Understanding Chest Pain: When Tests Show No Issues
Chest issues Sometimes I experience chest pain, but I have seen a doctor who said my body is very healthy and there is nothing wrong. I had X-rays, an electrocardiogram, and blood tests, all of which came back normal. Why do I still have chest pain?
Dr. He Dongjin Reply:
Hello, there are many causes of chest pain. Normal results from X-rays, ECGs, and blood tests do not rule out the possibility of chest pain. If you still feel unwell, it is advisable to visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: When Tests Show No Issues
Understanding Blood Test Results: Analyzing MCV, MCH, and Anemia Risks
Complete Blood Count (CBC) Test Hello, Doctor He. I would like to ask about my blood test results. In each of my approximately four complete blood count tests, my MCV (around 66), MCH (around 20), and MCHC (around 30) were all low, while my RBC count was high (around 7), but my h...
Dr. He Dongjin Reply:
Hello, it seems you have latent thalassemia, but currently, there is no anemia and your hemoglobin level is normal at 14.5. If you need a definitive diagnosis, please visit the Hematology outpatient clinic at Changhua Hospital for further evaluation.[Read More] Understanding Blood Test Results: Analyzing MCV, MCH, and Anemia Risks
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
Understanding Mediterranean Anemia: Key Blood Test Insights
Mediterranean anemia Hello! I would like to ask about my lab results: MCV: 66 fL, MCH: 21 pg, Hemoglobin: 14.7 g/dL. Based on these numbers, does this mean that I definitely have thalassemia or iron deficiency anemia? Is it possible that I have neither? Are there individuals whos...
Dr. He Dongjin Reply:
Hello, based on the above numbers, it may not necessarily be thalassemia or iron deficiency anemia; it is also possible that neither condition is present, and everything may show normal later. You do not need to constantly worry about being a carrier of the thalassemia gene. Chan...[Read More] Understanding Mediterranean Anemia: Key Blood Test Insights
Understanding Low Cholesterol and High LDH: Diabetes Management Insights
I would like to consult the director regarding the issues of elevated white blood cell count, low total cholesterol, and elevated LDH levels. Thank you for your response? Hello, Director: I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My...
Dr. He Dongjin Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Hello, your examination results are normal, which is great! There's no need to worry; it should be the result of your adjustments in lifestyle, exer...[Read More] Understanding Low Cholesterol and High LDH: Diabetes Management Insights
Understanding Heart Rate Changes and Medication Concerns
Consultation on Heartbeat Issues and Medication Hello, Doctor He. 1. I have been wearing a sports heart rate monitor and have observed my heart rate over the past two days. While sitting or lying down, my heart rate is normally in the 60s to 80s. However, when I stand up, my he...
Dr. He Dongjin Reply:
Hello, if there are no discomforting symptoms regardless of the measured numbers, there is actually no need for medication; natural methods are preferable. It is possible that the body feels the need, which may cause an increased heart rate. If there are discomforts, first consid...[Read More] Understanding Heart Rate Changes and Medication Concerns
Managing Blood Pressure and Medication: A Patient's Journey
Blood pressure... medication issues? Hello, Dr. Lin. This morning, I took my insomnia medication along with my high blood pressure medication, which includes 0.5 mg of Methylcobalamin (MeCbl) and "Yuli Shupan" tablets at 0.25 mg. For high blood pressure, I take "An...
Dr. Lin Jixiong Reply:
Hello: You have a wide variety of medications, which may cause some side effects leading to discomfort. It is recommended that you discuss this directly with the prescribing physician to better understand the correct reasons. Dr. Lin Chi-Hsiung[Read More] Managing Blood Pressure and Medication: A Patient's Journey
Medication and Supplements: Managing Heart Health and Diabetes
Regarding medication and dietary supplement issues? Hello Doctor, I am 180 cm tall, weigh 140 kg, and am 27 years old. I was diagnosed with diabetes after experiencing acute pancreatitis. In February of this year, one night during dinner, I suddenly felt dizzy and had a rapid hea...
