Understanding Low White Blood Cell Count: Causes and Concerns
Leukopenia Hello Doctor, my health check report on September 10 showed that my white blood cell count was 4.76 (the normal range at that hospital is 5-10). I inexplicably lost 5 kg within two weeks, and one morning in October, I had a nosebleed. On November 27, I went to another ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The reasons for weight loss must consider many diseases, particularly diabetes, hyperthyroidism, tumors, and other rare conditions or diseases. 2. There are also many causes for low white blood cell counts, including viral infections, immu...[Read More] Understanding Low White Blood Cell Count: Causes and Concerns
Understanding Elevated Liver Enzymes: Concerns and Next Steps
SGOT: 22, SGPT: 43 On September 21, my health check report indicated that my GOT is 22 and GPT is 43. I do not have Hepatitis B or C. Although my levels are only slightly above the standard values by 3, I am still quite worried. Today, I visited a traditional Chinese medicine doc...
Dr. Xiao Jingqin Reply:
There are many reasons for elevated liver function tests, with common causes including viral hepatitis, fatty liver disease, alcoholic hepatitis, and drug-induced hepatitis. Based on your levels, it does not appear to be viral hepatitis (acute hepatitis A or E can likely be ruled...[Read More] Understanding Elevated Liver Enzymes: Concerns and Next Steps
Understanding Abdominal Discomfort and Elevated White Blood Cell Count
There is a feeling of bloating in the stomach, and blood tests show a white blood cell count of 12,500? Initially, on the early morning of September 28, I felt very uncomfortable due to a sensation of gas in my stomach, so I went to the emergency department at Min-Sheng Hospital....
Dr. Hong Hongchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Your blood test report indicates elevated white blood cell count. It is advisable to undergo further examinations, such as for the pancreas or hepatobiliary system. ...[Read More] Understanding Abdominal Discomfort and Elevated White Blood Cell Count
Should You Seek Medical Attention for Recurrent Oral Sores?
Recurrent oral ulcers? Should recurrent oral ulcers require further medical attention?
Dr. Liao Zhongxin Reply:
1. There may be multiple reasons, but it is still recommended to go to the hospital for further evaluation. 2. Such as: rheumatic diseases, sexually transmitted infections (including herpes), nutritional deficiencies (including selective eating), sleep disturbances, or many other...[Read More] Should You Seek Medical Attention for Recurrent Oral Sores?
Unexplained Symptoms in an 81-Year-Old: Seeking Diagnosis and Solutions
Uncertain etiology? My grandmother is 81 years old and has a history of gastric ulcers. She has been using sleeping pills for a long time and occasionally experiences palpitations, for which she takes medication for heart disease. She also has bone spurs, osteoporosis, and hypert...
Dr. Yang Hongzhi Reply:
Many symptoms cannot be definitively diagnosed; however, it may be worth considering the possibility of peripheral neuropathy. If you have not seen a neurologist, it is advisable to seek medical attention.[Read More] Unexplained Symptoms in an 81-Year-Old: Seeking Diagnosis and Solutions
Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns
excuse me? What is the true cause of Behçet's disease and how significantly does it affect the body? Is there a correlation between having gastric ulcers and hypothyroidism occurring simultaneously? I am currently receiving weekly steroid injections; are there any side effec...
Dr. Yang Hongzhi Reply:
Behçet's disease is generally considered to be caused by an autoimmune response leading to vasculitis. Gastric ulcers may occasionally occur in this condition, and hypothyroidism can also be classified as an autoimmune disease, which may occur concurrently, although it is no...[Read More] Understanding Behçet's Disease: Causes, Effects, and Treatment Concerns
Understanding Post-Shingles Pain: Treatment and Recovery Insights
Shingles (Herpes Zoster) Hello, Doctor. I experienced a miscarriage on June 15 and subsequently developed shingles on the right side of my waist. After completing a week of Acyclovir at 5 times a day, I felt stiffness and pain in my lower back two days later. I have taken various...
Dr. Wang Fangli Reply:
Gabapentin is an effective medication for treating postherpetic neuralgia, and it should gradually improve. It's important to maintain a balanced diet, ensure adequate sleep, and keep a positive mood as well.[Read More] Understanding Post-Shingles Pain: Treatment and Recovery Insights
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 Unexplained Fatigue: When to Seek Medical Help
Unexplained fatigue? If a physician feels constantly fatigued and sleepy every day and wants to undergo a health check-up but finds it too expensive, would it be useful to have blood tests done at a public health center? Additionally, if a visit to a hospital is necessary, which ...
Dr. Zeng Guosen Reply:
Hello, internet user: Fatigue can be classified into physiological, psychological, or unexplained conditions. A preliminary assessment can be made through blood tests at a health center. If the cause remains unclear, you may consult a family medicine specialist. There's no n...[Read More] Understanding Unexplained Fatigue: When to Seek Medical Help
Should I Visit a Sleep Clinic for My Ongoing Sleep Issues?
Should I see a sleep clinic? Hello Doctor, I am a fourth-year student, and I have always found it difficult to concentrate while studying. My overall mental state has been poor throughout the day. My girlfriend mentioned that I often snore while sleeping. Should I seek medical ...
Dr. Zeng Guosen Reply:
Hello, Xiao Ou: Based on your description, it is necessary to rule out the possibility of obstructive sleep apnea syndrome. This condition often occurs in obese patients and can lead to poor sleep quality, resulting in daytime dizziness and difficulty concentrating. You may consi...[Read More] Should I Visit a Sleep Clinic for My Ongoing Sleep Issues?
