Understanding Heavy Chest and Weakness Upon Waking: Heart Health Insights
The feeling of heaviness and weakness upon waking up? Hello, Director. About 15 years ago, I started experiencing a heavy sensation in the left side of my chest, where my heart is located, upon waking up and preparing to get out of bed. I feel very weak and uncomfortable, but the...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue; it is suspected to be caused by autonomic nervous system dysfunction. It is recommended to visit a psychosomatic medicine specialist for medication. Changhua Hospital cares about you.[Read More] Understanding Heavy Chest and Weakness Upon Waking: Heart Health Insights
Understanding Heart Discomfort: Is It Cardiac or Autonomic Nervous Issues?
Cardiac examination issues? Hello, doctor. Although I've been feeling discomfort in my heart for almost a month, sometimes it feels like sharp pain or chest tightness, and occasionally I also experience pain along the edge of my jaw. I researched online and found information...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended ...[Read More] Understanding Heart Discomfort: Is It Cardiac or Autonomic Nervous Issues?
Understanding Mitral and Aortic Valve Regurgitation: Symptoms and Management
Chest pain and valve insufficiency issues? Hello Doctor, about a year ago, I experienced shortness of breath and a slight stabbing pain in my left chest, so I went to the hospital for a cardiac ultrasound and an electrocardiogram. After the examination, I was diagnosed with "...
Dr. Wu Xueming Reply:
1. Due to your young age and absence of chronic diseases, your risk of developing heart disease is low, so there is no need for concern. 2. Mild to moderate mitral and aortic regurgitation does not require daily medication. It is recommended to adjust your lifestyle and engage in...[Read More] Understanding Mitral and Aortic Valve Regurgitation: Symptoms and Management
Understanding Autonomic Nervous System Disorders and Heart Health
Autonomic nervous system dysfunction? Hello, doctor. I feel a bit scared, so I came to ask about something. Sometimes, when I'm about to fall asleep, I suddenly wake up at the brink of sleep, accompanied by feelings of fear, palpitations, and a racing heart. However, after w...
Dr. He Dongjin Reply:
Hello, it is likely related to autonomic nervous system dysregulation. I recommend visiting a psychosomatic medicine specialist for medication adjustment. I will pray for your peace. Changhua Hospital cares about you.[Read More] Understanding Autonomic Nervous System Disorders and Heart Health
Understanding Early Heart Contractions: Causes and Management Tips
Premature contractions Hello doctor, I am really nervous because I experienced this phenomenon before and had it checked, but at that time the doctor didn't say much, just mentioned it was okay and prescribed some medication which I didn't take often. For the past two y...
Dr. He Dongjin Reply:
Hello, anxiety, emotional fluctuations, and significant temperature changes can lead to autonomic nervous system dysregulation, increasing the likelihood of benign arrhythmias. You're right; relaxing can help restore the autonomic nervous system. There's nothing to worr...[Read More] Understanding Early Heart Contractions: Causes and Management Tips
Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor, for the past month, I have been experiencing persistent left chest tightness that comes and goes. Sometimes, I also feel my heart racing, and it feels quite strong, especially when I am sitting. This is often accompan...
Dr. He Dongjin Reply:
Hello, it is recommended to see a gastroenterologist to rule out gastroesophageal reflux disease (GERD), as it may be related to stress and there is a high likelihood of autonomic nervous system dysfunction. We pray for your peace and well-being. Changhua Hospital cares about you...[Read More] Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Understanding Heart Palpitations: When to Seek Medical Help
The heartbeat is so strong that I can feel my body shaking (unsure if it's a heart issue)? Hello, Director Wu. I would like to ask about a concern I've been experiencing over the past week. I often feel like my heart skips a beat, and then suddenly beats very hard, caus...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Heart Palpitations: When to Seek Medical Help
Understanding Heart Palpitations: The Impact of Autonomic Nervous System Disorders
Premature contractions (premature beats) due to autonomic nervous system dysregulation? Hello Doctor, two years ago I was diagnosed with mitral valve prolapse after an episode and was ultimately determined to have benign arrhythmia caused by autonomic nervous system dysfunction. ...
Dr. He Dongjin Reply:
Hello, is this related to autonomic nervous system disorders that last a lifetime? Don't think too seriously about it! We often catch colds, right? Have you ever thought that a cold could last a lifetime? Just think of it as a "heart cold." It will get better after...[Read More] Understanding Heart Palpitations: The Impact of Autonomic Nervous System Disorders
Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
High blood pressure and issues related to a 24-hour Holter monitor? Thank you, doctor, for taking the time to respond. I would like to ask about an incident that occurred around 3 or 4 AM one night when I was still awake. Suddenly, I felt anxious, had difficulty breathing, and my...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your lifestyle, avoid overly salty diets, and engage in regular exercise. However, if bl...[Read More] Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
Managing Mitral Valve Prolapse and Aortic Regurgitation: Treatment Options
Mitral valve prolapse, aortic valve insufficiency, and mitral and tricuspid valve regurgitation? Hello Doctor: I have been experiencing chest pain and intermittent pain on the left side of my heart. After a check-up with a cardiologist, I was diagnosed with mild mitral valve prol...
Dr. He Dongjin Reply:
Hello, Kang Ken 1.25 and Zanano 0.5 are primarily used to treat mild autonomic nervous system disorders associated with mitral valve prolapse and regurgitation. Generally, observation is sufficient, and no treatment is necessary. You can try taking Kang Ken 1.25, one tablet in th...[Read More] Managing Mitral Valve Prolapse and Aortic Regurgitation: Treatment Options
Understanding Weak Heartbeats and Dizziness: When to Seek Help
Feeling weak and having a weak heartbeat? Hello Doctor, for the past month or so, I have frequently felt weak heartbeats, fatigue, and dizziness (feeling heavy-headed and experiencing visual disturbances). Sometimes I experience palpitations (around 100 beats per minute) and at o...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Understanding Weak Heartbeats and Dizziness: When to Seek Help
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello doctor, a few months ago I experienced dizziness, chest tightness, difficulty breathing, rapid heartbeat, and discomfort in my stomach, which led me to visit the emergency room several times. I have been examined by both gastroenterology...
