Understanding Your Blood Test Results: What Elevated ALT and Lymphocytes Mean
Ask the doctor some questions? Hello doctor, my health check report shows an ALT level of 45, and it seems my lymphocytes are elevated at around 60, while other values are slightly low and abnormal, prompting the recommendation to see a hematologist. At that time, the doctor aske...
Dr. Hong Yuanbin Reply:
Hello, 1. Based on your description of general discomfort along with elevated liver enzymes and increased lymphocytes, it is indeed more likely to be a viral infection. However, the viruses referred to here are common viruses, such as respiratory viruses, commonly known as &quo...[Read More] Understanding Your Blood Test Results: What Elevated ALT and Lymphocytes Mean
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Understanding Blood Test Results: What Your Doctor Might Be Concerned About
Follow-up data and related issues? Hello, Doctor. I actually visited a family medicine clinic this morning because my liver enzyme levels were at 40 and my cholesterol was slightly over 200, so I have been following up every three months. However, this time the doctor suddenly su...
Dr. Hong Yuanbin Reply:
Hello, as you mentioned, these values are all types of white blood cells, and they add up to 100%. Your main concern is that the lymphocyte ratio is too high, while the neutrophil/segment ratio is too low, along with the presence of atypical lymphocytes (a.lym). This situation ca...[Read More] Understanding Blood Test Results: What Your Doctor Might Be Concerned About
Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Type 2 diabetes diagnosed for 8 years? Type 2 diabetes diagnosed for 8 years. Recent blood test results are as follows: - AC: 115 (Normal range: 70-100) - HbA1C: 6.3% (Normal range: 4-6%) - Triglycerides: 59 mg/dL (Normal range: <150 mg/dL) - Cholesterol: 170 mg/dL (Normal ra...
Dr. Chen Jianyu Reply:
Aside from elevated blood glucose levels and glycated hemoglobin, all other values are within normal range. Please continue to take your medication regularly, maintain dietary control, and engage in exercise. Regular follow-ups are recommended.[Read More] Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Understanding Variations in Thyroid Peroxidase Antibody Test Results
Could you please clarify your question regarding thyroid indices? Dear Doctor, I had a thyroid function test at the first medical center, and one of the tests was for Anti-Thyroid Peroxidase Antibodies (Anti-TPO). My result was <1.0, with a reference value of <5.6 IU/mL, ...
Dr. Li Jian Reply:
Hello, since this is a question regarding laboratory indices and not within Dr. Lee's area of expertise, your inquiry will be addressed by Dr. Lin Wei-Tang from the Department of Laboratory Medicine. If you have related questions in the future, it is recommended that you con...[Read More] Understanding Variations in Thyroid Peroxidase Antibody Test Results
Does Delaying Blood Draw for Cortisol Testing Affect Results?
Blood draw time Hello doctor, I have a cortisol blood test scheduled. The lab order states to draw blood at 4 PM and 8 AM, but due to long wait times at the hospital, my actual blood draw was close to 5 PM and almost 9 AM. Will this delay of nearly an hour affect the accuracy of ...
Dr. Lin Jianliang Reply:
There may be some impact, but it will not be significant. The test values can still be referenced.[Read More] Does Delaying Blood Draw for Cortisol Testing Affect Results?
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Daily High Fever and Weight Loss in a 70-Year-Old with Lupus
Persistent high fever every morning accompanied by weight loss? Hello, Doctor. Thank you for taking the time to read this amidst your busy schedule. My father, who is 70 years old, has been diagnosed with systemic lupus erythematosus and chronic obstructive pulmonary disease. He ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You can return for a follow-up appointment anytime you feel unwell, especially if you have a fever, without worrying about the physician's opinion. 2. If you have had a persistent fever for over a month, that is...[Read More] Daily High Fever and Weight Loss in a 70-Year-Old with Lupus
Understanding the HIV Testing Window Period: Key Insights and FAQs
Consultation on the Window Period for HIV Testing Hello Dr. Hong, thank you for your response. What you previously mentioned is that masturbation does not pose a risk for HIV infection, so during the window period, a male masturbating will not affect the accuracy of HIV tests (su...
Dr. Hong Yuanbin Reply:
Hello, yes, there is no impact on the test results, and there is no need to recalculate the window period. Thank you for your inquiry.[Read More] Understanding the HIV Testing Window Period: Key Insights and FAQs
Understanding HIV Testing: Common Questions During the Window Period
HIV Testing Consultation Hello Dr. Hong, thank you for your response. However, I have an awkward question to ask. After engaging in unprotected sexual intercourse, the window period lasts at least 12 weeks (84 days). I understand that during this waiting period, no risky sexual b...
Dr. Hong Yuanbin Reply:
Hello, 1. Masturbation does not transmit HIV, so there is no concern. 2. Masturbation will not affect test results. Thank you for your question.[Read More] Understanding HIV Testing: Common Questions During the Window Period
Understanding the Disappearance of Thalassemia in Recent Blood Tests
I had thalassemia in middle school, but recent tests did not show any signs of it? Hello Doctor: I recently underwent a physical examination for military service, and I have some questions. In the past, I was diagnosed with thalassemia minor, but my recent tests did not indicate ...
