Understanding Wrist Pain and Vein Issues After Surgery: A Guide
Pain in the veins surrounding the right wrist? Hello Doctor: I have recently been diagnosed with mild hyperthyroidism and am currently on medication. I underwent an appendectomy on June 25, and while the incision has healed, it is still red and painful. Last week, I pierced the w...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry: 1. Generally, absorbable sutures are used for internal suturing and can be broken down and absorbed within a few days to weeks. However, there are exceptions, such as suture rejection or poor absorption, which are usually identified when the sutures...[Read More] Understanding Wrist Pain and Vein Issues After Surgery: A Guide
Can Hypertension Patients Switch Medications Before Vaccination?
Can I change my hypertension medication before getting vaccinated? Hello Dr. Lee, I am a patient with hypertension and have been taking antihypertensive medication since I was about 20 years old, for approximately 5.6 years. Initially, I was diagnosed with hypertension at a gener...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about concerns related to antihypertensive medications and the COVID-19 vaccine, you can rest assured that there is no impact. As for blood pressure management, it is still important to emphasize non-pharmacological approaches and not neglect them. I...[Read More] Can Hypertension Patients Switch Medications Before Vaccination?
Small Bruises on Hands and Feet After COVID Vaccine: Should You Worry?
Small round bruises appearing on the hands and feet? I received the first dose of the AZ vaccine on September 10th. In the past three days, I have noticed a small bruise (0.3mm-0.4mm) on each of my hands and feet. Additionally, my foot has been feeling swollen for a day. Although...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about the appearance of small round bruises on your hands and feet, and the recent swelling in your foot after receiving the first dose of the AZ vaccine on September 10, it is understandable to be concerned about a potential connection to thrombosis...[Read More] Small Bruises on Hands and Feet After COVID Vaccine: Should You Worry?
Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Mitral valve, tricuspid valve, pulmonary artery, mild regurgitation? Hello Dr. Li, I have been experiencing chest tightness, chest pain, palpitations, and shortness of breath frequently over the past six months. In April, I had an echocardiogram that showed mild mitral regurgitat...
Dr. Li Han reply Cardiology
Hello, there are many causes of chest pain. It is the physician's responsibility to identify or rule out dangerous underlying conditions. However, based on the tests you have undergone, it seems that this concern has been alleviated. It may be beneficial to modify your lifes...[Read More] Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Understanding Left Shoulder and Chest Pain: When to Seek Medical Attention
Sharp pain below the left clavicle and in the left upper back near the scapula? Hello Doctor, I have recently noticed intermittent sharp pain on the inner side of my left upper arm, extending to the left side of my chest and the upper back near the scapula. The pain comes and goe...
Dr. Li Han reply Cardiology
Hello, if your symptoms are triggered or worsened by traction movements or joint activities of the left upper back - scapula, it may be caused by muscle or fascia issues. If your symptoms worsen with activity or exercise and then improve with rest, it is recommended that you seek...[Read More] Understanding Left Shoulder and Chest Pain: When to Seek Medical Attention
Can Heart Failure Be Reversed? Understanding Treatment Options and Symptoms
Can heart failure be reversed? Hello, Doctor. My father is a heart failure patient (possibly at stage III, but the physician did not inform us, and the family is guessing). I would like to ask: 1. Can heart failure be reversed? For example, can he move from stage III back to st...
Dr. Li Han reply Cardiology
Hello, there are many causes of heart failure, but the clinical manifestations can be similar. Significant progress has been made in heart failure management, but there are still limitations for certain populations, such as patients with preserved ejection fraction. Treatment sho...[Read More] Can Heart Failure Be Reversed? Understanding Treatment Options and Symptoms
Unexplained Chest Pain After Drug-Eluting Stent: A Sleep Disruption Dilemma
Unexplained chest pain after the completion of a drug-eluting stent procedure, leading to an inability to sleep? The patient is a 55-year-old female who, two months after undergoing coronary catheterization with drug-eluting stent placement, continues to experience unexplained ch...
Dr. Li Han reply Cardiology
Hello, there are many causes of chest pain. The responsibility of a cardiologist is to identify potentially life-threatening chest pain. This may involve evaluating symptoms or utilizing diagnostic tools such as electrocardiograms, X-rays, stress tests, ultrasounds, or advanced i...[Read More] Unexplained Chest Pain After Drug-Eluting Stent: A Sleep Disruption Dilemma
Understanding Your ECG Report: Addressing Concerns About QTc Values
Questions about the examination report? Hello Dr. Lee: I am returning for a follow-up after thoracic surgery and also had an electrocardiogram (ECG) performed. At the time of the examination, the nurse mentioned there was a slight issue, but the attending physician stated that th...
