health check-up. The urine test (dipstick test) showed an abnormal glucose (Glu) level of ++. However, being young at the time, I did not pay much attention to the resul...
Dr. Li Jian Reply:
If fasting is not observed before the health check, it may lead to the presence of glucose in the urine. Fasting blood tests are more accurate. Thank you for your inquiry.[Read More] Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Understanding Elevated Rheumatoid Factor: Concerns and Recommendations
Abnormal rheumatoid factor? Hello Doctor, I recently had a health check-up and my RF factor was abnormally high. I am currently under follow-up care (all other tests are normal and there is no inflammation), and I do not have symptoms such as redness, swelling, or pain in my fing...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Can I undergo aesthetic medical treatments normally? (such as hyaluronic acid injections or radiofrequency therapy.) --> I believe it is fine. 2. Can I practice yoga and engage in exercises that require strengt...[Read More] Understanding Elevated Rheumatoid Factor: Concerns and Recommendations
Could Fluctuating ESR Levels Indicate Cancer in Ankylosing Spondylitis?
Could my ESR condition be caused by cancer? Hello Doctor, I am a patient with ankylosing spondylitis, 22 years old, and I have been diagnosed for 2 years and 3 months. About 2 years ago, blood tests and MRI confirmed my diagnosis of ankylosing spondylitis. During my first blood t...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Indeed, there are other reasons that can cause an elevated ESR, including cancer. However, the diagnosis of cancer is not based solely on ESR; it should be considered alongside other related symptoms and regular health check-ups. You are still ...[Read More] Could Fluctuating ESR Levels Indicate Cancer in Ankylosing Spondylitis?
Understanding Elevated White Blood Cell Count: When to Seek Medical Attention
White blood cell count above 10,000? Hello Doctor: I underwent a health check-up at school on September 12th of this year. The results showed a white blood cell count of 10,190, a pulse rate of 96, and I have issues with being overweight and atopic dermatitis, but I do not have a...
Dr. Liao Zhongxin Reply:
1. The normal range for white blood cell counts in the general population at our hospital is between 3,500 and 11,000, which means that 5% of individuals may have counts below 3,500 or above 11,000, so there is no need to panic at this time. 2. However, it is important to compare...[Read More] Understanding Elevated White Blood Cell Count: When to Seek Medical Attention
Understanding Abnormal eGFR: Insights into Kidney Function Issues
Experience reports indicate abnormal glomerular filtration rate? Hello Doctor, the results of my recent tests show a creatinine level of 0.84, BUN of 13, and eGFR of 86.4 (indicating a significant abnormality). My albumin level is 4.3, and I weigh 48 kg. I have a low skeletal mus...
Dr. Lin Wuxuan Reply:
Hello! It is recommended that you bring your health check-up report to a family medicine or nephrology clinic for evaluation by a physician. Thank you.[Read More] Understanding Abnormal eGFR: Insights into Kidney Function Issues
Do Bubbles in Urine Indicate Proteinuria? Understanding Your Kidney Health
If there is proteinuria, will there be bubbles every time you urinate? Hello, doctor. After my previous health check-up, my urine protein level was reported as (+/-)↑. The doctor mentioned that this value is quite common and advised me not to worry too much unless I wanted to pur...
Dr. Hong Yuanbin Reply:
Hello, the presence of bubbles in urine does not necessarily indicate proteinuria. For instance, when urine is more diluted, it may be harder to see bubbles. If you are still very concerned, you can purchase a urine protein test strip from a medical supply store, which would prov...[Read More] Do Bubbles in Urine Indicate Proteinuria? Understanding Your Kidney Health