Understanding Elevated White Blood Cell Count: Should You Be Concerned?
The white blood cell count is 1 unit higher than the standard value? Doctor, my blood test shows that my white blood cell count is 1 higher than the reference range (4-10). Is this serious? QQ
Dr. He Dongjin Reply:
Hello Mr. Chen, there should be no issues; you can observe your condition for now. If you experience any discomfort, you can visit the Infectious Disease or Hematology department for further examination. Changhua Hospital cares about you.[Read More] Understanding Elevated White Blood Cell Count: Should You Be Concerned?
Understanding Palpitations: When to Seek Further Medical Advice
Regarding palpitations? Hello, Doctor. I apologize for the lengthy message and appreciate your understanding. Thank you. Last year, in December 2015, I suddenly felt some difficulty in breathing and a sense of weakness in my heart while sitting in a chair. After resting for a whi...
Dr. He Dongjin Reply:
Hello, Yunwu. Your heart has been thoroughly checked and is fine, so there's no need to worry. What you're experiencing may resemble symptoms of autonomic nervous system dysfunction. Changhua Hospital is concerned about you.[Read More] Understanding Palpitations: When to Seek Further Medical Advice
Can Bloodletting Lead to Bloodborne Infections? Expert Insights
Does bloodletting pose a risk of bloodborne infections? Hello, Doctor. I would like to ask about my visit to a traditional Chinese medicine practitioner yesterday. The doctor performed bloodletting, but I later discovered that the cup used for the procedure was reused. Although i...
Dr. He Dongjin Reply:
Hello, I am unsure if the bloodletting needle is new. Reusing it could lead to infections transmitted through blood, such as hepatitis or other diseases. If you need to go to the hospital for a blood test, you should see an infectious disease specialist at Changhua Hospital. Take...[Read More] Can Bloodletting Lead to Bloodborne Infections? Expert Insights
Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Rapid heartbeat Hello, Doctor He. My resting heart rate is usually around 80 to 90 beats per minute, but it spikes rapidly with even mild exercise. I have undergone X-rays, echocardiograms, a standard electrocardiogram, and a Holter monitor test in the cardiology department, and ...
Dr. He Dongjin Reply:
Hello, have you also undergone a 24-hour Holter monitor test? What about the autonomic nervous system examination? If all tests show no abnormalities, then it would be advisable to take medication. Taking some antiarrhythmic drugs may help. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your 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 Blood Test Results and Heart Health Risks
Blood tests and blood pressure issues? Hello Doctor, I had a blood test on November 19, 2016. My cholesterol level is 247, triglycerides are 212, high-density lipoprotein (HDL) is 51, low-density lipoprotein (LDL) is 154, and my vascular stiffness index is 4.84. Could these resul...
Dr. He Dongjin Reply:
Hello, you should quit smoking first. Smoking can lead to stroke or myocardial infarction. The data mentioned should be observed for now. If you are worried about chest pain, you should visit a cardiology clinic for further examination. As for why you need to take Bopax (8 mg), I...[Read More] Understanding Blood Test Results and Heart Health Risks
Understanding Heart Issues: Symptoms and Concerns for Overweight Individuals
Cardiac issues I am overweight (BMI significantly above normal). Three months ago, my health check-up showed normal blood test results (except for the weight issue), and the electrocardiogram report indicated sinus rhythm. I frequently experience the following symptoms, and I wou...
Dr. He Dongjin Reply:
Hello, regarding the issues you mentioned, it is difficult to determine if there is a heart condition. Being overweight, insufficient physical activity, and low lung capacity can contribute to the symptoms you are experiencing. Increasing your exercise level and managing your wei...[Read More] Understanding Heart Issues: Symptoms and Concerns for Overweight Individuals
Understanding Rapid Heartbeat: Is It Related to Gastrointestinal Issues?
Heart rate issues? 24-hour cardiac monitoring, echocardiogram, perfusion imaging, exercise electrocardiogram, and electrocardiogram all indicate no issues. Blood tests show elevated low-density lipoprotein cholesterol (LDL) by 10. There are no thyroid problems. I usually do not e...
Dr. Lin Jixiong Reply:
Thank you for your inquiry. For gastrointestinal discomfort and irregular bowel movements, I recommend visiting a gastroenterology clinic. A gastroenterologist will provide treatment and recommendations based on your symptoms. Sometimes, when the body is experiencing discomfort, ...[Read More] Understanding Rapid Heartbeat: Is It Related to Gastrointestinal Issues?
Understanding Rapid Heart Rate in Teens: Causes and Next Steps
Rapid heart rate reaching 180-190 beats per minute? Hello Doctor: My son is 17 years old and in his senior year of high school. Since middle school, during physical education classes, such as playing basketball or volleyball, his heart rate suddenly spikes to 180-190 beats per mi...
Dr. He Dongjin Reply:
Hello, please visit a cardiologist at a medical center for further evaluation of your arrhythmia. The likelihood of sudden cardiac arrest is low, so please do not worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heart Rate in Teens: Causes and Next Steps
Understanding Atenolol: Side Effects and Heart Health Concerns
Hello, Dr. He. I'm sorry to bother you again? During my follow-up appointment, I described my symptoms to the doctor, who expressed concern that they might not be neurologically related. He noted that the pain symptoms were quite extreme, occurring even at rest without any m...
