Family medicine, Cardiology FAQ

Persistent Swelling in the Left Foot: Seeking Solutions for Edema

Swelling in the dorsal aspect of the left foot? Hello Doctor, I have been suffering from edema in my left foot, specifically on the dorsum, toes, and the inner side of the ankle. At one point, the swelling was so severe that it caused pain. I consulted a cardiologist, and the ECG...

Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health!

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...

Understanding Palpitations: Causes and Solutions for Nighttime Heart Racing

The heartbeat feels rapid and strong? I often feel my heart racing in the middle of the night. When I measure my blood pressure, it is within the normal range. I visited a family medicine physician who performed an electrocardiogram, blood tests, and an X-ray, all of which came b...

Dr. He Dongjin Reply:
Hello, it is likely caused by autonomic nervous system dysfunction. If the symptoms are more pronounced at night, you can move the daytime medication to take it before bedtime. There is no need to take it three times a day. Ping An Changhua Hospital cares about you.

Managing Rapid Heartbeat: Insights on Propranolol and Hypertension

Tachycardia Hello, doctor. I have been experiencing symptoms of rapid heartbeat since the end of March this year. I have a history of hypertension and am currently taking antihypertensive medication. My heart rate is consistently around 80 to 90 beats per minute in the morning, a...

Dr. Bai Xiyan Reply:
Thank you for your inquiry. 1. The causes of tachycardia include hyperthyroidism, anemia, dehydration, fever, anxiety, and other issues. It can also be influenced by autonomic nervous system disorders, certain medications, caffeine, and tea. To manage palpitations, it is essent...

Understanding Strong Heartbeats in a 13-Year-Old: When to Seek Help

Increased heart contractions? Hello, doctor. My daughter is 13 years old, has a slim build, is 162 cm tall, and weighs 38 kg. She has not yet entered puberty. This month, she has occasionally experienced symptoms of her heart beating stronger (which I believe is palpitations). Wh...

Dr. He Dongjin Reply:
Hello, based on your description, it seems to be normal. You should just observe for now. Changhua Hospital cares about you.

Understanding Mitral Valve Prolapse: Symptoms, Risks, and Management

Mitral valve prolapse Hello, I previously asked you a few questions and later visited the outpatient clinic, but I still have some doubts. I would like to consult with the doctor regarding the possibility of mitral valve prolapse (which I believe is likely). Sometimes I experienc...

Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are still manifestations of autonomic nervous system dysregulation. When jogging, the sensation of something wanting to come out, along with the feeling of air rising, may be caused by gastroesophageal reflux. The thyroid gland typically d...

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...

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...

Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care

Hypertension, diabetes, fever, and lower limb weakness? Hello, my grandmother has a long history of hypertension and diabetes, and she has been taking her medications on time. A few months ago, she experienced hypoglycemia due to her medication, but she has since switched medicat...

Dr. He Dongjin Reply:
Hello, if you have an infection, please go to the emergency room immediately. Ping An Changhua Hospital cares about you.

Antibiotics for Mitral Valve Prolapse Surgery: What You Need to Know

Mitral valve prolapse - Preoperative antibiotic administration? Hello, Director. Thank you for your response! However, the doctor who will perform my surgery said he is not clear and asked me to prepare the antibiotics myself. Therefore, I would appreciate it if you could tell me...

Dr. He Dongjin Reply:
Hello, you should be able to purchase cefazolin oral formulation at a regular pharmacy, but it is uncertain whether it can be obtained without a prescription. Alternatively, you can visit any hospital's cardiology or family medicine outpatient department for assistance. Chan...

Understanding Slow Heart Rate: Should You Be Concerned?

Bradycardia? Hello, doctor. I am 166 cm tall and weigh 60 kg. Today, I went to Chimei Hospital to receive the hepatitis B vaccine and had my blood pressure and heart rate checked. My heart rate was 51 beats per minute in my left arm and 49 beats per minute in my right arm. After ...

Dr. He Dongjin Reply:
Hello, it is difficult to say. You have already seen a cardiologist, and you can discuss with your primary physician that a slow heart rate is not necessarily abnormal. Please remain calm and observe the situation before taking further action. Changhua Hospital cares about you.

Understanding Arrhythmia: When to Seek Further Heart Monitoring

Arrhythmia In middle and high school, I experienced several episodes of sudden sharp pain in my back and heart while inhaling. I consulted a cardiologist, but I was only given painkillers and no conclusive diagnosis. Recently, I went to Cheng Ching Hospital for a health check-up,...

Dr. He Dongjin Reply:
Hello, it seems that you are experiencing palpitations. You may take a simple medication like CARDIOLOL before bedtime. If you still have concerns, we can arrange a 24-hour Holter monitor test. Changhua Hospital cares about you.

