Chest Tightness and Shortness of Breath: When Tests Come Back Normal
Chest tightness and shortness of breath, but examinations are normal? Hello Doctor: For the past five days, I have been feeling a significant pressure in my chest, as if a heavy stone is pressing down on it. Initially, it occurred occasionally, but the duration of the discomfort ...
Dr. He Dongjin Reply:
Hello, your heart sounds are normal, and the ultrasound, blood tests, and chest X-ray results are all normal. You are young, with no risk factors such as hypertension, diabetes, or smoking, which makes the likelihood of angina or pulmonary hypertension low. You can consider doing...[Read More] Chest Tightness and Shortness of Breath: When Tests Come Back Normal
Understanding High Cholesterol: Genetic Factors and Dietary Solutions
High cholesterol Hello, my recent blood test results from a health check-up indicate that I have high cholesterol (total cholesterol 239, HDL normal, LDL 165). I have had issues with high cholesterol in my blood tests for the past few years, with the earliest instance being at ag...
Dr. He Dongjin Reply:
Hello, your total cholesterol is 239, and low-density lipoprotein (LDL) is 165. There is a significant genetic or hereditary component involved. Through dietary control and regular exercise, you can lower your cholesterol levels somewhat, but it may be challenging to reach what i...[Read More] Understanding High Cholesterol: Genetic Factors and Dietary Solutions
Understanding Chest Pain: When to Seek Cardiac Care at 21
I feel strange in my chest? Hello doctor, I am a 21-year-old female. Recently, I have been experiencing pain in the center of my chest and below my left breast, as well as pain in my upper back near the shoulder blades. My hands feel numb, and sometimes I notice my heart beating ...
Dr. He Dongjin Reply:
Hello, the overall symptoms indicate autonomic nervous system dysfunction, possibly due to recent stress and being overly busy. There is pain in the left shoulder, numbness in the hand, and a slight stabbing pain near the left rib area. The symptoms resemble mitral valve prolapse...[Read More] Understanding Chest Pain: When to Seek Cardiac Care at 21
Understanding LDL Cholesterol Levels: What You Need to Know
Low-density lipoprotein cholesterol issues? Hello, what is important is that your low-density lipoprotein (LDL) cholesterol level is between 178 and 150, which indicates a decrease according to the standards. You have no risk factors, and an LDL cholesterol level below 190 is acc...
Dr. He Dongjin Reply:
Hello, consuming foods high in cholesterol the day before can significantly affect the blood test results, regardless of whether the values are 178 or 150. Currently, the treatment guideline suggests keeping levels below 190, and dietary management can be a safe approach. Changhu...[Read More] Understanding LDL Cholesterol Levels: What You Need to Know
Understanding LDL Cholesterol: Concerns and Treatment Options for Young Adults
Low-Density Lipoprotein Cholesterol Issues Hello, doctor. I recently had a blood test and found that my low-density lipoprotein (LDL) cholesterol is 178, high-density lipoprotein (HDL) cholesterol is 55, and total cholesterol is 237. In my previous blood test, my LDL cholesterol ...
Dr. He Dongjin Reply:
Hello, what is important is that your low-density lipoprotein (LDL) cholesterol level is between 178 and 150, which indicates a decrease. According to the standards, you do not have any risk factors. An LDL cholesterol level below 190 is acceptable, and you are not exceeding this...[Read More] Understanding LDL Cholesterol: Concerns and Treatment Options for Young Adults
Understanding Heart Health: Key Questions About Mitral Valve and Medication
Follow-up on heart issues? Hello Dr. He, I am the patient with ID <a href="https://adoctor.tw/article/135059">#135059</a>. Thank you for your response, which has reassured me a bit. When I feel happy, I think everything is fine. However, I would like to ask ...
Dr. He Dongjin Reply:
Hello, you have mild mitral regurgitation - no need to worry about exercise electrocardiograms indicating mild myocardial ischemia - observe echocardiography to assess for coronary artery stenosis - theoretically, ultrasound cannot visualize coronary arteries. Medication and incr...[Read More] Understanding Heart Health: Key Questions About Mitral Valve and Medication
Understanding Elevated Red Blood Cell Count: Causes and Next Steps
The red blood cell count is 6.69 million/µL? Recently, blood tests showed a red blood cell count of 6.69, white blood cell count of 6.3, platelet count of 217.0, hemoglobin level of 12.5, hematocrit of 37.6, and glycated hemoglobin (HbA1c) of 5.6. Could you please explain what po...