Dr. Li Han reply Cardiology
Hello, regarding your question about "a QTc of 440, does it indicate a high risk of ventricular fibrillation (VF)? I'm very concerned." Generally, for men, a QTc value greater than 450 is worth noting. Please try to relax; if you are still worried, consider monitor...[Read More] Understanding Your ECG Report: Addressing Concerns About QTc Values
Does Ejaculation Cause Rapid Heartbeat? Understanding the Connection
Is it true that masturbation or sexual intercourse can lead to an increased heart rate after ejaculation? In recent years, I have developed a habit of having sex while holding a pillow and ejaculating, and I rarely masturbate. I do this about four to five times a week, and someti...
Dr. Li Han reply Cardiology
Hello, regarding your question about heartbeats, they fluctuate due to both physiological and psychological factors, and the sensation of palpitations is influenced by both subjective and objective factors. Determining whether it is appropriate or not is not easy to express in ju...[Read More] Does Ejaculation Cause Rapid Heartbeat? Understanding the Connection
Understanding Valve Insufficiency: Symptoms, Diagnosis, and Management
Valvular insufficiency Hello, I have been experiencing severe arrhythmia for the past two years, accompanied by palpitations and dizziness. An EKG showed ventricular premature contractions (VPC), and a 24-hour Holter monitor revealed over 5,500 occurrences. I have a history of as...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about the objective examination indicating valvular abnormalities and arrhythmias, the relationship, severity, and risk associated with the symptoms you mentioned require more detailed and integrated information for a proper response. I personally re...[Read More] Understanding Valve Insufficiency: Symptoms, Diagnosis, and Management
Can I Get mRNA Vaccines Like BNT with Heart Valve Insufficiency?
I have been diagnosed with heart valve insufficiency. Can I receive the BNT or other mRNA vaccines? Due to company health screenings, I have been diagnosed with arrhythmia for two consecutive years and was required to undergo detailed examinations. In addition to an echocardiogra...
Dr. Li Han reply Cardiology
Hello, based on your health check description, everything seems generally good. Regarding the COVID-19 vaccines currently administered in Taiwan, there appear to be no contraindications. The concerns about allergic reactions or myocarditis associated with mRNA vaccines are indeed...[Read More] Can I Get mRNA Vaccines Like BNT with Heart Valve Insufficiency?
Do Medications Like Xyzineanxokastrocolone Raise Blood Pressure?
Can medication side effects cause an increase in blood pressure? Doctor, I apologize for the interruption. I would like to ask if the medications XyzineanxokastrocolonewelizenCabidrin film-coated AXOLDICLOFENACachelex can cause an increase in blood pressure.
Dr. Li Han reply Cardiology
Hello, regarding your medication inquiries, it would be advisable to consult a professional pharmacist or the physician who prescribed your medication. They should be able to provide you with better answers. The Changhua Hospital of the Ministry of Health and Welfare cares about ...[Read More] Do Medications Like Xyzineanxokastrocolone Raise Blood Pressure?
Understanding Venous Issues: Risks of Phlebitis and Exercise After Blood Draws
Venous issues Hello Doctor: 1. Is it possible for phlebitis caused by intravenous infusion or injection therapy (specifically in the median cubital vein) to lead to pulmonary embolism or other cardiovascular diseases? 2. After a blood draw, if proper pressure is not applied a...
Dr. Li Han reply Cardiology
Hello, regarding your first question, "Is it possible for phlebitis (of the median cubital vein) caused by intravenous infusion or injection therapy to lead to pulmonary embolism or other cardiovascular diseases?" It can lead to thrombophlebitis, which may present with ...[Read More] Understanding Venous Issues: Risks of Phlebitis and Exercise After Blood Draws
Understanding Low Hemoglobin Levels: Recovery and Next Steps
Hemoglobin level is low at only 6? Hello, doctor. I have been experiencing rectal bleeding due to a prolapse for almost a month now, but the bleeding has stopped. I consulted with a colorectal specialist who had me get a blood test, and my hemoglobin level was 6. He believes the ...
