Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Could you please assist me, as I am unsure of what to do? (Forwarded from the Director's mailbox) Hello. I need assistance because I don't know how to seek medical care! I discovered I had slightly high blood pressure six years ago, so I have been regularly taking antih...
Dr. Bu Shiyun Reply:
(1) You have been feeling unwell for the past two to three years, which is indeed troubling for you. However, based on your blood pressure records, there doesn't seem to be any significant hypertension or elevated readings after medication, indicating that your blood pressur...[Read More] Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Mitral valve prolapse Hello Doctor: I would like to ask, I had an ultrasound examination today, and the report indicated that I have mitral valve prolapse, which seems to be congenital. However, there is no medication treatment; is this okay? Do I need to have regular follow-ups?...
Dr. He Dongjin Reply:
When pressing the probe against the chest and sliding it back and forth, there may be a pain sensation, as if a heavy object is pressing down. This could indicate a muscular or neurological issue. As for mitral valve prolapse, it is often associated with tall and slender body typ...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Understanding Palpitations and Tremors: Causes and Concerns
Palpitations and generalized tremors? 1. Last week, I had a mild cold with a runny nose, nasal congestion, and a slight cough. After drinking coffee, I felt dizzy and nauseous, so I went to see a doctor. He diagnosed me with a gastrointestinal flu. The next morning, I had a small...
Dr. He Dongjin Reply:
Dear Maruku, based on your description, it seems that discomfort from illnesses like a cold has caused autonomic nervous system dysregulation, which stimulates the heart and leads to an increased heart rate. Therefore, the physician has prescribed you some anxiolytic medications ...[Read More] Understanding Palpitations and Tremors: Causes and Concerns
Understanding Right and Left Bundle Branch Block: What You Need to Know
Regarding the issue of left and right bundle branch block? Hello, doctor. Today I participated in a military physical examination, and there was an issue with my electrocardiogram (ECG). The doctor mentioned that I have a heart murmur and that I might not be required to serve. I ...
Dr. Bu Shiyun Reply:
This is a conduction block in the heart's electrical circuit, not a blockage in the blood vessels; they are different. Some people naturally have this condition, which does not indicate a "special" heart disease. Typically, it does not significantly affect heart fu...[Read More] Understanding Right and Left Bundle Branch Block: What You Need to Know
Understanding Palpitations: Causes, Concerns, and When to Seek Help
Palpitations? Heart disease? Is it life-threatening? I heard that staying up late can cause palpitations? But I'm not the only one who stays up late and smokes; my friend does too. However, I've been experiencing palpitations lately. Doctor, what exactly is palpitations...
Dr. Bu Shiyun Reply:
Young people rarely have specific heart diseases, and if there are no particular arrhythmias, the sensation of palpitations is usually influenced by psychological anxiety or stress. If the symptoms remain prominent and uncomfortable, it is recommended to consult a psychosomatic m...[Read More] Understanding Palpitations: Causes, Concerns, and When to Seek Help
Understanding Nighttime Anxiety: Is It Related to Heart Health?
I would like to know the answer? I have a question I would like to ask: why do I feel a sudden sense of anxiety and pressure in my chest when I am just about to fall asleep? When I slowly open my eyes and then close them again, this feeling keeps recurring. It seems like I might ...
Dr. Bu Shiyun Reply:
Usually not related to the heart, it is mostly due to excessive stress, emotions, and mood affecting sleep quality. You may consider visiting a psychosomatic medicine clinic.[Read More] Understanding Nighttime Anxiety: Is It Related to Heart Health?
Managing Mitral Valve Prolapse: Treatment Options and Medication Guidance
Treatment directions and medication consultation for mitral valve prolapse? In 2003, I visited the emergency department due to suspected panic attacks, and the electrocardiogram (ECG) showed no abnormalities. In 2006, a health check revealed ST segment or T wave changes, and I wa...
Dr. He Dongjin Reply:
Dear Tony, I also believe that there is no need for aggressive treatment of mitral valve prolapse; instead, focusing on mental health treatment is sufficient. Taking Inderal can help avoid tachycardia. I am skeptical about the claim that it protects the heart, and considering the...[Read More] Managing Mitral Valve Prolapse: Treatment Options and Medication Guidance
Uncommon Recovery from Myocarditis: A Patient's Journey
Questions about recovery from myocarditis sequelae? I am Alex, who submitted a case four years ago. After recovering from myocarditis, I developed complete heart block, which caused my heart rate to slow down. About two and a half years ago, following my doctor's advice, I h...
