Understanding Rapid Pulse in Elderly with Heart and Kidney Issues
The pulse is increasingly rapid? My grandmother has hypertrophy of the heart, hypertension, diabetes, and anemia. In March of this year, she was hospitalized due to kidney failure, with her kidney function at 6.0, close to the point of needing dialysis. However, recently her bloo...
Dr. He Dongjin Reply:
Hello, if there is simply tachycardia without arrhythmia, observation should suffice. It is advisable to first check the pulse; if irregular beats are detected, it is recommended to visit a cardiology clinic for evaluation. This is because, in cases of anemia, the heart must pump...[Read More] Understanding Rapid Pulse in Elderly with Heart and Kidney Issues
Understanding High Blood Pressure vs. Autonomic Nervous System Disorders
Hypertension or autonomic nervous system dysfunction? Hello Doctor, two months ago I experienced long-term stress, insomnia, and often hear my own heartbeat. I have shoulder and neck pain. My blood pressure sometimes spikes suddenly to 170/100 (this has happened five times in the...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction is not caused by high blood pressure. Propranolol and fludiazepam have no side effects on the liver and kidneys, so please rest assured. Currently, there is no need for additional coronary computed tomography angiography. Changhua Hospi...[Read More] Understanding High Blood Pressure vs. Autonomic Nervous System Disorders
Why Does My Heart Race After Minimal Activity? Understanding Cardiovascular Concerns
After walking just a few steps, my heart rate increases and beats very strongly? Dear: Recently, I have noticed that after walking just a few steps or climbing 1-2 flights of stairs, my heart starts to race and beats very strongly. I need to rest for a few minutes before it gets ...
Dr. He Dongjin Reply:
Hello, you can gradually increase your activity level and see if there is any improvement. If the symptoms persist, it is advisable to visit the outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Why Does My Heart Race After Minimal Activity? Understanding Cardiovascular Concerns
Understanding Ear Swelling and Dizziness: Causes and Solutions
Dizziness, a sensation of body swaying, inner ear edema, and ear fullness? At the beginning of August, I suddenly experienced ear fullness and difficulty hearing upon waking up. I visited an otolaryngologist and underwent a hearing test, which revealed decreased hearing in my lef...
Dr. He Dongjin Reply:
Hello, you should still see an otolaryngologist. Currently, the symptoms you are experiencing are likely a result of the original condition gradually improving. Theoretically, these symptoms should continue to improve. We pray for your peace and well-being. Changhua Hospital care...[Read More] Understanding Ear Swelling and Dizziness: Causes and Solutions
How Long Can High Blood Pressure Lead to Complications?
How long does it take for hypertension to cause complications? Hello doctor, my blood pressure has been elevated for over a year, usually around 140/70-80. I am very worried that my body may have already suffered damage due to high blood pressure, as I have read online that hyper...
Dr. He Dongjin Reply:
Hello, please record your blood pressure completely and then visit the cardiology outpatient clinic to discuss it with the physician in person. Together, you can decide whether further examination or medication is necessary. Changhua Hospital cares about you.[Read More] How Long Can High Blood Pressure Lead to Complications?
Understanding Dizziness, Nausea, and Chest Pain: A Heart Health Guide
Nausea, dizziness, cold sweats, and chest pain? On the morning of August 14, I experienced a sore throat. While standing at work during lunch, I suddenly felt nauseous and decided to rest for a moment. I then became very dizzy and fainted (the episode lasted only about 5 to 6 sec...
Dr. He Dongjin Reply:
Hello, it seems that you usually have low blood pressure. Over the past two days, being unwell has caused your blood pressure to drop even further, leading to insufficient blood flow to the brain, which is likely causing your discomfort. You should feel better in a couple of days...[Read More] Understanding Dizziness, Nausea, and Chest Pain: A Heart Health Guide
Understanding Blood Pressure Differences Between Arms: When to Seek Help
Difference in blood pressure between the two arms? Hello, Doctor! I would like to ask about my blood pressure readings. My left arm diastolic pressure is 125, and my right arm is 147, with systolic pressure around 90 in both arms. There is a difference of 22 in diastolic pressure...
