Thalassemia, Internal Medicine FAQ - Page 3

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Can Hemolytic Anemia Be Treated? Exploring Options for Relief

Can hemolytic anemia be cured? Hello doctor. A few days ago, I had a blood test and the results showed R.B.C 6.38, hemoglobin 11.4, hematocrit 42.3, mean corpuscular volume 66.3, mean corpuscular hemoglobin concentration 26.95, white blood cell count 7900, lymphocyte percentage 5...


Dr. Wang Fangli Reply:
1. Your anemia is not hemolytic anemia. 2. The jaundice is not caused by hemolysis. 3. It is recommended that you see a gastroenterologist specializing in liver and biliary disorders.

[Read More] Can Hemolytic Anemia Be Treated? Exploring Options for Relief


Which Doctor Should You See for Anemia Concerns?

Which specialist should I make an appointment with? I looked online for a hematologist, but I couldn't find any outpatient clinics specifically for hematologic oncology. I'm unsure which doctor I should consult regarding anemia. I apologize for any inconvenience.


Dr. Xiao Yongxun Reply:
Hello: In response to your question. Anemia is commonly encountered in clinical practice and generally refers to a decrease in the number of red blood cells or hemoglobin in the blood. For hemoglobin levels, the normal range for males is 14-18 gm/dL, and for females, it is 12-16 ...

[Read More] Which Doctor Should You See for Anemia Concerns?


Understanding Low Hemoglobin: Causes, Concerns, and Solutions

Hemoglobin Hello, doctor. During the company's health check-up, my hemoglobin level was found to be low, and they requested a retest. The report mentioned suspected thalassemia. What does that mean? However, I have donated blood several times, so I shouldn't have thalas...


Dr. Wang Fangli Reply:
Having donated blood does not necessarily mean one does not have thalassemia (formerly known as Mediterranean anemia). In cases of mild thalassemia, hemoglobin levels may fall within the normal range, but the red blood cells may be smaller in size. A low hemoglobin level observed...

[Read More] Understanding Low Hemoglobin: Causes, Concerns, and Solutions


Understanding Mediterranean Anemia and Its Impact on Fertility

Mediterranean anemia (also known as thalassemia) Hello Dr. Wang: I would like to ask if individuals with "thalassemia" have a lower chance of conception. Why is it that even without contraception, they still have difficulty achieving pregnancy? Thank you!


Dr. Wang Fangli Reply:
It is advisable to seek an obstetric and gynecological examination for your concerns.

[Read More] Understanding Mediterranean Anemia and Its Impact on Fertility


Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions

Panic Hello, Doctor Yang. A few days ago, I had a health check-up and found my HB: 9.8, MCV: 76, HT: 34, MCH: 24.9. I later tested for thalassemia and iron deficiency anemia, but the results showed no thalassemia. However, the data regarding iron deficiency is quite strange... Ir...


Dr. Yang Jun Reply:
Hello: In response to your question, the reported HB is 9.8 and MCV is 76, which indicates microcytic anemia (normal MCV values range from 80-100). It is necessary to consider thalassemia and iron deficiency anemia. Subsequent tests ruled out thalassemia, and with a TIBC of 487 a...

[Read More] Understanding Anemia: Navigating Iron Deficiency and Chronic Conditions


Understanding Mediterranean Anemia: Symptoms, Treatments, and Dietary Tips

Mediterranean anemia (also known as thalassemia) Hello. I would like to ask if patients with thalassemia take a certain medication when they experience dizziness. This medication makes them feel a bit dazed, but I am not sure what it is. However, it was prescribed by a doctor. Is...


Dr. Zhao Chongliang Reply:
Mediterranean anemia and iron deficiency anemia present similarly in routine blood tests, and further inquiry into family history and hemoglobin electrophoresis testing is necessary to differentiate between the two. Mediterranean anemia is caused by a genetic defect, and traditio...

[Read More] Understanding Mediterranean Anemia: Symptoms, Treatments, and Dietary Tips


Understanding Low Hemoglobin Levels: Causes and Specialist Guidance

Abnormally low hemoglobin levels? The health check report from my first year of high school indicates that my hemoglobin level is abnormally low. What effects could this have? If I need to see a doctor, which department should I visit?