Dr. Hong Yuanbin Reply:
Hello, 1. Mediterranean anemia requires further genetic testing to determine. The data you have is from a basic blood test, which can only indicate whether there is currently anemia. Based on this value, we can only say that there is no anemia at this moment; it does not rule o...[Read More] Understanding the Disappearance of Thalassemia in Recent Blood Tests
Understanding High Adrenaline Levels: Causes and Health Implications
Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...
Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...[Read More] Understanding High Adrenaline Levels: Causes and Health Implications
Understanding the Differences Between HIV Ag+Ab Combo and HIV Ag/Ab Combo Tests
HIV Testing Consultation Hello Dr. Hong, I apologize for bothering you. Although my HIV test results have been negative for over eight months, I would like to continue testing for about a year. Today, I would like to ask you about the difference between the HIV Ag+Ab Combo (AIDS)...
Dr. Hong Yuanbin Reply:
Hello, yes, these two represent the same testing method. Thank you for your question.[Read More] Understanding the Differences Between HIV Ag+Ab Combo and HIV Ag/Ab Combo Tests
Understanding HIV Testing After Contrast Agent Use: Key Insights
HIV Testing Counseling Hello Dr. Hong, I underwent a cardiac catheterization procedure in June 2019, during which a drug-eluting stent was placed. It seems that contrast agents are injected during the catheterization process. I have undergone three HIV tests from September 2019 t...
Dr. Hong Yuanbin Reply:
Hello, generally speaking, the contrast agent will be excreted from the body in about 1-2 days. It will not affect the test values and results. Thank you for your inquiry.[Read More] Understanding HIV Testing After Contrast Agent Use: Key Insights
Understanding Rhabdomyolysis: When Urine Color Signals Concern
Rhabdomyolysis and Urine Color Issues Hello Dr. Wu, I have previously read your article on rhabdomyolysis that you posted on September 1, 2014. Today, I visited an orthopedic department at a hospital (the front desk recommended me to go there) because I experienced severe thigh...
Dr. Wu Jiyu Reply:
One of the diagnostic tests for rhabdomyolysis is the measurement of serum creatine phosphokinase (CPK) levels. If the test results are normal and the pain subsequently decreases, with normal urine color, there is no need for concern. It is important to maintain a regular exercis...[Read More] Understanding Rhabdomyolysis: When Urine Color Signals Concern
Understanding the Differences Between HIV Ag+Ab Combo and Ag/Ab Combo Tests
Fourth-generation ELISA testing consultation? Hello Dr. Hong, thank you for your previous responses to my questions. Today, I consulted with a qualified testing facility, and their testing item is listed as HIV Ag+Ab Combo (AIDS). In the past, the data we have seen mostly shows i...
Dr. Hong Yuanbin Reply:
The HIV Ag/Ab Combo test results are indicated as either + or -; the first + or - refers to the antigen (Ag), which is the virus's antigen. Typically, if the virus is present in the body, the result will be positive. The second + or - refers to the antibodies (Ab) produced b...[Read More] Understanding the Differences Between HIV Ag+Ab Combo and Ag/Ab Combo Tests
Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Consultation for Lipid Disorders Hello Dr. Lin, I am the person who consulted about cholesterol issues on 2020/03/25 <a href="https://adoctor.tw/article/154449">#154449</a>. Thank you for your previous response. I would like to follow up on my earlier questi...
Dr. Lin Jianliang Reply:
After medication, if blood lipid levels can be maintained within the standard range, it is generally less likely to experience hyperlipidemia.[Read More] Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Does Antibiotic Use Affect HIV Testing Results?
Sexually Transmitted Infection (STI) Screening I would like to ask about HIV testing. I took antibiotics the night before the test, received an antibiotic injection a week prior, and also took anti-inflammatory medication and folic acid. Will this affect the test results? Thank y...
Dr. Liao Zhongxin Reply:
I cannot.[Read More] Does Antibiotic Use Affect HIV Testing Results?
Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Systemic lupus erythematosus (SLE) Anti-DNA Hello, Doctor. I have a history of systemic lupus erythematosus (SLE) for about 10 years, with my last flare affecting my kidneys three years ago. Since then, my condition has been stable, and for the past few months, my proteinuria has...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Anti-dsDNA levels are associated with disease activity in lupus. When assessing the activity of lupus, in addition to evaluating the patient's symptoms, we also refer to blood and urine test results. The indicators we examine include white...[Read More] Understanding Elevated Anti-DNA Levels in Lupus Patients: Key Insights
Impact of Medications on HIV Ag/Ab Combo Test Results: What You Need to Know
HIV Ag/Ab Combo test issues? Hello Dr. Hong, I have a heart stent placed and am currently taking the following six medications: Ticagrelor (Brilinta) and enteric-coated Aspirin (two antiplatelet medications), Valsartan and Amlodipine Besylate (antihypertensive medications), Propr...
Dr. Hong Yuanbin Reply:
Hello, the medications you are currently taking do not have any reported effects on the HIV Ag/Ab Combo test or the general antibody test (Anti-HIV), so they should not have a significant impact on this examination. Thank you for your inquiry.[Read More] Impact of Medications on HIV Ag/Ab Combo Test Results: What You Need to Know