Chest tightness, Family Medicine FAQ - Page 5

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Which Specialist to See for Cough, Chest Pain, and Ear Discomfort?

For symptoms such as cough, chest tightness, ear pressure, and nasal allergies, you should consider seeing an Ear, Nose, and Throat (ENT) specialist or an Allergist? I have been troubled for over two months and am puzzled. In October, I visited a clinic due to a sore throat and f...


Dr. Cai Dongqi Reply:
Hello, I'm not sure if you were seeing an ENT specialist at National Taiwan University. I recommend that you focus on the ENT department and discuss with your physician whether a cross-specialty consultation is necessary.

[Read More] Which Specialist to See for Cough, Chest Pain, and Ear Discomfort?


Persistent Cough and Chest Tightness After Cold: What to Do?

Persistent cough and chest tightness after a cold? At first, I experienced a sensation of my throat being constricted and chest tightness, sometimes feeling like I couldn't get enough air. After taking medication for a while without improvement, I was initially told it was p...


Dr. Cai Dongqi Reply:
Hello, I believe your symptoms are quite bothersome. You should consider consulting with specialists in otolaryngology and gastroenterology. I recommend that you visit a pulmonologist for a more comprehensive examination of the thoracic region. Wishing you a speedy recovery.

[Read More] Persistent Cough and Chest Tightness After Cold: What to Do?


Understanding Chest Tightness and Insomnia: Causes and Solutions

Insomnia and chest tightness? Hello Doctor, I started experiencing chest tightness around July 20th (feeling like my chest is constricted or that I can't catch my breath, often needing to take deep breaths or concentrate on inhaling) and frequent shallow sleep with vivid dre...


Dr. Xiao Yongxun Reply:
Dear Miss Anonymous: 1. Please consult your primary care physician to discuss your symptoms and undergo necessary examinations. There are many potential causes for chest tightness and shortness of breath, with common diagnoses including chronic obstructive pulmonary disease (CO...

[Read More] Understanding Chest Tightness and Insomnia: Causes and Solutions


Unexplained Dizziness: Understanding Symptoms and Possible Causes

Unexplained dizziness? I would like to ask the doctor, I have been experiencing dizziness for over two years, with symptoms including left flank pain, a heavy sensation in the back of my head, dizziness that feels like I'm moving up and down in an elevator, occasional throbb...


Dr. Huang Xunying Reply:
Hello, I recommend that you see a neurologist for further examination! It is possible that, as you mentioned, it could be autonomic nervous system dysfunction or other reasons. Thank you.

[Read More] Unexplained Dizziness: Understanding Symptoms and Possible Causes


Understanding Mediterranean Anemia: Diagnosis and Symptoms Explained

Mediterranean anemia Hello Doctor, I am 36 years old and have given birth to three children. I had surgery for an inguinal hernia at the age of 16 (at a medical center in Taipei). I have a few questions: 1. I was diagnosed with thalassemia in 2017, but I have had blood tests in t...


Dr. Liao Yaopan Reply:
Mediterranean anemia, also known as thalassemia, is a congenital blood disorder characterized by abnormal blood cells that do not appear suddenly and are not related to diet. It is recommended to visit a hematology clinic or consult your family physician for further evaluation of...

[Read More] Understanding Mediterranean Anemia: Diagnosis and Symptoms Explained


Understanding Sinus Bradycardia: Should You Be Concerned?

Questions about electrocardiogram (ECG) content! Due to undergoing laparoscopic surgery for adenomyosis one to two years ago, I had an electrocardiogram (ECG) done the day before, which reported: "Sinus bradycardia, otherwise normal ECG." I recently discovered this info...


Dr. Chen Bozhang Reply:
Dear Ms. Chang, Thank you for your letter regarding your electrocardiogram report, which indicates sinus bradycardia. "Sinus" refers to the normal rhythm generated by the sinoatrial node, while "bradycardia" indicates an average heart rate of less than 60 bea...

[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?


Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective

A cold can lead to difficulty breathing? Hello Doctor: Around early August, I experienced cold symptoms and visited three ENT clinics. At the third clinic, after taking medication, I experienced difficulty breathing and felt short of breath, but I didn't have these symptoms ...