Dr. Ke Zhengchang Reply:
Dear Ms. Ruoye: There are many reasons for low hemoglobin levels, such as iron deficiency anemia, thalassemia, hemolytic anemia, and aplastic anemia, among others. It is recommended to visit a hospital and consult with a hematologist or oncologist for a detailed examination and t...

[Read More] Understanding Low Hemoglobin Levels: Causes and Specialist Guidance


Understanding the Classification of Anemia: Mediterranean, Hemolytic, and More

Classification of Anemia Mediterranean anemia = Thalassemia = Hemolytic anemia = Favism?


Dr. Li Huixiong Reply:
1. Mediterranean anemia = Thalassemia = Hemolytic anemia, primarily caused by abnormal hemoglobin structure. 2. Favism = Hemolytic anemia, mainly due to a deficiency of G-6-PD enzyme. Therefore, 1 and 2 are both classified as hereditary hemolytic anemias.

[Read More] Understanding the Classification of Anemia: Mediterranean, Hemolytic, and More


Understanding Mediterranean Anemia: Key Questions and Concerns

Questions about Mediterranean anemia? Dear Sir/Madam, Regarding the concerns about thalassemia, I would appreciate your response to the following questions regarding my eldest daughter, who is 9 years old and in the second grade of elementary school. During a blood test conducte...


Dr. Ke Zhengchang Reply:
Hello Tracy: Mediterranean anemia can range from mild to severe and is inherited in an autosomal recessive manner. If one parent carries the gene, the child may only have a mild form, typically without symptoms. If there is no severe anemia, treatment and blood transfusions are g...

[Read More] Understanding Mediterranean Anemia: Key Questions and Concerns


Understanding Anemia: Why Multiple Tests May Be Needed for Diagnosis

Anemia Is it true that anemia is difficult to diagnose? I have undergone four tests at Chang Gung Memorial Hospital, but they still cannot determine which type of anemia I have. They asked me to come back for another test in a month, and I find this quite strange.


Dr. Ke Zhengchang Reply:
Dear Miss Lin Yanxing: There are many causes of anemia, ranging from iron deficiency anemia and thalassemia to bone marrow disorders. Therefore, in addition to blood tests, stool examination and menstrual history, even a bone marrow biopsy may be necessary. Please consult a hemat...

[Read More] Understanding Anemia: Why Multiple Tests May Be Needed for Diagnosis


Understanding Mediterranean Anemia: Symptoms, Risks, and Exercise Effects

Mediterranean anemia (also known as thalassemia) What are the symptoms of this condition? What should be taken into consideration? Why do headaches often occur after exercise? Is there a connection?


Dr. Zeng Fenyu Reply:
Hello, Xiao Lun: 1. Thalassemia is a hereditary disease characterized by abnormal hemoglobin in patients, and generally, there are no symptoms other than anemia. 2. It is important to screen potential marriage partners to be cautious of the possibility of passing on abnormal gene...

[Read More] Understanding Mediterranean Anemia: Symptoms, Risks, and Exercise Effects


Do I Have Thalassemia? Understanding Your Blood Test Results

Do I have thalassemia? Hello Doctor, Recently, I underwent a health examination for school admission, and the results of my blood tests were quite concerning (as follows): WBC: 5.91 RBC: 5.95 Hb: 11.4 Hct: 39.6 MCV: 66.55 MCH: 19.16 MCHC: 28.79 Platelet: 359.3 ...


Dr. Ke Zhengchang Reply:
Hello, little one: Your blood test report shows that your red blood cells are smaller than normal, indicating mild anemia. It is possible that you have either thalassemia or iron deficiency anemia. Further tests for serum iron levels and hemoglobin electrophoresis are necessary. ...

[Read More] Do I Have Thalassemia? Understanding Your Blood Test Results


Understanding Causes of Gastrointestinal Bleeding in Children: A Parent's Guide

Causes of gastrointestinal bleeding in children? Our second child, a boy in the fourth grade (height 126 cm, weight 26 kg), usually does not complain of stomach pain, has a good appetite, and eats plenty of fruits and vegetables. However, he occasionally experiences constipation....


Dr. Li Huixiong Reply:
Could you please tell me what color your child's vomit was? Was there any coffee ground appearance? Did they consume pig's blood soup or duck blood cake previously? In theory, gastrointestinal bleeding can occur at any age, but it is uncertain whether your child is expe...

[Read More] Understanding Causes of Gastrointestinal Bleeding in Children: A Parent's Guide


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