Dr. Bu Shiyun Reply:
It is possible to recover after myocarditis. If you have already recovered, there is no need for a pacemaker. Your physician will also monitor your condition. The variability in medical situations can be significant, and statistical data often serves only as general information, ...[Read More] Uncommon Recovery from Myocarditis: A Patient's Journey
Understanding Palpitations: Causes, Symptoms, and Treatment Options
Palpitations Hello, when I was around seven years old during a physical education class, I suddenly felt my heart beating very strongly, which was quite uncomfortable. I could feel each heartbeat distinctly. Then my breathing became more rapid than usual, and I felt restless. Is ...
Dr. He Dongjin Reply:
Hello, the difference between palpitations and arrhythmias is that palpitations refer to the sensation of feeling one's own heartbeat, which does not necessarily indicate an arrhythmia. Sometimes, anxiety can cause the heart to beat more forcefully, leading to this sensation...[Read More] Understanding Palpitations: Causes, Symptoms, and Treatment Options
Understanding Anxiety-Induced Palpitations: Causes and Solutions
My condition is?? Palpitations?? Hello, doctor! I've been experiencing frequent episodes of a racing heart lately. I checked on Yahoo Knowledge+ and found that my symptoms might be palpitations... but I don't feel dizzy or anything like that. I only experience a racing ...
Dr. Bu Shiyun Reply:
It is likely that the symptoms are still caused by tension and anxiety, which is why they are particularly noticeable when you are in Taipei. You might want to reflect on what recent events have contributed to your stress and anxiety, and try to address or manage them. It can als...[Read More] Understanding Anxiety-Induced Palpitations: Causes and Solutions
Understanding Sudden Chest Pain: Causes and Concerns for Young Adults
Sudden chest pain? Hello, Doctor: I would like to ask a few questions. Last year, while I was in the military, I experienced two episodes of sudden sharp pain in my left chest while standing guard at night (the pain lasted about 1 to 2 seconds) and felt faint for a moment (the se...
Dr. Bu Shiyun Reply:
It may really be due to exhaustion! Lack of sleep can easily trigger neurogenic syncope (not heart disease!). Thyroid function can be evaluated by consulting an endocrinologist.[Read More] Understanding Sudden Chest Pain: Causes and Concerns for Young Adults
Understanding ECG Reports: Symptoms, Concerns, and Solutions for Heart Health
Questions about electrocardiogram (ECG) reports? Hello Doctor: Last July, I underwent a health check-up, and the results of my resting electrocardiogram showed low voltage. After exercise, the ECG results indicated ST elevation. However, I had a cardiac ultrasound at another hosp...
Dr. Bu Shiyun Reply:
If someone is particularly obese, the electrocardiogram (ECG) may indeed show low voltage due to the body being less conductive. However, this is just one of the possible reasons and not necessarily the only one. An elevation in the ST segment after exercise in asymptomatic young...[Read More] Understanding ECG Reports: Symptoms, Concerns, and Solutions for Heart Health
Understanding Neck Stiffness and Nausea: Is It High Blood Pressure?
Could you please tell me about the symptoms of neck stiffness? Hello, doctor. I would like to ask about my mother, who is 50 years old. Recently, she mentioned that she feels stiffness in her neck and experiences nausea that comes and goes. Sometimes she feels clear-headed, while...
Dr. Bu Shiyun Reply:
Typically, a stiff neck is not a symptom of high blood pressure (most often it is due to muscle soreness in the neck), and similarly, individuals with high blood pressure may not necessarily experience neck stiffness! Therefore, to determine if blood pressure is elevated, it is n...[Read More] Understanding Neck Stiffness and Nausea: Is It High Blood Pressure?
Understanding Mitral Valve Prolapse and Regurgitation: Risks and Treatments
Mitral valve prolapse and insufficiency? Hello, Doctor Bu: I recently had an echocardiogram, and the doctor mentioned that I have mild mitral valve prolapse and regurgitation. I would like to know if this is serious and whether it will affect my ability to have children in the fu...
