Understanding Sudden Body Tension and Blood Pressure Spikes: Causes and Solutions
Sudden onset of generalized muscle tension and elevated blood pressure can be caused by several factors, including acute stress or anxiety, panic attacks, pain, or underlying medical conditions such as hyperthyroidism or pheochromocytoma. It is important to evaluate the individua...
Dr. He Dongjin Reply:
Hello, this is not high blood pressure; it is caused by autonomic nervous system dysregulation due to your excessive anxiety. After an episode, you may feel a bit uneasy in the evening, and any slight symptom triggers a severe reaction. You see, it's happening again. I recom...[Read More] Understanding Sudden Body Tension and Blood Pressure Spikes: Causes and Solutions
Concerns About Symptoms Mimicking Endocarditis: What to Watch For
Symptoms similar to endocarditis are concerning? Hello Doctor, due to my cautious nature, I visited a cardiologist on Monday (February 27) to inquire about my condition. The doctor indicated that since I did not have a fever at the time, an ultrasound examination might not necess...
Dr. He Dongjin Reply:
Hello, the doctor will certainly advise you to come in if you experience any discomfort. Your current symptoms do not resemble endocarditis, which rarely presents with atypical symptoms. There's no need to worry; your wound has also healed, hasn't it? Just relax. Changh...[Read More] Concerns About Symptoms Mimicking Endocarditis: What to Watch For
Should You Take Blood Pressure Medication? Understanding Your Readings
I'm unsure whether I should take hypertension medication? Measuring blood pressure at home tends to yield more normal readings, while outside, I often feel anxious, resulting in significantly elevated blood pressure levels. Should I start taking antihypertensive medication? ...
Dr. He Dongjin Reply:
Hello, please first consult a nephrologist to check for hematuria and proteinuria. Issues with proteinuria may also lead to unstable blood pressure, but if blood pressure readings are normal, it is advisable to monitor the situation. Changhua Hospital cares about your well-being.[Read More] Should You Take Blood Pressure Medication? Understanding Your Readings
Managing Hypertension: What to Do After Stopping Blood Pressure Meds?
Discomfort after discontinuing antihypertensive medication? I previously took medication for high blood pressure, but I stopped taking it for a while. Recently, my blood pressure spiked above 140/80, sometimes reaching 150, and I experienced discomfort in my heart, which led me t...
Dr. He Dongjin Reply:
Hello, it seems that your elevated blood pressure may be due to anxiety. Typically, blood pressure increases to levels of 140-150 mmHg do not cause discomfort unless it reaches 180-200 mmHg. The strong heartbeat and shortness of breath you are experiencing are likely related to a...[Read More] Managing Hypertension: What to Do After Stopping Blood Pressure Meds?
Understanding Slow Heart Rate: Causes, Symptoms, and Solutions
Bradycardia accompanied by occasional chest tightness and headaches? Hello Doctor, four years ago I attended a gathering at a friend's house where I consumed alcohol. That same night, I experienced severe arrhythmia and extreme discomfort that lasted for three days. At that ...
Dr. He Dongjin Reply:
Hello, I apologize for not having your electrocardiogram or other data, which prevents me from providing more accurate advice. It is recommended that you visit the cardiology outpatient clinic at the hospital across from Donghai University on Dadu Mountain for further examination...[Read More] Understanding Slow Heart Rate: Causes, Symptoms, and Solutions
Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Exercise Electrocardiogram Report - Follow-up on Myocardial Ischemia Issues Dear Dr. He, I am Mr. Wang, with inquiry number <a href="https://adoctor.tw/article/118453">#118453</a>. Thank you for taking the time to address my concerns. Following up on my pre...
Dr. He Dongjin Reply:
Hello, because your exercise electrocardiogram showed a positive response and no one had the foresight to know the condition inside your body before performing angiography, the physician, prioritizing patient safety, will definitely prescribe the aforementioned medications. Unles...[Read More] Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Understanding Heart Pain: Causes and When to Seek Further Evaluation
Chest pain? Hello Doctor: I have a personal medical history of hypertension and regularly take medication for it. However, I sometimes experience sharp chest pain, which has been troubling me for a long time. When this occurs, my blood pressure spikes, especially at night when I ...