Dr. Liao Jiasheng Reply:
Due to experiencing shortness of breath while walking, elevated blood pressure, and a rapid heartbeat, it is recommended to schedule an appointment with a cardiologist for further evaluation.

[Read More] Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective


Understanding Non-Specific Dizziness: Causes and Management Strategies

Nonspecific dizziness Hello, doctor. One morning in February of last year, I woke up feeling dizzy (I weighed 116 kg at the time). Initially, it felt like an earthquake, and I didn't think much of it. However, by the end of March last year, my doctor prescribed me medication...


Dr. Ye Qianyu Reply:
Hello! In clinical practice, the various conditions you mentioned can indeed lead to dizziness. I recommend keeping a diary to thoroughly assess the events before and after the episodes of dizziness, as this will help identify the key factors contributing to your symptoms and all...

[Read More] Understanding Non-Specific Dizziness: Causes and Management Strategies


Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms

Is it really a urinary tract infection? Hello, my mother has undergone a bladder suspension surgery, but in recent years, the surgical sutures have come loose, leading to urinary incontinence that requires her to wear adult diapers to maintain her daily life (she also changes the...


Dr. Chen Taicheng Reply:
● If the issue is related to postoperative sutures, the focus should be on addressing the sutures or any ongoing urinary incontinence problems. Women may experience pelvic organ prolapse (such as the uterus, vagina, urethra, and intestines) due to childbirth, aging, estrogen defi...

[Read More] Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms


Understanding Chest Tightness: Causes and Solutions for Better Sleep

Chest tightness? In recent nights, I have been feeling a tight and heavy sensation in the left side of my chest, near my heart, which makes it difficult to fall asleep.


Dr. Wu Fangcan Reply:
According to what you said, there could be many possible causes such as stress, cardiovascular diseases, or pleuritis. It is advisable to consult a family medicine physician for further evaluation.

[Read More] Understanding Chest Tightness: Causes and Solutions for Better Sleep


Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help

Iron deficiency anemia with splenomegaly? Hello Doctor, I was informed during a recent company health check that I have splenomegaly measuring 9 centimeters. I had a medical history of iron deficiency anemia four years ago, for which I received iron supplements until my levels re...


Dr. Chen Pengsheng Reply:
Dear Ms. Wei, The symptoms you described could have many possible causes, and iron deficiency anemia is one of them. I recommend that you bring your test results to see a physician for a detailed discussion. If it is iron deficiency anemia, effective treatment should be availab...

[Read More] Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help


Chest Tightness and Acidic Stomach: Understanding Your Symptoms

Chest tightness during breathing and frequent acid sensation in the stomach? Hello doctor, I have been feeling a lot of acidity in my stomach for some time now and often feel nauseous. When I wake up in the morning, I think it’s because I’m hungry, which is why my stomach feels a...


Dr. Chen Taicheng Reply:
Considering your age, gastrointestinal issues should be the primary focus, such as gastroesophageal reflux disease (GERD), dyspepsia, and peptic ulcers. Respiratory problems may also be related to gastrointestinal issues. It is recommended to seek further evaluation and treatment...

[Read More] Chest Tightness and Acidic Stomach: Understanding Your Symptoms


Understanding Breathing Difficulties: When to Seek Medical Help

Shortness of breath? Hello Doctor, I currently have the following conditions: 1. Occasionally, I need to slightly open my mouth and take a deep breath to feel a sense of lung expansion (I usually do not have significant stress or anxiety). 2. I find myself yawning more frequently...


Dr. Chen Taicheng Reply:
● Considering your age, the likelihood of severe cardiopulmonary abnormalities is low. The sensations of chest tightness and difficulty breathing should first rule out atopic conditions (such as asthma, allergic rhinitis, atopic dermatitis) that may cause respiratory discomfort. ...

[Read More] Understanding Breathing Difficulties: When to Seek Medical Help


Understanding Throat Discomfort and Neck Tension: A Patient's Journey

Sensation of a foreign body in the throat with tightness in the back of the neck? Hello Doctor: I tend to be overly anxious and have a history of gastrointestinal bloating, constipation, headaches, and chest tightness due to spinal and cervical misalignments. Long-term use of Wes...


