Understanding Nosebleeds and Chest Pain: When to Seek Medical Attention
Nosebleeds and chest pain? Hello doctor, I recently experienced a sudden nosebleed right after waking up in the morning, and I haven't done anything to irritate my nose. The last time I had a nosebleed was in middle school, and it was also sudden. My family mentioned that I ...
Dr. Li Han reply Cardiology
Hello; you can check the outpatient services at the Changhua Hospital of the Ministry of Health and Welfare, which cares about you.[Read More] Understanding Nosebleeds and Chest Pain: When to Seek Medical Attention
Understanding Nighttime Heart Palpitations: Causes and Solutions
Feeling an increased heart rate when falling asleep? Recently, I've been experiencing episodes of rapid heartbeat when I'm trying to fall asleep. However, when I wake up suddenly, my heart rate returns to normal. This happens for about 2-3 times before I finally fall as...
Dr. Li Han reply Cardiology
Hello, Zheng. Regarding your inquiry about experiencing palpitations before bedtime, you have consulted a physician, and the "results are normal." Generally speaking, palpitations are a subjective symptom that may or may not be related to arrhythmias. However, more deta...[Read More] Understanding Nighttime Heart Palpitations: Causes and Solutions
Should You See a Cardiologist for Chest Pain and Breathing Issues?
Should a cardiology examination be conducted? Hello. For the past six months, I have been experiencing a sensation in the left side of my chest where it feels like blood is not flowing properly while I am breathing. It is accompanied by a sharp pain that lasts for about five to s...
Dr. Li Han reply Cardiology
Hello, Sister Juan. Based on your description, many of the symptoms are not typical manifestations of angina; however, this does not rule out the possibility or risk of coronary artery disease. If these symptoms continue to trouble you, it may be worthwhile to consult with your t...[Read More] Should You See a Cardiologist for Chest Pain and Breathing Issues?
Should You Get Checked for Heart Pain? Key Questions to Ask Your Doctor
Should I get checked? In the past six months, I have been experiencing unexplained pain in the area on the left side of my heart, which feels like a blockage in the blood vessels. This pain lasts about three to five minutes. Occasionally, I also feel pain in my left rib cage. I h...
Dr. Li Han reply Cardiology
Hello, based on your description, many of the symptoms are not typical manifestations of angina; however, this does not rule out the possibility or risk of coronary heart disease. Your responsibilities of "taking care of children, managing the household, working, and caring ...[Read More] Should You Get Checked for Heart Pain? Key Questions to Ask Your Doctor
Should You See a Cardiovascular Surgeon or Specialist for Varicose Veins?
Varicose veins Hello, Doctor: I would like to ask whether I should see a vascular surgeon or a cardiologist for varicose veins. Thank you! Wishing you a Happy New Year, Grace.
Dr. Li Han reply Cardiology
Hello Grace, regarding your question "Should I see a vascular surgeon or a cardiologist for varicose veins?" I recommend that you consult a vascular surgeon first. However, before your appointment, you may want to do some research online and then discuss your findings w...[Read More] Should You See a Cardiovascular Surgeon or Specialist for Varicose Veins?
Managing Nighttime Palpitations: Tips for Better Heart Health
Palpitations before bedtime? Hello, doctor. I experienced palpitations before sleep both today and last Saturday. I saw a doctor last time, and he said it was normal, but I'm still a bit worried. How can I improve this?
Dr. Li Han reply Cardiology
Hello Mr. Yang, regarding your inquiry about experiencing palpitations before bedtime, you have consulted a physician and received the result of "normal." Generally speaking, palpitations are a subjective symptom that may or may not be related to arrhythmias. However, m...[Read More] Managing Nighttime Palpitations: Tips for Better Heart Health
Understanding Chest Pain and Tachycardia: Is It Pheochromocytoma?
Left chest pain with a heart rate of 110 beats per minute? Doctor, I have undergone a cardiac nuclear perfusion scan which showed 95% vessel patency, and my echocardiogram was normal. However, I have been experiencing chest pain all day with a heart rate of 110 beats per minute. ...
Dr. Li Han reply Cardiology
Hello, based on your statement, "persistent pain in the precordial area all day, but the cardiac nuclear perfusion scan shows 95% vessel patency and the echocardiogram is normal," it is generally uncommon for angina to last all day. Since non-invasive tests do not fall ...[Read More] Understanding Chest Pain and Tachycardia: Is It Pheochromocytoma?
