Understanding Intermittent Chest Pain: Causes and Concerns
Intermittent chest tightness and pain? Hello doctor, I have been experiencing occasional chest discomfort and pain. I recalled that about a year ago, I fell forward while skateboarding, and my chest hit the ground hard. It was very painful at the time, but it eventually got bette...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the X-ray did not reveal any specific issues, and the pain increases with exertion. This suggests that it may be caused by a muscle injury. I recommend using some oral or topical anti-inflammatory medications, which should help improve your condi...[Read More] Understanding Intermittent Chest Pain: Causes and Concerns
Understanding Different Types of Anemia: What You Need to Know
What types of anemia are there? Hello, doctor: I recently had a health check-up, and many of my blood test results did not meet the standard values. I would like to ask which type of anemia this might indicate and whether further testing is necessary. My results are as follows: R...
Dr. Hong Yuanbin Reply:
Hello, based on your condition, the most likely diagnosis is iron deficiency anemia. However, it is still difficult to confirm the diagnosis solely based on the current values. I recommend consulting a hematologist or a family medicine physician for further evaluation. Thank you ...[Read More] Understanding Different Types of Anemia: What You Need to Know
Understanding Unexplained Fever: Causes and When to Seek Help
Fever of unknown origin? Hello, doctor. Last October, I was hospitalized for a week due to a fever. At that time, I had no other symptoms, just persistent fever, chills, and muscle weakness in my limbs. My temperature was around 38 degrees Celsius, and despite undergoing rapid te...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed necessary to conduct a detailed examination regarding the fever. Routine health check-ups may not necessarily identify the cause. I recommend consulting an infectious disease specialist at a major hospital for a fever workup. If no c...[Read More] Understanding Unexplained Fever: Causes and When to Seek Help
Understanding Hypothyroidism: Heart Palpitations and Treatment Insights
Hypothyroidism and Palpitations Hello Dr. Lee, I would like to ask you a question. Last year, I underwent an advanced health check-up and was diagnosed with hypothyroidism. I am currently taking one tablet of Eltroxin 50 mcg. I often experience severe palpitations and sometimes h...
Dr. Li Jian Reply:
Palpitations are often a symptom of hyperthyroidism. When taking thyroid hormone, thyroid function should be monitored every three months to determine if it is normal and whether lifelong medication is necessary. Regular blood tests are required to assess this.[Read More] Understanding Hypothyroidism: Heart Palpitations and Treatment Insights
Understanding Your Health Check: Urine Protein and Kidney Concerns
Health Examination Report I recently received my health check-up report, which shows urine protein +/- occult blood 1+, blood urea nitrogen 7.4, and a few bacteria. My menstrual period ended about ten days ago before the check-up. Should I schedule an appointment with a nephrolog...
Dr. Wu Hongjie Reply:
Hello: The bacteria may not have completely disappeared, which could result in incomplete recovery from the infection, causing persistent proteinuria. Hematuria may also be present for the same reason. It is recommended to follow up with urine tests. Confirm the resolution of the...[Read More] Understanding Your Health Check: Urine Protein and Kidney Concerns
High White Blood Cell Count: Should You Be Concerned?
Last October, during the school health check-up, my white blood cell count was elevated? Hello Doctor, during my health check-up last October, my white blood cell count was elevated to 18,000. I had a fever and cold in September but did not seek medical attention and just rested....
Dr. Hong Yuanbin Reply:
Hello, white blood cells are an indicator of inflammation, and they will increase whenever there is inflammation in the body. The most common cause is infection, such as a cold, which can lead to an elevation in white blood cell count. Other common causes include dehydration, hea...[Read More] High White Blood Cell Count: Should You Be Concerned?
Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels
Hypothyroidism issues? Six months ago, I had a premarital health check-up and my TSH level was 1.57 uIU/mL, which is normal. Recently, while preparing for pregnancy and taking traditional Chinese medicine, I had another test (on the second day of my menstrual cycle) and my TSH le...
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the explanation: If TSH levels are abnormal (elevated), you should consult an endocrinologist to check Free T4. Both hyperthyroidism and hypothyroidism can affect the secretion of FSH, LH, and HCG, potentially leading to infertility. For he...[Read More] Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Kidney function tests Hello Doctor: In the past few months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea, although I haven't actually vomited. My daily routine has not changed, and there has b...
Dr. Huang Yaoxuan Reply:
Hello, "person with questions." 1. In recent months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea. 2. I have noted episodes of tachycardia and mild arrhythmia. 3. My cortisol level is...[Read More] Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Understanding Abnormal Results in Your Health Check Report
Health check report issues Hello Doctor: I recently received a report from a previous health check-up, but I am confused about several items marked in red on the report. I would like to ask the doctor what could cause these abnormal values? After learning about these abnormal res...
Dr. Hong Yuanbin Reply:
Hello, regarding the following data: (1) pCO2 (partial pressure of carbon dioxide) → 46.9 mmHg, (2) pO2 (partial pressure of oxygen) → 30.1 mmHg, (3) HCO3 (bicarbonate) → 26.4. The normal reference ranges for these values are determined using arterial blood; however, based on you...[Read More] Understanding Abnormal Results in Your Health Check Report
Understanding Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients
Understanding Low Creatinine Levels: Causes and Concerns
Low creatinine levels? Hello, doctor. I had two health check-ups this year, and my creatinine levels were both low: 0.37 at the end of May and 0.43 in mid-August. Is this serious? What should I pay attention to? Thank you.