Dr. He Dongjin Reply:
Hello, your red blood cell count is 6.69 million/µL. There is no need to worry, and you do not need to visit the hospital for follow-up. Changhua Hospital cares about you.[Read More] Understanding Elevated Red Blood Cell Count: Causes and Next Steps
Can Panic Disorder and Autonomic Dysfunction Lead to Heart Failure?
Tachycardia caused by autonomic nervous system dysfunction and panic disorder? Hello, due to my personality, I tend to get nervous and anxious easily. Before the Lunar New Year, I experienced a surge of stress that led to symptoms such as rapid heartbeat, shortness of breath, and...
Dr. He Dongjin Reply:
Hello, there is no need to worry about heart failure. Changhua Hospital cares about you.[Read More] Can Panic Disorder and Autonomic Dysfunction Lead to Heart Failure?
Understanding Anemia: Is It Mediterranean and Can It Be Inherited?
Anemia issues I recently went to the hospital for a blood test. My red blood cell count is 5.01, hemoglobin is 12.8, hematocrit is 39.9, mean corpuscular volume (MCV) is 79.6 (normal range: 80.4-95.9), mean corpuscular hemoglobin (MCH) is 25.5 (normal range: 27.2-33.5), and mean ...
Dr. He Dongjin Reply:
Hello, your hemoglobin level is 12.8, and both the mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH) are relatively low, which may indicate mild thalassemia. It is advisable to visit a hematology clinic for further examination. Changhua Hospital cares about your...[Read More] Understanding Anemia: Is It Mediterranean and Can It Be Inherited?
Understanding Sudden Blood Pressure Spikes and Related Symptoms
Questions regarding sudden abnormal increases in blood pressure leading to coma? Hello, doctor. I have a normal weight, do not smoke or drink, and lead a normal lifestyle. I have a habit of running marathons and participating in triathlons. My blood pressure and heart rate tend t...
Dr. He Dongjin Reply:
Hello, during stormy weather, the sea is certainly not calm, and the waves can be quite large. Your father and brother have been falling ill one after another, leading to overexertion, colds, and diarrhea, which has put them in a very unstable condition. Naturally, your blood pre...[Read More] Understanding Sudden Blood Pressure Spikes and Related Symptoms
Understanding Sudden Changes in Blood Test Results: A Cardiovascular Perspective
Abnormal blood test results? Can blast cells and atypical lymphocytes suddenly appear within 5 days? (Blast cells were 0% on November 29 and increased to 4% on December 4; atypical cells were 0% on November 29 and increased to 5% on December 4, with no specific tests conducted du...
Dr. He Dongjin Reply:
Hello, it is advisable to consult a hematologist in person to discuss the complete report once you receive it. Currently, there is limited information available, and I apologize for not being able to provide a comprehensive response. Changhua Hospital cares about your well-being.[Read More] Understanding Sudden Changes in Blood Test Results: A Cardiovascular Perspective
Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Myocardial ischemia, coronary artery insufficiency, palpitations, mitral valve prolapse? Hello Doctor: For the past few years, I have frequently experienced chest tightness, palpitations, rapid heart rate, dizziness, fatigue, excessive sleepiness, and headaches, particularly from...
Dr. He Dongjin Reply:
Hello, it sounds more like your grandmother's arrhythmia, atrial fibrillation, and subsequent stroke may be caused by autonomic nervous system dysfunction, which should not be related to you. I recommend visiting a major hospital's cardiology department for a 24-hour el...[Read More] Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Understanding Chest Pain and Low Blood Pressure: When to Seek Help
Chest tightness, chest pain? I have been experiencing sudden chest tightness and pain since high school. Sometimes the pain lasts for a short time and goes away, but other times it is so severe that I have to stop and rest before I can continue with my activities. Last year, I ha...
Dr. He Dongjin Reply:
Hello, Qi. Low blood pressure should not be related to chest pain. Feeling dizzy after squatting for too long is associated with low blood pressure. Sudden chest tightness and pain may be caused by mitral valve prolapse. It is advisable to see a cardiologist for further examinati...[Read More] Understanding Chest Pain and Low Blood Pressure: When to Seek Help
Understanding Blood Abnormalities: Insights on Anemia and Other Concerns
Blood abnormalities Due to hair loss, I underwent a blood test. The red blood cell count was normal, but the following results were concerning: hemoglobin at 9.7 g/dL, hematocrit at 31%, mean corpuscular volume (MCV) at 58.4 fL, and mean corpuscular hemoglobin (MCH) at 18.3 pg, a...