Why Does My Heart Race Upon Waking Up? Understanding the Causes
Waking up with a rapid heartbeat? Hello Doctor: I would like to ask, sometimes when I wake up from sleep, I can clearly feel my heart racing. What does this indicate? Should I seek further examination? Thank you ^_^
Dr. Li Han reply Cardiology
Hello, based on your inquiry, I notice that upon waking up, my heart seems to be beating quite fast. In most cases, this situation does not indicate any specific abnormalities. However, due to the limited details provided, I cannot offer a more in-depth explanation. If the sympto...[Read More] Why Does My Heart Race Upon Waking Up? Understanding the Causes
Should You Treat Prolonged APTT? Which Specialist to Consult?
Prolonged Activated Partial Thromboplastin Time (APTT) Should prolonged APTT be treated? Which specialty should I consult?
Dr. Li Han reply Cardiology
Hello Mr. Anonymous, regarding your question about prolonged APTT? Activated Partial Thromboplastin Time (aPTT) is used to assess or monitor the coagulation mechanism. Prolonged aPTT is commonly seen in patients receiving heparin injections, and it may also occur in patients taki...[Read More] Should You Treat Prolonged APTT? Which Specialist to Consult?
Midnight Discomfort: Understanding Heart and Vascular Issues
Feeling unwell in the middle of the night? Hello Doctor, I have been feeling very cold lately and often wake up in the middle of the night feeling weak and cold. My heart rate seems to be very slow, and I feel a tightness in my chest, somewhat like a sensation of hypoxia. My usua...
Dr. Li Han reply Cardiology
Hello Ms. Lin, based on your statements of weakness, sensitivity to cold, low blood pressure, bradycardia, chest tightness, shortness of breath, dizziness, and facial flushing, these symptoms are generally non-specific and require more details for further differential diagnosis. ...[Read More] Midnight Discomfort: Understanding Heart and Vascular Issues
Understanding Pain in the Back of the Hand: When to Seek Medical Attention
Dorsal hand vein pain The veins on the back of my hand and part of my arm suddenly started to hurt. It hurts when I extend my hand, and pressing on that area also causes pain. What could be the reason for this? Should I go to the hospital for an examination?
Dr. Li Han reply Cardiology
Hello, Xiao Yang. Regarding your question about pain in the veins on the back of your hand, if you notice redness and pain along the veins in your arm, there is a significant possibility of thrombophlebitis. It is still recommended that you return for an evaluation. The Changhua ...[Read More] Understanding Pain in the Back of the Hand: When to Seek Medical Attention
Understanding Early Heart Contractions: Are They Genetic or Just a Phase?
24-hour Holter monitor shows over a hundred premature contractions. Is this congenital? Hello, doctor. Recently, I went to the hospital for a cardiac ultrasound due to heart discomfort, and a 24-hour Holter monitor diagnosed me with mild mitral valve regurgitation. The doctor men...
Dr. Li Han reply Cardiology
Hello, regarding what you refer to as early onset, it likely refers to premature contractions of the atria or ventricles. Frequent occurrences are defined as more than one per minute; given that there are 1,440 minutes in a day, this can be considered frequent. Typically, these c...[Read More] Understanding Early Heart Contractions: Are They Genetic or Just a Phase?
Understanding the Urgency of Heart Symptoms: When to Seek Medical Help
The issue of timely medical attention for heart conditions? Hello, Doctor: I apologize for interrupting you during your busy schedule. I would like to ask about some recent symptoms I've been experiencing, including angina, chest tightness, shortness of breath, and dizziness...
Dr. Li Han reply Cardiology
Hello, Cheng Yi-Chia. "Symptoms such as chest pain, chest tightness, shortness of breath, and dizziness, along with difficulty sleeping at times during the night," are all subjective symptoms that only you can know and feel. As for whether they resemble angina, the limi...[Read More] Understanding the Urgency of Heart Symptoms: When to Seek Medical Help
Understanding Mitral Valve Prolapse and Mild Regurgitation: Key Insights
Mitral valve prolapse with mild mitral regurgitation? Hello, doctor. I previously visited a pediatrician for a cold and was found to have a suspected heart murmur (which I did not have before). I was advised to undergo an echocardiogram, and I was recently diagnosed with "mi...
