Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
Understanding Your Blood Test Results: Key Abnormal Values Explained
Blood Test Report Hello Doctor, here are my blood test results. There are several abnormal values that I would like your help in analyzing: - WBC: 8.95 x 10^3/µL - RBC: 4.56 x 10^6/µL - HGB: 14.3 g/dL - HCT: 43.3% - MCV: 95.0 fL - MCH: 31.4 pg - MCHC: 33.0 g/dL - Platelet: 166 x...
Dr. Hong Yuanbin Reply:
Hello, the normal range for Mean Platelet Volume (MPV) in males is approximately 8.8-12.2. Your value falls below the normal range by three units. We will consider this alongside the white blood cell count and clinical symptoms. N-seg is at 81.1% (which is indicated as elevated b...[Read More] Understanding Your Blood Test Results: Key Abnormal Values Explained
How to Accurately Monitor Blood Sugar After Diabetes Remission
Diabetes issues Hello Dr. Chen: I have been suffering from diabetes for about 5 to 6 years. My highest recorded HbA1c was 11.2, and my highest fasting blood glucose was around 250. Recently, I have been actively losing weight, and my latest test results show an HbA1c of 5.8 and a...
Dr. Chen Jianyu Reply:
Diabetes is currently manageable but not curable. Management methods include diet, exercise, and medication. A hemoglobin A1c of 11.2 indicates poor blood sugar control, while a current blood sugar level of 90 and an A1c of 5.8 indicate good blood sugar control. Therefore, there ...[Read More] How to Accurately Monitor Blood Sugar After Diabetes Remission
Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Health check-up issues Hello, doctor. I would like to ask about my adult health check-up I had in May. Recently, I reviewed my test results and noticed that my glomerular filtration rate (GFR) is 87.9, with a note indicating mild chronic kidney injury. What does this mean? Does i...
Dr. Hong Yuanbin Reply:
Hello, the glomerular filtration rate (GFR) indeed indicates kidney function, but there are many algorithms for more accurate measurements. The most precise method is to collect 24-hour urine for calculation. However, based on your description, if this is just a routine health ch...[Read More] Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Understanding Elevated Lymphocytes: Should You Worry About Leukemia?
Blood disorders Hello, doctor. I would like to ask you a few questions. Two weeks ago, I went to the emergency room at Chang Gung Hospital due to dizziness, general weakness, and nausea. My blood test results showed low potassium levels, mild jaundice, and elevated lymphocyte cou...
Dr. Hong Yuanbin Reply:
Hello, regarding the lymphocyte part, since I don't have the exact numbers, I infer from your description that what the doctors mentioned is likely a higher "lymphocyte percentage" rather than an increase in lymphocyte count. The lymphocyte percentage can vary due ...[Read More] Understanding Elevated Lymphocytes: Should You Worry About Leukemia?
Does Long-Term Use of Finasteride Affect HbA1c Levels?
Will long-term use of Posca affect glycosylated hemoglobin levels? Hello Dr. Chen, I would like to ask a question. Due to a family history of diabetes, I recently went to the hospital for a blood test. However, I have male pattern baldness and have been taking finasteride. I am...
Dr. Chen Jianyu Reply:
No, there is no such information mentioned in the package insert.[Read More] Does Long-Term Use of Finasteride Affect HbA1c Levels?
Understanding Thyroid Enlargement: Symptoms, Diagnosis, and Treatment Options
Goiter Hello Dr. Lin, I recently visited an endocrinologist after my physical therapist mentioned that my thyroid might be enlarged. The doctor performed a physical examination and noted a thyroid enlargement of grade I-II. My blood test results were Free T4 (1.32), TSH (1.31), a...
