Understanding Persistent Low Platelet Counts: Causes and Treatment Options
Persistent decrease in platelet count? Hello, Doctor. Last August, I discovered through a blood test that I had a positive ANA and thrombocytopenia with a platelet count of about 100,000, along with a slight decrease in complement C3. All other test values were normal, and I susp...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Your physician's treatment approach is more aggressive; administering pulse steroids can quickly adjust the uncontrolled immune function, potentially allowing the platelet count to return to a safer level and maintain it for a longer durat...[Read More] Understanding Persistent Low Platelet Counts: Causes and Treatment Options
Can Hemoglobin A1c Levels Fluctuate Significantly in One Day?
Is glycated hemoglobin (HbA1c) really that variable? Hello Dr. Lee, I went to National Taiwan University Hospital for a routine blood test on July 18, and my hemoglobin A1c result was 5.7. Due to other issues, I consulted at Chang Gung Memorial Hospital, where they also tested my...
Dr. Li Jian Reply:
Different hospitals may have slight variations in their testing equipment. Please follow up in three months. Thank you for your inquiry.[Read More] Can Hemoglobin A1c Levels Fluctuate Significantly in One Day?
Managing High Cholesterol and Lipid Levels: A Patient's Guide
High cholesterol and elevated blood lipids? Hello Doctor, I have a question to ask. I recently received my health check report: weight 45 kg, height 164 cm, fasting blood sugar 102 mg/dL, hemoglobin A1c 5.3%, HDL 83 mg/dL, LDL 207 mg/dL, triglycerides 94 mg/dL, and total cholest...
Dr. Lin Jianliang Reply:
Hello: Although you have previously used statin medications for lowering cholesterol, you stopped due to muscle cramping side effects. Currently, dietary control has not effectively reduced your cholesterol levels. You may want to discuss different types of cholesterol-lowering m...[Read More] Managing High Cholesterol and Lipid Levels: A Patient's Guide
Feeling Hungry Soon After Eating: Stress or Endocrine Issues?
Feeling hungry shortly after eating? About one to two weeks ago, I started feeling hungry again about 1-2 hours after eating, to the point where my stomach growls. However, sometimes I don't really feel like eating psychologically, even though physiologically I feel hungry. ...
Dr. Li Jian Reply:
We recommend that you visit the Metabolism Department. Thank you for your inquiry.[Read More] Feeling Hungry Soon After Eating: Stress or Endocrine Issues?
Understanding RA Factor Changes and Related Health Concerns
Rheumatoid Arthritis - Inquiry about Rheumatoid Factor and Other Related Data? Hello, Doctor Gao. I apologize for the lengthy message. Here are my health examination data from three tests conducted at the same laboratory: - Date: 2023/11/11, 2024/6/15, (2024/4/30) - ALT/SGPT (L...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. I underwent tests related to immune system diseases at a regional hospital in December 2023, and my rheumatoid arthritis (RA) factor was less than 5 at that time. Additionally, the measurement taken on April 30, 2024,...[Read More] Understanding RA Factor Changes and Related Health Concerns
Understanding Blood Sugar Fluctuations: Insights from Continuous Glucose Monitoring
I have some questions regarding the use of continuous glucose monitoring devices? Hello Doctor, I am 42 years old. Last August, my health check revealed a fasting blood glucose level of 115 mg/dL and a hemoglobin A1c of 5.8%. Since then, my fasting blood glucose has remained elev...
