Which Specialist Should I See for Chest Discomfort and Breathing Issues?
Please specify the department? Hello Doctor: Recently, I have been experiencing a feeling of tightness in my chest, difficulty breathing, and I have to exert a lot of effort to breathe. I also feel lightheaded, my hands and feet often feel numb, and my eyelids have been twitching...
Dr. He Dongjin Reply:
Hello, you may need to see a cardiologist or a psychiatrist, as it seems to be caused by autonomic nervous system dysfunction. Changhua Hospital is concerned about you.[Read More] Which Specialist Should I See for Chest Discomfort and Breathing Issues?
Understanding Long-Term Chest Pain and Breathing Issues: What to Know
Long-term chest tightness, chest pain, and difficulty breathing? Hello doctor, I would like to ask about my long-term chest discomfort. For the past year, I have been feeling a sense of pressure when breathing, and the chest pain has become increasingly noticeable, especially dur...
Dr. He Dongjin Reply:
Hello, based on your description, your symptoms have been present for 45 years. Since you have undergone echocardiography and electrocardiograms with no abnormalities, there may not be a need for continuous testing. The likelihood of autonomic nervous system dysfunction is high, ...[Read More] Understanding Long-Term Chest Pain and Breathing Issues: What to Know
Why Do I Wake Up with a Racing Heart After Falling Asleep?
Waking up shortly after falling asleep due to rapid heart rate? Hello doctor, sometimes I suddenly wake up shortly after falling asleep with my heart racing as if it's about to burst out of my chest. I feel very uncomfortable, and I can barely stand up. It takes several minu...
Dr. He Dongjin Reply:
Hello, you may be experiencing paroxysmal arrhythmia or mitral valve prolapse associated with autonomic nervous system dysfunction. It is recommended to arrange a 24-hour Holter monitor for further evaluation. Changhua Hospital cares about your health.[Read More] Why Do I Wake Up with a Racing Heart After Falling Asleep?
Understanding Rapid Heartbeat: Anxiety and Its Impact on Heart Health
Feeling a rapid heartbeat? I am a person who gets nervous easily and had mild anxiety several years ago. Recently, I have been experiencing occasional rapid heartbeats, difficulty falling asleep at night, and palpitations after meals, with my heart rate measuring around 100 at th...
Dr. Lin Jixiong Reply:
Hello, it seems to be a problem related to autonomic nervous system dysfunction. You can discuss this further with a cardiologist. Dr. Lin Chi-Hsiung.[Read More] Understanding Rapid Heartbeat: Anxiety and Its Impact on Heart Health
Understanding Autonomic Nervous System Disorders and Their Symptoms
Suspected autonomic nervous system dysfunction? Thank you for the doctor's previous response. My stomach condition did not improve significantly after taking medication, and my heart rate does not decrease even after resting post-exercise. I underwent a stress echocardiogram...
Dr. He Dongjin Reply:
Hello, this is regarding the condition of autonomic nervous system disorder. Rivotril may cause dizziness and drowsiness, which can lead to poor daytime alertness and increased sleepiness. It is advisable to return to the outpatient clinic to discuss with your physician about adj...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Can Autonomic Nervous System Disorders Affect Blood Vessel Elasticity?
Autonomic Nervous System Hello, doctor. I used to stay up late frequently, and now I experience dizziness after standing or sitting for long periods. If this is caused by autonomic nervous system dysfunction leading to poor vascular elasticity, can it be completely resolved? Than...
Dr. He Dongjin Reply:
Hello, you should not lose confidence. Keep it up! Changhua Hospital cares about you.[Read More] Can Autonomic Nervous System Disorders Affect Blood Vessel Elasticity?
Understanding Chest Discomfort and Numbness During Sleep
Numbness during sleep? Hello doctor, when I first lie down to sleep, I feel a pressure in my chest, as if blood is pooling in my chest and head. At that time, my blood pressure is not high. For the past two weeks, when I wake up, my tongue feels numb, and my head and chest also f...
