Understanding Low White Blood Cell Count: When to Consult a Hematologist
The white blood cell count is slightly below the normal range? I have been regularly seeing a cardiologist and getting blood tests every three months (with white blood cell counts checked approximately every six months). During my recent follow-up appointment at the end of April,...
Dr. Chen Sirong Reply:
CY / 52 years old / Female Q: What would be the most suitable course of action for my condition? A: 1. Continuous monitoring 2. There are some dietary supplements for increasing white blood cell count available online 3. Consult with a hematologist, Dr. Chen Sih-Jung at Taoyu...[Read More] Understanding Low White Blood Cell Count: When to Consult a Hematologist
Understanding Your EBV Test Results: Managing Anxiety and Health Concerns
Thank you, doctor, for taking the time to respond, which has helped ease my anxiety and allowed me to sleep better? Hello Doctor, I am very anxious and would like to ask a few questions. I have not had any cough, but I constantly feel like I have phlegm. I visited several clinics...
Dr. Chen Yunfang Reply:
Hello: Yes, it is very dangerous. The normal EBV DNA levels in healthy individuals are close to zero, which likely indicates a possibility of nasopharyngeal carcinoma. Please wait for the biopsy pathology results; until the pathology report is available, everything remains highly...[Read More] Understanding Your EBV Test Results: Managing Anxiety and Health Concerns
Understanding Myelo 0.5 in CML Patients: What You Need to Know
Blood test results show myelo 0.5? Hello Doctor, ^_^ I am a CML patient who has been undergoing treatment for two years. My current PCR value is -3.8. In my latest blood test report, my WBC is 7.2, but I noticed for the first time that there is a myelo value of 0.5. Could you ple...
Dr. Hu Ziren Reply:
WBC is normal and PCR is -3.8, indicating that the disease is currently maintaining a "Major Molecular Response" (MMR), meaning there is no relapse. It is recommended to continue the current treatment and regular monitoring.[Read More] Understanding Myelo 0.5 in CML Patients: What You Need to Know
Understanding Thrombocytosis: Symptoms and Implications for Health
Thrombocytosis Hello, doctor. Recently, my blood test report showed a platelet count of 51.7 *10^9/uL, while all other values were normal. Occasionally, I feel a strange sensation in my hands, as if the blood is not circulating properly. Based on this value, is it possible that I...
Dr. Hu Ziren Reply:
If the platelet count is 51.7, it is recommended to see a hematologist.[Read More] Understanding Thrombocytosis: Symptoms and Implications for Health
Managing High Platelet Count: Care Tips and Dietary Recommendations
Care considerations and dietary recommendations for patients with a platelet count as high as 800,000? Hello, doctor. Last month, a family member was found to have a platelet count of 800,000. The family member underwent a splenectomy due to a car accident in 2017, and since then...
Dr. Chen Yunfang Reply:
Hello: Patients who have undergone splenectomy will inevitably experience a significant increase in platelet count for life. As for the genetic testing results, since I have not seen the report and have not reviewed the bone marrow smear, I cannot address these hypothetical quest...[Read More] Managing High Platelet Count: Care Tips and Dietary Recommendations
Understanding Blood Test Results: Key Questions for Oncology Patients
Blood test report related questions? Hello, Doctor. I would like to ask you some questions. A few days ago, I noticed something unusual in my previous blood test reports. Here are the results from three blood tests: Late June - RBC 5.13, HB 14.88; Late August - RBC 4.78, HB 13.8;...
Dr. Hu Ziren Reply:
An Hb level greater than 13 is considered normal, with fluctuations between 13 and 17 being within the normal range. Weight loss is likely attributed to anxiety; it is recommended to maintain a normal diet and a BMI (height in kg/weight in m², 18.5-24.9).[Read More] Understanding Blood Test Results: Key Questions for Oncology Patients
Understanding High Platelet Count: Should You See a Hematologist?
Elevated platelet count? Hello doctor, this is my recent blood test report: white blood cells 6.9, red blood cells 4.40, hemoglobin 10.5, hematocrit 34.2, mean corpuscular volume 77.7, mean corpuscular hemoglobin 23.9, mean corpuscular hemoglobin concentration 30.7, platelets 594...
Dr. Chen Yunfang Reply:
Hello: 1. Elevated platelet count is not related to urinary occult blood. 2. Yes, you need to follow up with a hematologist for further examination. Thank you.[Read More] Understanding High Platelet Count: Should You See a Hematologist?
