Understanding Persistent Fever: Potential Underlying Diseases Explained
Recurrent fever Recurrent fever for five consecutive days without resolution could be caused by several conditions, including infections (such as viral or bacterial infections), autoimmune diseases (like systemic lupus erythematosus or rheumatoid arthritis), malignancies (such as...
Dr. Lin Mingfeng Reply:
Aside from common upper respiratory infections, the primary consideration for fever in young women is urinary tract infection (UTI). Patients often present with symptoms such as dysuria or flank pain. To determine the cause of fever, it is essential to correlate it with various c...[Read More] Understanding Persistent Fever: Potential Underlying Diseases Explained
Understanding Low WBC and High Lymphocyte Ratio: Causes and Concerns
How to interpret abnormal blood test results? CBC data: WBC 4.41 (Normal: 4.8-10.8) is low; WBC differential count shows Neutrophils 41.1 (Normal: 40-74), Lymphocytes 51.9 (Normal: 19-48) (which has been stable around these values in recent years), and the rest are within normal ...
Dr. Lin Mingfeng Reply:
The so-called normal range is determined by human standards. If your CBC/DC values have been consistent over the years, it may be a stretch to explain it solely as a general viral infection. However, it is still advisable to test for conditions like HIV. It is recommended to firs...[Read More] Understanding Low WBC and High Lymphocyte Ratio: Causes and Concerns
Understanding Military Physical Exams: Liver Function Concerns and Costs
Regarding military service medical examinations? The examination report indicates that the reason for the undefined posture is due to elevated liver function indices, which are twice the normal level, leading to a diagnosis of cirrhosis or hepatitis. Due to certain factors, I do ...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, according to the "Military Conscription Physical Examination Manual," for conscripts with cirrhosis or hepatitis, in addition to a physical examination, liver function tests (ALT or SGPT) must be conducted, and if necessary, a biopsy...[Read More] Understanding Military Physical Exams: Liver Function Concerns and Costs
Understanding Foamy Urine: Is It a Sign of Kidney Issues?
The presence of many bubbles in urine during urination may indicate a potential issue with the kidneys? When urinating, if you notice a lot of bubbles in the urine and feel something hard on the left side of your abdomen, it is advisable to consult a healthcare professional. Thes...
Dr. Yang Hongzhi Reply:
Hello, men who are afraid of injury: Foamy urine may indicate proteinuria, but it can also be normal. A simple urinalysis can determine this. If there is suspicion of an abdominal mass, you should consult a physician for evaluation.[Read More] Understanding Foamy Urine: Is It a Sign of Kidney Issues?
Understanding Chronic Glomerulonephritis and Military Exemption Criteria
Chronic glomerulonephritis Conditions for various types of nephritis include one of the following: 1. Chronic renal impairment confirmed by examination, with serum creatinine greater than 2 mg/dL and creatinine clearance less than 50 mL/min. 2. Histopathological examination of th...
Dr. Wu Jiyu Reply:
1. Minimal change disease is curable. 2. Urine tests and blood tests should be redone. 3. If necessary, a kidney biopsy should be performed again.[Read More] Understanding Chronic Glomerulonephritis and Military Exemption Criteria
Understanding Joint Sounds and Pain: Causes and Solutions for Your Symptoms
Multiple joints produce sounds (clicking or popping)? Hello, Dr. Chen. My right leg feels numb and sore; sometimes, while sitting, I experience discomfort that radiates from my right buttock down through my entire right leg. My body occasionally feels achy without a specific loca...
Dr. Chen Baoli Reply:
Hello Alley: There are many potential causes for your issue, which could include arthritis, laxity of the tendons or ligaments around the joint, myofascial pain syndrome, among others. Based solely on the description provided, it is not possible to diagnose the true cause. I reco...[Read More] Understanding Joint Sounds and Pain: Causes and Solutions for Your Symptoms
Understanding Thyroid Dysfunction and Tumors: Key Differences Explained
Thyroid dysfunction and thyroid tumors? Hello, doctor! I would like to ask if there is a difference between thyroid antibodies and thyroid tumors. A family member of mine had surgery due to a thyroid tumor, and I noticed that thyroid issues can cause hair loss. Additionally, duri...