Dr. He Dongjin Reply:
Hello, it doesn't seem like a heart or vascular issue; rather, it appears to be caused by autonomic nervous system dysfunction. It would be advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Discomfort and Numbness During Sleep
Understanding Rapid Heartbeat and Dizziness: Is It a Sign of Heart Issues?
Tachycardia and dizziness? Hello Doctor: I have experienced tachycardia, with my heart rate reaching over 130 beats per minute at times, while my usual rate is around 84 to 90. I smoke, but when I tried not smoking for a day, my heart rate dropped to 72. Whenever my heart rate ex...
Dr. He Dongjin Reply:
Hello, this is autonomic nervous system dysfunction, not a precursor to myocardial infarction. If you're worried about a heart attack, it would be best to quit smoking. There may not be a need for further cardiac examinations. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat and Dizziness: Is It a Sign of Heart Issues?
Understanding Heart Issues: Why Tests May Not Reveal the Problem
Cannot be detected? Recently, I went to the emergency department of a regional hospital at night due to chest tightness and arrhythmia (my blood pressure was measured at 153/85). They arranged for an electrocardiogram (ECG), chest X-ray, and blood tests. The emergency physician s...
Dr. He Dongjin Reply:
Hello, if you have visited the emergency department and the ECG, chest X-ray, and blood tests do not reveal any acute issues, such as myocardial infarction or paroxysmal palpitations and arrhythmias, these cannot be diagnosed using the aforementioned methods. It sounds more like ...[Read More] Understanding Heart Issues: Why Tests May Not Reveal the Problem
Understanding Heart Pain, Shortness of Breath, and Dizziness Symptoms
Experiencing heart pain, shortness of breath, and dizziness? Hello doctor, I am usually a night owl and do not have a habit of exercising. I often experience shoulder and neck pain and stiffness. After one instance of staying up too late, I noticed that whenever I am too tired or...
Dr. He Dongjin Reply:
Hello, please stop staying up late. Your late nights have caused autonomic nervous system dysfunction, leading to the symptoms mentioned above, which do not appear to be related to heart issues or hypertension. Adjusting to a normal daily routine and engaging in regular exercise ...[Read More] Understanding Heart Pain, Shortness of Breath, and Dizziness Symptoms
Understanding Palpitations: Causes and Concerns for Your Heart Health
Palpitations!? Hello doctor, I have been experiencing persistent palpitations when lying down for the past few days, but not when standing or sitting. This is accompanied by intercostal muscle pain and difficulty breathing, which has led to insomnia and insufficient sleep. Could ...
Dr. He Dongjin Reply:
Hello, your symptoms seem to indicate autonomic nervous system dysfunction. If the symptoms are severe enough to cause you distress, it is recommended to use some medication for improvement. It is advisable to visit a cardiology outpatient clinic for further management. Changhua ...[Read More] Understanding Palpitations: Causes and Concerns for Your Heart Health
Understanding Heart Palpitations: When to Seek Further Medical Advice
My heart is racing, but the hospital says everything is fine? Hello, I am 24 years old and have had issues with obesity and hypertension. Since June of last year (2015), I have been seeing a cardiologist who diagnosed me with hypertension. The doctor mentioned that my high blood ...
Dr. He Dongjin Reply:
Hello, it is likely caused by autonomic nervous system dysregulation. It is recommended to use some simple medications for improvement, such as 0.5 mg Bisoprolol or Cardiolol. Seasonal changes and weather may also have an impact. There is no need to worry; everything should be fi...[Read More] Understanding Heart Palpitations: When to Seek Further Medical Advice
Sudden Strong Heartbeats: When to Seek Medical Attention?
Sudden episodes of strong heartbeats? Recently, I have often felt my heart beating very noticeably, and it usually accelerates, but it lasts only for a short time, typically around 15 seconds. I thought it was due to the cold weather lately, but last night, while lying in bed pre...
Dr. He Dongjin Reply:
Hello, it sounds like it could be autonomic nervous system dysfunction or paroxysmal arrhythmia. If the symptoms persist, it is advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Sudden Strong Heartbeats: When to Seek Medical Attention?
