Understanding Albumin Use and Fungal Infections in Elderly Patients
Medication Use / Fungal Infection 1. Human albumin should be administered in situations such as significant hypoalbuminemia, severe burns, liver cirrhosis with ascites, or conditions requiring volume expansion in critically ill patients. 2. It is not typical for a patient to ha...
Dr. Lin Wufu Reply:
Hello: 1. Common indications include limb edema or pulmonary edema caused by low albumin, or the use of albumin may also be considered in cases of hypotension. 2. It is quite common to culture many bacteria and fungi from urine and sputum after a patient has been hospitalized for...[Read More] Understanding Albumin Use and Fungal Infections in Elderly Patients
Unexplained Bruising on Lower Legs After AZ Vaccine: What to Know
After receiving the AZ vaccine, there is unexplained bruising on the calf? Hello doctor, I have Sjögren's syndrome and iron deficiency anemia. After receiving my first dose of the AZ vaccine on July 29 (Thursday), I noticed seven unexplained bruises on my tibia and knee on J...
Dr. Zeng Guosen Reply:
Hello, the blood test did not show any abnormalities in your platelets. Blood abnormalities related to the AZ vaccine typically occur 10 days to two weeks after vaccination. Currently, your situation cannot be explained, and it is recommended that you consult a hematologist for f...[Read More] Unexplained Bruising on Lower Legs After AZ Vaccine: What to Know
Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...
Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.[Read More] Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Understanding Mediterranean Anemia: Vaccine Considerations for Patients
Mediterranean anemia Hello Doctor, I would like to ask about an internal medicine issue. Six years ago, during my pregnancy, I underwent prenatal check-ups, and the report values were as follows: average red blood cell count 75.7 (reference value 79-99) and hemoglobin 11.9 (refer...
Dr. Hong Yuanbin Reply:
Hello, based on your blood test report, it is possible that you have either thalassemia or iron deficiency anemia. To determine which type it is, further blood tests are necessary. Regarding vaccines, it does not affect the choice of vaccine brand. Thank you for your inquiry.[Read More] Understanding Mediterranean Anemia: Vaccine Considerations for Patients
Post-Accident Health Concerns: Vaccine Eligibility and Recovery Insights
Post-accident condition and vaccine issues? I would like to ask about the injuries I sustained from a car accident two years ago, which resulted in liver and spleen lacerations. I did not undergo invasive treatment, but I fractured five ribs and my sternum. Occasionally, I still ...
Dr. Hong Yuanbin Reply:
Hello, the process of healing at the fracture site and the wound around the knee may lead to fibrosis, which could result in the pulling sensation or pain you mentioned. Theoretically, this should gradually diminish. However, if the pain increases, it is advisable to consult your...[Read More] Post-Accident Health Concerns: Vaccine Eligibility and Recovery Insights
Understanding Heart Discomfort During Dialysis: Causes and Solutions
Discomfort in the heart during dialysis? Dear Dr. Wu, I have a family member, a 30-year-old female, who has been undergoing dialysis treatment for nearly two years. Recently, she experienced a sudden myocardial infarction and underwent cardiac catheterization and coronary artery...
Dr. Wu Jiyu Reply:
Based on your inquiry, the hemoglobin measurement is approximately 21-25, which is low. After blood transfusion, you may discuss with your physician whether erythropoietin (EPO) or iron supplements are adequate or if there are other bleeding issues (such as gastrointestinal bleed...[Read More] Understanding Heart Discomfort During Dialysis: Causes and Solutions
Dietary Recommendations for Managing Elevated Creatinine and Low Kidney Function After Liver Transplant
Diet for Liver Disease (Elevated Creatinine + Low Glomerular Filtration Rate) After liver transplantation, I have been attending regular follow-up appointments. Each time, my lab results show low red blood cell count (2.4), low hemoglobin (11), elevated creatinine (1.3), and low ...
