Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Arrhythmia in Hyperthyroidism Hello, Doctor. I was diagnosed with Graves' disease and hyperthyroidism at the age of 40. I have been taking medication for hyperthyroidism for a year now, but I still occasionally experience arrhythmias, with a heart rate of about 120, especial...
Dr. Xie Rongyuan Reply:
Hello: You should go to the hospital for further examination of thyroid function abnormalities. As for your daughter's T4 and TSH levels, they are within the normal range. If her symptoms persist, you should promptly visit the hospital to identify the underlying cause. Thank...[Read More] Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Understanding Blood Test Results: Assessing Chest Pain and Heart Attack Risk
Symbolic significance of specimens 1. The laboratory results you provided show the following values: - White blood cell count: 10,000 cells/µL (normal range is typically 4,000 to 11,000 cells/µL) - Neutrophils: 76.1% (normal range is usually around 40-70%) - Lymphocytes: 15.3% ...
Dr. Zeng Guosen Reply:
Hello, the only test result showing is a slightly elevated CRP at 0.8 (normal <0.5), while all other results are normal. Based on your tests and symptoms, a diagnosis of myocardial infarction cannot be made. If you have concerns, it is recommended that you consult a cardiologi...[Read More] Understanding Blood Test Results: Assessing Chest Pain and Heart Attack Risk
Understanding Mediterranean Anemia: A Guide to Blood Test Results
Anemia issues Hello Doctor: This is my boyfriend's blood test report: WBC 4.57, RBC 5.95, HGB 10.5, Ht 36.4, MCV 61.2, MCH 17.6, MCHC 28.8, PLT 417. Does this indicate Mediterranean anemia?
Dr. Xie Rongyuan Reply:
Hello: It could be either thalassemia or iron deficiency anemia, and further testing is needed to confirm. Thank you for your message![Read More] Understanding Mediterranean Anemia: A Guide to Blood Test Results
Understanding Hypothyroidism: Interpreting Your Lab Results and Treatment Options
Hypothyroidism - Supplement Consultation Hello Director Hsiao, thank you for your detailed response to my previous question. However, regarding the recent test results, FREE T4: 0.85 (reference range: 0.71-1.85) and TSH: 52.913 (reference range: 0.55-4.78), do these indicate that...
Dr. Xiao Yongxun Reply:
Dear Mr. JJ: 1. The results show Free T4 at 0.85 μg/dl (reference range: 0.71-1.85 μg/dl) and TSH at 52.913 μIU/ml (reference range: 0.55-4.78 μIU/ml), indicating a tendency towards hypothyroidism. Whether this condition is worsening or improving must be assessed based on the p...[Read More] Understanding Hypothyroidism: Interpreting Your Lab Results and Treatment Options
Understanding Hypothyroidism Management in Patients with Atrial Fibrillation
Hypothyroidism Consultation Hello Dr. Hsiao, my mother is 65 years old and has a history of atrial fibrillation. From March 2014 to July 2015, she was treated with Dronedarone (Multaq). During the treatment, she developed hypothyroidism, and her attending physician prescribed Lev...
Dr. Xiao Yongxun Reply:
Dear JJ, Based on the information you provided, the medications and units may be as follows: Cordarone® 200 mg (Amiodarone), Eltroxin® Tablets 100 mcg (synthetic Thyroxine), Rytmonorm® 150 mg Film-coated tablets. The lab results are as follows: T3: 0.8 ng/ml (reference range: 0....[Read More] Understanding Hypothyroidism Management in Patients with Atrial Fibrillation
Understanding Chest Discomfort: When to Seek Further Medical Evaluation
Chest tightness/chest pain Hello doctor, I have been experiencing chest tightness and chest pain for more than half a month, and sometimes I have difficulty breathing. On March 17, I went to the emergency room, and the doctor ordered blood tests which came back normal. I was advi...
