Understanding the Link Between EB Virus, CMV, and White Blood Cell Counts
The relationship between Epstein-Barr virus (EBV), cytomegalovirus (CMV), and leukocytes? Hello Doctor, I experienced fever along with swollen and painful bilateral inguinal lymph nodes at the beginning of February. I went for a urology examination, and the blood test was done ap...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It is recommended to include the reference ranges for the test results to facilitate interpretation, as different hospitals may use different laboratory equipment, which can lead to variations in normal values. Additionally, although the total w...[Read More] Understanding the Link Between EB Virus, CMV, and White Blood Cell Counts
Assessing Mediterranean Anemia vs. Iron Deficiency: Next Steps and Nutritional Support
Diagnosis of Mediterranean or Iron Deficiency Anemia WBC 5.8, RBC 5.49, HB 11.3, HCT 35.2, PLT 243, MCV 64, MCH 20.6, MCHC 32.3, RDW 15.10, PDW 16.8, HB-A1 94.4, HB-A2 5.6, HB-F 0.00. The test results suggest a possible diagnosis of thalassemia. Should I go to the hospital for fu...
Dr. Lin Wuxuan Reply:
Hello, it is recommended that you bring the report to a consultation with a family medicine, internal medicine, or hematology clinic. Thank you.[Read More] Assessing Mediterranean Anemia vs. Iron Deficiency: Next Steps and Nutritional Support
Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...
Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...[Read More] Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Understanding Undiagnosed Systemic Involvement in Connective Tissue Disorders
Regarding systemic invasion of connective tissue and (invasion, involvement), not explicitly stated? Recently, I frequently experienced mouth ulcers and visited the rheumatology department. Blood tests showed normal immune indices, but the doctor prescribed colchicine and iron su...
Dr. Zeng Guosen Reply:
Colchicine has anti-inflammatory properties and is commonly used for the prevention and acute treatment of gout. Clinically, it can be used for the preventive treatment of chronic idiopathic oral ulcers. The physician's diagnosis refers to the meaning of idiopathic diseases.[Read More] Understanding Undiagnosed Systemic Involvement in Connective Tissue Disorders
Understanding Reactive Arthritis: Symptoms, Diagnosis, and Treatment Options
Leigh syndrome Hello Doctor, I have normal blood test results, but my symptoms have led my physician to suspect reactive arthritis. I would like to ask you the following questions: 1. My first symptom was pain in the Achilles tendon at the heel, which appears normal externally. ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. My first symptom is pain in the Achilles tendon at the calcaneus, which appears normal externally. However, after sitting for a long time, I experience brief pain when I stand up and walk, which subsides after walking ...[Read More] Understanding Reactive Arthritis: Symptoms, Diagnosis, and Treatment Options
Understanding HIV Test Results: What to Do After a Positive Screening
HIV testing issues? Hello, Doctor. I went to a military hospital for a physical examination because I wanted to apply to a military academy, and I tested positive for HIV. Two days later, I returned for a retest, which also showed a positive result. However, I purchased a SURE CH...
Dr. Hong Yuanbin Reply:
Hello, theoretically, anonymous rapid testing at large hospitals is more accurate. Additionally, if you have no sexual experience, you are unlikely to be infected with HIV. However, this does need to be confirmed with a Western blot test. If the Western blot test result is also p...[Read More] Understanding HIV Test Results: What to Do After a Positive Screening
Can Undetectable HIV Viral Load Result in Negative Test Results?
Viral load is undetectable? If the HIV viral load is undetectable, will an HIV test during a routine blood check at a regular company show a negative result?
Dr. Hong Yuanbin Reply:
Hello, theoretically it should present as negative. Thank you for your question.[Read More] Can Undetectable HIV Viral Load Result in Negative Test Results?