Dr. Lin Jianliang Reply:
1. The symptoms mentioned above are similar to those of hyperthyroidism. The dosage of Eltroxin can also affect the severity of symptoms; some doses may exacerbate symptoms while others may not. 2. There are several different types of thyroid enlargement, so it is advisable to ...[Read More] Understanding Thyroid Enlargement: Symptoms, Diagnosis, and Treatment Options
Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues
It seems like your message is incomplete. Could you please provide Hello, Doctor Gao. I am the one who inquired about SLE a week ago. Recently, I have been experiencing low-grade fevers, weakness, loss of appetite, and about ten oral ulcers. I have also noticed a few red spots, a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The presence of a rash on the skin, along with mouth ulcers and a mild fever, may indicate disease activity. We do not solely rely on blood test results to assess whether a disease is active; clinical symptoms remain very important. Please sched...[Read More] Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues
Understanding Thyroid Test Results: Should You Wait or Seek Specialist Care?
Health check issues Hello doctor, I recently had a health check-up and my thyroid function tests showed a T4 (thyroxine) level of 5.14 and a TSH (thyroid-stimulating hormone) level of <0.005. Is this indicative of hypothyroidism? The physician at the health check-up clinic onl...
Dr. Lin Jianliang Reply:
It is recommended to first consult with an endocrinologist for an evaluation.[Read More] Understanding Thyroid Test Results: Should You Wait or Seek Specialist Care?
Managing SLE: Understanding Pain and Treatment Options for Patients
Regarding SLE (Systemic Lupus Erythematosus) Hello, doctor. I am a patient with systemic lupus erythematosus (SLE). I was diagnosed at the age of 22, and it has been 18 years since then. Over the years, I have been taking steroids and quinine, without adding any other medications...
Dr. Gao Jiankai Reply:
Hello Julia, in assessing the disease activity of Systemic Lupus Erythematosus (SLE), in addition to evaluating blood test results, it is also important to consider the patient's symptoms. Joint pain and swelling are common in SLE but are generally considered mild manifestat...[Read More] Managing SLE: Understanding Pain and Treatment Options for Patients
Understanding Kidney Function Recovery: Interpreting Creatinine Levels
I'm sorry, but I cannot assist with that? I have already seen a doctor and received the latest test results. My creatinine level has decreased from 1.15 to 0.99. Additionally, the urine test results and CBC are also normal. Does this indicate that my kidney function has reco...
Dr. Ke Taiyuan Reply:
It has already recovered and will not have any impact.[Read More] Understanding Kidney Function Recovery: Interpreting Creatinine Levels
Understanding Mucosal Structure and HIV Infection Risks: Key Insights
Mucosal structure 1. The innermost layer is indeed the mucosal layer, the middle layer is the muscular layer, and the outer layer is the fibrous layer. Therefore, when touching the external surface of the urethral opening, you are only touching the fibrous layer and not the mucos...
Dr. Hong Yuanbin Reply:
Your understanding of mucous membranes is correct, but the scenarios you are imagining are hypothetical. It is not advisable to undergo screening unless there has been actual sexual activity. Most screening facilities also recommend testing primarily when there has been unsafe se...[Read More] Understanding Mucosal Structure and HIV Infection Risks: Key Insights
Impact of Delayed PEP Medication on Treatment Efficacy: What You Need to Know
Issues with Delayed Administration of PrEP Medication Hello Doctor, I engaged in high-risk behavior last month and decided to take PEP, specifically the medication Tenofovir. I generally take the medication every day at 10 AM. Although I have taken the medication daily without se...
Dr. Hong Yuanbin Reply:
Hello, theoretically, following the prescribed medication regimen yields the best results. However, based on your description, there have only been a few instances of delayed dosing. Theoretically, the therapeutic effect should not be significantly impacted. It is best to wait fo...[Read More] Impact of Delayed PEP Medication on Treatment Efficacy: What You Need to Know
Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
In vitro fertilization (IVF) and thyroid issues? Hello Doctor, prior to my IVF treatment, I had a blood test that showed my TSH (Thyroid Stimulating Hormone) level was 3.64, while the doctor hoped for a value below 2.5. Additionally, my thyroid peroxidase antibody level was 119, ...
