Mitral Valve Prolapse and PVCs: Military Service Considerations
Mitral valve prolapse and premature ventricular contractions? This year, during the military re-examination, the physician diagnosed me with mitral valve prolapse and premature ventricular contractions. However, I was still classified as having arrhythmia and must serve in the mi...
Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse and premature ventricular contractions do not affect the basic function of the heart. They are often related to autonomic nervous system dysregulation, and it is important to appropriately manage stress, anxiety, and avoid excessive fatigue.[Read More] Mitral Valve Prolapse and PVCs: Military Service Considerations
Struggling with Sleep: A 38-Year-Old's Battle with Insomnia
Unable to sleep at night and unable to sit still during the day? Dear Dr. Chen, I have a wonderful sister who is 38 years old this year. She has been unable to fall asleep on her own at night and relies on medication to sleep for only two or three hours. During the day, while ot...
Dr. Chen Guifeng reply Internal Medicine
Insomnia has many causes, most of which are psychological or mental factors. If it is severe, it must be treated with psychotherapy by a psychiatrist.[Read More] Struggling with Sleep: A 38-Year-Old's Battle with Insomnia
Understanding Kidney Pain: Causes and When to Seek Help
Kidney pain I sometimes feel pain in my kidneys, but it's not very intense. However, it tends to hurt more when I exercise, especially during my menstrual period. What could be the reason for this?
Dr. Chen Guifeng reply Internal Medicine
What you may be referring to is "lower back" pain. In addition to the kidneys, the lower back also contains muscles, fascia, and other structures. Further examination is necessary to determine the cause, so please consult a nephrologist for evaluation.[Read More] Understanding Kidney Pain: Causes and When to Seek Help
Understanding Congenital Valve Heart Disease: Symptoms and Military Service Implications
Congenital valvular heart disease Hello Doctor: Since elementary school, the color of my nails has been darker than others (not fungal nails, but a deeper red). I visited Dr. Wu De-Liang, a cardiologist at Chang Gung Memorial Hospital, who reviewed my X-rays and echocardiogram an...
Dr. Chen Guifeng reply Cardiology
The prognosis of congenital heart valve insufficiency must be assessed based on its severity. If it is mild and does not affect cardiac function, it does not impact military service. Nail color is not directly related to heart valve insufficiency.[Read More] Understanding Congenital Valve Heart Disease: Symptoms and Military Service Implications
Understanding Heart Weakness: Symptoms, Risks, and Vitamin Support
Heart failure I have mitral valve prolapse. I often experience severe shortness of breath when talking or walking a short distance! Recently, I find it difficult to catch my breath, and even breathing feels challenging (I can't get enough air). After undergoing an echocardio...
Dr. Chen Guifeng reply Cardiology
Generally, impaired cardiac contractility is classified as heart failure. In young individuals, the primary causes of heart failure include congenital heart disease, among others. The prognosis can only be determined by assessing the underlying cause and the degree of cardiac fun...[Read More] Understanding Heart Weakness: Symptoms, Risks, and Vitamin Support
Is Intense Running Safe for My Son with Mitral Valve Prolapse?
Inquire with Dr. Chen Gui-Feng, Internal Medicine Specialist? Hello Dr. Chen, In April and May of this year, I consulted you regarding my son (11 years old) who has been diagnosed with mitral valve prolapse syndrome. Recently, he was selected for the track and field team at sch...
Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse syndrome generally has normal cardiac function, so there are no restrictions on regular exercise, and it does not have an impact.[Read More] Is Intense Running Safe for My Son with Mitral Valve Prolapse?
Managing Long-Term Heart, Cough, and Headache Issues: A Patient's Journey
Heart, cough, and headache issues have been troubling me for a long time? Dear Dr. Chen, I have been suffering from persistent cough and headaches for over twenty years, and I have been on antihypertensive medication for the past ten years. For the last two months, I have freque...