Dr. He Dongjin Reply:
Hello, please check your overall health. You may consider stopping atenolol since your blood pressure is not high and it has unwanted side effects. Changhua Hospital cares about you.[Read More] Understanding Atenolol: Side Effects and Heart Health Concerns
Understanding Non-Specific Dizziness: Causes and Solutions for Patients
Nonspecific dizziness Hello, doctor. Seven years ago, I weighed 109 kg and was diagnosed with severe obstructive sleep apnea. I used a CPAP machine for a month but found it uncomfortable and stopped. Over the past seven years, my weight has increased to 116 kg. In early February ...
Dr. He Dongjin Reply:
Hello, I also believe that sleep apnea may be the cause. If you're concerned about the gastroscopy, let's go ahead and arrange it. You should continue using the ventilator. Changhua Hospital cares about you.[Read More] Understanding Non-Specific Dizziness: Causes and Solutions for Patients
Understanding Post-Meal Rapid Heartbeat: Causes and Solutions
Experiencing a rapid heartbeat after meals? Hello, doctor. After every meal, I particularly notice that my heart rate becomes fast and heavy; I can even see my clothes moving with my heartbeat. Each time after eating, my heart rate measures around 100 to 110 beats per minute. I f...
Dr. He Dongjin Reply:
Hello, eating small meals frequently is advisable. Additionally, a fast heartbeat won't lead to death; a heart attack typically occurs when the heart stops beating, not when it beats rapidly. What you need is relaxation. Changhua Hospital cares about you.[Read More] Understanding Post-Meal Rapid Heartbeat: Causes and Solutions
Which Specialist Should I See for My Mysterious Hand and Foot Pain?
Please help me determine which medical specialty I should see? This winter, I thought it was very cold, which resulted in pain in my hands and feet, resembling the sensation of frostbite. As winter passed, I found myself getting worse. Even during summer nights with the air condi...
Dr. He Dongjin Reply:
Hello, please consider getting checked by the Immunology and Rheumatology department at Changhua Hospital. We care about your health.[Read More] Which Specialist Should I See for My Mysterious Hand and Foot Pain?
Should Your Child Be Tested for Thalassemia? A Guide for Parents
Mediterranean anemia Both my husband and I have thalassemia; he has beta-thalassemia and I have alpha-thalassemia. We currently have two daughters. Recently, our older daughter had a health survey at school that included an option to indicate thalassemia. I am concerned about whe...
Dr. He Dongjin Reply:
Hello, your daughter has been diagnosed with Mediterranean anemia. It is advisable for her growth and development to undergo further evaluation by a hematologist, as this will provide more accurate information. There is no need for her to pay out of pocket for health screenings a...[Read More] Should Your Child Be Tested for Thalassemia? A Guide for Parents
Understanding Symptoms: Is It Heart Attack or Autonomic Nervous Disorder?
I'm not sure if it's a precursor to a myocardial infarction or autonomic nervous system dysfunction..? I am a 28-year-old male (almost 29, as I prefer to refer to myself as 28 due to superstition), with a height of 166 cm and a weight of 58 kg, but I have abdominal obes...
Dr. He Dongjin Reply:
Hello, the symptoms are due to autonomic nervous system dysfunction, not a myocardial infarction. If it were, I would have been in serious trouble by now. I haven't been sleeping well these past few days, which can lead to the symptoms mentioned above. There's no need t...[Read More] Understanding Symptoms: Is It Heart Attack or Autonomic Nervous Disorder?
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?
Understanding Anemia: Is It Mediterranean Anemia?
I would like to inquire if it is Mediterranean anemia? Hello Doctor, thank you for your previous response. I found my earlier prenatal check-up report and would like to ask if you can identify the type of anemia from the serum tests: V.D.R.L (-), HIV Ag/Ab Combo 0.11 (-), Rubella...
Dr. He Dongjin Reply:
Hello, I am not sure how long ago this report was. This does not appear to be a report of microcytic anemia, nor does it resemble thalassemia. As for the specific type, I am unable to determine that. I recommend that if you are still experiencing discomfort, you should consult a ...[Read More] Understanding Anemia: Is It Mediterranean Anemia?
Understanding Mitral Valve Prolapse: Causes of Fainting and Heart Pain
Mitral valve prolapse, sudden fainting while sitting? Hello Doctor: First of all, I want to thank you for your hard work! I am a freshman in college. During high school, I often stayed up late studying, and later I began to experience intermittent sharp pains in my heart. After r...
Dr. He Dongjin Reply:
Hello, there is a possibility of epilepsy as well as postural hypotension. It is recommended to visit the neurology department and then follow up with the cardiology department. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Causes of Fainting and Heart Pain
Anemia and Heart Issues: Understanding Symptoms in Young Women
Anemia? Heart problems? A 20-year-old female has been diagnosed with mild anemia, with a hemoglobin level of 10 from a recent blood test. She experienced her first syncope episode in the ninth grade and has had three episodes in the past four years. Neurological evaluations, incl...
Dr. He Dongjin Reply:
Hello, mild anemia should not cause the symptoms mentioned above. If you are concerned, it is advisable to visit a cardiology clinic for further examination. Do you usually engage in little physical activity? However, the symptoms seem more related to autonomic nervous system iss...[Read More] Anemia and Heart Issues: Understanding Symptoms in Young Women
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