Platelets, Internal Medicine FAQ - Page 2

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Understanding Elevated Platelet Levels: Tips for Military Health

Low platelet count? I have reviewed a lot of information regarding platelets, and the standard range is 120-400. My test result came back at 428, which is slightly elevated. How can I improve this? As a soldier, I find it quite important, especially since I am considering applyin...


Dr. Wu Jiyu Reply:
There are many reasons for elevated platelet levels. Even if your levels are only slightly high, it is still recommended to consult a hematologist for further evaluation to clarify the cause. Thank you for your inquiry. The Nephrology Department at Changhua Hospital is concerned ...

[Read More] Understanding Elevated Platelet Levels: Tips for Military Health


Is Your Blood Sugar Test Accurate? Understanding Post-Meal Readings

Same-day follow-up appointment? Hello, doctor. Continuing from my previous question, that night I felt anxious and restless. After having dinner, about two hours later, I went to one of the clinics to self-pay for a blood glucose test. The nurse cleaned my finger with alcohol and...


Dr. Xiao Yongxun Reply:
Dear Mr. Cheng: 1. Blood consists of approximately 55% blood cells and 45% plasma. During circulation, some plasma can seep into the interstitial spaces, mixing with the secretions of tissue cells to form interstitial fluid. Therefore, the concern you have regarding the dilution...

[Read More] Is Your Blood Sugar Test Accurate? Understanding Post-Meal Readings


Understanding the Connection Between Hidden Mediterranean Anemia and Irregular Menstrual Cycles

Beta-thalassemia minor Red blood cells: 5.74 (elevated) Hemoglobin: 11.8 Hematocrit: 37.5 Platelets: 343 Mean corpuscular volume: 65.3 (low) Mean corpuscular hemoglobin: 20.6 (low) The doctor said I have latent thalassemia and elevated red blood cell count due to very irregular m...


Dr. Xiao Yongxun Reply:
Dear Ms. Yi: 1. Thalassemia should theoretically be unrelated to irregular menstrual periods. Moreover, your hemoglobin level of 11.8 gm/dL, while not very high, should still be sufficient to meet physiological demands. 2. In thalassemia, due to the smaller size of red blood ...

[Read More] Understanding the Connection Between Hidden Mediterranean Anemia and Irregular Menstrual Cycles


Understanding Lupus: Low Platelets, Pregnancy Concerns, and Treatment Options

Systemic lupus erythematosus (SLE) Hello Dr. Tseng, I have some questions regarding systemic lupus erythematosus (SLE). My wife has low platelet counts, and the hospital has identified three criteria that are consistent with SLE; we are still waiting for the X-ray results. If sh...


Dr. Zeng Guosen Reply:
Hello, netizen. 1. Systemic lupus erythematosus (SLE) typically presents with sudden onset of symptoms or abnormalities discovered during examinations, and the exact etiology is not fully understood. 2. If thrombocytopenia is the only finding during pregnancy, it does not nece...

[Read More] Understanding Lupus: Low Platelets, Pregnancy Concerns, and Treatment Options


Understanding Thyroid Disorders: Signs of Relapse and Complications

Hyperthyroidism Hello, doctor. I apologize for the interruption, but I would like to ask a question. My wife has a thyroid condition and previously experienced complications with her heart and kidney failure. However, she was stabilized and has been on medication for management. ...


Dr. Xie Rongyuan Reply:
Hello: If you have bruising on your body, you should seek medical attention promptly to determine the cause, whether it is due to a deficiency in platelets or a coagulation disorder. Regarding thyroid function issues, you should also get tested for TSH, Free T3, and Free T4 to ob...

[Read More] Understanding Thyroid Disorders: Signs of Relapse and Complications


Understanding Bruising and Bleeding: Could It Be Leukemia?

Bruising and bleeding during brushing? Hello, doctor. I have two or three unexplained bruises on my body and I've been experiencing bleeding while brushing my teeth, so I went for blood tests. My white blood cell count was normal, and I had two tests done about a month apart...


Dr. Xiao Yongxun Reply:
Dear Mr. Chiu Rong-Ching: 1. Leukemia, also known as blood cancer, is characterized by the abnormal and uncontrolled proliferation of precursor cells of granulocytes, lymphocytes, monocytes, or leukocytes, leading to a reduction in normal white blood cells. It includes acute lym...