Dr. Chen Guifeng reply Cardiology
The only medication that must be taken daily in the long term is for hypertension; most other medications are for short-term use and are not of major concern. The adjustment of mindset is the most important factor![Read More] Managing Long-Term Heart, Cough, and Headache Issues: A Patient's Journey
Understanding Leg Swelling: Causes, Symptoms, and When to Seek Help
Edema I often experience swelling in my legs, especially when I am tired from work. I have a cramping sensation from my buttocks to my calves. Recently, I had a urine protein test and a spinal X-ray at the hospital, both of which returned normal results. I am unsure of the cause....
Dr. Chen Guifeng reply Internal Medicine
The urine protein test is normal, which should rule out kidney issues. Additionally, since your edema seems to be more pronounced in the afternoon and evening after work, it is likely due to slower venous return, causing fluid accumulation in the legs. Engaging in some foot exerc...[Read More] Understanding Leg Swelling: Causes, Symptoms, and When to Seek Help
Post-Exercise Cardiac Ischemia: Understanding Symptoms and Risks
Post-exercise suspected ischemic changes in the heart? The health check data indicates suspected ischemic changes in the heart after exercise, and there have been recent episodes of irregular palpitations and shortness of breath. Are these related?
Dr. Chen Guifeng reply Cardiology
If experiencing palpitations and shortness of breath, it is necessary to visit an outpatient clinic and, if needed, undergo a chest X-ray and an electrocardiogram, including a stress test.[Read More] Post-Exercise Cardiac Ischemia: Understanding Symptoms and Risks
Understanding Heart Symptoms: When to Seek Further Medical Advice
Please, doctor..? Hello, doctor. I am 24 years old. I often exercise (since childhood). I do not have high blood pressure (I had slightly elevated blood pressure in the past, but it is normal now). I suspected I had heart disease two years ago. After a vigorous workout, I experie...
Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse is usually just a constitutional condition and does not cause discomfort. Symptoms such as chest tightness, chest pain, shortness of breath, and feelings of asthma typically occur only during periods of high psychological stress, excessive tension, fatigue, ...[Read More] Understanding Heart Symptoms: When to Seek Further Medical Advice
Understanding Thyroid Tumors: Treatment Options and Dietary Considerations
Thyroid tumor Hello, I recently discovered a slight bulge on the left front of my neck, and an ultrasound revealed a tumor with a diameter of about 3.5 cm. I went to the hospital for blood tests, and the results were within the normal range. I was originally scheduled for surgery...
Dr. Chen Guifeng reply Internal Medicine
1. If a thyroid tumor has reached 3.5 cm, doctors generally recommend surgical treatment, as medication cannot eliminate it. 2. There are no specific food restrictions in daily life. 3. Due to the lack of information about the medications being taken, it is not possible to prov...[Read More] Understanding Thyroid Tumors: Treatment Options and Dietary Considerations
Understanding Mitral Valve Prolapse and Atrial Fibrillation: Causes, Effects, and Treatment
Mitral Valve Prolapse & Atrioventricular Block Recently, I visited the doctor due to feeling unwell, and after a preliminary examination, I was diagnosed with mitral valve prolapse and sinus arrhythmia. What are the causes of these two conditions, and how do they affect overa...
Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse is a congenital condition characterized by a structurally lax mitral valve, leading to the prolapse phenomenon. It does not affect physiological functions unless there is significant mitral regurgitation. Sinus arrhythmia is a normal physiological phenomenon...[Read More] Understanding Mitral Valve Prolapse and Atrial Fibrillation: Causes, Effects, and Treatment
Why Am I Always Tired? Understanding Sleep Needs in Teens
Mom says I love to sleep? Hello, Dr. Chen! I am a middle school student. I commute to school every day, and during the summer, I have half-day classes. My mom wakes me up before 5:30 AM. After having breakfast and getting ready, I leave for school by 6:30 AM to catch the bus. I u...
Dr. Chen Guifeng reply Internal Medicine
When a person becomes fatigued, they will naturally feel the urge to sleep in order to recover from that fatigue. As long as one adheres to their circadian rhythm, there is no need to emphasize a specific number of hours of sleep required each day. Generally, for your age, sleepi...[Read More] Why Am I Always Tired? Understanding Sleep Needs in Teens
Why Do I Feel Dizzy After Bowel Movements? Understanding Constipation Effects
excuse me? Hello, doctor. I would like to ask you a question: When I experience constipation, I find it quite bothersome, and when I finally have a bowel movement, I feel very dizzy and lightheaded. Why is that? Could it be related to some underlying condition?