Dr. Lin Wufu Reply:
Hello, your question falls within the specialty of endocrinology, and the physician may need to ask you additional questions related to your diet and exercise in order to have a discussion. Therefore, it is recommended that you visit the hospital to consult with the endocrinology...[Read More] Understanding Blood Sugar Fluctuations: Insights from Continuous Glucose Monitoring
Managing Lupus: Weight Loss, Muscle Cramps, and Tattoo Safety
Systemic lupus erythematosus (SLE) Hello Doctor: 1. I am a patient with Systemic Lupus Erythematosus (SLE). I would like to ask if it is normal for me to feel very hungry and eat four to five meals a day, despite having a light diet, while still losing weight after being diagnos...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. I am an SLE (Systemic Lupus Erythematosus) patient. I would like to ask if it is normal for me to feel very hungry and eat four to five meals a day, even though I have been eating a light diet and have been on medica...[Read More] Managing Lupus: Weight Loss, Muscle Cramps, and Tattoo Safety
Understanding Weight Changes After Knee Surgery: What to Know
Weight issues Hello Doctor, my mother is about 60 years old and had knee replacement surgery earlier this year. She is currently recovering well and can climb stairs. The only medication she is taking now is one pill in the morning and one in the evening for blood pressure and he...
Dr. Li Jian Reply:
If you are unsure about how to exercise appropriately, you can consult a rehabilitation specialist for therapy to prevent muscle atrophy. Thank you for your inquiry.[Read More] Understanding Weight Changes After Knee Surgery: What to Know
Can Short-Term High Protein Diet Raise Cholesterol Levels?
High cholesterol Hello Doctor, I had a health check in early December, and my cholesterol was 200 with high-density lipoprotein (HDL) around 55. Recently, in early April, my test results showed cholesterol at 244 with HDL around 75. My body fat and weight have not changed. I woul...
Dr. Lin Jianliang Reply:
Hello: Cholesterol levels can be influenced by diet, which may include short-term high-fat diets.[Read More] Can Short-Term High Protein Diet Raise Cholesterol Levels?
Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Hypoglycemia Report [Radioimmunoassay Nuclear Medicine Test] Hypoglycemia Report Date: 01/08/2021 [Thyroglobulin] 25.51 ng/ml [hGH] 11.13 ng/ml [C-Peptide] 1.01 ng/ml [Insulin] 2.52 uIU/ml [Cortisol] 15.35 (17:39) µg/dl [Free T4] 1.06 ng/ml [TSH] 2.44 uIU/ml [Ab-T...
Dr. Lin Jianliang Reply:
Hello: 1. The above report cannot determine whether it is hypoglycemia or type 1 diabetes; it seems to be looking for causes of hypoglycemia. 2. In the early or pre-stage of diabetes, due to abnormal insulin secretion in the body, postprandial hypoglycemia may occur. The assessme...[Read More] Understanding Hypoglycemia: Causes, Diagnosis, and Treatment Options
Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Weight loss On December 25, 2023, my weight was 134 pounds, and by January 7, 2024, it had dropped to 129 pounds. Is this rapid weight loss? I started exercising to lose weight on December 25, and initially, the weight dropped quickly. After that, I was losing about 1-2 kilograms...
Dr. Lin Jianliang Reply:
Hello: If you are eating normally without any special restrictions, losing 1-3 kilograms in a week is not very common. However, it does not necessarily indicate a problem. It is still advisable to consult a physician, especially since you have noticed blood in your stool. Please ...[Read More] Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Can Weight Training Cause Gynecomastia in Young Men?
Can weight training cause gynecomastia in women? Hello, doctor. I started weight training at the age of 19, and after six months of training, I began to notice a lump-like formation in my breast at the age of 20, which was painful to touch. I went to a local clinic, where the doc...
Dr. Lin Jianliang Reply:
Hello, it's rare to hear that weight training can cause gynecomastia in men. At least in my understanding, I haven't seen it. I suggest consulting a breast surgeon.[Read More] Can Weight Training Cause Gynecomastia in Young Men?
Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Weight loss On December 25, 2023, my weight was 134 pounds, and by January 7, 2024, it had dropped to 129 pounds. Is this rapid weight loss? I started exercising to lose weight on December 25, and initially, the weight dropped quickly. After that, I was losing about 1-2 kilograms...
