Understanding Dizziness: Is It a Side Effect of Long-Term Medication?
Dizziness and discomfort? Hello, doctor. I have been taking Kankin 1.25 mg for over a year now. I used to experience dizziness, but it was manageable with rest. I consulted my physician about it, and since it’s a low dose, they said it’s unlikely to cause dizziness. However, I ha...
Dr. Li Han Reply:
Hello, regarding your inquiry about "dizziness" and your statement that you have been taking Concor 1.25 mg for over a year, and that you had dizziness issues even before starting the medication, which you felt was manageable with rest, but recently the dizziness has be...[Read More] Understanding Dizziness: Is It a Side Effect of Long-Term Medication?
Understanding Abnormal Heartbeats: Symptoms, Causes, and When to Seek Help
The heart is beating very irregularly? Hello Doctor, I often feel my heart beating strongly two to three times in a row, and I can feel this pulsation without touching my chest. Occasionally, I also experience chest pain and tightness. I have had three frightening experiences whe...
Dr. He Dongjin Reply:
Hello, a 24-hour ECG can only provide information about your condition on the day of the test. Do you experience palpitations before feeling faint? It is difficult to determine if there are any arrhythmias when you feel faint. It is advisable to return for a follow-up appointment...[Read More] Understanding Abnormal Heartbeats: Symptoms, Causes, and When to Seek Help
Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Chest pain with breathing? I experience tightness and pain in my chest, along with difficulty breathing and occasional dizziness. These symptoms occur briefly during work or exercise. When they happen, resting and taking a few deep breaths (3 to 4 times) helps me feel more comfor...
Dr. Wu Xueming Reply:
Chest pain associated with breathing is not a typical symptom of cardiovascular disease. It is recommended to follow up with a cardiologist to review the echocardiogram and exercise electrocardiogram reports to determine if there are any abnormalities.[Read More] Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
When to See a Doctor for Palpitations: Understanding Your Heart Health
When should you see a doctor for palpitations? Hello Doctor, for the past month, whenever I sit in a chair, I experience a sudden pause in my heartbeat, followed by a few strong beats, like thump, thump... thump-thump-thump! The last few beats are so strong that they shake my ent...
Dr. He Dongjin Reply:
Hello, let's start with a cardiology examination. We pray for your peace and well-being. Changhua Hospital cares about you.[Read More] When to See a Doctor for Palpitations: Understanding Your Heart Health
Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor, for the past month, I have been experiencing persistent left chest tightness that comes and goes. Sometimes, I also feel my heart racing, and it feels quite strong, especially when I am sitting. This is often accompan...
Dr. He Dongjin Reply:
Hello, it is recommended to see a gastroenterologist to rule out gastroesophageal reflux disease (GERD), as it may be related to stress and there is a high likelihood of autonomic nervous system dysfunction. We pray for your peace and well-being. Changhua Hospital cares about you...[Read More] Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Sudden rapid heartbeat? Hello Doctor, I have recently experienced episodes of rapid heartbeat, usually around 70-80 bpm, but during these episodes, my Xiaomi band recorded rates of 130-140 bpm. The episodes occur approximately every 4 to 7 days, mostly at night, and last about 5 ...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing an acute autonomic nervous system disorder. Resting and practicing slow breathing may help alleviate your symptoms. Alternatively, you may ask your physician to prescribe some medication for relief during acute episodes. For sudden situations,...[Read More] Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Managing Side Effects of Heart Medications: When to Consider a Change
Medication issues Dear Dr. He, I would like to inquire about heart medications. Three years ago, I had an abnormal exercise electrocardiogram that indicated myocardial ischemia, and my heart rate was around 110 beats per minute. My doctor prescribed Bisoprolol 100 mg and Concor ...
Dr. He Dongjin Reply:
Hello, yes, it is true that Concerta can have side effects related to sexual dysfunction. If you have been taking it for three years, did you experience these side effects before? If they have only recently appeared, they may not necessarily be related to the medication. Changing...[Read More] Managing Side Effects of Heart Medications: When to Consider a Change
Managing Myocardial Bridge: Medication Insights and Patient Concerns
Medications for myocardial bridge? Dear Dr. He, I was diagnosed with myocardial bridge 11 years ago through a CT scan, located at the proximal segment of the left anterior descending artery. I have been consistently taking medication and managing my hypertension, hyperlipidemia,...
Dr. He Dongjin Reply:
Hello, myocardial bridge does not necessarily worsen with age. In Taiwan, the final proportion of patients undergoing bypass surgery is 0. Medication should primarily focus on controlling the three highs (hypertension, hyperlipidemia, and diabetes). Currently, there are no effect...[Read More] Managing Myocardial Bridge: Medication Insights and Patient Concerns
Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
24-hour Holter monitor? Hello Doctor: Recently, I have been experiencing chest tightness, difficulty breathing, dizziness, and occasional heart pauses. I visited the hospital, and the doctor arranged for a 24-hour electrocardiogram (ECG), with the report results as follows: 1. Si...
Dr. He Dongjin Reply:
Hello, this electrocardiogram report is within the normal range, so there is no need for concern. You should observe your condition for now and there is no need for further testing or medication at this time. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
Understanding Heart Rate and Pulse: Should You Be Concerned?
Heart rate and pulse? Hello Doctor, I am 16 years old. Previously, my blood pressure and pulse were around 70-80, but recently I have been measuring in the 60s, and sometimes even in the 50s, while both my diastolic and systolic pressures are normal. A few days ago, I was playing...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advis...[Read More] Understanding Heart Rate and Pulse: Should You Be Concerned?
