Chest pain, Family Medicine FAQ

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Understanding Sudden Chest Pain and Breathing Difficulties: What Could It Be?

What disease or emergency situation is it? One morning, I felt very unwell upon waking up. I then began to experience chest tightness, shortness of breath, cold sweats, and palpitations after walking a few steps, accompanied by a sensation of darkness in my vision. Half an hour l...


Dr. Lin Zhebin Reply:
Hello: Your physical discomfort may be related to cardiovascular issues, and it is recommended that you see a cardiologist for an examination.

[Read More] Understanding Sudden Chest Pain and Breathing Difficulties: What Could It Be?


Which Medical Specialty Should You Consult for Chest Pain and Numbness?

Which specialty should I see? Experiencing tightness in the neck and shoulders, along with severe stabbing pain in the left chest, left arm numbness and weakness, difficulty breathing with a feeling of pressure, nausea, cold sweats, and pallor when turning the body to the left an...


Dr. Liu Hongxiang Reply:
Hello Ms. Chun, based on the symptom analysis, there are issues related to muscles and nerves that may be causing your condition. It is recommended that you visit the orthopedic or neurology department at the hospital for an evaluation of your physical condition. Wishing you good...

[Read More] Which Medical Specialty Should You Consult for Chest Pain and Numbness?


Understanding Upper Back and Left Chest Pain: Causes and Concerns

Pain in the upper left chest and upper back? Hello Doctor, I have been experiencing pain in my upper back for about two months, particularly around the area near my scapula. In the past few days, I have also felt pain in the upper left side of my chest, with a distinct focal poin...


Dr. Liao Yaopan Reply:
Hello, it is recommended to first consult a cardiologist to rule out any cardiovascular or pulmonary diseases. Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares a...

[Read More] Understanding Upper Back and Left Chest Pain: Causes and Concerns


Understanding Chest Tightness and Breathing Issues After Night Shifts

Chest tightness and difficulty breathing? After working rotating shifts, including both day and night shifts, for about seven years, and having a smoking habit while drinking a cup of American coffee daily, I recently started experiencing episodes of rapid heartbeat, shortness of...


Dr. Xiao Yongxun Reply:
Dear Ms. Huang: 1. The human body has its own physiological clock and circadian rhythms that are inherently aligned with nature. Therefore, long-term night shifts or rotating shifts can have various impacts on sleep, the neuroendocrine system, cardiovascular system, digestive sy...

[Read More] Understanding Chest Tightness and Breathing Issues After Night Shifts


Understanding Breathing Issues and Fatigue in Elderly Patients

Wheezing, forceful exhalation? My father is 84 years old and has dementia, hypertension, diabetes, and anemia. Recently, he received a blood transfusion due to low hemoglobin levels. After returning home, he has been experiencing excessive sleepiness, and we are unsure of the cau...


Dr. Cai Dongqi Reply:
Hello, Zhang: 1. First, visit an otolaryngologist to check for any issues in the nasal cavity that may be causing respiratory obstruction or sleep apnea. 2. Experiencing shortness of breath during activity and chest pain may indicate heart failure or angina; please consult a card...

[Read More] Understanding Breathing Issues and Fatigue in Elderly Patients


Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine

Unknown etiology? My normal body temperature ranges from 36.4 to 37.3 degrees Celsius. I have a history of fatty liver disease, and my mother and her relatives have issues related to hypertension, hyperlipidemia, and gastrointestinal problems. My father's side has a history ...


Dr. Xiao Yongxun Reply:
Dear Mr. Lseedead: 1. Since you have been hospitalized and undergone many tests that all returned normal results, I believe that given your age, there shouldn't be any significant issues. 2. The pulmonologist and infectious disease specialist have reviewed your imaging and ...

[Read More] Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine


Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations

Nasal congestion + runny nose + chest pain + vomiting + palpitations? Hello, I have been experiencing severe nasal congestion since December, which often prevents me from sleeping at night. (When my nose is clear, I have thick white phlegm.) After two to three weeks of significan...


Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, we should consider the possibility of a respiratory or gastrointestinal infection. Additionally, the symptoms of chest pain and palpitations may indicate a cardiac issue, as potential causes can involve multiple organs. It is recommende...

[Read More] Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations


Understanding Upper Left Chest Pain: Causes and Concerns

Pain in the upper left chest? There is a painful spot in the upper left chest that hurts when pressed, and there is also a dull pain even without touching it. The same spot on the right chest is painful when pressed, but it does not hurt when not touched. What could this conditio...


Dr. Cai Dongqi Reply:
Hello: It is possible that you have costochondritis, which can cause intermittent pain that persists over a long period. It is advisable to consult an orthopedic specialist. Cardiac or pulmonary issues would typically present with symptoms such as cold sweats, shortness of breath...

[Read More] Understanding Upper Left Chest Pain: Causes and Concerns


Understanding Intermittent Chest Pain: Causes and Concerns

Intermittent pain in the left and right chest? Hello Doctor: For the past three days, I have been experiencing frequent chest discomfort, particularly on the left side. Sometimes it feels sharp, and other times it feels like pressure. The pain often starts when I am quiet or rest...


Dr. Lin Zhebin Reply:
Hello: The discomfort in your chest may be related to your late sleeping habits and anxiety. Additionally, it is important to consider the possibility of cardiovascular disease and thyroid disorders. Since you are still a minor, it is advisable to inform and discuss your health c...

[Read More] Understanding Intermittent Chest Pain: Causes and Concerns


Choking on Food: Understanding Coughing, Phlegm, and Chest Discomfort

Choking with excessive phlegm? Hello, doctor. A couple of days ago (on May 24), while eating a hamburger and drinking milk tea, I was talking to a colleague and accidentally choked. I felt embarrassed to cough it out, so I swallowed hard and then went to the restroom to cough for...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that you are experiencing throat inflammation and hoarseness due to the process. The inhalation cough may indicate that a small foreign body has entered the respiratory tract, and the ability of the respiratory system to handle the...

[Read More] Choking on Food: Understanding Coughing, Phlegm, and Chest Discomfort


Understanding Chronic Health Issues: A Guide for Patients Seeking Answers

Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...


Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...

[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers


Understanding Chest Pain, Shortness of Breath, and Dizziness in Young Adults

Chest pain, chest tightness, difficulty breathing, and dizziness? Hello doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center. Even when I am sitting still...


Dr. Xiao Yongxun Reply:
Dear Mr. Yang: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, differential diagnoses should be cons...

[Read More] Understanding Chest Pain, Shortness of Breath, and Dizziness in Young Adults


Understanding Shortness of Breath: When to Seek Medical Attention

Shortness of breath? Last Wednesday, I went to see a doctor due to chest pain. An electrocardiogram (ECG) was performed, and the doctor said there were no significant issues, just that my heart rate was a bit elevated, so he prescribed me New Kangle. However, I went back to see t...


Dr. Lin Zhebin Reply:
Hello: Regarding your discomfort in the chest and difficulty breathing, if both the electrocardiogram and chest X-ray show no significant abnormalities, it is less likely to be a serious heart or lung condition. Given your mother's history of thyroid-related issues and your ...

[Read More] Understanding Shortness of Breath: When to Seek Medical Attention


Understanding Heartbeat Issues: When to Seek Medical Advice

Heart rate issues? Hello doctor, I have recently noticed that after concentrating on a task for a while, I often experience chest tightness, as if my heart is a bit weak and I feel like I'm lacking oxygen. My heart rate seems slower, but when measured, it's actually bet...


Dr. Lin Zhebin Reply:
Hello: Although your increased heart rate is still within the normal range (60-100 bpm), the discomfort in your chest and the noticeable sensation of your heartbeat may raise concerns about potential arrhythmias. Indeed, after recovering from COVID-19, it is possible to experienc...