Dr. Wu Jiyu Reply:
According to your description, a glomerular filtration rate (GFR) of 43 is indeed low; however, we should not focus on a single data point but rather on the trend. It is important to determine whether 43 is lower than previous values or if it remains stable within a range (for ex...[Read More] Dietary Recommendations for Managing Elevated Creatinine and Low Kidney Function After Liver Transplant
Understanding Postural Hypotension: Causes and Solutions for Dizziness
Standing up suddenly may cause slight dizziness? Hello, doctor. I have noticed that sometimes when I go to bed late, I feel fine when I wake up the next day. However, there are times when I suddenly get up from a prone position and feel a bit dizzy, with my vision becoming blurry...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is suspected that you may have orthostatic hypotension combined with anemia. The primary cause of orthostatic hypotension is poor vascular elasticity. Therefore, in addition to slowing down movements, avoiding staying up late, and maintaining ...[Read More] Understanding Postural Hypotension: Causes and Solutions for Dizziness
Understanding Low Heart Rate: Implications and When to Seek Cardiology Care
Bradycardia Hello, doctor. In my health check report, there is an electrocardiogram (ECG) finding suggestive of myocardial ischemia, and my hemoglobin and mean corpuscular hemoglobin concentration are low. My smartwatch has a heart rate monitoring function, and a normal resting h...
Dr. Hong Yuanbin Reply:
Hello, regarding bradycardia, it should be assessed in conjunction with your symptoms. If you have no discomfort, there may not be a need to address it. A low hemoglobin level and mean corpuscular hemoglobin concentration indicate anemia, and the specific hemoglobin level should ...[Read More] Understanding Low Heart Rate: Implications and When to Seek Cardiology Care
Understanding Pre-Meal Blood Sugar Levels: Should You Worry?
Fasting blood glucose is 105 mg/dL, and glycated hemoglobin (HbA1c) is 5.3%? Hello Doctor, I measured my fasting blood sugar at 105 today. Although many sources say that a level below 100 is considered normal, the laboratory report states that the standard range is 70-110. Should...
Dr. Hong Yuanbin Reply:
Hello, based on your test results, your fasting blood glucose is 105 mg/dL and your hemoglobin A1c is 5.3%. Currently, these values do not meet the criteria for a diabetes diagnosis. It is recommended to follow up later. Thank you for your inquiry.[Read More] Understanding Pre-Meal Blood Sugar Levels: Should You Worry?
Understanding Pre-Meal Blood Sugar Levels: What Do 105 and HbA1c 5.3 Mean?
Fasting blood glucose is 105 mg/dL and HbA1c is 5.3%? I apologize for the inconvenience. Your fasting blood glucose level is 105 mg/dL, while the laboratory standard range is 70-110 mg/dL. This means that your result falls within the laboratory's normal range, so there is no...
Dr. Hong Yuanbin Reply:
Hello, based on your test results, your fasting blood glucose is 105 mg/dL and your hemoglobin A1c is 5.3%. Currently, these values do not meet the criteria for a diabetes diagnosis. It is recommended to follow up later. Thank you for your inquiry.[Read More] Understanding Pre-Meal Blood Sugar Levels: What Do 105 and HbA1c 5.3 Mean?
Understanding Pre-Meal Blood Sugar Levels: What Does 105 Mean?
Fasting blood glucose is 105 mg/dL and HbA1c is 5.3%? I apologize for the inconvenience. Your fasting blood glucose level of 105 mg/dL falls within the laboratory's reference range of 70-110 mg/dL, which indicates that it is considered normal according to their standards. Wh...
Dr. Hong Yuanbin Reply:
Hello, based on your test results, your fasting blood glucose is 105 mg/dL and your hemoglobin A1c is 5.3%. Currently, these values do not meet the criteria for a diabetes diagnosis. It is recommended to follow up later. Thank you for your inquiry.[Read More] Understanding Pre-Meal Blood Sugar Levels: What Does 105 Mean?
Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Prediabetes Hello, doctor. My height is 173 cm and my weight is 42.2 kg. In March, my weight was 45.2 kg. Due to weight loss, I underwent blood glucose and thyroid tests. The results showed fasting blood glucose of 96 mg/dL, hemoglobin A1c of 5.7%, eAG of 117 mg/dL, free T4 of 1....