[Read More] Understanding Bruising and Bleeding: Could It Be Leukemia?


Understanding Elevated White Blood Cell Count: When to Seek Treatment

Elevated white blood cell count? During middle school, a blood test revealed elevated white blood cell counts. Now, in my senior year of high school, a physical examination showed a white blood cell count as high as 18,000. After a follow-up blood test, the count decreased to 10,...


Dr. Xiao Yongxun Reply:
1. Leukocytosis generally refers to a total white blood cell count exceeding 10,000/mm³. Most cases are due to inflammatory responses, while a smaller portion is caused by leukemia. 2. The clinical steps to diagnose leukocytosis begin with a blood test to examine peripheral blo...

[Read More] Understanding Elevated White Blood Cell Count: When to Seek Treatment


Understanding Platelet Large Cell Ratio (P-LCR): Key Insights Explained

Platelet large cell ratio (P-LCR) Hello Dr. Gao, thank you for your response. I have checked the original term P-LCR: Platelet Large Cell Ratio. Does this refer to the ratio of platelet size, or the proportion of large platelets in relation to the total number of platelets? Thank...


Dr. Gao Jiankai Reply:
Hello Ms. Li, the significance of P-LCR is the ratio of the number of large platelets to the total platelet count. Each laboratory may define the size of large platelets differently, but the average size of platelets is approximately 12 femtoliters (fl). Therefore, the ratio of p...

[Read More] Understanding Platelet Large Cell Ratio (P-LCR): Key Insights Explained


Understanding the Impact of Low P-LCR on Bruising in Patients

Platelet classification P-LCR (Platelet Large Cell Ratio) Hello, Doctor Gao. I am a patient with a Category 5 major illness, and I tend to bruise easily. Sometimes, if I experience prolonged pressure on my body, I will develop a bruise. However, the platelet counts monitored by m...


Dr. Gao Jiankai Reply:
Hello, Ms. Li. Currently, the significance of P-LCR is primarily in the differential diagnosis of the causes of thrombocytopenia. When platelet count is low but the platelets are larger (high P-LCR value), it indicates a greater likelihood of thrombocytopenia due to immune abnorm...

[Read More] Understanding the Impact of Low P-LCR on Bruising in Patients


Does Not Fasting Affect the Accuracy of Health Checkup Results?

Does undergoing a health check-up without fasting affect the interpretation of test results? Thank you? Hello Director Li, I would like to ask you some questions regarding the health check report. Our company is organizing a health check tour, but the hospital has scheduled the h...


Dr. Li Huixiong Reply:
Hello: Some laboratory test results can indeed be influenced by diet. Below, I will list the tests and examinations that are recommended to be fasting for at least eight hours due to dietary effects, for your reference: urine glucose (GLU), pH, total cholesterol (CHOL), triglycer...

[Read More] Does Not Fasting Affect the Accuracy of Health Checkup Results?


Which Medical Specialty Should You Consult After Abnormal Health Check Results?

Which medical specialty should you consult after a health check-up? Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin le...


Dr. Zeng Guosen Reply:
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...

[Read More] Which Medical Specialty Should You Consult After Abnormal Health Check Results?


Is Donating Platelets Safe? Understanding Risks and Benefits

Platelet donation Hello Dr. Yang, I have previously had a habit of donating blood. My friend suggested that if possible, I should consider donating platelets. I would like to ask you if there are any negative effects or side effects from donating platelets. Thank you.


Dr. Yang Hongzhi Reply:
Donating platelets does not have adverse effects on the body. Sometimes, to obtain a larger quantity of platelets from a donor, the platelets can be separated, and the other blood components can be returned to the donor, which does not negatively impact the donor's health.

[Read More] Is Donating Platelets Safe? Understanding Risks and Benefits


Understanding Elevated Lymphocyte Levels: What It Means for Your Health

Elevated lymphocyte count? Dr. Liao, I apologize for the interruption. During my recent health check-up, one of my lymphocyte counts was slightly higher than the normal range. Could you please advise what this might indicate regarding my health? Thank you for taking the time to r...