Dr. He Dongjin Reply:
Hello, the numbers for Mediterranean anemia should be fine if you are regularly being monitored by a hematologist. Changhua Hospital cares about you.[Read More] Understanding Blood Abnormalities: Insights on Anemia and Other Concerns
Managing Deep Vein Thrombosis: Medication Side Effects and Treatment Options
Deep vein thrombosis (DVT) On August 10, I underwent lower limb angiography to confirm deep vein thrombosis. The physician prescribed Warfarin in round pink tablets, with an initial dosage of 0.5 tablets. However, due to elevated blood test results, the dosage was adjusted to 0.3...
Dr. He Dongjin Reply:
Hello, You-Wen. Regarding the orthopedic surgery for treating the embolism, it is possible to remove the steel pins during the procedure. There are also various medications available that can be discussed with your physician for a potential change in treatment. Changhua Hospital ...[Read More] Managing Deep Vein Thrombosis: Medication Side Effects and Treatment Options
Understanding Left Ventricular Hypertrophy: Causes Beyond Hypertension and Hyperlipidemia
Left ventricular hypertrophy Dr. He: Hello! Recently, I experienced chest tightness, palpitations, and sharp pain in my heart, so I went to the hospital for a series of tests, including blood tests, urine tests, a 24-hour Holter monitor, and a chest X-ray. Everything came back no...
Dr. He Dongjin Reply:
Hello, the left ventricular hypertrophy you are experiencing may be caused by hypertension and hyperlipidemia. It should be monitored. Additionally, it is uncertain whether the Herbalife meal replacement and fat-burning tea is causing your symptoms of chest tightness, palpitation...[Read More] Understanding Left Ventricular Hypertrophy: Causes Beyond Hypertension and Hyperlipidemia
Understanding ECG Results: Blood Supply Issues After a Car Accident
The electrocardiogram shows insufficient blood supply? Hello Dr. He, I was involved in a car accident on July 7th of this year, resulting in fractures of the third and sixth ribs on the left side. After more than two months of follow-up with the thoracic surgeon, the doctor asses...
Dr. He Dongjin Reply:
Hello, I don't believe it's cardiac ischemia. I suspect that the car accident caused fascial injury, leading to dull, stabbing pain. Any stimulation could potentially trigger sympathetic nervous system dysregulation, but it shouldn't cause heart problems. Starting ...[Read More] Understanding ECG Results: Blood Supply Issues After a Car Accident
Understanding Exercise ECG Abnormalities in Heart Disease Patients
Cardiac issues with abnormal exercise electrocardiogram (ECG) findings? Hello, Doctor. A year ago, during a cardiology examination with a resting electrocardiogram, I was diagnosed with myocardial ischemia. Occasionally, I experience sharp chest pain and a feeling of breathlessne...
Dr. He Dongjin Reply:
Hello, it doesn't seem like a condition caused by heart failure. Let's wait for further examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Abnormalities in Heart Disease Patients
High Vitamin B12 Levels: Causes and Implications for Your Health
What happens if the concentration of B12 in the serum is too high? Due to a recent episode of gastroenteritis, I unexpectedly discovered anemia through blood tests in the emergency department. Upon follow-up blood tests, the results are as follows: the low iron index indicates ir...
Dr. He Dongjin Reply:
Hello, after receiving a B12 injection, it is possible for levels to increase, which is not harmful. It is advisable to monitor the situation. Having a bit more of it is also not an issue. Changhua Hospital cares about you.[Read More] High Vitamin B12 Levels: Causes and Implications for Your Health
Do I Need to Visit the Hospital for Thalassemia Testing?
Do I need to go to the hospital for a check-up for thalassemia? Hello doctor, I would like to ask if there are any issues with my blood test results from my health check-up. My white blood cell count (WBC) is 8.03 k/µL, red blood cell count (RBC) is 5.91 m/µL, hemoglobin (Hgb) is...
Dr. He Dongjin Reply:
Hello, currently there is no anemia observed. If there is thalassemia, it appears to be very mild and should be monitored. Changhua Hospital cares about you.[Read More] Do I Need to Visit the Hospital for Thalassemia Testing?