Understanding Vascular Swelling: Causes and Concerns for Patients
Vascular swelling Doctor, I apologize for the interruption, but I would like to ask a few questions. I have been diagnosed with mild mitral valve prolapse after an echocardiogram at Changhua Christian Hospital. I am very thin, measuring 164.3 cm and weighing 42 kg. Since childhoo...
Dr. He Dongjin Reply:
Hello, being very thin and having prominent veins is normal and there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Vascular Swelling: Causes and Concerns for Patients
Understanding Vascular Issues: From Brain Embolism to Heart Complications
I have issues such as cerebral vascular embolism and myocardial ischemia? About 4 to 5 years ago, I started experiencing issues and was diagnosed with cerebral vascular embolism. Later, I was also found to have myocardial ischemia, hypertension, and surprisingly, my blood glucose...
Dr. Lin Jixiong Reply:
Hello: Swelling in the limbs may be indicative of heart problems or obstruction in the venous blood vessels of the lower extremities. To confirm the diagnosis, it is advisable to consult a cardiologist for an echocardiogram or venography of the lower limbs. As for the caliber of ...[Read More] Understanding Vascular Issues: From Brain Embolism to Heart Complications
Managing Deep Vein Thrombosis: Medication Side Effects and Treatment Options
Deep vein thrombosis (DVT) On August 10, I underwent lower limb angiography to confirm deep vein thrombosis. The physician prescribed Warfarin in round pink tablets, with an initial dosage of 0.5 tablets. However, due to elevated blood test results, the dosage was adjusted to 0.3...
Dr. He Dongjin Reply:
Hello, You-Wen. Regarding the orthopedic surgery for treating the embolism, it is possible to remove the steel pins during the procedure. There are also various medications available that can be discussed with your physician for a potential change in treatment. Changhua Hospital ...[Read More] Managing Deep Vein Thrombosis: Medication Side Effects and Treatment Options
Concerns About Blood Clots After B Vitamin Injection: What You Should Know
Thrombosis issues Hello Doctor: A few days ago, I visited a nearby clinic because I was feeling fatigued from a cold. The doctor at the clinic recommended that I receive a B vitamin injection. However, I noticed that when the nurse was drawing blood, quite a bit was pulled into t...
Dr. He Dongjin Reply:
Hello, it should not be the case that venous blood return leads to a stroke or myocardial infarction, as the thrombus originates from the left ventricle and follows a different pathway. Changhua Hospital cares about your well-being.[Read More] Concerns About Blood Clots After B Vitamin Injection: What You Should Know
Understanding Visible Veins in Hands and Feet: Causes and Concerns
Prominent blood vessels in the hands and feet? Hello Doctor, I am currently on a working holiday in Japan, and this job is my last stop. I will be returning to Taiwan around the end of August! However, recently I have noticed significant changes in my hands and feet; my veins hav...
Dr. Li Han Reply:
Hello, regarding your inquiry about "prominent blood vessels in the arms and legs" - in the shoulders and limbs; "there are no specific symptoms of discomfort, appetite is normal, but recently there have been occasional episodes of sudden nausea." This should ...[Read More] Understanding Visible Veins in Hands and Feet: Causes and Concerns
Is Your Ankle Swelling Due to Varicose Veins or Blood Clots?
Is unilateral ankle edema due to varicose veins or venous thrombosis? Hello Doctor: My mother has been experiencing severe swelling in her left ankle recently, and it takes a long time for the indentation to return after pressing on it. Some people have suggested that it might be...
Dr. He Dongjin Reply:
Hello, it is recommended to see a cardiologist for further examination. Changhua Hospital cares about you.[Read More] Is Your Ankle Swelling Due to Varicose Veins or Blood Clots?
Do Compression Socks Help with Spider Veins or Make It Worse?
Do compression stockings have no effect on spider veins? Hello Doctor: From March to August 2016, I developed spider veins in my thighs. In August, I consulted a doctor who said my symptoms were mild and that wearing compression stockings for my calves would help. However, the ap...