Dr. Yang Hongzhi Reply:
Both hyperthyroidism and hypothyroidism can be associated with hair loss; however, most cases will present with other symptoms. The thyroid gland does not always exhibit noticeable enlargement. If you do not have other signs suggestive of thyroid disease, it may be advisable to f...[Read More] Understanding Thyroid Dysfunction and Tumors: Key Differences Explained
Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort
Gastrointestinal issues Hello Doctor, I have been experiencing gastrointestinal discomfort since childhood, including frequent vomiting and abdominal pain. Sometimes, I suddenly have to vomit in the middle of a meal, and afterwards, I feel very hungry. I also tend to have abdomin...
Dr. Xiao Yongxun Reply:
1. There are many and complex causes of abdominal pain. It can originate from the abdomen itself, such as infections, inflammation, ulcers, vascular lesions, trauma, or organ pathology; it may also be due to issues in the thoracic cavity, spine, or pelvic cavity. Additionally, fu...[Read More] Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort
Understanding Blisters: Are Sweet Cold Drinks Causing Your Skin Issues?
Develop blisters? Hello doctor, if I drink too many cold beverages that are too sweet, I develop small blisters on my fingers. The more I drink, the more blisters I tend to get. I have seen a dermatologist, who advised me to avoid excessive cold drinks and to eat more fruits and ...
Dr. Xiao Yongxun Reply:
There are many diseases to consider when blisters appear on the palms or fingers, including allergic or irritant contact dermatitis, atopic dermatitis, fungal or bacterial infections, keratoderma, psoriasis, vesicular eczema, pemphigus, and reactions in the fingers caused by infe...[Read More] Understanding Blisters: Are Sweet Cold Drinks Causing Your Skin Issues?
Understanding and Managing Multifocal Ventricular Premature Contractions: A Patient's Guide
Multifocal premature ventricular contractions (PVCs) Hello, doctor. A month ago, I underwent a military service physical examination and was surprisingly diagnosed with multifocal premature ventricular contractions (PVCs). As a result, I was exempted from service, but I am still ...
Dr. Chen Qingbin Reply:
Your arrhythmia is unrelated to the nasal polyps. It is best to visit a hospital to consult with a cardiothoracic surgeon for examination and treatment.[Read More] Understanding and Managing Multifocal Ventricular Premature Contractions: A Patient's Guide
Understanding Redness in Hands and Feet: Causes and Next Steps
What causes the palms and soles to turn red? My mother is about 58 years old and has already gone through menopause. Recently, she has noticed redness in her palms and soles, without any pain or tingling sensations. She does not have hypertension, but her blood pressure reading i...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many causes for chest tightness, including cardiovascular issues (such as angina, myocardial infarction, aortic dissection, mitral valve prolapse, pericarditis), pulmonary conditions (such as pneumothorax, pulmonary embolism, ple...[Read More] Understanding Redness in Hands and Feet: Causes and Next Steps
What Could This Bump on My Neck Be? Understanding Lymph Nodes and Infections
What exactly has grown on my neck? Hello Doctor, about three weeks ago I had a bit of a runny nose and a cold, then my eyes started to feel sore and watery in bright light, and my throat was a bit sore. A couple of days later, I noticed a lump near my neck. It's hard to desc...
Dr. Zheng Shuxing Reply:
Hello: It is difficult to confirm the disease based on your description. To simplify, if there are no lesions on the skin surface, it may be something that has developed subcutaneously. A subcutaneous mass could potentially be a lymphadenopathy or a salivary gland tumor. Without ...[Read More] What Could This Bump on My Neck Be? Understanding Lymph Nodes and Infections
Understanding High Cholesterol: When to Seek Further Medical Evaluation
Cholesterol level of 245? During a physical examination, it was found that the total cholesterol level is 245, which is considered high and requires dietary attention. Should further tests or follow-ups be necessary? If so, which specialty should I consult? (Male, 33 years old, h...
Dr. Chen Qingbin Reply:
Cholesterol level of 245 is slightly elevated. First, focus on dietary control and increase physical activity. After three months, recheck blood levels.[Read More] Understanding High Cholesterol: When to Seek Further Medical Evaluation
Is It Safe to Prescribe Omeprazole Without Proper Diagnosis?