Dr. He Dongjin Reply:
Hello, you have undergone a stress electrocardiogram and a nuclear medicine imaging examination at the hospital, and the results are normal. It seems that you may have a higher chance of experiencing neuralgia or gastroesophageal reflux. It is recommended to take some relaxants a...[Read More] Understanding Heart Pain: Causes and When to Seek Further Evaluation
Managing Arrhythmia and High Blood Pressure: When to Seek Further Testing
Arrhythmia Blood Pressure Hello Doctor: I have issues with arrhythmia and elevated blood pressure. I previously took antihypertensive medication for a month but felt uncomfortable, so my doctor advised me to improve my diet and habits regarding alcohol and smoking. After stopping...
Dr. He Dongjin Reply:
Hello, recently the weather has been fluctuating greatly in winter, and having blood pressure ranging from 135 to 150 is considered normal. It is recommended to visit a cardiology clinic for evaluation. Taking some medication for adjustment should help. Changhua Hospital cares ab...[Read More] Managing Arrhythmia and High Blood Pressure: When to Seek Further Testing
Understanding Blood Pressure Control: Height's Impact on Hypertension
Regarding blood pressure control? Hello Doctor: Recently, I had a severe cold and a serious cough, and during a medical visit, I discovered that my blood pressure was elevated at around 155/107. After a week of observation, the clinic doctor started me on two antihypertensive med...
Dr. He Dongjin Reply:
Hello, tall individual. Blood pressure and height do not influence each other. When experiencing a severe cold and serious cough, elevated blood pressure does not necessarily indicate hypertension. Dizziness may occur when standing up from a sitting or squatting position, which c...[Read More] Understanding Blood Pressure Control: Height's Impact on Hypertension
Understanding Rapid Heartbeat: Causes and When to Seek Medical Help
Rapid heartbeat Hello, Dr. He. My usual heart rate is around 70-80 beats per minute, but in the past few days, my heart rate has been consistently fast, measuring between 106-112 beats per minute. My blood pressure readings are around 105-120 mmHg for systolic and 65-83 mmHg for ...
Dr. He Dongjin Reply:
Hello Ajie, it is possible that your thyroid function is abnormal again or that you are experiencing autonomic nervous system dysregulation. You can start by monitoring your condition. If you continue to feel unwell, please visit the cardiology outpatient clinic for further exami...[Read More] Understanding Rapid Heartbeat: Causes and When to Seek Medical Help
Can Arrhythmia Cause Chest Pain? Understanding Heart Symptoms
Can arrhythmia cause chest pain? Hello, Doctor He. I occasionally experience a type of nerve pain in my chest area, which is not triggered or worsened by exercise, and it does not cause me to break out in a cold sweat. Each episode lasts for a few seconds. My medical history incl...
Dr. He Dongjin Reply:
Hello, there are many causes of chest pain, and arrhythmias can also cause chest pain. A routine chest CT scan can be helpful for cardiologists in making a diagnosis. It is difficult to determine whether unexplained pain is caused by arrhythmias, so further examination in the out...[Read More] Can Arrhythmia Cause Chest Pain? Understanding Heart Symptoms
Understanding High Blood Pressure: Causes and Concerns for Women
Hypertension My mother had a systolic blood pressure of 147 and diastolic blood pressure of 110 last month. A week ago, her systolic was 168 and diastolic was 90. This week, her systolic is 170 and diastolic is 85. She mentioned that it might be due to menopause causing her blood...
Dr. Lin Jixiong Reply:
Based on the described blood pressure readings, the blood pressure is elevated and meets the definition of hypertension. It is recommended to consult a cardiologist to discuss the possibility of starting medication treatment.[Read More] Understanding High Blood Pressure: Causes and Concerns for Women
Understanding Elevated Pulse After Health Check: Anxiety or Heart Issue?
After the physical examination, it was reported that the pulse was elevated? Hello doctor, I had my pulse measured at 110 during a pre-employment health check, and after resting, it was measured at 118, which I thought was due to anxiety. Then it went up to 127. I've been fe...
Dr. He Dongjin Reply:
Hello, it's normal to feel anxious. Symptoms caused by autonomic nervous system dysregulation can be concerning, but don't panic. A fast heartbeat is not a disease; it's arrhythmia that you should worry about. Since you do not have arrhythmia, there's no need ...[Read More] Understanding Elevated Pulse After Health Check: Anxiety or Heart Issue?
Understanding Autonomic Nervous System Disorders and Heart Rate Issues
Autonomic nervous system disorder with tachycardia? Hello, Doctor He. I would like to ask you about my previous experience where I suddenly had symptoms of a heart attack while at rest (my left arm went completely numb up to my neck, my heart was racing, I had difficulty breathin...