Dr. Bu Shiyun Reply:
Mild mitral valve prolapse and regurgitation are common and usually insignificant conditions that do not affect heart function, and medication treatment is often unnecessary. The symptoms you described are likely not caused by the heart but are more related to anxiety, stress, or...[Read More] Understanding Mitral Valve Prolapse and Regurgitation: Risks and Treatments
Understanding Palpitations: Causes and When to Seek Help
Palpitations? Vertebral adjustment? Gastroesophageal reflux? Hello, Doctor. It's me again, student Chen. I'm sorry to come to you again, but I'm really worried about my issue. So I'm sending this message again with different content. Please help me. Doctor, ...
Dr. Bu Shiyun Reply:
If you have undergone examinations at a large hospital and found nothing major, but still feel unwell, you might consider seeing a specialist in psychosomatic medicine or anxiety disorders (which fall under the fields of psychology and psychiatry). If you are experiencing a sudde...[Read More] Understanding Palpitations: Causes and When to Seek Help
Understanding Nighttime Heart Pain and Headaches: A Young Adult's Concern
Woke up in the middle of the night due to chest pain and headache? I have been experiencing frequent headaches for the past six months, along with a feeling of pressure in the back of my head before sleep, which has led to insomnia. Even when I do manage to fall asleep, I sometim...
Dr. Lin Jixiong Reply:
Hello: Patients with mitral valve prolapse often experience autonomic nervous system dysfunction, with 70% to 80% reporting symptoms such as palpitations, chest tightness, and shortness of breath. It is important to pay attention to diet, avoiding foods high in caffeine, and to r...[Read More] Understanding Nighttime Heart Pain and Headaches: A Young Adult's Concern
Understanding Palpitations: Heart Valve Issues or Anxiety?
Palpitations Hello: Recently, I have been very aware of my heart beating, accompanied by a feeling of chest tightness. This is especially noticeable when I lie down; in addition to feeling my heart racing, I can also sense the pulse in my upper body. I previously had an electroca...
Dr. Lin Jixiong Reply:
Hello: Palpitations can sometimes be a response of the body to diet and environment. It does not necessarily indicate arrhythmia. It is recommended to reduce the intake of coffee and tea, avoid staying up late, and pay attention to stress reduction and relaxation, as this may lea...[Read More] Understanding Palpitations: Heart Valve Issues or Anxiety?
Understanding Oxygen Deprivation in the Brain During Exercise
The brain is prone to hypoxia? Doctor, I would like to ask why I feel dizzy and lightheaded after just a short period of jogging. It feels like my brain is lacking oxygen, and it takes a long time for me to recover. I notice that others, even girls, seem to handle it easily, whil...
Dr. Lin Jixiong Reply:
Hello: If you experience dizziness and lightheadedness from just light jogging, it may be due to a lack of regular exercise. Therefore, when you do engage in physical activity, your body may not be able to adjust quickly. Although your female classmates may also not exercise regu...[Read More] Understanding Oxygen Deprivation in the Brain During Exercise
Understanding the Connection Between Mitral Valve Prolapse and Anxiety Symptoms
Mitral valve prolapse Doctor, I have symptoms of panic and anxiety! I recently went to the hospital for an examination, and during my visit to the cardiology department, I was diagnosed with mitral valve prolapse. I would like to ask how these two conditions are related. Could th...
Dr. Bu Shiyun Reply:
This question has been answered many times before! Please refer to previous responses. Your issue is caused by emotional stress, tension, anxiety, and a mind-body imbalance. Do not "blame" it on heart problems; this "heart" is not the same as that "heart&...[Read More] Understanding the Connection Between Mitral Valve Prolapse and Anxiety Symptoms
Understanding Hyperventilation: Is It Related to Heart Issues?
Hyperventilation Hello Doctor: I have symptoms of hyperventilation, often waking up in the middle of the night due to difficulty breathing, requiring significant effort to breathe. Sometimes I feel like I can't take a deep breath, and my body feels very uncomfortable. Occasi...
Dr. Bu Shiyun Reply:
Hello: Young people rarely have specific heart diseases; such symptoms are usually not caused by heart problems, but rather the heart is influenced by the nervous system. Most of the reasons are still due to internal emotional and psychological factors, such as tension, anxiety, ...[Read More] Understanding Hyperventilation: Is It Related to Heart Issues?