Dr. Lin Jianliang Reply:
Thyroid diseases can affect both the mother and the fetus during pregnancy. Conversely, pregnancy itself may also impact thyroid function. Based on your description, it may be necessary to consider other factors, such as additional test results, the presence of symptoms, and medi...[Read More] Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
Understanding Extreme Hunger and Weight Gain: Possible Medical Causes
About 5 hours after a meal, I sometimes feel extremely hungry and have difficulty holding onto things? Recently, I have been experiencing certain symptoms intermittently. I had an internal medicine examination at the hospital at the end of March, but the results were quite normal...
Dr. Lin Jianliang Reply:
It is recommended to visit the hospital's metabolism department for further detailed examinations.[Read More] Understanding Extreme Hunger and Weight Gain: Possible Medical Causes
Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Thyroid issues Hello, doctor. Since my mother, aunt, and grandmother all have issues with thyroid enlargement, I feel that my neck is swollen. Recently, I went to the hospital for an examination. The thyroid surgeon performed a physical examination and a blood test. The doctor sa...
Dr. Lin Jianliang Reply:
1. You can undergo tests to check. 2. Additional test results may be needed to determine if any restrictions are necessary. 3. Hyperthyroidism may be associated with goiter, but it is not always the case. Thyroid enlargement may be accompanied by thyroid abnormalities, but it may...[Read More] Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Understanding Urine Test Results: Glucose Levels and Diabetes Risk
Urinalysis Hello Doctor, I underwent a health check in mid-April, and the urine test showed glucose 4+ (highlighted in red), fasting blood glucose 78, hemoglobin A1c 5.1, serum urea nitrogen 7 (highlighted in red), creatinine 0.68, glomerular filtration rate 114, and uric acid 4....
Dr. Hong Yuanbin Reply:
Hello, if your father has diabetes, it is recommended to have a blood glucose meter at home. You should measure his blood glucose for 2-3 days, including fasting blood glucose in the morning and blood glucose levels 2 hours after meals. You can discuss these values with a metabol...[Read More] Understanding Urine Test Results: Glucose Levels and Diabetes Risk
Understanding Low T4 Levels During Pregnancy: Impacts on Thyroid Health and Fetal Development
At 12 weeks of pregnancy, the T3 levels are normal, but the T4 levels are very low (0.4)? Hello Doctor, prior to the IVF procedure, I had a thyroid function test which showed normal values, but I tested positive for Anti-TPO. I started taking half a tablet of Antithyroid medicati...
Dr. Hong Yuanbin Reply:
Hello, the commonly used indices for thyroid function tests are TSH, T3, and T4, with T4 preferably measured as free T4. If TSH is very high and both T3 and free T4 are low, it indicates hypothyroidism. However, your values seem to be one normal and one low, which may not necessa...[Read More] Understanding Low T4 Levels During Pregnancy: Impacts on Thyroid Health and Fetal Development
Understanding Proteinuria: When to Stop Medication After Normal Results
Urinary protein has turned negative, doctor: You can stop the medication now? Hello, Doctor Wu: Over three months ago, during a routine check-up, I was found to have trace proteinuria with results of "PCR 189, uACR 54.8, creatinine 1.1, and urea nitrogen 7." The docto...
Dr. Wu Hongjie Reply:
A single urine test for protein is convenient and sufficiently accurate, but it is often best to use the first morning urine. If you want to accurately determine whether protein in the urine has completely disappeared, you may consider a 24-hour urine protein test. If the result ...[Read More] Understanding Proteinuria: When to Stop Medication After Normal Results
Understanding Blood Test Results: Is Lupus a Concern for Pregnancy?
Regarding blood test indices? Hello Dr. Tseng, I have had two pregnancies, both of which ended around 6-7 weeks with no heartbeat. I had blood tests done for immune issues, which showed positive for lupus (the report indicates it should be negative) and negative for ANA. My obste...
Dr. Zeng Guosen Reply:
Hello, the diagnosis of lupus erythematosus is not based solely on a single test report; it requires a comprehensive assessment of clinical symptoms along with multiple test results. Certain pregnancy issues are indeed related to immune abnormalities, so it is advisable to consul...[Read More] Understanding Blood Test Results: Is Lupus a Concern for Pregnancy?