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Understanding Unexplained Chest Pain: Causes and When to Seek Help

Unexplained chest pain? I have been doing physical labor, specifically moving goods, and for the past month, I have been going to bed late and waking up early. I started experiencing chest pain in a fixed location, which has been a mild discomfort for a week. Sometimes the pain i...


Dr. He Yonghe reply Internal Medicine
Hello, Student Pan. Lifting heavy objects may cause muscle strains, so it is advisable not to lift anything too heavy. If you experience persistent chest pain, you should go to the hospital for an examination.

[Read More] Understanding Unexplained Chest Pain: Causes and When to Seek Help


Understanding Microalbuminuria: Causes, Risks, and Treatment Options

Microalbumin Hello Doctor, During my health check on January 3rd, I found that my "urine microalbumin (UMA)" test result was 41.3 mg/L, with a normal range of 0-20 mg/L. Additionally, I have gallbladder polyps, prostatic calcifications, weakly positive urine ketones, ...


Dr. He Yonghe reply Internal Medicine
Hello Mr. Li, Gallbladder polyps should be monitored at least once every six months, and urine protein should be tracked together. There's no need to worry; you can return to Taiwan for follow-up.

[Read More] Understanding Microalbuminuria: Causes, Risks, and Treatment Options


Understanding Prediabetes: Is Your Blood Sugar a Cause for Concern?

Is it prediabetes? Hello Doctor, my father has diabetes. Previously, for a health check-up, his fasting blood sugar was 149 after 12 hours of fasting. The doctor mentioned that this might have been caused by not drinking water, which could have led to an increase in blood sugar. ...


Dr. He Yonghe reply Internal Medicine
Hello, Xiao Chen. You have a family history, so you should regularly monitor your fasting blood glucose and HbA1C levels. Additionally, maintain a controlled diet, engage in appropriate exercise, and drink plenty of water. You can follow up at the outpatient clinic.

[Read More] Understanding Prediabetes: Is Your Blood Sugar a Cause for Concern?


Understanding Tongue Numbness and Facial Redness After Exercise

Numbness of the tongue accompanied by facial flushing? Hello, Doctor. A few days ago, after dinner, I rested for about an hour and then did aerobic exercise at home for about 20 minutes. I started to feel numbness in my tongue and my face became flushed and swollen. I was unsure ...


Dr. He Yonghe reply Internal Medicine
Hello, it is advisable to wait 3-4 hours after eating before exercising. Exercising before meals is also acceptable, and make sure to drink plenty of water. Since you are 63 years old, you should have an annual health check-up to monitor for any potential issues.

[Read More] Understanding Tongue Numbness and Facial Redness After Exercise


Essential Considerations for Diabetic Patients Undergoing Surgery

Considerations for Surgery in Diabetic Patients Hello, doctor. I was diagnosed with diabetes three years ago, and my initial hemoglobin A1c was 9.1. I am still managing my blood sugar with oral medications, and my current hemoglobin A1c is 7.8. I will be hospitalized for surgery ...


Dr. He Yonghe reply Internal Medicine
Hello, Ms. Wu. Yes, a blood sugar level of 100-150 is a basic requirement for surgery, and it should remain the same postoperatively.

[Read More] Essential Considerations for Diabetic Patients Undergoing Surgery


Understanding Dizziness and Weakness: When to Seek Medical Help

Dizziness and weakness in the limbs? Hello doctor, my mother has been experiencing dizziness, weakness in her limbs, loss of appetite, and sometimes a rapid heartbeat since the beginning of this month. She has been lying down almost all day. What could be the possible causes, and...


Dr. He Yonghe reply Internal Medicine
Hello, you can come to my clinic for a consultation on the 1st, 2nd, or 4th in the morning.

[Read More] Understanding Dizziness and Weakness: When to Seek Medical Help


Significant Drop in eGFR: Should You Be Concerned About Kidney Health?

The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...


Dr. He Yonghe reply Internal Medicine
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...

[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?


Understanding Lower Back Pain and Hand Numbness: Causes and Solutions

Lower back pain with hand numbness? Hello, I have been experiencing a dull pain in my left lower back since Tuesday. At night, whether I sleep on my side or on my back, I feel pain, but it is less when I lie on my right side. Additionally, I have mild numbness in my left hand. Wh...


Dr. He Yonghe reply Internal Medicine
Hello, please go to the internal medicine department for an examination.

[Read More] Understanding Lower Back Pain and Hand Numbness: Causes and Solutions


Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options

Cardiac arrhythmia Since I have developed arrhythmia after receiving the vaccine, my heart rate fluctuates between 40-50 beats per minute and sometimes spikes to 110-120 beats per minute. I also experience missed beats and have a cough, although I do not have a cold. I feel short...


Dr. He Yonghe reply Internal Medicine
Hello Ms. Momo, if you are experiencing arrhythmia, you should immediately visit a cardiology clinic for evaluation. If you feel very uncomfortable, please go to the emergency department right away.

[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options