Physical examination, Internal Medicine FAQ - Page 5

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Understanding Basophil Counts: What Do Your Blood Test Results Mean?

Eosinophilia typically indicates? (The first part was sent prematurely and is incomplete.) Hello, Doctor. I apologize for sending the previous message before I finished typing. I would like to ask: The results of my health check-up at Taichung City Hospital at the end of 2012 sho...


Dr. Xiao Yongxun Reply:
1. Regarding your white blood cell differential count, the total white blood cell count is normal, with a slightly elevated percentage of basophils and a slightly decreased hemoglobin level in red blood cells, which should be considered normal variations. There is no evidence of ...

[Read More] Understanding Basophil Counts: What Do Your Blood Test Results Mean?


Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing

Dr. Hsiao, is it possible to test for lead levels on my own? Frequent urination at night with bubbles can be concerning.


Dr. Xiao Yongxun Reply:
The assessment of nocturia requires a comprehensive medical history and physical examination, and may even necessitate laboratory tests, urodynamic studies, or imaging examinations. The differential diagnosis must consider many factors, including overactive bladder, heart failure...

[Read More] Can You Test Your Own Lead Levels? Understanding Symptoms and Home Testing


Understanding Bloating and Urgency: Could It Be Colon Cancer?

Abdominal distension with the urge to defecate? Hello, Dr. Lee. Since last Wednesday, I've been feeling bloated and have no appetite. I feel full and can't eat much. I also have a constant urge to have a bowel movement and feel something in my rectum. I have both intern...


Dr. Li Zhiyao Reply:
Hello Mr. Hsieh: Cancer can present with a variety of symptoms, or it may not present any symptoms at all. Therefore, it is not possible to confirm or rule out cancer based solely on symptoms. However, it is unnecessary to associate any symptom with cancer, as such thinking can l...

[Read More] Understanding Bloating and Urgency: Could It Be Colon Cancer?


Understanding Right Flank Pain: When to Consult a Nephrologist

It is unclear whether this phenomenon is related to renal pathology? Hello, I have been experiencing a dull ache and discomfort in my right lower back every morning upon waking up for the past week. I do not have any urgency to urinate or any other urinary symptoms. I'm unsu...


Dr. Wang Weijie Reply:
Dear You-Hsin, Hello. The causes of low back pain (also known as lumbago) are approximately 97% due to mechanical factors, including muscle strains, sprains, and spinal issues. Among these, over 70% are due to lumbar sprains, 4% are due to herniated discs, and 1% are due to non-...

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Understanding Anemia: Is Pale Eyelids a Sign of Blood Issues?

About Anemia Hello, doctor. Five years ago, I had a physical examination, and my blood test results showed no anemia. However, recently I noticed that the inside of my lower eyelids looks pale and lacks color, although my lips and nails are quite pink. I haven't experienced ...


Dr. Zeng Guosen Reply:
Hello, Xiao Bu: Pale lower eyelids do not necessarily indicate anemia. It is recommended to visit a hospital or laboratory for a hemoglobin test. If anemia is confirmed, further investigation into the underlying cause of the anemia should be conducted. Remember! Do not take iron ...

[Read More] Understanding Anemia: Is Pale Eyelids a Sign of Blood Issues?


Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained

Foamy urine and kidney issues? Hello Dr. Lee, I have high blood pressure (stopped medication for 3 months, currently 135/82 mmHg). Over the past few months, I have experienced increased urination with foamy urine. I underwent a physical examination, and the results showed no pro...


Dr. Li Zhiyao Reply:
Hello: The normal value for 24-hour urine epinephrine is < 22.4 µg/24hrs; please confirm the test results. As for the foamy urine, the test results showed no proteinuria, but you may consider performing a microalbuminuria quantitative test to confirm the absence of proteinuria...

[Read More] Understanding Foamy Urine: Kidney Issues and High Blood Pressure Explained


Understanding Right Groin Discomfort: Seeking the Right Medical Advice

Right groin? Since last summer, I've been experiencing discomfort on the right side of my body, starting with pain that is hard to describe. The uncomfortable area is located to the right of my right testicle, in the perineum, and the upper right side of my anus (initially, ...