Dr. Chen Taicheng Reply:
● It is important to determine what you may have choked on to rule out any issues with obstruction in the esophagus or trachea; however, since you have undergone a CT scan of the throat, it should initially rule out foreign body issues in the larynx. You may want to consult an ot...

[Read More] Understanding Throat Discomfort and Neck Tension: A Patient's Journey


Understanding Dizziness and Nausea: Possible Causes and Solutions

Dizziness with mild nausea? Doctor, for the past two nights, I sometimes feel like I'm not breathing while sleeping, and I experience a bit of chest tightness. It's like a sudden feeling of emptiness below my chest that wakes me up, and I wake up easily. I also have to ...


Dr. Liao Yaopan Reply:
Hello, regarding your recent symptoms, it is still recommended that you first consult your family physician for an evaluation, and then determine if a referral to a specialist is necessary based on the situation. Please note that online consultations do not equate to in-person me...

[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions


Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms

Having many health issues can make it difficult to know what to do? Hello Doctor, I have symptoms of mitral valve prolapse, gastroesophageal reflux disease, being a carrier of thalassemia, and headaches. I have previously undergone surgery for bilateral tonsillectomy and a liposa...


Dr. Chen Taicheng Reply:
● There are many possible causes for chest tightness, including the issues you mentioned, such as bronchial problems or gastroesophageal reflux (you can refer to my other article at https://goo.gl/jkWwha). Generally, mild mitral valve prolapse is mostly asymptomatic and does not ...

[Read More] Managing Multiple Health Issues: A Guide for Patients with Complex Symptoms


Understanding Chest Tightness: Causes and When to Seek Help

Chest tightness issue? Hello Doctor, I am a 22-year-old female. Last November, I contracted enterovirus, and my usual symptoms were diarrhea and cold-like symptoms. However, one night I suddenly felt unwell, experiencing chest tightness and a sensation that I could only breathe d...


Dr. Chen Taicheng Reply:
Premenstrual discomfort is referred to as premenstrual syndrome (PMS), with common symptoms including breast tenderness, abdominal bloating, diarrhea, mood changes, sleep disturbances, headaches, and acne, as you mentioned. Although you had a history of asthma in childhood, which...

[Read More] Understanding Chest Tightness: Causes and When to Seek Help


Understanding Severe Headaches, High Blood Pressure, and Nausea: Causes and Solutions

Frequent headaches, elevated blood pressure, and vomiting? I often experience headaches, elevated blood pressure, and vomiting. What could be the cause? My headaches are sometimes so severe that I have to go to the emergency room (my blood pressure spikes to 180-184 during these ...


Dr. Chen Taicheng Reply:
● If your outpatient blood pressure readings are consistently greater than 140/90 mmHg, or if home measurements are consistently greater than 135/85 mmHg, you may be at risk for hypertension. Blood pressure can be elevated during periods of discomfort (such as headaches) and may ...

[Read More] Understanding Severe Headaches, High Blood Pressure, and Nausea: Causes and Solutions


Understanding Common Concerns in Family Medicine: A Student's Health Dilemma

Family medicine issues? I am a student preparing for exams, and recently I've been experiencing a feeling of tightness in my chest, as if I'm not getting enough air. My throat feels constricted, and sometimes my left elbow feels sore. I also have a strange sensation in ...


Dr. Huang Xunying Reply:
Due to various uncomfortable symptoms such as chest tightness and shortness of breath, it is recommended to visit a family medicine clinic for evaluation. Regarding concerns about whether one might have amyotrophic lateral sclerosis (ALS), the symptoms do not align closely, as mo...

[Read More] Understanding Common Concerns in Family Medicine: A Student's Health Dilemma


Understanding Symptoms of Dizziness and Tinnitus During Hiking

Experiencing tinnitus, nausea, and seeing stars while hiking? Hello, doctor. I am aware that my cardiopulmonary function is not good (I have a history of childhood asthma). I occasionally ride a bicycle and play table tennis for exercise, and I have also engaged in jogging, reach...


Dr. Gao Qingyun Reply:
Dear Team Luo, Hello, the symptoms you described require a proper assessment based on your medical history and a physical examination for an accurate diagnosis. Please visit my clinic for evaluation and assistance. Thank you, and I wish you peace and good health. Sincerely, G...

[Read More] Understanding Symptoms of Dizziness and Tinnitus During Hiking


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