Dr. Li Han Reply:
Hello, regarding your inquiry about "Do compression stockings have no effect on spider veins?", "I developed spider veins in my thighs from March to August 2016...", "I occasionally have large bruises on my calves", and "I have experienced gener...[Read More] Do Compression Socks Help with Spider Veins or Make It Worse?
Understanding Stent Placement After Bypass Surgery: Key Concerns
Issues Related to Stent Placement After Coronary Bypass Surgery Hello Doctor: My mother underwent coronary artery bypass surgery in October 2014. Recently, during myocardial perfusion scans at two major hospitals, the doctors indicated that there is an issue with cardiac hypoxia ...
Dr. Li Han Reply:
Hello, the prognosis of coronary artery disease (CAD) is determined by two main factors: cardiac function and the extent of hypoxia. The treatment for CAD primarily involves medication, but for specific high-risk populations, relying solely on medication is insufficient; interven...[Read More] Understanding Stent Placement After Bypass Surgery: Key Concerns
Understanding Leg Swelling and Circulation Issues After Injury and Long Sitting
Swelling in the calf with a sensation of poor blood circulation? Hello, doctor. In the past year, I have had to sit for long periods due to my studies. The year before, I worked part-time, which required me to stand for at least two days a week for 6 to 8 hours. After a long-haul...
Dr. Li Han Reply:
Hello, based on your description of swelling in the calves, a burning or tingling sensation in the muscles above the knees, and a feeling of poor blood circulation in the lower limbs, I believe that if these subjective symptoms have been bothering you for some time, it would be a...[Read More] Understanding Leg Swelling and Circulation Issues After Injury and Long Sitting
Knee and Calf Discomfort: Understanding Potential Vascular Issues
Discomfort in the inner knee and lower leg? Hello, doctor. Over the past year, I have had to sit for long periods due to my studies. The previous year, because of my part-time job, I had to stand for at least two days a week for 6 to 8 hours. After a long-haul flight (about 10 ho...
Dr. He Dongjin Reply:
Hello, it seems more like a case of tendinitis near the knee rather than deep vein thrombosis. If you still feel unwell, it is advisable to visit the outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Knee and Calf Discomfort: Understanding Potential Vascular Issues
Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Arrhythmia or coronary artery obstruction? I do not smoke, am not obese, and have no family history of hypertension. However, over the past two to three years, my cholesterol levels have gradually increased beyond the normal range, and my blood pressure has also slightly exceeded...
Dr. He Dongjin Reply:
Hello, 1. The scan report indicates an arterial blockage rate of less than 25%, which suggests there is likely no blockage; however, the doctor mentioned that there is still a possibility of coronary artery obstruction. While nothing is ever 100% certain, the probability of cor...[Read More] Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Understanding Vascular Complications After IV Nutrition: Symptoms and Care
Vascular lesions About half a month ago, I underwent intestinal surgery and received nutritional injections in my left arm for several days. The first injection was in the upper left arm, and later it was moved to the forearm. After the needle was removed, there was noticeable st...
Dr. He Dongjin Reply:
Hello, for phlebitis, applying a warm compress should be sufficient. Changhua Hospital cares about you.[Read More] Understanding Vascular Complications After IV Nutrition: Symptoms and Care
Managing Post-Amputation Edema: Effective Strategies for Relief
Dorsal edema after toe amputation? Dear Dr. Lee, My father is 67 years old and has had high blood pressure for about two years and diabetes for ten years. In February of this year, due to poor care of a foot wound, he developed an infection that ultimately led to the amputation ...
Dr. Li Han Reply:
Hello, A-Bing. Your father's condition is quite complex, involving peripheral artery and possible venous return issues. The former is a major cause of diabetic foot ulcers. Despite undergoing peripheral angioplasty and hyperbaric oxygen therapy on the right foot, he still fa...[Read More] Managing Post-Amputation Edema: Effective Strategies for Relief
Understanding Vascular Blockage: Causes, Symptoms, and Treatment Options
Vascular occlusion Dear Doctor, ten months ago I developed deep vein thrombosis (DVT) in my right leg due to tight bandaging from an injury. After taking anticoagulants, a follow-up ultrasound two weeks later showed no clots. However, I later experienced pain in the back of my th...