Dr. He Dongjin Reply:
Hello, I am not clear about the effects of these three dietary supplements, so I apologize for not being able to tell you how to take them. It should be fine to take them together, but if you're concerned, you can space them out by an hour. However, I believe that exercising...[Read More] Medication and Supplements: Managing Heart Health and Diabetes
Understanding Rapid Heartbeat: Is It Just a Fever or Something More?
Tachycardia Hello doctor, a few days ago I suddenly had a fever of 38 degrees Celsius. I went to a clinic, and the doctor advised me to go to the hospital quickly because my blood pressure was 144. Later, I went to a large hospital where I underwent an electrocardiogram, X-rays, ...
Dr. He Dongjin Reply:
Hello, if you have a fever and feel unwell, it is normal for your heart rate to increase. There is no need to panic; just observe your condition. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Is It Just a Fever or Something More?
Understanding Thyroid Function Impact from Heart Medications: A Patient's Guide
Consultation on the Effects of Medications on Thyroid Function Hello, Director He. My mother is 65 years old and has a history of atrial fibrillation. She previously used the medication Amiodarone for about a year and a half (it was switched to Sotalol in July 2015). During the u...
Dr. He Dongjin Reply:
Hello, in my personal opinion, it is advisable to temporarily maintain the current dosage. Free T4 levels have increased, while TSH remains low. If you are still concerned, you may consider taking it before meals. We can decide on any adjustments after the next blood test. A peac...[Read More] Understanding Thyroid Function Impact from Heart Medications: A Patient's Guide
Managing Heart Conditions: Medication and Exercise Guidelines
Cardiac issues and medication concerns? Dr. Lin, I have been taking medication for hypertension for a long time, including 10 mg of Baken enteric-coated tablets, 5 mg of Anpress steady-release tablets, and 160 mg of Felodipine enteric-coated tablets. Three years ago, I added 10 m...
Dr. Lin Jixiong Reply:
Hello, the types and dosages of antihypertensive medications need to be adjusted over time. As age increases and weight also rises, it may be necessary to increase the dosage and variety of blood pressure medications. Dr. Lin Chi-Hsiung.[Read More] Managing Heart Conditions: Medication and Exercise Guidelines
Understanding Nighttime Heart Palpitations: Causes and Solutions
Feeling an increased heart rate when falling asleep? Recently, I've been experiencing episodes of rapid heartbeat when I'm trying to fall asleep. However, when I wake up suddenly, my heart rate returns to normal. This happens for about 2-3 times before I finally fall as...
Dr. Li Han Reply:
Hello, Zheng. Regarding your inquiry about experiencing palpitations before bedtime, you have consulted a physician, and the "results are normal." Generally speaking, palpitations are a subjective symptom that may or may not be related to arrhythmias. However, more deta...[Read More] Understanding Nighttime Heart Palpitations: Causes and Solutions
Managing High Heart Rate Despite Medication: A Patient's Journey
Despite taking medication for hyperthyroidism, the heart rate remains between 140-150 beats per minute? A little over a month ago, I visited a cardiologist due to frequent palpitations. The blood test results indicated hyperthyroidism, and the doctor prescribed medication, includ...
Dr. Lin Jixiong Reply:
Hello, based on your description, it is recommended to discuss with a cardiologist the possibility of switching the antiarrhythmic medication to a longer-acting beta-blocker to enhance efficacy. Dr. Lin Chi-Hsiung.[Read More] Managing High Heart Rate Despite Medication: A Patient's Journey
Understanding Symptoms and Medications in Cardiovascular Health
Questions about symptoms and medications? Initially, there was a noticeable temperature difference between the left and right sides of my body (the right side's limbs would turn black and purple, with a temperature difference of at least 3 degrees). I experienced muscle atro...