Understanding Bone Marrow Suppression Risks from Salazopyrin Use
Could I be experiencing bone marrow suppression as a side effect after taking Salazopyrin? Hello, Doctor Gao. I would like to ask you some additional questions. I am a patient with ankylosing spondylitis, and my main symptom is pain in my buttocks. Since my blood test on March 2n...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) The package insert for Salazopyrin mentions rare side effects such as bone marrow suppression. My RBC, Hb, and PLT levels seem to have started declining after taking Salazopyrin (all have dropped to the lower limit of...[Read More] Understanding Bone Marrow Suppression Risks from Salazopyrin Use
Understanding Blood Test Results in Rheumatoid Arthritis Patients
Rheumatoid arthritis blood test values I have had rheumatoid arthritis (RA) for three years and have been on biologic therapy for about two years. Since the onset of the disease, my blood test results have shown an ESR between 15-40. Recently, during a follow-up visit, my blood r...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your abnormal blood test results seem to be more related to the biologic therapy, but generally, they are not a major concern. However, if you are still experiencing multiple joint pains despite receiving biologic treatment, it is important to d...[Read More] Understanding Blood Test Results in Rheumatoid Arthritis Patients
Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained
Thyroid blood test report Hello Doctor, I would like to ask you about my blood test results: TSH 1.480 (normal range 0.27-4.20), T4 1.120 (normal range 0.89-1.8), ATA 53.9 (normal range <115), TPO Ab 247 (normal range <34). The doctor mentioned that I have chronic inflammat...
Dr. Li Jian Reply:
If antibody positive, monitor thyroid function at least once a year. If there are abnormalities in thyroid function, consider treatment. Avoid iodine-rich foods such as kelp, seaweed, and nori as much as possible.[Read More] Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained
Understanding Low Urinary Creatinine Levels: What It Means for Kidney Health
Questions about creatinine test values? Hello Doctor Wu: I recently received my test results. The microalbumin level is 1.7, the serum creatinine level is 0.71 [0.72-1.18], and the urinary creatinine level is 44.2 [60-250]. I would like to ask if the urinary creatinine level bein...
Dr. Wu Hongjie Reply:
The serum creatinine level is 0.71, while the standard range is 0.72-1.18, indicating it is not significantly low. Conditions such as insufficient muscle mass or inadequate protein intake may contribute to this situation. For urinary creatinine, a 24-hour collection is necessary ...[Read More] Understanding Low Urinary Creatinine Levels: What It Means for Kidney Health
Understanding Autoimmune Diseases: Interpreting Your Blood Test Results
Autoimmune diseases Hello Doctor: I recently underwent blood tests for my immune system, and the results are as follows: IgE: 1075, C3: 111.6, C4: 30.9, Anti-dsDNA Ab: Interpretation: Negative, Anti-dsDNA Ab: Reactivity: 0.94, EJ: Negative, Jo-1: Negative, Ku: Negative, MDA5: Neg...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your dsDNA and SRP results are both positive, and it is important to discuss these findings with your physician to confirm the diagnosis. The diagnosis of autoimmune diseases requires not only blood test results but also consideration of clinica...[Read More] Understanding Autoimmune Diseases: Interpreting Your Blood Test Results
Understanding Abnormal Blood Test Results: Key Questions Answered
Abnormal blood test results: related questions? Hello Doctor, I am #192661. I apologize for bothering you again! I may not have made it clear in my previous message; the sequence should be as follows: - 2022/6 Mono 5.4 - 2022/8 Mono 6.2 - 2022/10 Mono 9.2 - 2023/2 Mono 11.4 ...