Dr. Lin Jianliang Reply:
Hello: If you are eating normally without any special restrictions, losing 1-3 kilograms in a week is not very common. However, it doesn't necessarily indicate a problem. It is still advisable to consult a physician, especially since you have noticed blood in your stool. Ple...[Read More] Is Rapid Weight Loss Normal? Understanding Healthy Weight Fluctuations
Understanding Uric Acid Levels: Insights on Gout and Health Management
Interpretation of Uric Acid Levels Hello, Doctor. I am 175 cm tall and weigh 97 kg. I have had high blood pressure since I was 16 years old. I do not drink alcohol but often stay up late. On March 15, I sprained my left ankle; at the time, there was no pain or swelling. However, ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have been losing weight for over a month, with my weight dropping from 104 kg to 97 kg. I would like to know if my lowest uric acid level in my life, which is 5.6 mg/dL, is due to dietary control or because I previ...[Read More] Understanding Uric Acid Levels: Insights on Gout and Health Management
From Sprained Ankle to High Uric Acid: Understanding Your Symptoms
Visiting an orthopedic specialist for a sprain turned out to be primarily due to high uric acid levels? Hello, Doctor. I am 175 cm tall and weigh 99 kg, with a history of hypertension but no other health issues. I am currently on a weight loss program and have lost 5 kg in the fi...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. For now, I recommend applying ice for one day and suggest that you consult a rheumatologist. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital, Ministry of Health and Welfare, is here to assist you.[Read More] From Sprained Ankle to High Uric Acid: Understanding Your Symptoms
Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Blood sugar issues? Hello Doctor, I am 22 years old, and my height, weight, and BMI are all normal. I do not have hypertension, hyperlipidemia, or any other unhealthy values. On March 1st of this year, my fasting blood glucose was 89, and today, March 20th, my fasting blood gluco...
Dr. Li Jian Reply:
The current blood test results are normal, so please do not worry excessively. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Understanding Afternoon Abdominal Pain and Diarrhea: Causes and Solutions
I have a question I would like to ask? Hello Doctor, I am asking on behalf of my mother. For the past two months, she has been experiencing abdominal pain and diarrhea around noon. Sometimes, she even feels the urge to go to the bathroom without having eaten anything. As a result...
Dr. Li Jian Reply:
If you continue to experience gastrointestinal symptoms, it is recommended that you see a gastroenterologist. Thank you for your inquiry.[Read More] Understanding Afternoon Abdominal Pain and Diarrhea: Causes and Solutions
Struggling with Unexplained Health Issues: Seeking Effective Solutions
There are many health conditions? Hello, doctor. I have been experiencing many health issues, but I have encountered obstacles in seeking medical help and have not been able to find the cause of my problems or receive effective assistance. Therefore, I would like to seek your opi...
Dr. Lin Wufu Reply:
Hello, you may need to schedule a follow-up appointment with the Infectious Disease Department for further examination to determine if there are any physiological issues. Additionally, please measure your body temperature daily to check for fever after experiencing chills and shi...[Read More] Struggling with Unexplained Health Issues: Seeking Effective Solutions
Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Systemic lupus erythematosus complicated by class IV lupus nephritis? My husband was diagnosed with systemic lupus erythematosus (SLE) and developed class IV lupus nephritis after a biopsy last October. The rheumatologist recommended hospitalization for treatment. Initially, he h...
Dr. Lin Wuxuan Reply:
Please follow the medical advice provided. If new symptoms or other concerns arise, please return for consultation with the attending physician in the Rheumatology and Immunology department. Thank you.[Read More] Managing Lupus-Related Kidney Disease: Symptoms, Treatments, and Lifestyle Tips
Understanding the Implications of Thyroid Disorders in Medical Diagnoses
The diagnosis of "thyroid disorders" signifies a range of medical conditions that affect the thyroid gland, which is responsible for regulating metabolism, growth, and development through the production of hormones. These disorders can include hypothyroidism, hyperthyro...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. "Thyroid disorders" were hypothesized based on the symptoms you presented during your initial consultation, which is why a thyroid function test was arranged. If the thyroid function is normal, there will be no diagnosis of hyperthyroi...[Read More] Understanding the Implications of Thyroid Disorders in Medical Diagnoses