Dr. Liao Zhongxin Reply:
Dear readers: 1. We know that blood consists of blood cells and plasma, with blood cells being divided into red blood cells, white blood cells, and platelets. Among these, white blood cells include granulocytes and lymphocytes. The normal range of white blood cells is approxima...

[Read More] Understanding Elevated Lymphocyte Levels: What It Means for Your Health


Understanding Low Platelet Count: Should You Be Concerned?

Low platelet count? In September, I had a personal health check-up and my platelet count was 131,000. Is this serious? Do I need to go to the hospital for a blood test? Is it related to my diet? Thank you.


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Generally, the normal platelet count ranges from 150,000 to 450,000 per microliter; however, there may be slight variations depending on the hospital or laboratory. 2. The causes of thrombocytopenia include insufficient production, excessi...

[Read More] Understanding Low Platelet Count: Should You Be Concerned?


Understanding Low Platelets and White Blood Cell Counts: What You Need to Know

Regarding blood platelets, white blood cells, lymphocytes, and neutrophils? I discovered my low platelet count during my pregnancy. However, the correct cause was not identified during both pregnancies, and I was ultimately diagnosed with idiopathic thrombocytopenic purpura. I am...


Dr. Zheng Shuxing Reply:
Hello: 1. During pregnancy, especially in the last three months, platelet counts tend to be lower, so it is essential to monitor this again when not pregnant. 2. If the counts remain low and the white blood cell count is also low, a bone marrow biopsy is recommended. This procedu...

[Read More] Understanding Low Platelets and White Blood Cell Counts: What You Need to Know


Understanding Unexplained Bruising: When to Seek Medical Help

Congestion due to underlying causes? Hello, Doctor: I am your patient with "glomerulonephritis" who needs to have regular check-ups every year. However, in the past month or two, I have been experiencing unexplained bruising below my thighs, which is painful and itchy. ...


Dr. Yang Jun Reply:
Hello: In response to your question... The occurrence of unexplained bruising may be due to a deficiency or dysfunction of platelets, or it could be related to coagulation issues. This phenomenon can be further investigated at a hematology and oncology department. Keelung Hospita...

[Read More] Understanding Unexplained Bruising: When to Seek Medical Help


Understanding Hemoglobin Deficiency: Causes and Solutions

Hemoglobin deficiency Hello, I have been donating platelets for a long time, and it has been going smoothly every two weeks. However, in the last three attempts over the past two months, I have had to reschedule due to insufficient hemoglobin (less than 12 g/dL). Additionally, I ...


Dr. Xu Qingxiao Reply:
Dear Ms. Rina, I apologize for the delay in my response. Due to limited opportunities to access the hospital's computer recently, I am writing to you directly now. Regarding the relationship between acne and decreased hemoglobin levels, we first need to review your previous...

[Read More] Understanding Hemoglobin Deficiency: Causes and Solutions


Treatment and Care for Severe Aplastic Anemia: Symptoms and Management Tips

Severe Aplastic Anemia How is severe aplastic anemia treated? What are the precautions to take? What are the symptoms?


Dr. Wang Fangli Reply:
Hello Ms. Jan: In the early stages of aplastic anemia, you may experience fatigue, weakness, and dizziness due to anemia. Additionally, a decrease in platelets can lead to symptoms such as petechiae, nosebleeds, and gastrointestinal bleeding. Furthermore, a reduction in white blo...

[Read More] Treatment and Care for Severe Aplastic Anemia: Symptoms and Management Tips


Understanding Elevated Platelet Count: When to Seek Medical Advice

Increased platelet count? Hello, Doctor: I recently had a health check-up and found that my platelet count is 366, which is above the normal range. Could you please advise what might be the issue? I have not experienced any discomfort so far. If I need to seek medical attention, ...


Dr. Zeng Fenyu Reply:
Hello Panker: The primary function of platelets is to facilitate blood clotting. Normal platelet counts can vary between hospitals, but generally, a range of 150,000 to 400,000 per microliter is considered normal. Your platelet count of 366,000 is within the normal range. Hematol...

[Read More] Understanding Elevated Platelet Count: When to Seek Medical Advice


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