Dr. He Dongjin Reply:
Hello, it is indeed a situation of autonomic nervous system dysregulation with hyperventilation. You can continue to see a gastroenterologist and a cardiologist. Don't overthink it; there is nothing serious to worry about. Praying for your peace. Changhua Hospital cares abou...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Nighttime Panic: Is It Related to Autonomic Nervous System Dysfunction?
Waking up suddenly just before falling asleep may be related to the autonomic nervous system? Hello Doctor, as per the title, I have experienced several episodes in the past few days where I wake up suddenly just as I'm about to fall asleep, accompanied by a bit of panic. I ...
Dr. He Dongjin Reply:
Hello, it is related to autonomic nervous system dysfunction. Symptoms may persist, but using some simple medications before sleep can help. Changhua Hospital cares about you.[Read More] Understanding Nighttime Panic: Is It Related to Autonomic Nervous System Dysfunction?
Understanding Atrial Fibrillation Recurrence After Catheter Ablation
Six months after catheter ablation for atrial fibrillation? First of all, thank you, doctor, for selflessly answering everyone's questions; it is truly touching. I underwent catheter ablation for atrial fibrillation in March of this year, during which there were no arrhythmi...
Dr. He Dongjin Reply:
Hello, an episode of paroxysmal atrial fibrillation lasting 6 hours can be considered a recurrence. Is there a chance it won't happen again? Of course, there is, but it's not very high. It's best to start medication to stabilize the condition and see if we can coex...[Read More] Understanding Atrial Fibrillation Recurrence After Catheter Ablation
Chest Tightness and Numbness: When to Seek Further Medical Evaluation
Chest tightness and hand numbness? I often feel anxious due to various matters and tend to overthink. Last week, I experienced chest tightness and went to a clinic for a check-up. I had an X-ray and an electrocardiogram, and the doctor said there were no abnormalities, advising u...
Dr. He Dongjin Reply:
Hello, the discomfort you are experiencing may be caused by autonomic nervous system dysfunction. It is advisable to monitor your condition; however, if the discomfort persists, it is recommended that you visit a cardiology clinic for further evaluation. Changhua Hospital cares a...[Read More] Chest Tightness and Numbness: When to Seek Further Medical Evaluation
Understanding Autonomic Nervous System Disorders: Heart Palpitations and Medications
Is it autonomic nervous system dysfunction? Hello Doctor, this is Mr. Yu, inquiry number 159498. I still have some questions to ask. 1) Does taking propranolol and sertraline have any impact on the liver? 2) Recently, I sometimes experience a brief (one to two seconds) feeling of...
Dr. He Dongjin Reply:
Hello, propranolol and sertraline do not have an impact on the liver. A brief feeling of palpitations or discomfort is normal and can be classified as cardiac neurosis, which is similar to autonomic nervous system dysregulation. Changhua Hospital cares about your well-being.[Read More] Understanding Autonomic Nervous System Disorders: Heart Palpitations and Medications
Managing Panic Attacks and Autonomic Nervous System Disorders
How to Adjust After Experiencing Autonomic Nervous System Dysregulation and Panic Attacks Dear Doctor, I hope you can help me (I hope you can read through this lengthy message). Since childhood, I have experienced sudden awakenings during sleep, feeling as if the objects around ...
Dr. He Dongjin Reply:
Hello, regarding issues with autonomic nervous system dysregulation and panic disorder, I suggest discussing it with a mental health specialist. The medication "Xinkang Le" (心康樂) is a low-dose option that can be taken as needed without any issues. I believe that using s...[Read More] Managing Panic Attacks and Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders and Heart Palpitations
Is it autonomic nervous system dysfunction? Hello Doctor, I was born in Hong Kong and noticed that your website in Taiwan has a lot of information regarding this symptom, so I specifically came to consult you. In the past few months, I have started experiencing palpitations. In M...
Dr. He Dongjin Reply:
Hello, the feeling of missed beats and facial flushing can be managed by increasing the dosage of propranolol and sertraline to three times a day for now. Once your condition stabilizes, you can reduce the dosage back down. Don't worry, palpitations are not a disease and pos...[Read More] Understanding Autonomic Nervous System Disorders and Heart Palpitations
Understanding Dizziness and Heart Palpitations When Standing Up
When standing up, I experience a whiteout in my vision, a strong heartbeat, and feelings of dizziness and nausea? Hello doctor, when I stand up, my vision turns white and I feel a bit unsteady, but it returns to normal within 5-10 seconds. I experience dizziness and a sensation o...
Dr. He Dongjin Reply:
Hello, it is recommended to visit a cardiology outpatient clinic for further examination to check for any other abnormalities related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Dizziness and Heart Palpitations When Standing Up
Understanding Blood Pressure Issues in Post-Menopausal Women
Blood pressure issues? Hello, doctor! I am 55 years old and have been in menopause for 3 years. I have no discomfort symptoms, maintain a light diet, and exercise daily. Recently, I have been experiencing knee pain and dizziness, so I consulted an orthopedic doctor, an ENT specia...
Dr. He Dongjin Reply:
Hello, it is likely that the autonomic nervous system imbalance caused by menopause is leading to unstable blood pressure, which is not hypertension. It is advisable to observe the situation first without the need for medication. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Issues in Post-Menopausal Women