Dr. Li Han reply Cardiology
Hello, regarding your question, "I have been experiencing rectal bleeding due to prolapse for almost a month, and my hemoglobin is at 6. It has stopped bleeding now. When will my hemoglobin recover?" Generally speaking, with appropriate supplementation of iron, if there...[Read More] Understanding Low Hemoglobin Levels: Recovery and Next Steps
Understanding Leg Numbness and Pain with Low Blood Pressure: A Cardiovascular Perspective
Numbness and tingling in the legs accompanied by low blood pressure? Hello Doctor, my father is 63 years old. A year ago, he experienced numbness and tingling in his legs, and an orthopedic surgeon performed surgery for "lumbar disc nerve adhesion." However, his symptom...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about your father's condition of having dark purple microvascular changes in his feet, experiencing tingling and exacerbated hypotension while sitting or standing, but relief of symptoms when lying down, could this be indicative of "lower e...[Read More] Understanding Leg Numbness and Pain with Low Blood Pressure: A Cardiovascular Perspective
Impact of Priligy on Patients with Aortic Regurgitation: A Clinical Inquiry
What is the effect of Priligy on patients with aortic regurgitation? Hello Dr. Lee, I have moderate to severe aortic regurgitation, with a history of 30 years. I also have left bundle branch block, but the physician seems to consider this less significant. I have not undergone s...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "moderate-severe aortic regurgitation with a 30-year history, along with left bundle branch block, long-term medication (Valsartan) for control, LVIDD approximately 51, LVEF approximately 75%, and no issues with normal activities, includin...[Read More] Impact of Priligy on Patients with Aortic Regurgitation: A Clinical Inquiry
Vaccination Considerations for Seniors with Chronic Conditions
Three Highs and Vaccine Administration Hello, doctor. A 73-year-old female patient has chronic conditions including E1165 type 2 diabetes with hyperglycemia, E780 pure hypercholesterolemia, J441 chronic obstructive pulmonary disease with (acute) exacerbation, I119 hypertensive he...
Dr. Li Han reply Cardiology
Hello, regarding your concerns about COVID-19 vaccination, the chronic comorbidities you mentioned are not contraindications for receiving the COVID-19 vaccine (including AstraZeneca). In fact, age and these comorbidities may increase your risk of contracting the virus during the...[Read More] Vaccination Considerations for Seniors with Chronic Conditions
Understanding Heart Failure: Concerns and Questions for Patients
Confusion about Heart Failure My father, who is 81 years old, has been suffering from diabetes for nearly forty years. For the past ten years, he has been taking cardiovascular medications (Berkley) due to shortness of breath while walking. Two years ago, he started taking (Kanki...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, to be honest, it is still quite difficult to answer... I suggest discussing your concerns directly with your father's attending physician and presenting your questions in a clear, bullet-point format. They may be able to provide you with more p...[Read More] Understanding Heart Failure: Concerns and Questions for Patients
Can I Stop Taking Apixaban? Understanding Long-Term Use for Vascular Issues
Abiciclib Recently, my doctor prescribed Abiraterone for me, possibly because I was diagnosed with vasculitis. However, recent tests indicate that the vasculitis seems to be improving. I would like to know if taking this medication means I have to continue it for life. I tend to ...
Dr. Li Han reply Cardiology
Hello, Apixaban is a new type of anticoagulant medication. Currently, there are two indications for its use: 1. It is used for adults with non-valvular atrial fibrillation to prevent stroke and systemic embolism. It is typically prescribed for patients with a high stroke risk sco...[Read More] Can I Stop Taking Apixaban? Understanding Long-Term Use for Vascular Issues
Should My 81-Year-Old Father Get the AZ Vaccine? A Heart Health Dilemma
Receiving the AZ vaccine feels like a difficult choice, almost like a death sentence vaccine? My father, who is 81 years old, has been suffering from diabetes for nearly forty years. For the past ten years, he has been taking cardiovascular medications (Berkley) due to shortness ...
Dr. Li Han reply Cardiology
Hello, regarding your concerns about COVID-19 vaccination, it is honestly difficult to provide a definitive answer. Based on your father's medication, 1. The concurrent use of antiplatelet agents (such as Clopidogrel) and anticoagulants (such as Apixaban) suggests that, in a...[Read More] Should My 81-Year-Old Father Get the AZ Vaccine? A Heart Health Dilemma