Understanding the Progression of Deep Venous Valve Damage: A Patient's Journey
Follow-up developments after damage to deep venous valves? Hello Dr. Ding, this is Ed. I would like to ask you again about the progression of deep vein valve damage. From December 2010 to February 2011, I asked you multiple questions regarding my condition. During one of those co...
Dr. Ding Zhizhong reply Cardiology
Hi Ed: The treatment for varicose veins is primarily symptomatic. When clinical symptoms appear, it is the right time to consider treatment. If the concern is solely aesthetic, that presents a different perspective. The choice of treatment methods also varies (everyone may have d...[Read More] Understanding the Progression of Deep Venous Valve Damage: A Patient's Journey
Understanding the Impact of IVC Thrombosis on Spleen Enlargement
Inferior vena cava Hello Doctor, I am Ed. About six months ago, I experienced severe damage to the deep venous valves in my groin for an unknown reason, which has prompted me to revisit this issue. This question is different from what I asked previously, and I only discovered it ...
Dr. Ding Zhizhong reply Cardiology
1. Generally, inferior vena cava thrombosis typically occurs below the renal veins, so it does not affect the splenic venous return and does not cause splenomegaly. 2. The spleen is located on the left side of the body, while the inferior vena cava is positioned more towards the...[Read More] Understanding the Impact of IVC Thrombosis on Spleen Enlargement
Understanding Pain in the Legs: The Impact of Deep Vein Valve Dysfunction
Damage to the deep venous valves can lead to pain and discomfort in the lower extremities due to impaired venous return. When the valves are compromised, blood can pool in the veins, causing increased venous pressure and resulting in symptoms such as aching, cramping, or a tingli...
Dr. Ding Zhizhong reply Cardiology
Hi Ed: 1. In my personal approach (which may not be agreed upon by others), the disability handbook is limited to patients with deep vein thrombosis that cannot be cured. The assessment is somewhat subjective. 2. I think a more appropriate term would be: sensory abnormalities. So...[Read More] Understanding Pain in the Legs: The Impact of Deep Vein Valve Dysfunction
Understanding Severe Damage to Deep Venous Valves: A Patient's Guide
Severe damage to the deep venous valves? Hello Dr. Ding, this is Ed. I apologize for asking again, but my situation is indeed quite unique, so I must reach out for your guidance. I am very grateful for your help! (I have asked three times before.) The reason for my inquiry this t...
Dr. Ding Zhizhong reply Cardiology
Hi Ed: This is an early-stage condition, so the superficial venous valves have not been severely affected. Elevating your legs and resting is certainly important, but exercise is also necessary. There is no absolute conflict between the two; don't scare yourself. Many people...[Read More] Understanding Severe Damage to Deep Venous Valves: A Patient's Guide
Understanding Blood Pressure Discrepancies and Normal Hemoglobin Levels
Pericardial effusion and aortic dissection? Is a blood pressure difference of about 25 to 30 mmHg between the two arms considered normal? What is the typical range for hemoglobin levels in the general population?
Dr. Ding Zhizhong reply Cardiology
Normal hemoglobin levels are approximately 12 to 15 gm/dL. Blood pressure is inherently variable; if there is a consistent difference of more than 30 mmHg between the blood pressures in both arms, it may indicate a vascular obstruction issue. However, if there are no clinical sym...[Read More] Understanding Blood Pressure Discrepancies and Normal Hemoglobin Levels
Understanding the Link Between Cardiac Tamponade and Aortic Dissection
Pericardial effusion and aortic dissection? I would like to ask if there is a significant relationship between cardiac tamponade and aortic dissection, and whether aortic dissection can lead to cardiac tamponade.
Dr. Ding Zhizhong reply Cardiology
There are many causes of cardiac tamponade (e.g., malignant tumor metastasis, chronic inflammation, traumatic hemorrhage, etc.), and aortic dissection is just one of them. Aortic dissection is classified into Type A and Type B; Type A is more likely to cause acute cardiac tampona...[Read More] Understanding the Link Between Cardiac Tamponade and Aortic Dissection
Managing Venous Valve Damage: Exercise and Care Tips
Care after Damage to Venous Valves Dear Dr. Ding, This is Ed again. I apologize for bothering you once more, and I hope to receive your reply, as it is very important to me. Previously, due to discomfort in my legs, I followed your advice and underwent a venous ultrasound examin...
Dr. Ding Zhizhong reply Cardiology
Hi Ed: During exercise, our muscle groups function similarly to a pump, compressing the deep veins and aiding in blood return. Therefore, exertion does not worsen the condition. As for whether to wear compression socks during exercise, it is certainly effective if you don't ...[Read More] Managing Venous Valve Damage: Exercise and Care Tips
Understanding Severe Venous Insufficiency: Causes and Exercise Recommendations
Venous return Hello Dr. Ding, this is Ed, who asked a question a few days ago. I previously inquired about the tingling sensation in my lower limbs and suspected a venous thrombosis issue. Following your suggestion, I underwent a venous ultrasound, and the results indicated that ...
Dr. Ding Zhizhong reply Cardiology
Hi Ed: Venous reflux is a quite common condition, especially among individuals who stand for long periods, such as teachers and barbers. In daily life, they may experience symptoms like swelling, a feeling of heaviness, abnormal sensations, and susceptibility to cramps. Unfortuna...[Read More] Understanding Severe Venous Insufficiency: Causes and Exercise Recommendations
Understanding Symptoms: Leg Pain and Head Discomfort Related to Vascular Issues
Discomfort in the head and feet? Hello, doctor. Initially, I noticed purple veins appearing on my left foot. Later, certain areas of the skin on my foot became painful when pressed, and there was slight swelling on the outer side of my thigh, although it wasn't very noticeab...