Dr. Wu Jiyu Reply:
First, let's clarify a few points that may not seem related to nephrology (I am a nephrologist). 1. Where exactly do you feel discomfort? Is it in the scrotum, inner thigh, perineum, or near the anus? A physician examining you in person would have a better understanding of...

[Read More] Understanding Right Groin Discomfort: Seeking the Right Medical Advice


Understanding Right Lower Abdominal Pain and Bloating: Is It Ascending Colonitis?

Right lower abdominal bloating? In recent days, I have been experiencing bloating in my lower right abdomen, sometimes accompanied by pain, which becomes more pronounced when I exert myself. I consulted both urology and surgery specialists, and they ruled out a hernia. Then, I vi...


Dr. Liao Zhongxin Reply:
It is recommended to consult a gastroenterologist or a hepatobiliary specialist.

[Read More] Understanding Right Lower Abdominal Pain and Bloating: Is It Ascending Colonitis?


How Dr. Lee Diagnoses Thyroid Issues: Key Signs to Watch For

Thyroid issues? How does Dr. Lee identify thyroid issues?


Dr. Li Zhiyao Reply:
Hello Mr. Chen: Thyroid diseases can be classified into two main categories: based on function, there are hyperthyroidism and hypothyroidism; based on morphology, there are diffuse goiter and nodular goiter (such as thyroid adenoma, thyroid cyst, and thyroid cancer). When there i...

[Read More] How Dr. Lee Diagnoses Thyroid Issues: Key Signs to Watch For


Does Using Beta Blockers Increase Blood Sugar Levels During Checkups?

Beta blockers Could you please clarify if the use of beta-blockers will cause an increase in blood glucose levels during a physical examination (compared to not using beta-blockers)? Thank you, little old man.


Dr. Chen Qingbin Reply:
The use of beta-blockers does not cause an increase in blood glucose levels.

[Read More] Does Using Beta Blockers Increase Blood Sugar Levels During Checkups?


Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help

Shortness of breath and palpitations? Hello, doctor. I usually have a habit of drinking alcohol and smoking. About two weeks ago, after drinking, I suddenly felt palpitations and difficulty breathing the next day, which persisted for a long time, along with some dizziness. I went...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, palpitations, shortness of breath, and dizziness each have many potential causes, and these three symptoms can be interrelated. Normal chest X-ray, electrocardiogram (ECG), blood tests, or blood pressure measurements may help rule out some pos...

[Read More] Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help


Understanding Nighttime Abdominal Pain: Possible Causes and Solutions

excuse me? Dear Dr. Hsiao, I suddenly experienced intermittent abdominal pain (below the navel) in the middle of the night, which was severe enough to cause a fever, accompanied by symptoms of belching and nausea. I went to the hospital for blood tests, and it seems that my prol...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, here are the details: 1. There are many causes of abdominal pain, including gastrointestinal diseases, biliary diseases, irritable bowel syndrome, chronic pelvic inflammatory disease, endometriosis, mesenteric lymphadenitis, chronic pancreat...

[Read More] Understanding Nighttime Abdominal Pain: Possible Causes and Solutions


Can Men Under 150 cm Height Apply for Disability Card?

Regarding height? Dear Dr. Yang, I would like to inquire about a male individual who is under 150 cm tall and received a Class D rating during military service physical examination. He has not developed any secondary sexual characteristics and has not experienced voice changes,...


Dr. Yang Hongzhi Reply:
You can schedule an appointment at the metabolism clinic to check for endocrine disorders, as there could be several possible causes.

[Read More] Can Men Under 150 cm Height Apply for Disability Card?


Understanding Abnormal Fasting Blood Sugar: Causes and Solutions

Abnormal fasting blood glucose? Hello Dr. Yang, Last year during my physical examination, I was diagnosed with impaired glucose tolerance. After making some adjustments, I have been using a glucometer to monitor my blood sugar levels, which have been consistently around 95 mg/dL...


Dr. Yang Hongzhi Reply:
The reasons you mentioned lack a clear correlation with blood sugar levels. Currently, the proven methods to reduce the progression from impaired glucose tolerance to diabetes are lifestyle changes. Dietary modifications and exercise (similar to weight control) can reduce the inc...