The doctor prescribed Lansoprazole to my mother without performing an X-ray or endoscopy? Hello, Doctor: My mother (46 years old) recently experienced gastrointestinal discomfort and was referred to a clinic in Keelung City by a friend. The physician (approximately 60 years old) ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. It is advisable to discuss the issues you raised with the physician. 2. The diagnosis of gastric ulcers can be based on clinical symptoms and medical history, upper gastrointestinal barium studies, and upper gastrointestinal endoscopy; the...[Read More] Is It Safe to Prescribe Omeprazole Without Proper Diagnosis?
Understanding Your Blood Test: What Low and High White Blood Cell Counts Mean
Regarding white blood cell issues? Hello, doctor! I recently had a physical examination, and there are some issues in the report that I would like to ask about: In the blood report, my white blood cell count shows neutrophils at 37.7% with a ↓ symbol, basophils at 1.7% with a ↑ s...
Dr. Yao Quan Reply:
Hello, your neutrophil percentage is 37.7%, which is slightly below the reference range (40%-74%). The basophil percentage is 1.7%, which is slightly above the reference range (0-1.7%). The lymphocyte percentage is 44.2%, which falls within the reference range. Your message did n...[Read More] Understanding Your Blood Test: What Low and High White Blood Cell Counts Mean
Understanding Normal Blood and Urine Test Values: A Guide for Patients
One question from the health examination form? Doctor: Hello, I previously underwent a comprehensive physical examination at your hospital due to military service. What are the normal values for white blood cells and urine specific gravity? (My white blood cell count is 10.1; uri...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. According to the reference values listed by our laboratory, the normal range for white blood cells is 4,800 to 10,800 cells/ml, and the normal range for urine specific gravity is 1.005 to 1.030. The test values you provided are still withi...[Read More] Understanding Normal Blood and Urine Test Values: A Guide for Patients
Understanding Hepatitis B Vaccination: Why No Antibodies?
No antibodies? 1. Every time I undergo a physical examination, both the Hepatitis B surface antigen (HbsAg) and Hepatitis B surface antibody tests come back negative, which rules out the possibility of a Hepatitis B infection. However, I have received approximately five doses of ...
Dr. Lin Mingfeng Reply:
1. The injection site for adults should be the deltoid muscle of the arm, while for children, it should be the lateral thigh; injections should not be administered in the buttocks, as this may affect immune response. The vaccination schedule is at 0, 1, and 6 months. The immune r...[Read More] Understanding Hepatitis B Vaccination: Why No Antibodies?
What Health Conditions Can Blood Tests Detect and Their Costs?
Blood test? What conditions can be detected through a simple blood test? Does health insurance cover the costs? If not, how much would one need to pay out of pocket? Thank you!
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The diagnosis of a disease originates from the patient's chief complaint. Based on the patient's personal medical history, past medical history, occupational history, and relevant information, a complete physical examination is c...[Read More] What Health Conditions Can Blood Tests Detect and Their Costs?
Understanding Ponstan: Its Role in Fever and Pain Management
Anti-inflammatory agents Ponstan, also known as Mefenamic Acid, is a nonsteroidal anti-inflammatory drug (NSAID) that is primarily used for pain relief and to reduce inflammation. While it is not specifically indicated for treating fever, it can have a mild antipyretic effect, wh...
Dr. Zheng Shuxing Reply:
Hello: This question is too brief. When seeking medical attention for a fever, it is essential to first have a physical examination followed by necessary laboratory tests to determine the underlying condition. Ponstan is not an antimicrobial agent; it is classified as an anti-inf...[Read More] Understanding Ponstan: Its Role in Fever and Pain Management
Unexplained Fever: Understanding Sudden High Temperatures and Symptoms
Sudden onset of fever... unknown cause? Hello Doctor, I would like to ask you... Two nights ago, I suddenly developed a fever of about 38-39.5 degrees Celsius. My temperature fluctuated, and I experienced some lower back pain, overall weakness, and occasionally felt like I was ab...
Dr. Yang Hongzhi Reply:
If a fever persists for several days without any cold symptoms, it may be necessary to consider some diagnostic tests. The specific tests to be conducted should be determined by a physician's physical examination, focusing on areas where an infection is suspected. In some ca...[Read More] Unexplained Fever: Understanding Sudden High Temperatures and Symptoms