Understanding Heart Murmurs and Sudden Chest Pain in Young Adults
Heart murmur? Doctor, I am 21 years old. Since I was young, whenever I experience sudden emotional changes (such as sudden happiness or abrupt movements), I feel a sharp pain in my heart that lasts for about a minute before going away. What could be the reason for this? Additiona...
Dr. Chen Guifeng reply Cardiology
Blood flows within the cardiovascular system, and turbulence can cause vibrations that produce heart murmurs. Some heart murmurs are physiological, while benign murmurs indicate that the heart and vascular structures are normal. However, some murmurs are associated with structura...[Read More] Understanding Heart Murmurs and Sudden Chest Pain in Young Adults
Understanding Ischemic Heart Disease: Symptoms and Diagnosis Explained
Ischemic heart disease Hello Director Chen, I would like to ask what is meant by "ischemic heart disease"? What are its symptoms? Since I was 20 years old, I have experienced symptoms where it feels like my heart is being squeezed. During these episodes, I am unable to...
Dr. Chen Guifeng reply Cardiology
Ischemic heart disease refers to heart conditions caused by myocardial hypoxia, primarily due to partial obstruction of the coronary arteries that supply blood to the heart, often resulting from atherosclerosis. When the myocardium is deprived of oxygen, it can lead to chest pain...[Read More] Understanding Ischemic Heart Disease: Symptoms and Diagnosis Explained
Understanding Mitral Valve Prolapse: Symptoms, Stages, and Treatment Options
Mitral valve prolapse issue? Hello Dr. Chen, I recently had a check-up on my heart and discovered that I have mitral valve prolapse. My mother also has a heart condition, which seems to be similar to mine. I would like to ask if there are any ways to improve my condition. I visi...
Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse syndrome is a condition characterized by the relaxation of the mitral valve among the four heart valves, leading to prolapse. Clinically, symptoms are rarely present, although chest pain due to stress, anxiety, or fatigue is more common. This syndrome is oft...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Stages, and Treatment Options
Pre-Pregnancy Health Checks: Heart Valve Issues and Fertility Concerns
I would like to ask the doctor about premarital check-up issues? Dear Dr. Chen, I would like to ask if I want to conceive, but I have mitral valve prolapse and I am currently on medication. Should I go to a cardiologist for a pre-marital check-up or to an obstetrician-gynecologi...
Dr. Chen Guifeng reply Cardiology
The pharmacological treatment for mitral valve prolapse primarily focuses on symptom management and does not affect physiological function. If one wishes to become pregnant, it is best to avoid medication, and there is no need for a repeat physical evaluation.[Read More] Pre-Pregnancy Health Checks: Heart Valve Issues and Fertility Concerns
Understanding Dilated Cardiomyopathy: Symptoms, Risks, and Prognosis
Dilated cardiomyopathy What is dilated cardiomyopathy, what are its signs or symptoms, what is the mortality rate, what should be noted, what age group is commonly affected, and is it a serious disease?
Dr. Chen Guifeng reply Cardiology
Dilated cardiomyopathy, also known as dilated heart disease, can lead to heart failure, resulting in symptoms such as shortness of breath and arrhythmias. In severe cases, it can be fatal. It can occur in individuals aged 20 to 60 years, with the exact causes often remaining uncl...[Read More] Understanding Dilated Cardiomyopathy: Symptoms, Risks, and Prognosis
Can Bone Marrow Stem Cell Transplant Treat Myocarditis in Elderly Patients?
About bone marrow stem cell transplantation? Can bone marrow stem cell transplantation be performed to treat myocarditis-induced cardiomyopathy? If so, is this procedure considered a major surgery? Is a 70-year-old patient suitable for such a procedure?
Dr. Chen Guifeng reply Cardiology
Currently, there is no clinical use of bone marrow transplant stem cell surgery to treat heart failure caused by myocarditis. Additionally, a 70-year-old patient is not suitable for this type of transplant surgery.[Read More] Can Bone Marrow Stem Cell Transplant Treat Myocarditis in Elderly Patients?
Chest Pain During Breathing: Is It a Heart Issue?
Chest pain during breathing? Dear Dr. Chen, Hello, my name is Xiao Lu, and I have a question to ask you as a professional. Here are my symptoms: 1. After climbing about five flights of stairs, I experience a rapid heartbeat. When I attempt to take deep breaths or stretch my ar...