Dr. He Dongjin Reply:
Hello, based on your description, it is difficult to determine whether the issue is caused by a blood clot. If you are taking anticoagulants, it should help improve your condition. It is advisable to discuss your situation and treatment options with your attending physician. Chan...[Read More] Understanding Vascular Blockage: Causes, Symptoms, and Treatment Options
Should You See a Cardiovascular Surgeon or Specialist for Varicose Veins?
Varicose veins Hello, Doctor: I would like to ask whether I should see a vascular surgeon or a cardiologist for varicose veins. Thank you! Wishing you a Happy New Year, Grace.
Dr. Li Han Reply:
Hello Grace, regarding your question "Should I see a vascular surgeon or a cardiologist for varicose veins?" I recommend that you consult a vascular surgeon first. However, before your appointment, you may want to do some research online and then discuss your findings w...[Read More] Should You See a Cardiovascular Surgeon or Specialist for Varicose Veins?
Understanding Mitral Valve Prolapse: Concerns About Pulsating Neck Veins
Mitral valve prolapse Hello... The holiday season has just passed, and I apologize for disturbing you during this busy time. I would like to extend my New Year greetings to you, wishing you peace, health, prosperity, and good luck in all your endeavors. I would like to ask you ...
Dr. He Dongjin Reply:
Hello, mitral valve prolapse is not directly related to a strong neck pulse. It's better to have a pulse than not to have one. The patient may be slender, which can make the pulse appear stronger. As long as the pulse is regular, there is no need to worry. Symptoms are the p...[Read More] Understanding Mitral Valve Prolapse: Concerns About Pulsating Neck Veins
Understanding Pain in the Back of the Hand: When to Seek Medical Attention
Dorsal hand vein pain The veins on the back of my hand and part of my arm suddenly started to hurt. It hurts when I extend my hand, and pressing on that area also causes pain. What could be the reason for this? Should I go to the hospital for an examination?
Dr. Li Han Reply:
Hello, Xiao Yang. Regarding your question about pain in the veins on the back of your hand, if you notice redness and pain along the veins in your arm, there is a significant possibility of thrombophlebitis. It is still recommended that you return for an evaluation. The Changhua ...[Read More] Understanding Pain in the Back of the Hand: When to Seek Medical Attention
Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Use of Anticoagulants Hello, I have a history of hypertension for about 20 years. I initially took medication to control it for about 10 years, but then I stopped taking the medication on my own. During this period, I experienced frequent headaches. It wasn't until a recent ...
Dr. Li Han Reply:
Hello, A-mei. The purpose of administering anticoagulants is to prevent thromboembolism, which, as the name suggests, inhibits the coagulation mechanism. Therefore, the risk associated with these medications is the risk of bleeding. You can weigh the benefits of preventing thromb...[Read More] Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Sudden Pain and Bulging Veins in Foot: What You Need to Know
Sudden protrusion and pain in the veins of the foot? Hello Doctor: I suddenly experienced pain in my foot while sleeping at night. When I got up, I noticed a swollen and painful area on the top of my foot with prominent veins, and the pain has been persistent. Only my right foot ...
Dr. Li Han Reply:
Hello, based on your inquiry about sudden pain in the dorsum of the foot at midnight, along with the presence of prominent veins in the affected area, it is uncertain whether there is a correlation between the two. This description alone does not provide a complete picture, so I ...[Read More] Sudden Pain and Bulging Veins in Foot: What You Need to Know
Differentiating Post-Thrombotic Syndrome from Tendinitis Symptoms
Post-thrombotic syndrome (venous insufficiency) "and" tendinitis? Dear Doctor, four months ago I developed deep vein thrombosis (DVT) in my calf due to tight bandaging from an injury. After taking anticoagulants, a follow-up ultrasound two weeks later showed no thrombos...
Dr. He Dongjin Reply:
Hello, based on your description, your calf becomes increasingly stiff after walking each day, but it softens after lying down for half an hour. This is more reminiscent of post-thrombotic syndrome or tendonitis, and there are no swelling symptoms. It is likely caused by venous i...[Read More] Differentiating Post-Thrombotic Syndrome from Tendinitis Symptoms