Understanding Uncontrolled Hand Tremors: Causes and Concerns
Uncontrollable shaking of both hands? Hello doctor, my hands have been shaking uncontrollably, and the severity seems to be increasing. This condition has been present for about a year now. What warning signs does this indicate? Could I have any underlying disease? I would apprec...
Dr. Li Dong'an reply Internal Medicine
Hello AlfredLO: There are many potential causes for hand tremors, including depression, fatigue, hyperthyroidism, hereditary factors, medications, alcohol withdrawal, metal or pesticide poisoning, nutritional deficiencies, infections, autoimmune diseases such as vasculitis, endoc...[Read More] Understanding Uncontrolled Hand Tremors: Causes and Concerns
Unexplained Pain: Understanding Symptoms and Possible Causes
Unexplained pain In the past two weeks, I initially experienced headaches accompanied by weakness in my limbs, followed by dizziness (I consulted a neurologist, and the EEG was normal; the doctor mentioned it was due to high stress). Additionally, there are some areas in my arms ...
Dr. Li Dong'an reply Internal Medicine
Hello, Xiao Wei: In addition to your symptoms, it is necessary to conduct a physical examination and laboratory tests to identify the underlying cause. I recommend that you consult with specialists in immunology and rheumatology, as well as neurology, to rule out any issues relat...[Read More] Unexplained Pain: Understanding Symptoms and Possible Causes
Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Is it hypertension? Hello, Doctor: I often feel inexplicably anxious, with a rapid heartbeat and a sensation of shortness of breath. Whenever this happens, my blood pressure tends to rise, with a recorded high of 140/105. I previously had an electrocardiogram, and the report was ...
Dr. Li Dong'an reply Internal Medicine
Hello Chris: 1. Hypertension is defined as a systolic blood pressure of ≥140 mmHg or a diastolic blood pressure of ≥90 mmHg. However, it must be measured at least three times within two weeks, and the measurements should be taken under conditions of no stress (such as tension, an...[Read More] Understanding Anxiety and Its Impact on Blood Pressure: A Guide
Understanding Calcium Channel Blockers and Drug Tolerance
Regarding calcium channel blockers? Hello, doctor. I would like to ask you about long-term use of calcium channel blockers. Is it possible for patients to develop tolerance to calcium channel blockers, such that initially one pill is effective, but later they may need to take two...
Dr. Li Dong'an reply Internal Medicine
Hello, A-Liang: Currently, the use of calcium channel blockers does not lead to drug resistance.[Read More] Understanding Calcium Channel Blockers and Drug Tolerance
Understanding Calcium Channel Blockers in Mitral Valve Prolapse Treatment
Calcium channel blockers? Hello, Doctor: I would like to ask you about the use of calcium channel blockers in the treatment of mitral valve prolapse. 1. What is the mechanism of action of calcium channel blockers? For example, adrenaline promotes adrenal secretion, allowing ath...
Dr. Li Dong'an reply Internal Medicine
Hello, A-Liang: 1. Calcium channel blockers such as Vetrimil can inhibit the entry of calcium ions through the cell membrane into the cells, leading to the relaxation of small arterial smooth muscle; they can also block the calcium ion pathways in the cardiac conduction system,...[Read More] Understanding Calcium Channel Blockers in Mitral Valve Prolapse Treatment
Understanding Mitral Valve Prolapse: Symptoms, Medications, and Risks
I would like to ask you about mitral valve prolapse? First of all, thank you for your reply. I truly appreciate your willingness to help someone you have never met! The medications my friend is taking are Vetrimil 40mg and Erispan. She does not have mitral valve regurgitation or ...
Dr. Li Dong'an reply Internal Medicine
Hello A-Liang, 1. Vetrimil is a calcium channel blocker, and possible side effects include bradycardia, hypotension, and constipation. Erispan is a sedative, and its potential side effects include drowsiness, which should be avoided by pregnant women. The occurrence of side effe...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Medications, and Risks
Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Care Tips
Mitral Valve Prolapse (MVP) I have a female friend who suffers from mitral valve prolapse. I would like to ask you about the two types of medication she is taking. During severe episodes, she may take three to four pills within an hour. I'm concerned about whether these medi...
Dr. Li Dong'an reply Internal Medicine
Hello A-Liang: 1. Since the name of the medication your friend is taking was not mentioned, I cannot provide information on potential side effects. However, it is advised to take medications as prescribed by a physician and not to self-adjust the dosage. 2. In cases of mitral val...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Care Tips
Understanding Cold Sweats and Rapid Heartbeat: Causes and Solutions
Cold sweats and rapid heartbeat? Doctor Li, I have been experiencing frequent cold sweats and a rapid heartbeat lately. I'm not sure what to do.
Dr. Li Dong'an reply Internal Medicine
Hello: Sweating and rapid heartbeat are manifestations of heightened sympathetic nervous system activity. There are many possible causes, such as hypoglycemia, hyperthyroidism, diabetic neuropathy, angina, adrenal tumors, arrhythmias, anemia, asthma, infections, fever, consumptio...[Read More] Understanding Cold Sweats and Rapid Heartbeat: Causes and Solutions
Understanding Chest Tightness: Symptoms and When to Seek Help
Chest tightness Hello, I would like to ask about a persistent feeling of tightness in my chest. Previously, I experienced pain in the middle of my chest, slightly to the left, which improved for a while, but now it occasionally returns. I also find myself easily short of breath. ...
Dr. Li Dong'an reply Internal Medicine
Hello Annie: The possible causes of chest tightness, chest pain, and shortness of breath may include angina (typical or atypical), mitral valve prolapse, pericarditis, myocardial or valvular heart disease, costochondritis, pneumothorax, esophagitis, chest wall myofascial pain, or...[Read More] Understanding Chest Tightness: Symptoms and When to Seek Help