Facing Health Fears: Understanding Cardiovascular and Neurological Symptoms
Concerns about the future? I am very afraid of getting seriously ill. Last week, I felt very tired and yawned at 6 PM, and I also experienced some dizziness. After an hour or two, I felt a bit better. My hands and feet have been experiencing intermittent pain like before, and rec...
Dr. He Dongjin Reply:
Hello, please visit a psychosomatic specialist. I believe there is nothing wrong, but I am scaring myself. Am I overly worried about multiple sclerosis? It shouldn't be related to you. Changhua Hospital cares about you.[Read More] Facing Health Fears: Understanding Cardiovascular and Neurological Symptoms
Understanding Anxiety and Physical Symptoms: A Journey Through Health Concerns
It seems that the symptoms of multiple sclerosis (MS) include palpitations? Hello doctor, last week around 6 PM, I sometimes felt very tired and kept yawning, accompanied by dizziness. After resting for a while (1-2 hours), it got better (this week has been better). My hands and ...
Dr. He Dongjin Reply:
Hello, please visit a psychosomatic specialist. I see that there is no illness, but you are scaring yourself and it has become overwhelming. I pray for your peace and well-being. Changhua Hospital cares about you.[Read More] Understanding Anxiety and Physical Symptoms: A Journey Through Health Concerns
Understanding Weak Heartbeats and Dizziness: When to Seek Help
Feeling weak and having a weak heartbeat? Hello Doctor, for the past month or so, I have frequently felt weak heartbeats, fatigue, and dizziness (feeling heavy-headed and experiencing visual disturbances). Sometimes I experience palpitations (around 100 beats per minute) and at o...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Understanding Weak Heartbeats and Dizziness: When to Seek Help
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello doctor, a few months ago I experienced dizziness, chest tightness, difficulty breathing, rapid heartbeat, and discomfort in my stomach, which led me to visit the emergency room several times. I have been examined by both gastroenterology...
Dr. He Dongjin Reply:
Hello, it is indeed a situation of autonomic nervous system dysregulation with hyperventilation. You can continue to see a gastroenterologist and a cardiologist. Don't overthink it; there is nothing serious to worry about. Praying for your peace. Changhua Hospital cares abou...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is It a Panic Attack or Heart Disease? Understanding Your Symptoms
Panic attack? Heart disease? Hello, doctor. I have a history of panic disorder but have been able to manage it until recently when I had an argument and felt upset. I've been experiencing poor sleep and lack of rest. Yesterday, I drank a larger amount of oolong tea, and whil...
Dr. He Dongjin Reply:
Hello, this is a hyperventilation syndrome caused by panic attacks leading to autonomic nervous system dysregulation. There has been a history of hyperventilation, and it has occurred again. During an episode, try to relax and slow your breathing. Breathing into a paper bag over ...[Read More] Is It a Panic Attack or Heart Disease? Understanding Your Symptoms
Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Chest pain? Hello Doctor: Recently, I had a health check-up at the hospital, which included blood tests, a 24-hour Holter monitor, a treadmill stress test, and an echocardiogram. The results showed mitral valve prolapse, arrhythmia, and a slightly elevated level of a marker for h...
Dr. He Dongjin Reply:
Hello, please first consult an otolaryngologist for the treatment of your nosebleed. It seems that the panic caused by the nosebleed may have triggered symptoms related to autonomic nervous system dysregulation. You can observe the situation for now, and if you still feel unwell,...[Read More] Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Managing Premature Ventricular Contractions: Medication and Treatment Options
Ventricular premature contraction (VPC) Hello Doctor, I had a 24-hour Holter monitor that diagnosed me with over 200 ventricular premature contractions (VPCs) and more than 50 atrial premature contractions (APCs). The doctor prescribed Dronedarone and Concor 1.25 mg (once in the ...
Dr. He Dongjin Reply:
You can either eat more or observe, as having over 200 premature ventricular contractions (PVCs) is considered mild and can be monitored. Changhua Hospital cares about you.[Read More] Managing Premature Ventricular Contractions: Medication and Treatment Options
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasional heart palpitations? Hello Doctor: I have mitral valve prolapse with regurgitation symptoms, and sometimes I experience slight palpitations. My resting heart rate is generally a bit elevated (around the 90s). I regularly engage in weight training and aerobic exercise; d...
Dr. He Dongjin Reply:
Hello, it sounds like your paroxysmal arrhythmia may be related to being angry throughout the day. It is advisable to schedule a 24-hour Holter monitor test at a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Managing Panic Attacks and Autonomic Nervous System Disorders
How to Adjust After Experiencing Autonomic Nervous System Dysregulation and Panic Attacks Dear Doctor, I hope you can help me (I hope you can read through this lengthy message). Since childhood, I have experienced sudden awakenings during sleep, feeling as if the objects around ...
Dr. He Dongjin Reply:
Hello, regarding issues with autonomic nervous system dysregulation and panic disorder, I suggest discussing it with a mental health specialist. The medication "Xinkang Le" (心康樂) is a low-dose option that can be taken as needed without any issues. I believe that using s...[Read More] Managing Panic Attacks and Autonomic Nervous System Disorders
Understanding Low Pulse Rates: Causes and Concerns for Your Heart Health
The health check report indicates a low pulse rate? Hello Doctor, I would like to consult regarding my recent health check report that shows a low pulse rate. Prior to the health check, I experienced dizziness, tinnitus, and occasional chest pain. I would like to know what migh...
Dr. Wu Xueming Reply:
Based on your symptom description, it is recommended that you visit a cardiology outpatient clinic for an electrocardiogram (ECG) examination.[Read More] Understanding Low Pulse Rates: Causes and Concerns for Your Heart Health