Understanding Diastolic Hypertension: Questions on Medication and Health
(Follow-up question) Regarding elevated diastolic blood pressure? Doctor, I apologize for bothering you again! After your response in the article "Regarding High Diastolic Blood Pressure," I still have some questions: 1. When you mentioned "maintaining the medica...
Dr. He Dongjin Reply:
Hello, elevated diastolic pressure has a relatively minor impact on the body, so there is no need for concern. Most fluctuations in diastolic pressure are related to metabolism. I suggest that if you can increase your weekly exercise and reduce your weight further, there is a sig...[Read More] Understanding Diastolic Hypertension: Questions on Medication and Health
Understanding Elevated Diastolic Blood Pressure After Medication Change
Regarding elevated diastolic blood pressure? Hello Doctor, due to concerns about the long-term side effects of antihypertensive medications, I discussed with my physician and switched to another blood pressure medication that is considered to have fewer concerns. However, since s...
Dr. He Dongjin Reply:
Hello, you should be able to maintain the medication dosage for continuous weight loss, and it is likely to decrease further. Regular exercise is more practical. Changhua Hospital cares about you.[Read More] Understanding Elevated Diastolic Blood Pressure After Medication Change
Understanding Hereditary Hypertension: Lifelong Medication and Lifestyle Impact
Regarding hereditary hypertension? Hello Doctor, due to a family history of hereditary hypertension, I also have issues with elevated blood pressure, which first became apparent when I was 16 or 17 years old. At that time, the stress of studying combined with a BMI of around 30 l...
Dr. He Dongjin Reply:
Hello, it is difficult to determine if your hereditary hypertension has been activated, as you are currently experiencing stress and have a higher body weight, which can contribute to unstable blood pressure. I recommend that you consider losing weight; there is a possibility tha...[Read More] Understanding Hereditary Hypertension: Lifelong Medication and Lifestyle Impact
Understanding Blood Pressure Medications: Concerns and Adjustments
Regarding blood pressure? Hello Doctor, three years ago, due to being overweight (165 cm, 90 kg) and experiencing significant academic stress, I developed symptoms of retinal hemorrhage and was diagnosed with hypertension. As a result, I started taking antihypertensive medication...
Dr. He Dongjin Reply:
Hello, your blood pressure issues may be related to genetics, but a significant part is likely due to stress and an overactive autonomic nervous system, which is why beta-blockers are more effective. First, it's important to clarify that taking antihypertensive medication is...[Read More] Understanding Blood Pressure Medications: Concerns and Adjustments
Understanding Morning Hypertension in Seniors: Causes and Concerns
Morning blood pressure is higher? My mother is 78 years old and has recently noticed that her blood pressure is elevated in the morning, around 160/90. She does not feel unwell, but when she measures her blood pressure after 8 AM, it returns to a normal range of 120/70. What coul...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure to be higher in the morning right after waking up. If your blood pressure is normal at other times of the day, you can simply monitor it. Additionally, older adults have a wider acceptable range for blood pressure, so there is no need to be ...[Read More] Understanding Morning Hypertension in Seniors: Causes and Concerns
Understanding Heart Arrhythmias: Causes and Care Tips for Patients
Arrhythmia Hello, Dr. He: Recently, during a military service physical examination, I was diagnosed with arrhythmia (left posterior fascicular block). What could be the cause of this? Are there any precautions I should take in my daily life?
Dr. He Dongjin Reply:
Hello, the left bundle branch is divided into the left anterior fascicle and the left posterior fascicle. The left anterior fascicle is smaller and receives blood supply only from the left anterior descending artery, making it more susceptible to damage. In contrast, the left pos...[Read More] Understanding Heart Arrhythmias: Causes and Care Tips for Patients
Understanding Pericardial Effusion and Its Impact on Leg Edema
Pericardial effusion extending to pedal edema? Hello Doctor, my father is 78 years old and has a history of hypertension. Recently, he was hospitalized and diagnosed with pericardial effusion, which later developed into pleural effusion. Although the fluid has been drained and he...
Dr. He Dongjin Reply:
Hello, please discuss with your attending physician as the information you provided is limited and we are unable to give any diagnosis. We apologize for the inconvenience and the Changhua Hospital is concerned about you.[Read More] Understanding Pericardial Effusion and Its Impact on Leg Edema
Understanding Low Platelet Counts: Concerns and Management for Seniors
Low platelet count? Dear Chief Physician, My father is 66 years old and has been on medication for hypertension for four years. Currently, he has a low platelet count, which is at 20,000. He has been taking steroids for six months, during which his platelet count has fluctuated ...