Dr. Chen Guifeng reply Cardiology
The two characteristics described do not have a direct correlation with heart disease; they are more akin to issues related to neuromuscular tissue, rather than cardiac problems.[Read More] Chest Pain During Breathing: Is It a Heart Issue?
Understanding Sudden Breathing Difficulties: Causes and Risks
Shortness of breath, feeling like choking????? Hello Dr. Chen, I would like to ask you a question regarding my mother. Around this time last year, she suddenly experienced shortness of breath without any warning. When lying flat to sleep, she couldn't catch her breath, and ...
Dr. Chen Guifeng reply Internal Medicine
Shortness of breath must be evaluated for potential cardiopulmonary issues or anemia. There are many causes for weight loss, so please visit an internal medicine clinic for evaluation. If necessary, hospitalization for further examination may be required.[Read More] Understanding Sudden Breathing Difficulties: Causes and Risks
Can Individuals with Frequent Ventricular Contractions Apply for Disability?
Can individuals with frequent ventricular contractions apply for disability status? Hello Dr. Chen, I underwent a military physical examination at the age of 18, during which I was referred by a military doctor to Kaohsiung 802 Hospital for further evaluation. The results indica...
Dr. Chen Guifeng reply Cardiology
Only having frequent ventricular contractions does not qualify for disability applications; however, if there are other cardiac issues, it is a different matter.[Read More] Can Individuals with Frequent Ventricular Contractions Apply for Disability?
Managing High Blood Pressure: When to Consult a Doctor and Lifestyle Tips
Hypertension Hello, my blood pressure is usually normal, but in the past year or two, it has been elevated whenever I talk, use the computer, etc., even reaching 200/120. I have a slightly enlarged right ventricle and elevated cholesterol levels. I am 165 cm tall and weigh 75 kg....
Dr. Chen Guifeng reply Cardiology
Thank you very much for your message. Regarding your question, please try to consume low-fat and low-sodium foods, and aim to lose weight over the course of a month. If your condition does not improve or if you have any concerns, please visit a cardiology outpatient clinic. Thank...[Read More] Managing High Blood Pressure: When to Consult a Doctor and Lifestyle Tips
Understanding Pseudomeningitis: Symptoms, Diagnosis, and Treatment
What is pseudomeningitis? What is pseudomeningitis? What are its symptoms, diagnostic methods, treatment, precautions, causes, and risks?
Dr. Chen Guifeng reply Internal Medicine
"Pseudotumor cerebri" is characterized by increased intracranial pressure leading to symptoms such as headaches and vomiting, despite the absence of an actual brain tumor. Diagnosis requires a lumbar puncture to confirm elevated intracranial pressure. There are numerous...[Read More] Understanding Pseudomeningitis: Symptoms, Diagnosis, and Treatment
Understanding Orthostatic Hypotension: Symptoms and When to Seek Help
Autonomic hypotension Dear Dr. Chen: My blood pressure is usually around 96/55, and I rarely experience any discomfort, although I occasionally feel dizzy or have a slight sensation of swaying, as if an earthquake is happening. My family doctor mentioned that I have orthostatic h...
Dr. Chen Guifeng reply Cardiology
Generally, low blood pressure is not a disease but a symptom. Blood pressure is considered low if the systolic pressure is below 90. A blood pressure reading of 96/55 is only slightly low and is not a cause for concern.[Read More] Understanding Orthostatic Hypotension: Symptoms and When to Seek Help
Understanding Supraventricular Tachycardia: Treatment and Recovery Insights
Regarding tachycardia? Hello Doctor, I am experiencing occasional episodes of tachycardia. I am 63 years old, 150 cm tall, and weigh 53 kg. I have a history of diabetes for about 6 years (currently taking half a pill). My blood pressure is slightly elevated (also on medication)....
Dr. Chen Guifeng reply Cardiology
Arrhythmias can be managed with medication, but catheter ablation is considered when pharmacological treatment is ineffective. If a patient experiences side effects from antiarrhythmic medications, adjustments to the medication regimen can be made. Only after exhausting all optio...[Read More] Understanding Supraventricular Tachycardia: Treatment and Recovery Insights
Understanding Liver Metabolism: Can Deep Sea Fish Oil Help?