Understanding Abnormal Blood Test Results: Lymphocyte Levels and Cancer Risks
Abnormal blood test results? Two days ago, the clinic conducted a blood test report for a 40-year-old male. The results are as follows: WBC 5900 /µL, Neutrophil 44.7%, Lymphocyte 46.6% (elevated, normal range 18-45), Monocyte 6.5%, Eosinophil 1.3%, Basophil 0.9%, RBC 5.42 M/µL, H...
Dr. Chen Sirong Reply:
Light / 41 years old / Male. Could this be a precursor to blood cancer or lymphoma? A: 1. No 2. It could be caused by inflammation 3. Based on the blood test results, you currently do not have blood cancer, and lymphoma cannot be diagnosed solely through a blood test. Wishing you...[Read More] Understanding Abnormal Blood Test Results: Lymphocyte Levels and Cancer Risks
Understanding Blood Test Results: High Lymphocyte Levels and Cancer Concerns
Blood test? The blood test report from the clinic two days ago shows the following results for a 40-year-old male: - WBC: 5900 /µL - Neutrophil: 44.7% - Lymphocyte: 46.6% (elevated, normal range: 18-45%) - Monocyte: 6.5% - Eosinophil: 1.3% - Basophil: 0.9% - RBC: 5.42 M/µL - He...
Dr. Chen Yunfang Reply:
Hello: This does not necessarily indicate lymphoma; I do not have any abnormal findings in this report. Thank you.[Read More] Understanding Blood Test Results: High Lymphocyte Levels and Cancer Concerns
Understanding Low Hemoglobin and High Platelet Counts in Oncology Patients
Low hemoglobin and elevated platelet count? Hello, doctor. For the past two years, I have frequently experienced dizziness, chest tightness, intermittent headaches, and often feel as if there is an earthquake. Last year, my blood test showed a hemoglobin level of 7 mg/dl, which l...
Dr. Chen Yunfang Reply:
Hello: Please bring your blood test report directly to register for the hematology outpatient clinic. If you have already been treated at the hematology outpatient clinic, you can address your concerns directly with the physician. Thank you.[Read More] Understanding Low Hemoglobin and High Platelet Counts in Oncology Patients
Abnormal White Blood Cell Distribution: Should You Seek Further Testing?
Is further examination needed for abnormal white blood cell distribution ratios? Hello, doctor. Since around the 20th of last month, I have been experiencing itching on my eyelids and palms, as well as mild urticaria or rashes on my face, behind my ears, and on my feet, which fee...
Dr. Chen Yunfang Reply:
Hello: This number is abnormal, and you need to see a hematologist for further testing and other related examinations. Thank you.[Read More] Abnormal White Blood Cell Distribution: Should You Seek Further Testing?
Understanding Symptoms: Infection or Leukemia Concerns?
Infection? Leukemia? Hello Doctor: I have a history of hypertension and usually take medication to control it. My routine blood tests show a white blood cell count of about 12,000 to 13,000. On January 14, I received the third dose of the COVID-19 vaccine, and three days later, i...
Dr. Chen Yunfang Reply:
Hello: It's difficult to determine whether it's an infection or a vaccine side effect, but based on your second blood test report, it does not appear to be leukemia, as there is no mention of blasts, which allows us to rule out the possibility of blood cancer. Thank you...[Read More] Understanding Symptoms: Infection or Leukemia Concerns?
Understanding Anemia in Oncology: Is a Hemoglobin Level of 9.8 Serious?
Anemia issues Dear Doctor, my previous blood test report indicated that I have anemia, with a hemoglobin level of 9.8. Is this value considered very low? Is it serious? What could happen if I ignore it?
Dr. Hu Ziren Reply:
For a 33-year-old woman, a level of 9.8 is somewhat low. It is recommended to first consult a hematologist to investigate the cause of anemia. Identifying the underlying cause is essential for appropriate treatment.[Read More] Understanding Anemia in Oncology: Is a Hemoglobin Level of 9.8 Serious?
Understanding Abnormal Blood Test Results: Low Red Blood Cells and High MCH
Blood test report Hello, doctor. I have two abnormal values in my blood test report that I would like to inquire about: Red blood cells (RBC) 4.25 (normal range 4.5-5.9 x10^6/µL) and MCH 35.1 (normal range 26-34 pg). All other blood test parameters are normal. The report indicate...