Dr. Zeng Guosen Reply:
Hello, online user: There are many causes of chest pain, and it is recommended to see a pulmonologist for evaluation and examination. If the emergency blood test results are normal, should further in-depth tests be conducted? This should be determined after a consultation with a ...[Read More] Understanding Chest Discomfort: When to Seek Further Medical Evaluation
Understanding Doctor's Decisions on Medication Adjustments for Lipid Levels
I would like to understand issues related to medication prescribed by doctors? Hello Doctor, I would like to ask about my condition. I have been taking lipid-lowering medication for some time, and my last blood test results were as follows: the dosage is 10 mg taken every two day...
Dr. Li Zhiyao Reply:
Hello: The decision regarding medication treatment is made by the physician based on a comprehensive assessment of the patient's condition and health insurance regulations.[Read More] Understanding Doctor's Decisions on Medication Adjustments for Lipid Levels
Understanding Thyroid Nodules: Connections to Past Tumors and Health Issues
Tumors have been a constant concern for me? Hello, Doctor. Recently, my mother discovered she has a thyroid nodule and needs surgery. While arranging for her hospitalization after the New Year, the doctor mentioned that my neck seemed a bit abnormal and scheduled blood tests and ...
Dr. Gao Jiankai Reply:
Hello, I hope this message finds you well. The correlation between tumors from 2002 and 2011 and psychiatric medications should be very low; if necessary, you may want to consult your psychiatrist. Regarding thyroid issues, further investigation is needed to determine if there is...[Read More] Understanding Thyroid Nodules: Connections to Past Tumors and Health Issues
Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Urinary tract infection (UTI) Dear Dr. Wu, my grandmother is 92 years old and frequently suffers from urinary tract infections. She was previously hospitalized due to an infection that caused a fever, and the bacteria entered her bloodstream (bacteremia). After being hospitalized...
Dr. Wu Jiyu Reply:
Based on your inquiry, theoretically, the bacteremia caused by the urinary tract infection should have been resolved; otherwise, your grandmother would continue to have a fever. Regarding the urine test results from the second hospital indicating an infection index of 26-50, ther...[Read More] Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide
Understanding Sepsis: Recovery Insights for Patients with Diabetes and Liver Cirrhosis
Sepsis Hello, Doctor: I would like to ask you about my father, who was hospitalized two days ago due to shortness of breath and fever. The doctor said it was a bacterial infection that led to sepsis. Yesterday afternoon, he was initially going to be intubated due to respiratory d...
Dr. Liao Zhongxin Reply:
Dear readers, Regarding the doctor's diagnosis of a bacterial infection leading to sepsis, I experienced difficulty breathing yesterday afternoon and was initially scheduled for intubation. However, after the doctor urgently changed the medication, my condition improved som...[Read More] Understanding Sepsis: Recovery Insights for Patients with Diabetes and Liver Cirrhosis
Understanding OGTT Results: What Your Glucose Levels Mean
OGTT test and results Hello Doctor, I went to the laboratory for an OGTT, and they gave me a glucose solution with 50g of glucose powder. The results are as follows: HbA1c 5.0%, Fasting 87 mg/dL (70-110 mg/dL), 30 minutes post-ingestion 138 mg/dL (80-170 mg/dL), 1 hour post-inges...
Dr. Xiao Yongxun Reply:
1. In clinical medicine, regarding the glucose tolerance test for diabetes, various dosages and reference values for test results have been developed over the past 60 years. In fact, endocrinologists may not remember every testing method and dosage. The commonly used testing meth...[Read More] Understanding OGTT Results: What Your Glucose Levels Mean
Understanding Kidney Function: GFR vs. Creatinine in Health Concerns
Glomerular filtration rate and kidney disease issues? Hello Dr. Wu: I am 180 cm tall and weigh about 71 kg. Recently, for the past month, I have noticed persistent bubbles in my urine and have experienced increased urinary frequency (especially 2-3 hours after consuming sugary dr...