Liver metabolism Hello, what does it mean when liver metabolism is poor? I've heard that consuming deep-sea fish oil can help with metabolism and detoxification. Is that correct?
Dr. Chen Guifeng reply Internal Medicine
A healthy person only requires one-fifth of their liver to function, so unless there are liver diseases such as hepatitis or metabolic liver diseases like cirrhosis, liver metabolism will not be affected. As for whether deep-sea fish oil can aid in liver detoxification, there is ...[Read More] Understanding Liver Metabolism: Can Deep Sea Fish Oil Help?
Frequent Dizziness and Heart Tightness: Understanding Your Symptoms
Brief dizziness accompanied by a tight sensation in the chest? In the past, I would experience brief episodes of dizziness infrequently, during which my vision would go completely dark. Now, these episodes occur every two to three days, and my heart also feels tight during these ...
Dr. Chen Guifeng reply Cardiology
Hello: Thank you very much for your message. In response to your question, it could be related to issues with the inner ear nerves, cranial nerves, or arrhythmias, among other possibilities. It is recommended to consult a cardiologist, neurologist, or an otolaryngologist.[Read More] Frequent Dizziness and Heart Tightness: Understanding Your Symptoms
Understanding Mitral Valve Prolapse: Managing Symptoms and Concerns
Rapid heartbeat..? Thank you, doctor, for taking the time to address my concerns. I have experienced chest pain since childhood, and as I grew older, I didn't pay much attention to the occasional discomfort. However, three years ago, I felt a significant pain in my heart, wh...
Dr. Chen Guifeng reply Cardiology
Hello, thank you very much for your message. Regarding your question, here is the response: Mitral valve prolapse is primarily a congenital issue related to one's constitution, but it does not affect cardiac function. During exercise or fatigue, occasional premature ventricu...[Read More] Understanding Mitral Valve Prolapse: Managing Symptoms and Concerns
Understanding Height Concerns: When to See a Doctor at 17
I want to grow taller? Hello, I am currently 17 years old but my height is only 156 cm, and I am male. I feel that my height is really short, so I want to know if there is something wrong with my body. I also enjoy exercising; I was in the sports class during middle school, but I...
Dr. Chen Guifeng reply Internal Medicine
Height is influenced by multiple factors, including genetic inheritance and environmental factors such as nutrition. It is recommended that you take your child to a medical center's Pediatric Endocrinology department for a thorough evaluation and examination.[Read More] Understanding Height Concerns: When to See a Doctor at 17
Managing Heart Health: Tips for Coping with Symptoms and Lifestyle Adjustments
Hello, Dr. Chen? Hello, I have a question for the doctor. In April of this year, I discovered that I cannot stay in stuffy places or areas with strong air conditioning, as I often feel uncomfortable and have difficulty breathing. In 1998, I underwent partial thyroidectomy due to ...
Dr. Chen Guifeng reply Cardiology
Consulting a psychiatrist for psychotherapy may help improve psychosomatic disorders or anxiety disorders.[Read More] Managing Heart Health: Tips for Coping with Symptoms and Lifestyle Adjustments
Does Body Hair Relate to Male Hormones? Tips for Increasing Hair Growth
Is body hair related to male hormones? I have always had very little body hair, and I find it difficult to relate to my peers. Is there any way to increase my body hair? Is it related to male hormones? If there are any remedies, could you please let me know? Thank you!
Dr. Chen Guifeng reply Internal Medicine
Body hair is related to genetic factors and hormones. It is recommended that you consult an endocrinologist for evaluation and assessment.[Read More] Does Body Hair Relate to Male Hormones? Tips for Increasing Hair Growth
Essential Emergency Room Assessments for Conscious Patients with Head Injuries
Examination and Treatment in the Emergency Room? Dr. Chen: Hello. The patient has a scalp abrasion and is fully conscious (with a Glasgow Coma Scale score of 15). In this condition, what examinations and interventions should the emergency room physician perform? Thank you.
Dr. Chen Guifeng reply Internal Medicine
Hello, Miss Gu. Based on your description, there is no need for immediate intervention in the emergency department. As for whether there is a facial fracture, you will need to follow up with the plastic surgery department for further evaluation. If you are not experiencing dizzin...[Read More] Essential Emergency Room Assessments for Conscious Patients with Head Injuries