Dr. Ke Taiyuan Reply:
The creatinine level is related to the amount of muscle mass in the body. If you have low muscle mass, your creatinine level may be lower, which does not necessarily indicate abnormal kidney function.[Read More] Understanding Low Creatinine Levels: Causes and Concerns
Understanding Elevated Creatinine Levels: Should You Worry?
Elevated creatinine levels? Hello Doctor, I am 30 years old. In recent years, my health check-ups have shown elevated creatinine levels twice, around 1.2 or 1.3. My glomerular filtration rate (GFR) has been in the 60s or 70s, but there is no protein or blood in my urine. I do not...
Dr. Wu Jiyu Reply:
Regarding your first question, a creatinine level of 1.2 or 1.3 roughly corresponds to a current estimated glomerular filtration rate (eGFR) of about 75 or 68, which is slightly low for your age. However, you mentioned that you do not have proteinuria or hematuria, nor do you hav...[Read More] Understanding Elevated Creatinine Levels: Should You Worry?
Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation
Health check-up About a month ago, I underwent a routine health check-up, and my hematocrit (HCT) was 37% (reference range: 38-47%). My alkaline phosphatase (ALK-P) level was 16 U/L (reference range: 34-104 U/L). Based on my family physician's recommendation, I was referred ...
Dr. Lin Jianliang Reply:
Hello, I recommend that you continue to follow up with a gastroenterologist. Thank you.[Read More] Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation
Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Health check-up issues Hello, doctor. I would like to ask about my adult health check-up I had in May. Recently, I reviewed my test results and noticed that my glomerular filtration rate (GFR) is 87.9, with a note indicating mild chronic kidney injury. What does this mean? Does i...
Dr. Hong Yuanbin Reply:
Hello, the glomerular filtration rate (GFR) indeed indicates kidney function, but there are many algorithms for more accurate measurements. The most precise method is to collect 24-hour urine for calculation. However, based on your description, if this is just a routine health ch...[Read More] Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Fasting blood glucose 99? Hello doctor, I recently had a health check-up, and my fasting blood glucose level was 99, which is just shy of the normal range, so I feel quite anxious. 😓 Is it necessary to strictly control my diet with this blood sugar level? Should I also go to the ...
Dr. Lin Jianliang Reply:
1. It is recommended to maintain a controlled diet and exercise to prevent levels from rising further, especially if there are other risk factors such as being overweight, elevated postprandial blood glucose, or a family history of diabetes. These factors require more stringent m...[Read More] Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Understanding Thyroid Test Results: Should You Wait or Seek Specialist Care?
Health check issues Hello doctor, I recently had a health check-up and my thyroid function tests showed a T4 (thyroxine) level of 5.14 and a TSH (thyroid-stimulating hormone) level of <0.005. Is this indicative of hypothyroidism? The physician at the health check-up clinic onl...
Dr. Lin Jianliang Reply:
It is recommended to first consult with an endocrinologist for an evaluation.[Read More] Understanding Thyroid Test Results: Should You Wait or Seek Specialist Care?
Understanding Mild Urinary Protein: When to Seek Further Medical Evaluation
Mild proteinuria Hello, doctor. I had a health check-up at the end of July and found a slight issue with albumin. My eGFR is 128.5, creatinine is 0.8 mg/dL, urine albumin (urine dipstick) is 30 mg/L, and urine creatinine (urine dipstick) is 200 mg/dL. The albumin-to-creatinine ra...
Dr. Ke Taiyuan Reply:
If the albumin to creatinine ratio is normal and there are no symptoms of edema or hematuria in the urine, no further testing is necessary.[Read More] Understanding Mild Urinary Protein: When to Seek Further Medical Evaluation
Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Unexplained mild warmth at the urethral and anal openings? Hello Dr. Lin, in the past few months, I have been experiencing unusual sensations in the palms of my hands, feeling swollen and warm. When I use the restroom, I also feel a slight warmth around the urethral and anal area...
Dr. Lin Wufu Reply:
Hello Mr. Zhu: It is difficult to determine whether this is related to medication or due to other reasons based solely on this description. However, if the palms of your hands are simply feeling warm without any rash or pain, it is generally advisable to observe the situation fir...[Read More] Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Understanding Abnormal Kidney Function in Young Adults: A Case Study
Health Check Issues - Abnormal Kidney Function Hello, I received my health check report from last week’s labor health examination on March 26. It shows that my kidney function is abnormal. I am 23 years old and weigh 67.5 kg. I have been doing strength training since last Decembe...
Dr. Zeng Guosen Reply:
Hello, the glomerular filtration rate (GFR) is 78, and the creatinine level is 1.23, which are within normal ranges. However, considering you are 23 years old, these values may be slightly below the average for your age group. It is recommended to drink plenty of water and follow...[Read More] Understanding Abnormal Kidney Function in Young Adults: A Case Study