Dr. Hong Yuanbin Reply:
Hello, since your other indices are normal, the likelihood of a hematological issue is very low. An increase in monocytes is just one possible manifestation of leukemia; clinically, there is no specific threshold for monocyte levels that defines leukemia. However, if your white b...[Read More] Understanding Abnormal Blood Test Results: Key Questions Answered
Understanding False Positives in Military HIV Testing: Key Insights
Military service medical examination issues? Hello doctor, I underwent a military physical examination in December, and a month later I was informed that I tested positive for HIV. In January, I immediately purchased an at-home rapid HIV test, which returned a negative result. I ...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to visit the infectious disease outpatient department at a medical center for a Combo test or Western blot test to confirm whether there is an actual infection. As for your daily routine, it should not significantly affect the test results. Thank you for ...[Read More] Understanding False Positives in Military HIV Testing: Key Insights
Negative Rapid Test but Positive RPR: Understanding Syphilis Diagnosis
Rapid test negative but RPR positive? Due to having a rash on my body, and aside from that, there are no signs of primary syphilis or rashes on my hands and feet. I saw a doctor this morning who ordered a blood test, and I will wait a week for the results. However, I took an anon...
Dr. Liao Zhongxin Reply:
1. First, let's take a look at what tests were performed in the anonymous screening to understand the negative report results. 2. Additionally, syphilis is generally tested using RPR/VDRL and TPHA/TPPA to clarify the patient's status. It is recommended to seek a nearby ...[Read More] Negative Rapid Test but Positive RPR: Understanding Syphilis Diagnosis
Key Health Concerns and Obesity: Understanding Your Test Results
Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.[Read More] Key Health Concerns and Obesity: Understanding Your Test Results
Understanding Your Cardiac Test Results: Key Insights and Implications
What are the results of the examination? MEASUREMENTS AND SCREENING AO Diameter (MM) 31 LA/AO 1 Aortic Cusp (MM) 20 IVSd (MM) 10 LVIDd (MM) 50 LVPWd (MM) 8 IVSs (MM) 17 LVIDs (MM) 30 LVPWs (MM) 19 MV Deceleration Time (ms) 270 MV Deceleration Slope (mm/s²) 3...
Dr. Xie Rongyuan Reply:
Hello: Regarding your inquiry, please consult a cardiologist for further advice. Thank you for your message![Read More] Understanding Your Cardiac Test Results: Key Insights and Implications
Understanding Abnormal Blood Test Results After COVID-19 Vaccination
Abnormal blood test results? Hello, Doctor: I received my fourth dose of the COVID-19 vaccine on November 26, 2022, and I underwent a health check at my company on December 13, 2022. I am unsure if some abnormal values are related to the vaccination. The results are as follows: N...
Dr. Hong Yuanbin Reply:
Hello, based on your values, the main issues are low neutrophils and high lymphocytes. The most common causes are viral infections, such as COVID-19 or influenza. In addition to viral infections, other hematological disorders may also be a possibility. It is recommended to retest...[Read More] Understanding Abnormal Blood Test Results After COVID-19 Vaccination
Understanding HIV Testing: Common Concerns and Answers
HIV testing issues Hello Doctor, I would like to ask a few questions. 1. Four years ago, I underwent HIV antibody testing and RT-PCR testing due to a high-risk behavior, both of which were negative. I had slowly forgotten about this, but recently I have suddenly become fearful ...
Dr. Hong Yuanbin Reply:
Hello, 1. If only antibodies are present, they may indeed decrease over time; however, RT-PCR tests for viral load, which will not decrease over time, so you should not miss a diagnosis. 2. Typically, instrument-based tests are more accurate. 3. Almost everyone will have anti...[Read More] Understanding HIV Testing: Common Concerns and Answers
Understanding Rapid Test Results: What to Do When You Get No Clear Outcome
The rapid test takes more than 15 minutes to yield results? Hello Dr. Hong, I would like to ask you a question. My last high-risk behavior (unprotected intercourse) was on September 27, 2022. I conducted a rapid test on January 10, 2023, and after waiting 15 minutes, there were n...
Dr. Hong Yuanbin Reply:
Hello, all rapid test kits have their own interpretation time points. Once that time point is exceeded, there is a higher likelihood of false positives. It is recommended to carefully read the instructions provided with the test kit, as there will be suggested interpretation time...[Read More] Understanding Rapid Test Results: What to Do When You Get No Clear Outcome