Dr. Chen Yunfang Reply:
Hello: Blood cell counts can fluctuate at any time; they are not fixed numbers and change daily. As long as they remain within a safe range, that's acceptable. Based on your values, I don't see anything particularly concerning, and I don't feel the need to investig...[Read More] Understanding Abnormal Blood Test Results: Low Red Blood Cells and High MCH
Understanding Iron Deficiency Anemia: Treatment Challenges and Concerns
Iron deficiency anemia cannot restore hemoglobin levels? Hello Dr. Chen, I have been experiencing issues since over five years ago, with my blood test reports showing normal hemoglobin levels and white blood cell counts around 13,000. Two years ago, I underwent partial gastrecto...
Dr. Chen Yunfang Reply:
Hello: If you have undergone gastric resection, it may partially affect the absorption of oral iron supplements, so it is common to switch to injectable iron. How long it takes to improve anemia depends on the dosage of iron you receive each time and the frequency of injections, ...[Read More] Understanding Iron Deficiency Anemia: Treatment Challenges and Concerns
Could Aplastic Anemia Progress to Myelodysplastic Syndrome?
Is it possible for aplastic anemia to transform? Hello Doctor: I was diagnosed with aplastic anemia since middle school, and it has been many years now. Although my lab results have never been very good, I have never required a blood transfusion. However, my hemoglobin has decrea...
Dr. Chen Yunfang Reply:
Hello: It's difficult to determine whether the 1% blast cells are truly malignant leukemia cells or if they are normal cells that accidentally ended up in the peripheral blood. You will need to undergo a bone marrow biopsy to get a definitive answer. It's important to p...[Read More] Could Aplastic Anemia Progress to Myelodysplastic Syndrome?
Understanding Blood Test Results: Insights into Tumor-Related Concerns
Blood Inquiry Hello Doctor, last week I went to the emergency room due to headaches and dizziness. The blood test report showed CBC 8.95 10^3/µL, SEG 26.3%, LYMPH 55.4%, MONO 10.7%, PDW 9.2 fL, and other values were within the standard range. I have researched hematological sympt...
Dr. Chen Yunfang Reply:
Hello: Based on the blood test results you provided, there does appear to be a hematological issue. The most significant concern is the elevated percentage of lymphocytes, which accounts for 55.4% of the total white blood cell count. This is abnormal, as the normal range for lymp...[Read More] Understanding Blood Test Results: Insights into Tumor-Related Concerns
Understanding Late-Stage Lung Cancer: Symptoms, Treatment, and Prognosis
Terminal lung cancer Hello, my mother was diagnosed with lung cancer in 2010 due to pleural effusion, but she was classified as stage III and could not undergo surgery, so she was treated with chemotherapy, including cisplatin-based chemotherapy, and has also received oral target...
Dr. Lai Yicheng Reply:
Hello: Since I have not seen your mother's pathology report, CT imaging, etc., I currently do not know the extent of her lung cancer. If the cancer cells have spread, chemotherapy will be the primary treatment. Even in the advanced stages of cancer, chemotherapy can still be...[Read More] Understanding Late-Stage Lung Cancer: Symptoms, Treatment, and Prognosis
Understanding Abnormal WBC and Neutrophil Levels: What Could It Mean?
Questions about the test report? A patient has a blood test report that is normal except for abnormalities in WBC and neutrophils. The report shows: WBC: 1420/µL, NEUTROPHIL: 90%. I suspect this may be related to hematological malignancies. Thank you for your assistance.
Dr. Fan Sheng Reply:
Xiao Wu: Are you sure that both hemoglobin and platelet counts are normal? If so, an infection would be my primary consideration. Does the patient have a fever? Thank you![Read More] Understanding Abnormal WBC and Neutrophil Levels: What Could It Mean?
The Significance of Elevated IgG Levels in Brain Tumor Diagnosis
What is the significance of IgG levels in relation to brain tumors? Dear Doctor, the blood test report shows that the IgG level significantly exceeds the standard range (690-1400 mg/dl). What is the significance of this test result in relation to the occurrence of a brain tumor (...
Dr. Chen Sirong Reply:
Hello: The letter did not specify how high the IgG levels are, and without other clinical manifestations and examinations, it is difficult to make a recommendation. If individuals have any concerns, they should seek medical consultation for further evaluation and testing. IgG is ...[Read More] The Significance of Elevated IgG Levels in Brain Tumor Diagnosis