Understanding Gout: Causes, Symptoms, and Long-Term Management Options
Dr. Tseng: Hello! I experience gout attacks every year in June, July, and August (in my big toe). Why does this happen? When it flares up, the pain is so intense that I can't sleep, and my toe becomes red and swollen! I have to rely on medication and injections to alleviate ...
Dr. Zeng Guosen Reply:
Hello, internet user: Gout is caused by elevated levels of uric acid in the blood. It can be categorized into two main types: those with identifiable causes and those without. If the cause of your high uric acid levels cannot be determined and you continue to experience frequent ...[Read More] Understanding Gout: Causes, Symptoms, and Long-Term Management Options
Why Drinking More Water Makes You Feel Thirstier: Understanding Your Symptoms
The more you drink water, the drier your mouth becomes? 1. Why have I been feeling increasingly thirsty despite drinking more water? I drink 1500cc of water between 8 and 11 AM, but if I don't drink water for more than half an hour, I don't feel thirsty. 2. I feel tha...
Dr. Yang Hongzhi Reply:
There is a significant possibility of having diabetes; you may consider visiting the endocrinology outpatient clinic.[Read More] Why Drinking More Water Makes You Feel Thirstier: Understanding Your Symptoms
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 Unexplained Fatigue: Causes and Necessary Tests
Unexplained abnormal fatigue? In the past six months, I have been experiencing unexplained fatigue. Even with sufficient sleep, I still feel increasingly tired after being awake for about 12 hours, as if I would collapse without sleep, which is very distressing. However, I usuall...
Dr. Zeng Guosen Reply:
Hello, internet user: Discomfort in individuals can be attributed to both physiological and psychological causes. You should first visit a hospital for an examination to rule out any physiological reasons for your fatigue. If everything is normal, then consider consulting a psych...[Read More] Understanding Unexplained Fatigue: Causes and Necessary Tests
Understanding Symptoms: Eye Twitching, Bloating, and Acne Issues
Eyelid twitching, bloating, and acne? I have been experiencing bloating after each meal for about two to three months. If I eat after dinner, the bloating can become so severe that I can't sleep, and my eyelids have been twitching for four days. I've also been dealing w...
Dr. Sun Yizhen Reply:
Stress and smoking can both contribute to indigestion. It's important to organize your lifestyle, eat meals at regular times and in appropriate portions, and increase your intake of fruits and vegetables. If symptoms persist, consult a hospital for an examination (you can in...[Read More] Understanding Symptoms: Eye Twitching, Bloating, and Acne Issues
Understanding Muscle Cramps After Thyroid Surgery: Causes and Solutions
Post-thyroidectomy for hyperthyroidism, sudden muscle cramps may occur? Hello doctor, after my surgery on April 9th, I have been experiencing sudden muscle cramps frequently. Sometimes when I bend down to pick something up, my neck cramps suddenly, and I also experience cramps wh...
Dr. Yang Hongzhi Reply:
After thyroid surgery, if muscle cramps occur, it is important to consider whether the surgery has affected the parathyroid glands, leading to decreased calcium ions. Blood tests can be performed to confirm or rule out this condition.[Read More] Understanding Muscle Cramps After Thyroid Surgery: Causes and Solutions
Understanding Your Symptoms: Gastroenteritis, Anxiety, and More
I'm not sure what's wrong? Hello, Doctor: (1) I have a psychiatric disorder—obsessive-compulsive disorder—and I am currently undergoing medication treatment. A few weeks ago, due to irregular lifestyle habits and poor eating patterns (only eating one or two meals a da...
Dr. Xiao Yongxun Reply:
Hello: Your description is very diverse and complex, making it difficult to explain with a single diagnosis. For instance, "dizziness" can be categorized into central and peripheral causes, each with several underlying reasons. If we also consider symptoms like loss of ...[Read More] Understanding Your Symptoms: Gastroenteritis, Anxiety, and More
Understanding Post-Colonoscopy Symptoms: Causes and Solutions
Complications of Colonoscopy Hello Dr. Sun, I have a 70-year-old grandmother who has been experiencing frequent diarrhea recently. The doctor at the clinic suggested she undergo a colonoscopy at a larger hospital. After the procedure, no issues were found, but she continues to ha...
Dr. Sun Yizhen Reply:
Symptoms like these are not commonly associated with a routine colonoscopy; however, the aforementioned symptoms should be evaluated and treated further by a colorectal surgeon.[Read More] Understanding Post-Colonoscopy Symptoms: Causes and Solutions
Could This Be a Heart Issue? Understanding Unusual Chest Pain Symptoms
Could this be a heart problem? Hello, doctor. I would like to ask a question. Yesterday, while I was sleeping, I woke up halfway through the night feeling somewhat unwell. I then started to burp continuously and felt my intestines moving, along with passing gas. However, there wa...
Dr. Sun Yizhen Reply:
Hello: For issues related to this matter, I recommend that you schedule an appointment with a cardiology clinic. Thank you![Read More] Could This Be a Heart Issue? Understanding Unusual Chest Pain Symptoms
Understanding Rapid Breathing: Causes and Concerns in Adults
Shortness of breath? My father had a cold a week ago and saw a doctor, but since then his breathing has been very loud and his respiratory rate has increased significantly. He often feels fatigued and goes to bed early every night. Whether asleep or awake, his breathing sounds ra...
Dr. Chen Junwei Reply:
Hello: There is no sensation of difficulty in breathing, but the breathing sounds wheezy, which may indicate bronchial wheezing. Chronic bronchitis, mild pulmonary edema, or chronic obstructive pulmonary disease (COPD) could present with such symptoms. However, nasal congestion, ...[Read More] Understanding Rapid Breathing: Causes and Concerns in Adults