Dr. Ding Zhizhong reply Cardiology
Hi Tina: Don't scare yourself! Cases of venous embolism causing a stroke are very rare because it requires a right-to-left shunt to occur within the heart (more commonly seen in end-stage congenital heart disease with pulmonary hypertension). As for the symptoms in your left...[Read More] Understanding Symptoms: Leg Pain and Head Discomfort Related to Vascular Issues
Can Natto Replace Warfarin for Deep Vein Thrombosis Treatment?
Deep vein thrombosis (DVT) Recently, my father's left calf has been experiencing mild swelling and pain. The diagnosis from the venography indicated deep vein thrombosis (DVT). The doctor has recommended that he take warfarin for six months. Since my father's pain is no...
Dr. Ding Zhizhong reply Cardiology
The recovery from deep vein thrombosis (DVT) is closely related to the initial treatment during the acute phase. If follow-up examinations still show signs of thrombosis (ultrasound is sufficient and relatively easy to perform), long-term treatment is necessary. Warfarin is an an...[Read More] Can Natto Replace Warfarin for Deep Vein Thrombosis Treatment?
Understanding Leg Skin Pain: Possible Circulation Issues Explained
Tingling sensation in the skin of the legs? Hello Doctor, I am a 38-year-old male who enjoys outdoor sports and yoga. I have a healthy lifestyle, and my job does not require prolonged sitting or standing. My weight, blood pressure, blood lipids, and cholesterol levels are all nor...
Dr. Ding Zhizhong reply Cardiology
Lower limb circulatory disorders can be classified into arterial, venous, and microcirculatory issues. If you suspect a venous embolism, a vascular ultrasound can provide us with an answer (it's simple and not too uncomfortable). If there is no swelling or pain, the likeliho...[Read More] Understanding Leg Skin Pain: Possible Circulation Issues Explained
Understanding Temperature Discrepancies: Warm Left Hand, Cold Right Hand
Warm left hand and cold right hand? Hello, Dr. Ding. I have been experiencing significant discomfort during the winter season for about 3 to 5 years, with my left hand feeling warm and my right hand feeling cold. The temperature difference is more than 2 degrees and becomes more ...
Dr. Ding Zhizhong reply Cardiology
Hi: First, you have measured the blood pressure in both arms, and the difference in systolic pressure is only 3 mmHg, which indicates that the likelihood of subclavian artery stenosis or occlusion is low (Recommendation: a CT Angiography can be performed to rule out possible cond...[Read More] Understanding Temperature Discrepancies: Warm Left Hand, Cold Right Hand
Heart Health: Essential Hydration Tips to Prevent Serious Risks
Cardiologist's statement to confirm accuracy (forwarded from the director's mailbox)? Director: Hello, the following article is a health information article forwarded by a friend. Can this information be trusted? Thank you. A cardiologist's statement: Upon receiv...
Dr. Ding Zhizhong reply Cardiology
Hi Ms. Ho: 1. Hydration is important for a healthy individual, but it must be limited in certain patients (e.g., those with heart failure, kidney disease, or benign prostatic hyperplasia causing nocturia). However, the relationship between hydration and thrombus formation lacks...[Read More] Heart Health: Essential Hydration Tips to Prevent Serious Risks
Managing Mild Mitral Valve Prolapse: The Importance of Periodontal Treatment
Mild mitral valve prolapse requires periodontal treatment? Hello Doctor: I have mild mitral valve prolapse, which was discovered during an echocardiogram in middle school. Since then, I have undergone about five echocardiograms over the past five years, all showing mild mitral va...
Dr. Ding Zhizhong reply Cardiology
Hi Peter: Essentially, mitral valve prolapse is a quite common condition, and many people attribute unexplained palpitations or chest pain to it. However, so far, surgical treatment is only considered if there are significant symptoms (such as severe regurgitation affecting heart...[Read More] Managing Mild Mitral Valve Prolapse: The Importance of Periodontal Treatment
Understanding Raised Veins on Knees: Causes and Concerns
Prominent blood vessels in the knee? I have many raised, vein-like stripes on my knees and thighs. My family says it's because I grew too fast and my skin stretched. Is that correct?
Dr. Ding Zhizhong reply Cardiology
Hi Dear Andy: Since you are only 13 years old, if there are signs of varicose veins, we should first consider congenital vascular malformations. The premise is that you need to confirm that what you see are indeed blood vessels! As for whether growth periods can cause vascular di...[Read More] Understanding Raised Veins on Knees: Causes and Concerns
Understanding Varicose Veins: Treatment Options and Risks Explained
About Varicose Veins Dear Dr. Ding, I recently discovered that my mother has been suffering from a long-standing issue with her legs, which seems to be varicose veins. I would like to ask you some questions regarding treatment options: 1. What are the common treatment methods a...
Dr. Ding Zhizhong reply Cardiology
Hello, Qingru: 1. There are various options available, ranging from conservative treatments (such as compression stockings, elevating the legs, and avoiding prolonged standing) to more aggressive treatments (including traditional surgery, laser therapy, radiofrequency ablation, ...[Read More] Understanding Varicose Veins: Treatment Options and Risks Explained