Dr. Lin Jianliang Reply:
Hello: The normal range for fasting blood glucose levels is typically 70 to 100 mg/dL, and the normal range for hemoglobin A1c is 4 to 6%. I'm not sure what your laboratory's standard range is. For prediabetes, dietary changes and exercise can be effective in managing t...[Read More] Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Understanding Easy Bruising, Petechiae, and Frequent Nosebleeds in Children
Easy bruising, petechiae, and nosebleeds? Dear Director Gao, My daughter is currently 7 years old. Over a year ago, we noticed that she easily develops bruises on her body, although we are unsure if she has bumped into something. These bruises mostly occur around her knees and t...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Here are my thoughts: 1. The pediatric immunologist mentioned the possibility of thalassemia or iron deficiency anemia. Since many family members on my mother's side have thalassemia trait, does that mean my daughter is likely to have this...[Read More] Understanding Easy Bruising, Petechiae, and Frequent Nosebleeds in Children
Understanding Mediterranean Anemia: Key Blood Test Indicators
Mediterranean anemia (also known as thalassemia) Hello doctor, I received my military service medical examination report. The white blood cell count (WBC) is 6.6 x 10^3/µL, red blood cell count (RBC) is 6.51 x 10^6/µL, hemoglobin (Hb) is 13.4 g/dL, hematocrit (Hct) is 43.0%, and ...
Dr. Hong Yuanbin Reply:
Hello, it is indeed possible, but Mediterranean anemia can only be confirmed through further testing. Thank you for your inquiry.[Read More] Understanding Mediterranean Anemia: Key Blood Test Indicators
Understanding Blood Pressure and HbA1c Levels: Key Insights for Patients
Issues related to blood pressure and glycated hemoglobin? 1. My father is 71 years old. During his health check-up, his hemoglobin A1c level was 6.1. The criteria for passing at the clinic is below 6. The physician there mentioned that levels below 6.7 do not qualify as diabetes....
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.5 or higher can diagnose diabetes. If the hemoglobin A1c continues to rise, early intervention with glucose-lowering medications may be considered to prevent the onset of diabetes; however, these medications may require out-of-pocket expenses. For low ...[Read More] Understanding Blood Pressure and HbA1c Levels: Key Insights for Patients
Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
The issue of microalbuminuria? Dear Doctor Wu, I was diagnosed with diabetes three years ago, and since then I have been controlling my diet and taking medication, maintaining my hemoglobin A1c below 6. My blood pressure before bed has been below 130. However, starting around No...
Dr. Wu Hongjie Reply:
ACR is used as a substitute for the 24-hour urine collection method to measure daily protein loss; the former is only an approximate estimation of the latter. Therefore, the accuracy of this estimation is inevitably not completely reliable. If ACR does not significantly increase,...[Read More] Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
Is My Doctor's Approach to Diabetes Management Correct?
Could you please clarify if the management of diabetes is appropriate? I have been regularly visiting a urologist, and recently the doctor mentioned that my urine glucose levels are too high. I also tested my blood sugar at home using a glucometer about five hours after a meal, a...
Dr. Li Jian Reply:
A postprandial blood glucose level of over 200 may indicate diabetes. Please visit the endocrinology department for a thorough examination.[Read More] Is My Doctor's Approach to Diabetes Management Correct?
Ants Near the Toilet: Could It Indicate Diabetes Symptoms?
There are ants near the toilet? Hello doctor, my grandmother, her mother, and her brother all have diabetes, but my mother does not. Recently, I noticed a few ants (about 3 or 4) on the floor next to the toilet and on the toilet lid; it’s not a large number and they haven't ...
Dr. Li Jian Reply:
If there is a family history of diabetes and there are ants around the toilet, it is advisable to visit a metabolic specialist to check fasting blood glucose and glycated hemoglobin to rule out the possibility of diabetes.[Read More] Ants Near the Toilet: Could It Indicate Diabetes Symptoms?
Understanding Blood Sugar Levels: Are You at Risk for Prediabetes?
Blood glucose level is 102, but glycated hemoglobin (HbA1c) is normal? Hello doctor, my height is 176 cm and my weight is 77 kg. My fasting blood glucose level is 102 mg/dL, but my hemoglobin A1c is 5.5%. Am I considered to be in the prediabetic range, or do I need to retest my f...
Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 mg/dL raise concerns for prediabetes, and regular monitoring is necessary. Both hemoglobin A1c and fasting blood glucose have their respective reference values; no single number can provide complete assurance, so both should be considere...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Prediabetes?