Dr. Wu Jiyu Reply:
Based on the data you provided, the physician's response is correct because the current formula for estimating glomerular filtration rate (GFR) is derived from international sources, while domestic scholars have been researching a formula specific to our population. In summa...[Read More] Understanding Kidney Function: GFR vs. Creatinine in Health Concerns
Understanding Kidney Function: GFR vs. Creatinine in Chronic Kidney Disease
Glomerular filtration rate and kidney disease issues? Hello Dr. Wu, I am 180 cm tall and weigh around 71 kg. Recently, for the past month, I have noticed persistent bubbles in my urine, and I feel that I have increased urinary frequency (especially 2-3 hours after consuming suga...
Dr. Wu Jiyu Reply:
Based on the data you provided, the physician's response is correct because the current formula for estimating glomerular filtration rate (GFR) is derived from international sources, while domestic scholars are researching a formula specific to our population. In summary, re...[Read More] Understanding Kidney Function: GFR vs. Creatinine in Chronic Kidney Disease
Understanding Hepatitis B Antibodies: What Do Your Test Results Mean?
Hepatitis B antibodies Hello, nine years ago during my high school health check-up, my hepatitis B surface antigen was negative and my hepatitis B surface antibody was positive. However, this year's health check-up report shows that my hepatitis B surface antigen (HBsAg) is ...
Dr. Xie Rongyuan Reply:
Hello: A positive HBsAg indicates a possible recent infection with hepatitis B or a lifelong carrier of hepatitis B, where the antibodies may also disappear. Transmission routes include: sexual contact; sharing needles, razors, toothbrushes, or earrings; using non-sterilized need...[Read More] Understanding Hepatitis B Antibodies: What Do Your Test Results Mean?
Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results
Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Blood test The blood test results show four abnormalities: WBC 17.3, EOS 0.5, GLUCOSE 61, and CREA 1.5. Possible causes for these abnormalities could include: 1. **Elevated White Blood Cell Count (WBC 17.3)**: This may indicate an infection, inflammation, stress, or a hematologi...
Dr. Li Zhiyao Reply:
Hello: Diagnosis requires correlation with medical history, clinical symptoms, and physical examination.[Read More] Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Can Rheumatoid Arthritis Go Undetected? Understanding the Challenges
Is it possible for rheumatoid arthritis to go undetected in tests? Hello, earlier this year my mother (born in 1971, 52 years old) has been experiencing unbearable pain in both hands, especially at night when the pain is particularly severe in her finger joints. Additionally, her...
Dr. Zeng Guosen Reply:
Hello, Ping Ping; the diagnosis of rheumatoid arthritis must consider 1. clinical joint symptoms 2. rheumatoid factor and anti-CCP antibody tests 3. inflammatory markers 4. duration of symptoms 5. imaging studies such as X-rays and ultrasound for evaluation. Joint discomfort can ...[Read More] Can Rheumatoid Arthritis Go Undetected? Understanding the Challenges
Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Post-operative care considerations after stage II thyroid surgery? I went to the hospital for an examination due to swelling in my neck. Initially, the biopsy report indicated that the thyroid nodule was benign, but since it was 3.5 cm, I was scheduled for a total left thyroidect...
Dr. Xiao Yongxun Reply:
1. The surgeon diagnosed a 3.5 cm thyroid nodule, and despite the fine needle aspiration cytology indicating a benign tumor, he decided to perform a left lobectomy due to the tumor's size or other imaging evidence. The pathological report confirmed it was a follicular thyroi...[Read More] Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...
Dr. Wu Jiyu Reply:
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
Understanding Joint Pain: Insights on Arthritis and Fibromyalgia Management
Joint pain I have juvenile arthritis and fibromyalgia. I have been managing my condition with medication for about a year, and it has improved significantly. However, after an accidental ankle sprain and fracture, my joints suddenly started to hurt again. Strangely, my blood test...
Dr. Zeng Guosen Reply:
Hello, internet user: Joint pain can be caused not only by arthritis but also by surrounding structures such as cartilage, ligaments, and muscles. Therefore, it is possible to experience joint pain even if blood test results are normal. Medications for fibromyalgia and arthritis ...[Read More] Understanding Joint Pain: Insights on Arthritis and Fibromyalgia Management