Dr. Li Han reply Cardiology
Hello, based on your description, you were found to have mitral valve prolapse with mild regurgitation due to an incidental finding of a heart murmur. The advice given by your previous physician was correct: "You are very healthy, just stay happy, no medication or follow-up ...[Read More] Understanding Mitral Valve Prolapse and Mild Regurgitation: Key Insights
Feeling Your Heartbeat While Lying Down: When to Seek Medical Attention?
Feeling your heartbeat while sleeping? If you can clearly feel your heartbeat while lying down, but your heart rate is around 70 beats per minute, is it necessary to visit a clinic?
Dr. Li Han reply Cardiology
Hello Jack, palpitations are a subjective symptom that only you can know and feel. Whether it causes discomfort or distress is something you alone experience. Whether you should visit a clinic depends on how it affects your quality of life. The Changhua Hospital of the Ministry o...[Read More] Feeling Your Heartbeat While Lying Down: When to Seek Medical Attention?
Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Use of Anticoagulants Hello, I have a history of hypertension for about 20 years. I initially took medication to control it for about 10 years, but then I stopped taking the medication on my own. During this period, I experienced frequent headaches. It wasn't until a recent ...
Dr. Li Han reply Cardiology
Hello, A-mei. The purpose of administering anticoagulants is to prevent thromboembolism, which, as the name suggests, inhibits the coagulation mechanism. Therefore, the risk associated with these medications is the risk of bleeding. You can weigh the benefits of preventing thromb...[Read More] Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Understanding Your Blood Test Results: Anemia and Treatment Options
Understanding the "Man Jiang Hong" Blood Test Report Hello Doctor: 1. I would like to ask what type of anemia I have. 2. Is there anything I can take to remedy this and raise my hemoglobin to 12 g/dL? (such as iron supplements, etc.) 3. How long will it take to retu...
Dr. Li Han reply Cardiology
Hello, Hsi-Chun. Based on your blood test results, you have mild microcytic anemia. However, the low ferritin and serum iron levels indicate that it meets the criteria for iron deficiency anemia. Additionally, the red blood cell count suggests a possible trait of thalassemia. For...[Read More] Understanding Your Blood Test Results: Anemia and Treatment Options
Understanding Chest Discomfort: Causes and When to Seek Further Evaluation
Chest discomfort Hello Doctor, I have been experiencing chest tightness frequently in recent years. I have undergone two electrocardiograms, and both doctors deemed them normal. However, I wonder if my lack of exercise is contributing to my recent increased fatigue, sweating, and...
Dr. Li Han reply Cardiology
Hello, based on your description, the symptoms of chest tightness seem to be unrelated to physical activity. Instead, you have been experiencing increased fatigue, sweating, and shortness of breath after activity, with your heart rate taking some time to return to normal. The sen...[Read More] Understanding Chest Discomfort: Causes and When to Seek Further Evaluation
Understanding Mitral Valve Insufficiency: How to Distinguish Between Mild and Moderate Cases?
How can we differentiate between moderate and mild mitral valve regurgitation? Hello, doctor. I recently had a Doppler echocardiogram, and the doctor mentioned that I have mitral valve regurgitation and minimal pericardial effusion. He said there is no major concern and that I on...
Dr. Li Han reply Cardiology
Hello, according to your statement, the severity of mitral valve insufficiency is classified based on echocardiographic Doppler grading. If you need a second opinion, it would be advisable to gather all the tests and examinations you have already undergone before consulting Chang...[Read More] Understanding Mitral Valve Insufficiency: How to Distinguish Between Mild and Moderate Cases?
Understanding Nighttime Heart Palpitations and Slow Heart Rate Issues
Experiencing a slow heart rate in the middle of the night, along with several episodes of strong heartbeats and chest tightness? At the beginning of the month, I visited a cardiologist and underwent an echocardiogram, which diagnosed me with mild mitral valve regurgitation and mi...
Dr. Li Han reply Cardiology
Hello, based on your statement, your symptoms have not been satisfactorily resolved through consultation with a cardiologist. It is recommended that you schedule another appointment with your original cardiologist to discuss your symptoms and have your concerns explained in detai...[Read More] Understanding Nighttime Heart Palpitations and Slow Heart Rate Issues