Dr. He Dongjin Reply:
Hello, this can be observed within acceptable limits. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Differences Between Arms: When to Seek Help
Should I Start Taking Blood Pressure Medication? Understanding My Readings
Do I need to start taking medication for high blood pressure? My blood pressure readings at home are generally normal, but my diastolic pressure is slightly high, averaging around 85. However, I am concerned because sometimes after eating or finishing household chores, my reading...
Dr. He Dongjin Reply:
Hello, please do not measure your blood pressure during activities as it may not be accurate. As you mentioned, you do not have hypertension and currently do not need to take medication. Changhua Hospital is concerned about your well-being.[Read More] Should I Start Taking Blood Pressure Medication? Understanding My Readings
Why Exercise and Weight Loss Didn't Lower My Blood Pressure
I've been exercising to lose fat for a year, but my blood pressure hasn't decreased... I feel like crying? Hello, Doctor. Last year, my blood pressure was around 150 to 160 over 100 to 110. I spent a year exercising and lost 15 kilograms, bringing my weight down to 70 k...
Dr. He Dongjin Reply:
Hello, it seems that Changhua Hospital is concerned about you.[Read More] Why Exercise and Weight Loss Didn't Lower My Blood Pressure
Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Arrhythmia or coronary artery obstruction? I do not smoke, am not obese, and have no family history of hypertension. However, over the past two to three years, my cholesterol levels have gradually increased beyond the normal range, and my blood pressure has also slightly exceeded...
Dr. He Dongjin Reply:
Hello, 1. The scan report indicates an arterial blockage rate of less than 25%, which suggests there is likely no blockage; however, the doctor mentioned that there is still a possibility of coronary artery obstruction. While nothing is ever 100% certain, the probability of cor...[Read More] Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Can Exercise Improve Low Blood Pressure and Heart Health?
Hello, Dr. He? I apologize, but I would like to ask you a question. Recently, I have been measuring my blood pressure at home, and it often fluctuates around 100/62 mmHg, sometimes dropping to 94/58 mmHg. At night, when I lie down to sleep, it can even go down to 87/55 mmHg. Due ...
Dr. He Dongjin Reply:
Hello, given your age, this blood pressure should be normal, and there is no need for concern. All your tests are normal, so you shouldn't worry. Currently, it seems that anxiety is causing autonomic nervous system dysregulation, leading to discomfort. Lower blood pressure t...[Read More] Can Exercise Improve Low Blood Pressure and Heart Health?
Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Please consult Dr. He for guidance. Thank you? Dear Dr. He, Good day. I have been experiencing a health issue since the end of May this year, which has persisted for over two months now. I have consulted several doctors from different hospitals and specialties, but I have not fo...
Dr. He Dongjin Reply:
Hello, the symptoms you described sound like a case of autonomic nervous system dysregulation syndrome combined with some neuromuscular symptoms. You have undergone multiple cardiac evaluations, and since your blood pressure, heart rate, and oxygen levels are all normal, there sh...[Read More] Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Can You Stop Blood Pressure Medication After Normal Readings?
Can I stop taking medication on my own after my blood pressure returns to normal? Previously, the diastolic blood pressure was between 140-120 mmHg and the systolic blood pressure was between 100-80 mmHg. Now, the diastolic blood pressure is between 120-110 mmHg and the systolic ...
Dr. He Dongjin Reply:
Hello, please reduce the dosage by half and observe. Changhua Hospital cares about you.[Read More] Can You Stop Blood Pressure Medication After Normal Readings?
Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care
Hypertension, diabetes, fever, and lower limb weakness? Hello, my grandmother has a long history of hypertension and diabetes, and she has been taking her medications on time. A few months ago, she experienced hypoglycemia due to her medication, but she has since switched medicat...