Dr. Chen Guifeng reply Internal Medicine
Straining to have a bowel movement during constipation can cause a sudden increase in intracranial pressure, which may lead to feelings of dizziness. This is a normal phenomenon, and once the bowel movement issue is resolved, the symptoms should subside.[Read More] Why Do I Feel Dizzy After Bowel Movements? Understanding Constipation Effects
Which Specialist to See for Elderly Leg Swelling Issues?
excuse me? Excuse me... I would like to ask... For elderly individuals with swollen feet, which specialist should they see? Thank you.
Dr. Chen Guifeng reply Internal Medicine
Please see a family medicine or general internal medicine physician! Thank you![Read More] Which Specialist to See for Elderly Leg Swelling Issues?
Understanding Marfan Syndrome: Is Aortic Regurgitation Genetic?
Marfan syndrome Is aortic valve insufficiency a hereditary condition, and if so, what kind of tests are needed?
Dr. Chen Guifeng reply Cardiology
Marfan syndrome is a genetic disorder that can lead to aortic regurgitation. Patients need to see a cardiologist and undergo an echocardiogram.[Read More] Understanding Marfan Syndrome: Is Aortic Regurgitation Genetic?
Understanding Yellow Sweat: Causes and Solutions for Excessive Sweating
Sweating issues Hello, doctor. I work in drilling and similar jobs, and every time I come home, my body is covered in dirt. However, the sweat that comes out is yellowish. Why is this happening? Could you please explain it to me? Thank you!
Dr. Chen Guifeng reply Internal Medicine
The normal color of sweat is colorless and transparent. It is necessary to verify whether the presence of skin impurities is causing the yellow discoloration of the sweat.[Read More] Understanding Yellow Sweat: Causes and Solutions for Excessive Sweating
Understanding High Blood Sugar and Its Connection to Unusual Bleeding
Blood sugar and bleeding? Hello Doctor: I would like to ask you if there are any diseases or causes that can lead to elevated blood sugar levels. Despite adjustments in insulin dosage and diet, we still cannot lower the blood sugar levels. It was well-controlled for a while, but ...
Dr. Chen Guifeng reply Internal Medicine
Causes of high blood sugar include diet, physical activity, insulin dosage, and other health conditions (such as infections or stress). If blood sugar control is poor, it is important to discuss adjustments with a physician, dietitian, and health educator. Patients undergoing dia...[Read More] Understanding High Blood Sugar and Its Connection to Unusual Bleeding
Why Do Older Adults Have Thin Limbs and Big Bellies?
Thin limbs with a distended abdomen? Hello Dr. Chen: Is it common for elderly individuals to have thin limbs and a protruding abdomen? My father is 75 years old and has a particularly large belly. Could this be related to his beer consumption? However, he only drinks beer occasio...
Dr. Chen Guifeng reply Internal Medicine
There are many causes of obesity, and it is recommended to consult an endocrinologist.[Read More] Why Do Older Adults Have Thin Limbs and Big Bellies?
Post-Heart Catheterization: Understanding Low Heart Rate and Blood Pressure Fluctuations
Cardiac catheterization (balloon angioplasty) After surgery (more than a month), my heart rate is only around 50, and my blood pressure is abnormal. Upon getting out of bed, my systolic blood pressure is quite high (150 to 160), while my diastolic blood pressure is around 80. At ...
Dr. Chen Guifeng reply Cardiology
Dear Mr. Chen, Thank you very much for your letter. Regarding your inquiry, Dr. Chen's response is as follows: The concentration of medication in the blood is related to the timing of administration. If blood pressure cannot be continuously controlled within normal limits o...[Read More] Post-Heart Catheterization: Understanding Low Heart Rate and Blood Pressure Fluctuations