Dr. He Dongjin Reply:
Hello, your questions should be directed to a hematologist. Based on my understanding: 1. Bleeding is caused by low platelet counts rather than a decrease in platelets due to the recent tooth extraction. 2. Corticosteroids should not be stopped abruptly, as fluctuations in drug c...[Read More] Understanding Low Platelet Counts: Concerns and Management for Seniors
Understanding Chest Discomfort and PVCs: What You Need to Know
Chest tightness, ventricular premature contractions? Over the past month, I have been experiencing a feeling of heaviness in my left chest, and pressing on my chest causes pain. I went to a cardiologist, and after undergoing a chest X-ray and a resting electrocardiogram, both tes...
Dr. He Dongjin Reply:
Hello, based on your description, your symptoms do not resemble those of angina. Considering your age and risk factors such as hypertension, diabetes, smoking, age, family history, and hyperlipidemia, the likelihood of coronary heart disease appears to be relatively low. However,...[Read More] Understanding Chest Discomfort and PVCs: What You Need to Know
Understanding Blood Pressure Issues: A Guide for Concerned Families
Blood pressure issues? Dear Dr. Lin, My mother is 43 years old and has recently been experiencing persistent headaches. During a blood pressure measurement, her readings were 135/84 mmHg, with a heart rate of 97 bpm. Is this indicative of hypertension? Four months ago, she under...
Dr. Lin Jixiong Reply:
Hello: The ideal systolic blood pressure is 120 mmHg. Previously, the old definition for systolic blood pressure was set at 140 mmHg. Although the current standard has been lowered to 120 mmHg, most clinicians still tend to initiate medication treatment only when blood pressure e...[Read More] Understanding Blood Pressure Issues: A Guide for Concerned Families
Choosing the Right Beta-Blocker for Hypertension: Tenormin Alternatives Explained
Antihypertensive medications I am using Tenormin (Atenolol), but I am experiencing diarrhea and bradycardia. I read in the media that in 2006, the UK classified Atenolol as a fourth-line medication rather than a first-line treatment. If I still want to use a beta-blocker, which i...
Dr. He Dongjin Reply:
Hello, Concor and Dilatrend may have a weaker and shorter effect compared to Inderal, which might not be suitable. Changhua Hospital is concerned about you.[Read More] Choosing the Right Beta-Blocker for Hypertension: Tenormin Alternatives Explained
Does Nasal Irrigation Affect Blood Pressure in Hypertensive Patients?
Nasal irrigation and blood pressure? My father has nasal issues, and a doctor recommended using an electric nasal irrigator with warm saline twice a day, using about 500cc of water mixed with 3-4 grams of saline solution each time. Since he has hypertension and takes blood pressu...
Dr. He Dongjin Reply:
You don't need to worry; Changhua Hospital cares about you.[Read More] Does Nasal Irrigation Affect Blood Pressure in Hypertensive Patients?
Winter Blood Pressure: Understanding Seasonal Changes and Health Impacts
High blood pressure in winter? I started losing weight at the beginning of this year, and through jogging and brisk walking, I have lost about 20 kilograms! I am currently approximately 178 cm tall and weigh 95 kg. Before losing weight, I consulted a physician who indicated that ...
Dr. He Dongjin Reply:
Hello, you are still a bit overweight, and your blood pressure is still somewhat high. Keep working on losing weight. A slow heart rate is a good sign, indicating that your heart function is still quite good. You should aim to lose more weight, which may help improve your blood p...[Read More] Winter Blood Pressure: Understanding Seasonal Changes and Health Impacts
Understanding Diabetes and Blood Pressure: Key Values and Assessments
Standards and Assessment of Normal Values for Diabetes Mellitus Hello Dr. Lin, I have mild hypertension symptoms, typically fluctuating between 118 and 152 (with occasional spikes). Most of the time, it ranges from 130 to 150. I do not have a good medication adherence habit and ...