Sudden Heart Racing: Is It a Sign of Heart Disease?

Sudden increase in heart rate? Sometimes, while resting or watching TV, my heart suddenly races, and I can feel it beating strongly without touching my chest. I also experience a heavy sensation in my chest and start to feel short of breath. Could this be heart disease? (My fathe...

Dr. Li Han Reply:
Hello Mr. Chen, based on your description, your palpitations began suddenly, in episodes, and are characterized by an increased heart rate, seemingly unrelated to physical activity. However, you did not mention any alleviating or terminating factors, as well as the duration of th...

Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues

Headache, palpitations, high cholesterol, elevated blood pressure, low white blood cell count? Hello Doctor, I would like to ask you a few questions: 1. I feel a constant pressure in my head throughout the day, and I can feel my heartbeat, which causes pain that seems to pulse w...

Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily a bad thing. It can be categorized into so-called "good" cholesterol and "bad" cholesterol, as well as low-density lipoprotein (LDL). It is advisable to go to the hospital for further analysis; you can consult with a ...

Understanding Sleep Paralysis: Heart Issues or Just a Nightmare?

Inability to move during sleep? Hello Doctor: Today, while I was sleeping, I suddenly felt a heavy pressure on my chest as I relaxed. The pressure was stronger on the left side, and I basically couldn't move! It felt like I was being pressed down by something (like sleep par...

Dr. Li Han Reply:
Hello, based on your description, you are experiencing multiple subjective discomforts... "It feels like being pressed down by a ghost, and my heart feels like it is being squeezed for 1 to 2 minutes, followed by headaches, and then I feel very dizzy, as if I am spinning! Af...

Understanding Chest Discomfort: Possible Causes and Concerns

Chest discomfort Hello, doctor! I used to have a habit of swimming, but about six months ago, shortly after getting into the water, I began to feel discomfort in my chest. Initially, it happened in a cold water pool during the summer, and later I experienced the same sensation in...

Dr. He Dongjin Reply:
Hello, please visit the cardiology outpatient clinic for further examination of symptoms suspected to be related to angina. An exercise electrocardiogram or a computed tomography scan may be necessary. Changhua Hospital cares about you.

Understanding Your Anemia: A Guide to Blood Test Results

Which type of anemia? Hello, doctor! I had a blood test at the laboratory, and I understand that I belong to a certain type of anemia. The results are as follows: Hgb 7.7, MCV 63.6, Stool OB (FOBT) negative, Hb A 98.1, Hb F 0.0, Hb A2 1.9, Serum iron (Fe) 11, TIBC 417, Ferritin 1...

Dr. Lin Jixiong Reply:
Hello: Based on the data, it appears to be iron deficiency anemia. I recommend that you visit a hospital to consult with a family medicine or internal medicine physician for further discussion. Additionally, if you experience heavy menstrual bleeding or prolonged periods, it coul...

Should I Consult a Cardiologist About My ECG Results?

I would like to ask the doctor for advice? Hello Doctor: This is my electrocardiogram (ECG) taken while brisk walking, http://imageshack.us/photo/my-images/59/26989710982508244442010.jpg/ and this is my ECG taken during class (at rest), http://imageshack.us/photo/my-images/257/26...

Dr. Lin Jixiong Reply:
Hello: Your static electrocardiogram shows a clear P wave, indicating a sinus rhythm with no arrhythmia. However, 24-hour Holter monitoring is typically interpreted by a cardiologist. Therefore, it is acceptable for the reporting physician to be a general internist or family medi...

Can You Hike with Mitral Valve Prolapse? Safety Tips for High Altitude

Can a person with mitral valve prolapse go hiking? Previously, I experienced chest tightness and difficulty breathing while working night shifts, but these symptoms resolved after returning to a normal schedule. I was later diagnosed with mild mitral valve prolapse, and my doctor...

Dr. He Dongjin Reply:
Hello, if you are concerned about altitude sickness while climbing, please note that mitral valve prolapse is not directly related to altitude sickness. You may visit a family medicine clinic to obtain medications for altitude sickness. Changhua Hospital cares about your well-bei...

Understanding Anemia and Blood Clotting Issues: Symptoms and Alcohol Reactions

Anemia, difficulty in blood coagulation, and experiencing widespread redness and heat after drinking alcohol? Hello, Doctor! I have some questions that I would like you to help me with. Thank you! 1. I experience dizziness when I squat down to pick something up and then try to ...

Dr. Bu Shiyun Reply:
1. There is a possibility of anemia; the causes of anemia can be initially assessed by a family medicine specialist. 2. This may be a case of vasovagal syncope triggered under certain circumstances (not related to heart disease!). 3. This description is unscientific; there ma...

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