[Read More] Understanding Abnormal Fasting Blood Sugar: Causes and Solutions


Understanding Frequent Nosebleeds: Causes and When to Seek Help

Nosebleeds for four consecutive days? Hello Doctor, I would like to ask you about something. I have been experiencing nosebleeds for four consecutive days. A doctor once mentioned that the mucosa in my nasal wings is thinner. However, there have been instances recently where I ha...


Dr. Xiao Yongxun Reply:
Hello: Nosebleeds refer to acute bleeding from the nostrils, nasal cavity, or nasopharynx; they are primarily caused by damage to the nasal mucosa and blood vessel walls. There are many causes; locally, it can be due to trauma, a deviated septum, infections, allergies, surgery, t...

[Read More] Understanding Frequent Nosebleeds: Causes and When to Seek Help


Understanding Nighttime Chest Pain: Causes and Solutions

Respiration Occasionally, I experience a sharp pain on the left side of my chest when taking a deep breath. This often occurs around midnight, just before going to sleep.


Dr. Zhong Weisheng Reply:
Occasionally, I experience sharp pain on the left side of my chest when taking a deep breath. It is recommended to visit a hospital to consult a physician for a physical examination, and if necessary, to undergo an electrocardiogram (ECG) and chest X-ray. Dr. Chuang Wei-Sheng.

[Read More] Understanding Nighttime Chest Pain: Causes and Solutions


Understanding Diabetes Complications: Surgery Risks and Coma Outcomes

Diabetic patients 1. Can a diabetic patient undergo surgery if their blood sugar is too high? 2. If the patient remains in a coma after surgery, does that mean they have become a vegetative state? 3. If they are in a vegetative state, is there a possibility of waking up?


Dr. Xiao Yongxun Reply:
Hello: 1. When a diabetic patient's blood sugar is excessively high, surgery should be avoided whenever possible. However, there are certain emergency situations or special circumstances where surgery may still be urgent. 2. The diagnosis of a vegetative state requires c...

[Read More] Understanding Diabetes Complications: Surgery Risks and Coma Outcomes


Persistent Headache for 3 Days: Causes and Solutions

Headache for 3 days? Dear Doctor, I have been experiencing severe headaches every morning upon waking up, which has persisted for three days (from the moment I open my eyes until I go to bed at night). This issue has started to affect my work. I suspect that my blood pressure ha...


Dr. Li Zhiyao Reply:
Dear Rickey, Headaches are classified into two main categories: primary headaches and secondary headaches. Primary headaches mainly include 1. migraines, 2. tension-type headaches, and 3. cluster headaches. Secondary headaches include: head trauma, brain infections, cerebrovascu...

[Read More] Persistent Headache for 3 Days: Causes and Solutions


Understanding Lymph Node Swelling and Allergic Reactions: A Guide

Lymph There are severe swellings in areas with lymph nodes, such as multiple enlarged nodes in the upper thighs and armpits, which are increasing in size and are painless. What could be the cause? Additionally, I have reactions to various foods, such as a small amount of dairy pr...


Dr. Lin Mingfeng Reply:
Localized lymphadenopathy usually indicates an infection in the surrounding area. If multiple sites are involved, it is more likely to be a systemic response. Certain infections, such as toxoplasmosis or cat scratch fever, can cause lymphadenopathy in different locations. Additio...

[Read More] Understanding Lymph Node Swelling and Allergic Reactions: A Guide


Understanding Diabetes: Navigating Family History and Health Concerns

Diabetes mellitus? Hello doctor, my family has a history of hereditary diabetes, and I had protein in my urine when I was younger. I visited various doctors until one time when I tested negative for protein in my urine and thought I was cured, so I stopped paying attention. Durin...


Dr. Xiao Yongxun Reply:
Hello: I would like to respond as follows: 1. According to the "Physical Classification Standards" published by the Ministry of National Defense on December 31, 2007, individuals diagnosed with diabetes are classified as unfit for military service. However, this diagno...

[Read More] Understanding Diabetes: Navigating Family History and Health Concerns


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