Understanding Heart Issues: Symptoms and When to Seek Help
Cardiac issues Hello doctor, I have been feeling like there is something wrong with my heart for the past six months. My symptoms include occasional shortness of breath while sleeping, and I feel a sense of pressure in my heart when lying on my left or right side, which can even ...
Dr. He Dongjin Reply:
Hello, based on your description, there is a higher likelihood of autonomic nervous system dysfunction. However, it is difficult to determine if there are any organic issues. It is recommended that you visit a cardiology clinic for further examination. Changhua Hospital cares abo...[Read More] Understanding Heart Issues: Symptoms and When to Seek Help
Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Is it normal? Hello doctor, I often feel dizzy, have difficulty breathing, and sometimes experience palpitations. My limbs are cold every day. My parents have a history of hypertension and hypotension. When I measured my blood pressure at the hospital, it was only 106/33. Is this...
Dr. He Dongjin Reply:
Hello, considering your age, this blood pressure is acceptable. However, if you frequently feel dizzy, short of breath, and sometimes experience palpitations, along with cold extremities every day, it may be related to autonomic nervous system dysfunction. It is advisable to visi...[Read More] Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Understanding Pain Causes in Mitral Valve Insufficiency and Relief Options
What is the cause of pain in mitral valve insufficiency? Hello, I have previously undergone an echocardiogram in the cardiology department, which confirmed this condition. The doctor mentioned that it is not serious and very mild. I would like to ask what the cause of the pain mi...
Dr. He Dongjin Reply:
Hello, part of the reason is autonomic nervous system dysfunction, and part is due to mitral valve prolapse causing hemodynamic instability. It should be fine to take medication, as it may help alleviate some symptoms. Changhua Hospital cares about you.[Read More] Understanding Pain Causes in Mitral Valve Insufficiency and Relief Options
Chest Pain Near the Heart: When to Seek Medical Attention
Pain near the heart? Hello doctor, I would like to ask about the pain near my heart, which I believe is in the bone area. This symptom has been present for a month. Recently, with the colder weather, I have also experienced difficulty breathing or needing to exert more effort to ...
Dr. He Dongjin Reply:
Hello, it seems that you may be experiencing mitral valve prolapse accompanied by autonomic nervous system dysfunction, likely exacerbated by high stress and changes in weather. This should not pose a significant issue, but if you continue to feel unwell, it is advisable to visit...[Read More] Chest Pain Near the Heart: When to Seek Medical Attention
Understanding Chest Discomfort: Insights on Anxiety and Heart Health
Distressing chest tightness? Hello, Doctor He. I am 155 cm tall and weigh 60 kg. I would like to ask about an incident that occurred on December 27th when I fainted after taking a long bath (I felt fine after resting). Since returning from a trip to Alishan from January 1st to 3r...
Dr. He Dongjin Reply:
Hello, you just fainted recently, and with the unstable weather lately, experiencing chest tightness and palpitations is understandable. It may take some time for your symptoms to improve once the weather stabilizes. Based on your description, autonomic nervous system dysfunction...[Read More] Understanding Chest Discomfort: Insights on Anxiety and Heart Health
Understanding Unstable Blood Pressure: Symptoms and Potential Causes
Unstable blood pressure? Hello doctor, I have been experiencing frequent palpitations, chest tightness, and dizziness, sometimes feeling like I might faint. I also have anxiety and panic, with my blood pressure being very unstable, reaching as high as 17X/12X, but sometimes dropp...
Dr. He Dongjin Reply:
Hello, your symptoms do not seem to resemble those of a pheochromocytoma; they are more likely related to autonomic nervous system dysfunction. It is advisable to consult a cardiologist for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Unstable Blood Pressure: Symptoms and Potential Causes
Understanding Dizziness: Possible Causes and When to Seek Help
Dizziness in the head? Hello Doctor: For the past four months, I have been feeling dizzy. My usual blood pressure readings are around 100 to 120. I have fainted before while donating blood, and recently, whenever I go to crowded places, hear loud voices, witness arguments, or fee...
Dr. He Dongjin Reply:
Hello, it seems that autonomic nervous system dysfunction may be at play. It is advisable to visit a neurology clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Dizziness: Possible Causes and When to Seek Help