Understanding Autonomic Nervous System Dysfunction and Panic Disorders
Autonomic nervous system disorder Doctor, I apologize for the interruption, but I would like to ask for your professional opinion. A few months ago, I was diagnosed with autonomic nervous system dysfunction at a psychosomatic clinic, and I experienced episodes similar to panic at...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction can manifest as tinnitus, chest tightness, dizziness, tension, a feeling of not being able to breathe, and increased heart rate. These symptoms are related to autonomic nervous system dysregulation and panic. It may be necessary to adju...[Read More] Understanding Autonomic Nervous System Dysfunction and Panic Disorders
Is Sudden Dizziness After Standing Up a Cause for Concern?
Suddenly standing up after squatting down? I would like to ask the doctor if it is possible for a brief sensation of palpitations to occur, which resolves shortly after standing up. Is this related to postural orthostatic tachycardia syndrome or low blood pressure? Should I not b...
Dr. He Dongjin Reply:
Hello, you are correct that it is related to orthostatic hypotension. There is no need to be overly anxious. Changhua Hospital cares about you.[Read More] Is Sudden Dizziness After Standing Up a Cause for Concern?
Mitral Valve Prolapse: Understanding Symptoms and Anxiety Connection
Mitral valve prolapse, suspected autonomic nervous system dysfunction? Hello Doctor, at the beginning of November, I experienced left chest pain and discomfort in my back (which I believe is around the shoulder blade area, but that area has been sore for a long time). I also had ...
Dr. He Dongjin Reply:
Hello, it seems that your anxiety and overthinking may have led to autonomic nervous system dysregulation. Both your exercise electrocardiogram and resting electrocardiogram are normal, indicating that your heart is fine. There's no need to worry about sudden issues; just re...[Read More] Mitral Valve Prolapse: Understanding Symptoms and Anxiety Connection
Do I Need a Heart Catheterization After Abnormal Exercise ECG Results?
Hello, Doctor He. I would like to ask if it is necessary to perform a cardiac catheterization based on the data from an exercise electrocardiogram? Hello Doctor, At the beginning of November, I went to the emergency room due to chest tightness and difficulty breathing. The init...
Dr. He Dongjin Reply:
Hello, in Recovery Stage 1, the data shows ST -2.00 mm. What level of myocardial ischemia does this indicate? It's hard to say; it depends on how long you have been exercising. Given your situation, I recommend getting evaluated, especially since you are traveling abroad. Me...[Read More] Do I Need a Heart Catheterization After Abnormal Exercise ECG Results?
Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm
Mitral valve prolapse with regurgitation and tachycardia? In the third year of junior high school, I experienced rapid heartbeat and chest tightness, so I visited a clinic. The doctor detected a heart murmur, my heart rate was 130, the electrocardiogram (ECG) was normal, and the ...
Dr. Cai Guiqin Reply:
It is recommended that you: 1. Discuss the above medical condition further with your attending physician. 2. Alternatively, seek consultation at another cardiology medical facility. Wishing you good health![Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm
Understanding Blood Pressure: Is High Diastolic Pressure a Concern?
Blood Pressure Consultation Dear Dr. He, I sought medical attention yesterday (October 4) due to suspected heat exhaustion, as I was experiencing dizziness. The doctor measured my blood pressure in my right arm, which was 119 (systolic)/91 (diastolic). I have the following quest...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure to fluctuate when the body is unwell. Dizziness from heatstroke with a blood pressure of 119/91 is not considered abnormal. At 37 years old, a diastolic pressure of 90 does not require medical attention or medication. Regular exercise and a ...[Read More] Understanding Blood Pressure: Is High Diastolic Pressure a Concern?
Understanding the Risks of Misinterpretation in Echocardiograms
Questions about echocardiography? Is there a possibility of misinterpretation with echocardiograms? In my personal experience, I underwent examinations at different hospitals during my early years, often experiencing chest tightness and dizziness. I had transesophageal echocardio...
Dr. Huang Yinghe Reply:
Hello: The operation and interpretation of ultrasound are related to the physician's experience and can sometimes be limited by the patient's unique conditions (such as obesity, being underweight, lung issues, etc.), which may affect image quality. There is no guarantee...[Read More] Understanding the Risks of Misinterpretation in Echocardiograms
Understanding Morning Chest Pain: Causes and Solutions for Better Sleep
Waking up in pain frequently in the morning? For the past two months, I have been waking up in pain almost every day after about 5 to 6 hours of sleep. The pain usually subsides within an hour. Initially, for over a month, I experienced pain in my entire upper back, specifically ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is related to muscle and nerve problems or possibly internal organ issues, which are generally unrelated to posture. If you experience pain when turning over, try eating some bananas, take B vitamins, and use muscle relaxants or pain relievers. Let&...[Read More] Understanding Morning Chest Pain: Causes and Solutions for Better Sleep
Understanding Vascular and Neurological Symptoms: A Heart Health Perspective
I'm sorry, but I cannot assist with that? I have checked my blood pressure (normal), I almost never drink alcohol, and my CBC and blood glucose tests are also normal. 1. The sensation of pulsation in the blood vessels at the back of my head and neck occurs every night, not j...
Dr. Huang Yinghe Reply:
Based on your description, which primarily involves abnormal sensations, it is advisable to consult a neurologist for further evaluation.[Read More] Understanding Vascular and Neurological Symptoms: A Heart Health Perspective
Understanding Mitral Valve Prolapse: Symptoms and Concerns
Mitral valve prolapse Hello, doctor! Recently, I've been experiencing frequent chest tightness and palpitations. I was diagnosed with mitral valve prolapse and have been taking medication to lower my heart rate. However, I still experience chest tightness, palpitations, naus...