Dr. Lin Jixiong Reply:
Dear Mr. Gong Yushi, First, I would like to provide you with the normal values for blood glucose levels: fasting blood glucose (AC Glucose) should be <100 mg/dL, and postprandial blood glucose (PC Glucose) should be <140 mg/dL two hours after eating. The normal range for g...[Read More] Understanding Diabetes and Blood Pressure: Key Values and Assessments
Understanding Tricuspid and Aortic Valve Insufficiency: Impacts on Blood Pressure and Pregnancy
Tricuspid and aortic valve insufficiency? Hello doctor, during my health check-up, the echocardiogram indicated tricuspid regurgitation and aortic regurgitation. The cardiologist said it was fine. Does this make it more likely for me to develop high blood pressure? I don’t have a...
Dr. He Dongjin Reply:
Hello, almost everyone has some degree of regurgitation, with varying severity. The cardiologist mentioned that if there are no symptoms, it should not be a concern and is unlikely to lead to hypertension or pose risks during pregnancy. Regurgitation is generally not curable. Cha...[Read More] Understanding Tricuspid and Aortic Valve Insufficiency: Impacts on Blood Pressure and Pregnancy
Understanding Blood Pressure Variations: What Your Readings Mean
Blood pressure changes Hello Dr. He, I have heard that several colleagues are experiencing hypertension issues, and I would like to ask about some knowledge regarding blood pressure. I have a blood pressure monitor at home that measures the arm, so I regularly check my blood pres...
Dr. He Dongjin Reply:
Hello, it is common for people to feel anxious when they go to the hospital, which can lead to unstable blood pressure. Based on your description, your blood pressure seems to be within an acceptable range. Just focus on maintaining a healthy diet with low oil and low salt, keepi...[Read More] Understanding Blood Pressure Variations: What Your Readings Mean
Understanding Your Cardiovascular Test Results: Key Insights and Next Steps
Laboratory Report Hello Dr. Lin, I would like to ask you some questions regarding my lab report online. I previously consulted at Miaoli Hospital, but I just received the report from my family after serving in the military in the south. My medical history includes mild mitral v...
Dr. Lin Jixiong Reply:
Hello: Elevated liver function tests indicate fatty liver, and you may follow up with a gastroenterologist or hepatologist. The liver enzymes are elevated, and the physician has prescribed Sulfin 100mg. Please pay attention to your diet and exercise, take your medication regularl...[Read More] Understanding Your Cardiovascular Test Results: Key Insights and Next Steps
Understanding Cardiovascular Issues and Improving Blood Flow Health
Cardiovascular diseases and issues related to congestion? Hello Dr. Lin, I was diagnosed with hypertension about 5 to 6 years ago. Over the years, I have been inconsistently taking medication. My blood pressure mostly ranges between 130 and 140 mmHg (systolic), while my diastoli...
Dr. Lin Jixiong Reply:
Hello: The fields of cardiology and cardiovascular medicine are essentially the same, with only slight differences in terminology. As for the mentioned erectile issues, it is advisable to seek assistance from a urologist as soon as possible to address the related concerns. Sincer...[Read More] Understanding Cardiovascular Issues and Improving Blood Flow Health
Can Blood Pressure Medications Cause Unintentional Head Nodding?
Can the side effects of hypertension medication cause involuntary head shaking? My mother has a family history of hypertension and has recently started taking blood pressure medication. It seems she is taking a medication called Mavik. Recently, I noticed that she unconsciously s...
Dr. Lin Jixiong Reply:
Hello, it is generally uncommon to experience such phenomena while taking blood pressure medication. It is recommended to consult a neurologist to discuss possible causes. Sincerely, Dr. Lin Chi-Hsiung, Taoyuan Hospital, Department of Health, Executive Yuan.[Read More] Can Blood Pressure Medications Cause Unintentional Head Nodding?
Managing High Blood Pressure and Diabetes: Urgent Care Insights for Patients
Hypertension/Diabetes Mellitus In late February, due to feeling unwell, my mother went to the emergency room and was diagnosed with hypertension (over 200) and diabetes (hyperglycemia). She is approximately 57 years old and has been consistently following up with outpatient visit...
Dr. He Dongjin Reply:
Hello, the recent fluctuations in weather may affect blood pressure. In fact, any changes in internal or external environments can cause blood pressure variations, including sudden temperature changes, anger, poor sleep, menopause, and external stressors. It is important to addre...[Read More] Managing High Blood Pressure and Diabetes: Urgent Care Insights for Patients