Dr. He Dongjin Reply:
Hello, it seems that you suspect the discomfort is caused by a sudden coronary artery spasm, so you are using sublingual nitroglycerin (NTG) effectively and less frequently? That's alright; it shouldn't lead to dependence. You might feel the need to use it quickly when ...[Read More] Understanding Symptoms and Medications in Cardiovascular Health
Understanding Anemia and Heart Health During Pregnancy: What You Need to Know
Blood test I am currently a mother scheduled for a cesarean section, but since my first prenatal check-up, my blood test report indicated anemia. The prenatal nurse has consistently suspected that I have thalassemia. This time, my blood test results have all decreased, and the nu...
Dr. He Dongjin Reply:
Hello, I also suspect it may be Mediterranean anemia. It is advisable to consult a hematologist for further examination. Changhua Hospital cares about you.[Read More] Understanding Anemia and Heart Health During Pregnancy: What You Need to Know
Understanding Heart Issues: Why Tests May Not Reveal the Problem
Cannot be detected? Recently, I went to the emergency department of a regional hospital at night due to chest tightness and arrhythmia (my blood pressure was measured at 153/85). They arranged for an electrocardiogram (ECG), chest X-ray, and blood tests. The emergency physician s...
Dr. He Dongjin Reply:
Hello, if you have visited the emergency department and the ECG, chest X-ray, and blood tests do not reveal any acute issues, such as myocardial infarction or paroxysmal palpitations and arrhythmias, these cannot be diagnosed using the aforementioned methods. It sounds more like ...[Read More] Understanding Heart Issues: Why Tests May Not Reveal the Problem
Is Rytmonorm Safe for My Mother with Low Potassium Levels?
Medication consultation Hello, Director He. My mother is 65 years old and has been prescribed Rytmonorm (150 mg) three times a day due to atrial fibrillation by her cardiologist. Her heart rate is currently stable and good. However, in January, her blood test showed a potassium (...
Dr. He Dongjin Reply:
Hello, there is a significant electrolyte imbalance with considerable differences in electrolyte levels. The potassium level is 3.4, which is only slightly below the normal range of 3.5. This is not concerning and does not require any worry. Changhua Hospital cares about you.[Read More] Is Rytmonorm Safe for My Mother with Low Potassium Levels?
Understanding Left Upper Abdominal Pain and Rapid Heartbeat Symptoms
Left upper abdominal pain and tachycardia? Recently, my heart rate has been around 105-125 beats per minute. Upon waking up without any exertion, it is about 105-110 bpm, and during calm conversations with others, it ranges from 110-125 bpm (previously it was 60-75, occasionally ...
Dr. He Dongjin Reply:
Hello, it is advisable to consult a gastroenterologist for examination. The rapid heartbeat may be caused by anemia, the cause of which needs to be investigated. Additionally, considering the abdominal discomfort, an endoscopy may be necessary. Changhua Hospital cares about your ...[Read More] Understanding Left Upper Abdominal Pain and Rapid Heartbeat Symptoms
Managing Sudden High Blood Pressure: Emergency Medications and Concerns
Medications for sudden spikes in blood pressure? <Background> A 60-year-old patient has been suffering from hypertension since the age of 40. In 2003, he underwent balloon angioplasty and stent placement due to acute myocardial infarction (AMI). His systolic blood pressure ...
Dr. He Dongjin Reply:
Hello, you are too nervous. Seeing high blood pressure can make you anxious, which keeps your blood pressure elevated. There's no need to go to the emergency room; just calm down and take bisoprolol and Xanax, then rest for a while. A slow heart rate is not a problem! A low ...[Read More] Managing Sudden High Blood Pressure: Emergency Medications and Concerns
Can Normal Blood Test Results Rule Out Thalassemia?
The complete blood count (CBC) is normal? If a patient has an uncertain personal or family history of anemia and undergoes a routine complete blood count (CBC) that shows normal results, can the possibility of having thalassemia be ruled out?
Dr. He Dongjin Reply:
Hello, after undergoing a routine complete blood count, the report shows everything is normal, which can rule out the possibility of thalassemia. Changhua Hospital cares about you.[Read More] Can Normal Blood Test Results Rule Out Thalassemia?