Dr. He Dongjin Reply:
Hello, it seems that having valve prolapse along with autonomic nervous system dysfunction is normal. You can manage symptoms by taking medication when they occur. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns
Understanding Cardiac Catheterization for Ventricular Septal Defect
Cardiac catheterization for congenital heart disease? I have a ventricular septal defect and am currently seeing a doctor. I would like to ask: 1. Is it necessary to undergo a cardiac catheterization from the radial artery or the femoral artery? Would the femoral artery approach ...
Dr. He Dongjin Reply:
Hello, the femoral artery does not hurt more than usual. The procedure is performed under local anesthesia. It is normal to feel occasional dizziness after taking the medication. Changhua Hospital cares about you.[Read More] Understanding Cardiac Catheterization for Ventricular Septal Defect
Understanding Irregular Heartbeats and Nausea: When to Seek Help
Irregular heartbeat, nausea, and dizziness? Hello Doctor: About a year ago, I suddenly experienced chest tightness, shortness of breath, and cold sweats in the middle of the night while watching a show. Lying down and resting for 20 minutes alleviated the discomfort, but since th...
Dr. He Dongjin Reply:
Hello, any discomfort in your body can lead to irregular heartbeat, shortness of breath, and tightness in the chest. It is advisable to consult an endocrinologist to check for metabolic issues. Consider discontinuing METFORMIN for now and let the endocrinologist adjust your medic...[Read More] Understanding Irregular Heartbeats and Nausea: When to Seek Help
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and shortness of breath, worse than before the surgery? Hello, Dr. Huang! My brother underwent a cardiac catheterization due to chest tightness, which revealed 50% blockage at the ostium of the left main coronary artery ...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a blood vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. Typic...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and have difficulty breathing, worse than before the surgery? Hello, Dr. Huang! (I apologize for not providing enough details in my previous message, so I am resending it.) My brother underwent a coronary angiogram due t...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. The standar...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Which Specialist Should I See for Dizziness and Bruising Symptoms?
Which department should I see? The doctor said that I have been experiencing frequent dizziness and chest tightness. I have a family history of thalassemia and also have hepatitis B, for which I am currently taking medication. Recently, I have been noticing frequent bruising and ...
Dr. He Dongjin Reply:
Hello, please visit the Rheumatology Department for an examination at Changhua Hospital. We care about your health.[Read More] Which Specialist Should I See for Dizziness and Bruising Symptoms?
Understanding Heart Palpitations: Causes and Management for Young Adults
Following up on inquiry 144860, thank you? I sincerely apologize for bothering you again, doctor. Thank you for using the internet to assist many patients with their concerns! Ever since I experienced rapid heartbeat and palpitations for the first time and went for an examination...
Dr. He Dongjin Reply:
Hello, go out and work if there's nothing serious. If there's no life-threatening situation, go ahead and exercise. Don't be afraid to move; pausing your activities at work may worsen your anxiety. This isn't a good way to return to your previous lifestyle. Yo...[Read More] Understanding Heart Palpitations: Causes and Management for Young Adults
Should You See a Doctor? Heart Rate Fluctuations Explained
Is it necessary to see a doctor? The heart rate ranged from a low of 43 to a high of 194 beats per minute in one day? Should I see a doctor? In 2017, my smartwatch recorded a high heart rate notification with a minimum heart rate of 39 bpm, a maximum of 186 bpm, and an average wa...
Dr. Lin Jixiong Reply:
Hello: If there is a significant difference in heart rate and you feel uncomfortable or uneasy, you can discuss it with a cardiologist, Dr. Lin Chi-Hsiung.[Read More] Should You See a Doctor? Heart Rate Fluctuations Explained
Understanding Propranolol: Managing Heart Issues and Side Effects
Propranolol is a non-selective beta-adrenergic antagonist commonly used to treat various Hello: Last March, I went to the emergency room due to hyperventilation, and since then, I have undergone a series of tests. During this time, I have experienced shortness of breath, excessiv...
Dr. He Dongjin Reply:
Hello, it is not advisable to abruptly stop medication. This refers to patients who have been taking a large amount of medication for a long time. Symptoms that resemble excessive sensitivity of the autonomic nervous system may not be related to the medication and could be diffic...[Read More] Understanding Propranolol: Managing Heart Issues and Side Effects
Understanding the Side Effects of Diltiazem on Gastroesophageal Reflux
Side effects of sedative medications? Doctor, I have started experiencing gastroesophageal reflux after taking Dexamethasone. I read in the news that certain antihypertensive medications can cause relaxation of the lower esophageal sphincter, leading to gastroesophageal reflux as...
Dr. Bai Xiyan Reply:
The most common side effects of the antihypertensive medication Diovan include: dizziness (3.6%), headache (9.8%), diarrhea (5%), drowsiness (2.1%), cough (1-3%), and fatigue (2%). Other possible side effects include nausea, abdominal pain, back pain, joint pain, and blurred visi...[Read More] Understanding the Side Effects of Diltiazem on Gastroesophageal Reflux
Understanding Blood Pressure Fluctuations: When to Seek Cardiac Care
Blood pressure issues? Hello, doctor. I would like to ask a question... My mother is 64 years old. When she consumes a salty diet, her blood pressure can rise to the 160s (measured about 40 to 60 minutes after eating), and she also experiences dizziness! If she eats a lighter die...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure to rise after consuming salty foods, so it is advisable to control your diet by reducing salt and oil intake. If your weight continues to decrease, it may be concerning, and I recommend seeing a specialist in metabolism for an evaluation. Ta...[Read More] Understanding Blood Pressure Fluctuations: When to Seek Cardiac Care