Dr. He Dongjin Reply:
Hello, if you have an infection, please go to the emergency room immediately. Ping An Changhua Hospital cares about you.[Read More] Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care
Managing Anxiety-Induced High Blood Pressure: Symptoms and Solutions
Anxiety triggers high blood pressure? Last night, my blood pressure suddenly spiked to 170/115. I experienced a severe headache, particularly a sharp, intermittent pain at the back of my head. I took an anti-anxiety medication and went to sleep without addressing it. When I woke ...
Dr. He Dongjin Reply:
Hello, you should take medication for anxiety and headaches, as anxiety can cause high blood pressure but will not lead to brain lesions. Relax, and there's no need to monitor your blood pressure. Changhua Hospital cares about you.[Read More] Managing Anxiety-Induced High Blood Pressure: Symptoms and Solutions
Understanding Elevated Heart Rate: When to Seek Medical Attention
The heart rate is between 90 and 100 beats per minute at rest? Hello, Director. Recently, after my father's passing, I measured my blood pressure using the sphygmomanometer he left behind, and it was normal. My heart rate is between 90 and 100, sometimes reaching the 110s. I...
Dr. He Dongjin Reply:
Hello, there is no danger and no need to be anxious. A few heartbeats are not related to life-threatening conditions. The electrocardiogram (ECG), auscultation, blood tests, echocardiogram, Doppler ultrasound, and exercise ECG are all normal. It is likely that the instability of ...[Read More] Understanding Elevated Heart Rate: When to Seek Medical Attention
Is It Autonomic Nervous Disorder or Heart Disease? Understanding Your Symptoms
Is it autonomic nervous system dysfunction or heart disease? I tend to get anxious and often experience insomnia. Recently, I've been feeling my heart beating strongly and quickly. My blood pressure readings are around 130/80, but it often tends to be higher, around 150 when...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction rather than a heart condition. You may consult either a cardiologist or a psychiatrist, and there is no need to take blood pressure medication. Propranolol should be an appropriate medication. Ping An ...[Read More] Is It Autonomic Nervous Disorder or Heart Disease? Understanding Your Symptoms
Long-Term Blood Pressure Medication: Effects on the Stomach and Health
Medication issues Hello Dr. Lee, I have been taking antihypertensive medication for about ten years. Will long-term use of blood pressure medication affect the function of the lower esophageal sphincter?
Dr. Li Han Reply:
Hello Mr. Tsai, among antihypertensive medications, calcium channel blockers are more likely to exacerbate gastroesophageal reflux. If you have gastrointestinal issues, it may be beneficial to consult a gastroenterologist. The Changhua Hospital of the Ministry of Health and Welfa...[Read More] Long-Term Blood Pressure Medication: Effects on the Stomach and Health
Managing Anxiety-Induced High Blood Pressure: Do You Need Medication?
Not sure if it's high blood pressure? I tend to be more prone to nervousness and anxiety. In outdoor environments, or when visiting hospitals or donating blood, my blood pressure often exceeds normal levels. During health check-ups, I have had abnormal electrocardiograms and...
Dr. He Dongjin Reply:
Hello, this is not high blood pressure; it is a normal response for individuals who are prone to anxiety. Just observe the situation, and there is no need for medication. Changhua Hospital cares about you.[Read More] Managing Anxiety-Induced High Blood Pressure: Do You Need Medication?
Understanding Rapid Heartbeat Causes: Insights on Mitral Valve Prolapse
Causes of rapid heartbeat (diagnosed with mild mitral valve prolapse) Dear Doctor, When I was 17 years old, I faced a lot of pressure while preparing for university entrance exams, and I noticed that my heart rate was very fast, often between 90 to over 100 beats per minute, and...
Dr. He Dongjin Reply:
Hello, the blood pressure in pheochromocytoma is very high. Your symptoms do not resemble those of thyroid dysfunction but are more indicative of autonomic instability, even what is referred to as autonomic dysregulation. Many hospitals currently offer specialized clinics for aut...[Read More] Understanding Rapid Heartbeat Causes: Insights on Mitral Valve Prolapse