[Read More] Understanding Heartbeat Issues: When to Seek Medical Advice


How to Choose the Right Specialist for High LDL-C Levels

Abnormal LDL-C - How to make an appointment at the outpatient clinic? Hello: During last year's health check-up (September 2022), I noticed several abnormalities, among which my LDL-C has been above the normal range for several consecutive years. I later attended a consultat...


Dr. Xiao Yongxun Reply:
1. If a patient is experiencing chest tightness, chest pain, or acute coronary syndrome, it is recommended to directly schedule an appointment with a cardiologist. 2. If there are no heart-related diseases and only abnormal cholesterol levels are present, then a cardiologist, end...

[Read More] How to Choose the Right Specialist for High LDL-C Levels


Understanding Chest Pain: Causes and When to Seek Medical Advice

Chest pain? Hello doctor, I would like to ask about a recent issue. I've been experiencing occasional sharp pain in the left side of my chest. I can pinpoint the location, and it's not very painful—just a brief sensation each time. However, this has been going on for a ...


Dr. Ye Qianyu Reply:
Hello! Sharp pain in the left chest, which can be clearly localized, is usually indicative of musculoskeletal inflammation. However, if the pain persists without relief, it is important to rule out issues related to the heart and pleura. It is recommended that you consult a pulmo...

[Read More] Understanding Chest Pain: Causes and When to Seek Medical Advice


Understanding Mild to Moderate COVID-19 Symptoms and Gastrointestinal Effects

Regarding the progression from mild to moderate symptoms and related sequelae? Hello Dr. Lin, I was infected and confirmed positive for COVID-19 on December 28 of last year due to exposure from a household member. I isolated at home for five days and have since completed my isola...


Dr. Lin Zhebin Reply:
Hello: 1. Although the infection caused by the COVID-19 virus primarily presents with respiratory symptoms, it can actually affect various organs and systems throughout the body, which means gastrointestinal symptoms may also occur. 2. The progression from mild to moderate or sev...

[Read More] Understanding Mild to Moderate COVID-19 Symptoms and Gastrointestinal Effects


Understanding Heart Palpitations and Weakness After Heat Stroke and Vaccination

Strong heartbeat with weakness and shortness of breath? I previously experienced heatstroke that triggered angina, and after receiving a vaccine, I now feel as if my heart is being crushed whenever I sweat (for example, after eating hot food or being in a stuffy environment). It ...


Dr. Lin Zhebin Reply:
Hello: Your symptoms of chest pain, palpitations, general weakness, and cold sweats are indeed concerning for potential heart issues, and they may also be related to autonomic nervous system dysfunction. However, it is possible that no abnormalities will be found during an examin...

[Read More] Understanding Heart Palpitations and Weakness After Heat Stroke and Vaccination


Unexplained Chest Pain and Neck Tightness: Seeking Answers

Chest pain and neck tightness with no identifiable cause? Hello Doctor: I sincerely apologize for the lengthy message, but this issue has been troubling me for over a year... Let me briefly describe my symptoms. Since June of last year, I have been experiencing unexplained tightn...


Dr. Lin Zhebin Reply:
Hello: Your symptoms of left chest pain, palpitations, left shoulder pain, neck tightness, shortness of breath, dizziness, and headaches raise concerns about potential cardiac issues. There is a possibility of acute arrhythmia; however, if you do not experience an episode during ...

[Read More] Unexplained Chest Pain and Neck Tightness: Seeking Answers


Understanding X-rays: Do You Need a Specialist for Chest Issues?

Regarding X-rays? Hello, Doctor: I have an autoimmune disease and previously had an X-ray of my lungs or chest (the upper area). I did some research online! An X-ray can reveal a lot of information. The basic things that can be assessed include the heart, lungs, bones, lung marki...


Dr. Cai Dongqi Reply:
Hello: That's correct, a chest X-ray can only reveal the aforementioned findings. It is advisable to consult multiple pulmonologists for further evaluation.

[Read More] Understanding X-rays: Do You Need a Specialist for Chest Issues?


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