Dr. He Dongjin Reply:
Hello, have you had your thyroid checked? The symptoms are related to POTS syndrome, where the heart beats irregularly but does not lead to heart failure. It is possible to avoid beta-blockers. Clinically, there are many patients who feel discomfort in their hearts all the time, ...[Read More] Understanding Autonomic Nervous System Disorders and Heart Rate Issues
Managing Risks During Dialysis Catheter Replacement with Pacemakers
Complications that may occur during pacemaker surgery? Hello, Doctor He. I would like to ask you about my father, who has a pacemaker and is also a dialysis patient. He needs to have his obstructed permanent dialysis catheter replaced every 4 to 6 months at the hospital. In the e...
Dr. He Dongjin Reply:
Hello, the surgeons are very experienced. The surgery is unrelated to the cardiac pacemaker. If low blood pressure or near-shock states occur, emergency treatment should depend on the cause at that moment. If it is just a phlegm blockage, urgent treatment can restore the situatio...[Read More] Managing Risks During Dialysis Catheter Replacement with Pacemakers
Understanding Long-Term Dizziness and Brain Fog: When to Seek Help
Long-term feelings of head heaviness (a dull sensation in the brain) can impact daily life? During my student years (from 1995 to 2005), I experienced several episodes of sudden dizziness. While standing, I would suddenly feel dizzy (not necessarily after standing up from a squat...
Dr. He Dongjin Reply:
Hello, your heart is fine and there is no anemia. The electrocardiogram and cardiovascular examinations showed no abnormalities and are unrelated to your symptoms. A series of tests conducted at Linkou Chang Gung Memorial Hospital yielded normal results with no anemia. Blood pres...[Read More] Understanding Long-Term Dizziness and Brain Fog: When to Seek Help
Breathlessness and Chest Discomfort: When to Consult a Cardiologist?
Feeling short of breath? Hello, doctor. Since last year, I have been experiencing chest tightness intermittently and went to the hospital for a cardiology check-up. During the initial examination at the beginning of last year, my exercise stress test results were normal. However,...
Dr. He Dongjin Reply:
Hello Kenny, due to recent weather changes, the low atmospheric pressure can lead to symptoms of shortness of breath, which is commonly seen in outpatient clinics. It should not be a cause for concern. The symptoms are often caused by autonomic nervous system dysregulation, so At...[Read More] Breathlessness and Chest Discomfort: When to Consult a Cardiologist?
Managing Heart Health: Questions on Blood Pressure, Sugar, and Symptoms
Examination issues Hello, doctor. I am 165 cm tall and weigh 127 kg (I originally weighed 150 kg and have lost weight over the past two and a half months). I am taking antihypertensive medication and diabetes medication: Shumai Kang enteric-coated tablets 5/20 mg (1 tablet), Teno...
Dr. He Dongjin Reply:
Hello, it is recommended to reduce the medication dosage as your blood pressure is too low. You can decrease Tenormin 100 mg to half a tablet (0.25 mg) and then discontinue it. If you continue to lose weight, you can reduce the dosage of Kuroha tablets from one tablet in the morn...[Read More] Managing Heart Health: Questions on Blood Pressure, Sugar, and Symptoms
Rapid Heartbeat and Low Blood Pressure: Understanding Your Symptoms
Tachycardia with hypotension? I have low blood pressure and body temperature, but my heart rate often exceeds 100 beats per minute (even during normal activities without exercise). Today, I visited a clinic due to an allergic reaction on my face that caused a rash. When the nurse...
Dr. Lin Jixiong Reply:
It is recommended to have a consultation at the cardiology outpatient clinic.[Read More] Rapid Heartbeat and Low Blood Pressure: Understanding Your Symptoms
Understanding Chest Pain: Is It Heart-Related or Something Else?
Occasional sharp pain near the heart? Hello, over the past year, I have experienced occasional sharp pains near my heart, but I usually don't feel anything significant. My blood pressure has been normal in the past, although it has been slightly elevated at times, possibly d...
Dr. He Dongjin Reply:
Hello, yellow-green skin? It is advisable to observe it first. If you are still concerned, you should see a dermatologist. Based on the symptoms, it does not appear to be psychogenic chest pain; it seems more like chest pain caused by muscular or neurological issues. However, if ...[Read More] Understanding Chest Pain: Is It Heart-Related or Something Else?