Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello, Doctor. My father has recently been experiencing consistently high blood pressure and chest tightness. He has a history of undergoing cardiac catheterization and suspects blockage, so an exercise electrocardiogram has been arranged. The doctor has a...
Dr. Liu Hongxiang Reply:
Hello Jolingchang: Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. The adjustment of antihypertensive medications, if there are no contraindications or side effects, is based on the usual blood pressure readings. Some individuals may achieve...[Read More] Managing High Blood Pressure: Concerns About Medication Changes
Managing High Blood Pressure: Concerns About Medication Changes
Medication Consultation Hello Doctor, my father has recently been experiencing consistently high blood pressure and chest tightness. He previously underwent cardiac catheterization and suspects a blockage, so an exercise electrocardiogram has been arranged. The doctor has now rec...
Dr. Liu Hongxiang Reply:
Hello Jolingchang, Blood pressure control includes diet, exercise, lifestyle adjustments, and medication. When adjusting antihypertensive medications, if there are no contraindications or side effects, the adjustments are based on the usual blood pressure readings. Some individ...[Read More] Managing High Blood Pressure: Concerns About Medication Changes
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
Can You Fly with Heart Anxiety? Understanding Your Cardiac Health
Fear of flying due to heart problems? Hello Doctor, Below is the report from the previous cardiac examination, specifically the Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 46 to 112 beats per minute (bpm). The average he...
Dr. Xiao Yongxun Reply:
Dear "Seeker of Help": 1. Since you have undergone so many detailed examinations, it is important to discuss with your attending physician whether your heart and lung functions are suitable for a two-hour flight. 2. Your concerns seem to lean more towards panic diso...[Read More] Can You Fly with Heart Anxiety? Understanding Your Cardiac Health
Understanding Skin Changes and Muscle Twitches: When to Seek Medical Advice
Medical issues Hello, doctor. I recently noticed that I suddenly developed several moles on my body (not too many, but within a short period, I have developed about 5-10 moles, mostly on my upper body and arms). Is this normal? Thank you. Additionally, I have been experiencing so...
Dr. Lin Zhebin Reply:
Hello: 1. The sudden appearance of many moles on your body is mostly related to genetic factors, but it may also be associated with sun exposure, hormonal changes, or a decline in immune function. It is advisable to monitor the characteristics of the moles for any changes. If y...[Read More] Understanding Skin Changes and Muscle Twitches: When to Seek Medical Advice
Understanding Brief Chest and Back Pain: When to Seek Help
Intermittent pain in the chest and back? Hello, doctor. This morning when I woke up, I suddenly felt a sharp pain in my left chest. It lasts only for about one second each time, and sometimes I also feel it in the same spot on my back. Since it occurs intermittently, it makes me ...
Dr. Ye Qianyu Reply:
Hello! There are many differential diagnoses for chest and back pain. Based on your description, it seems more like musculoskeletal pain. I recommend that you visit a medical facility for evaluation.[Read More] Understanding Brief Chest and Back Pain: When to Seek Help
Persistent Thirst and Unusual Belly Button Discharge: What to Know
Persistent thirst with discharge from the navel? Hello, Doctor. Recently, I've been feeling very thirsty often, and even after drinking a lot of water, it doesn't help. One day, I noticed a yellowish discharge around my navel (sometimes it appears reddish-brown). I visi...
Dr. Ye Qianyu Reply:
Hello! For skin issues, it is recommended that you visit a dermatologist. For problems related to thirst, it is advisable to consult with a metabolic specialist.[Read More] Persistent Thirst and Unusual Belly Button Discharge: What to Know
Understanding Eye Styes: When to Consult Family Medicine and Immunology
Inquiry about medical specialties? Hello Doctor: Since May of this year, I have been experiencing frequent styes, having developed about four of them in the past six months. Each time has been severe enough to require drainage surgery. I would like to know if, in addition to seei...
Dr. Liao Yaopan Reply:
Hello, you can first consult with your family physician regarding your condition. Depending on the situation, further referral for online consultation may be considered. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or t...[Read More] Understanding Eye Styes: When to Consult Family Medicine and Immunology
Concerns About Disease Transmission After a Possible Needle Incident
Infectious diseases Hello Dr. Lin, I am currently in Vietnam with my family. Just now, while having dinner, I encountered a man who appeared to be Korean, accompanied by a woman. For some reason, he seemed to bump into my left chest as he walked by. At that moment, I thought he w...
Dr. Lin Zhebin Reply:
Hello: Generally, there is a difference between the sensation of being pricked and being bumped, unless it is a very fine needle. Additionally, there are no obvious puncture wounds or marks on your chest, and typically, needles are handled with hands, so it is more likely that it...[Read More] Concerns About Disease Transmission After a Possible Needle Incident
Health Risks of CNC Metal Cutting: Should Workers Get Lung LDCT Screening?
Occupational Medicine Issues Hello doctor, I would like to ask about the health risks to the lungs for workers in the CNC metal cutting industry, even with ventilation in place. Would you recommend lung LDCT (Low-Dose Computed Tomography) screening for workers in this field? I pr...
Dr. Liao Yaopan Reply:
Hello, regarding the screening tools for pulmonary nodules, it is recommended to primarily use self-paid low-dose computed tomography (LDCT) of the lungs. If you have any screening needs, please contact our Health Management Center at 04-8298686, extensions 3311/3312/3313/3322 (M...[Read More] Health Risks of CNC Metal Cutting: Should Workers Get Lung LDCT Screening?
Overcoming Chronic Pain and Anxiety: A Path to Normal Life
Long-term pain in the hands, feet, waist, and neck, along with anxiety and psychosomatic issues, how can one return to a normal life? Hello doctor, I have been suffering from various ailments for 5 years and have not worked for 3 years. It started with numbness in my left leg due...
Dr. Lin Zhebin Reply:
Hello: Here are some personal suggestions regarding the issues you raised: 1. Anxiety disorder + hypochondriasis + autonomic nervous system dysregulation with palpitations + left-sided headache and numbness: - It is recommended to continue taking psychiatric medications to alle...[Read More] Overcoming Chronic Pain and Anxiety: A Path to Normal Life
Low-Dose CT Scans for Lung Health: Essential Insights for Families
Low-dose computed tomography of the lungs? Your questions: Hello Doctor, my parents are currently 50 years old and have worked in a CNC factory for 30 years, inhaling industrial oil vapors and exhaust gases. Although the factory has ventilation, I would like to ask the doctor a f...
Dr. Liao Yaopan Reply:
Hello, regarding your questions: 1. Would you recommend scheduling a low-dose lung CT scan? --> Currently, the primary tool for screening lung tumors or nodules is regular low-dose lung CT scans. Since this is considered a self-screening measure, it is typically done on a sel...[Read More] Low-Dose CT Scans for Lung Health: Essential Insights for Families
Understanding Shingles: Symptoms, Triggers, and Arginine Intake
Shingles Previously, I was physically exhausted and underwent a blood test, which revealed that I had shingles. Later, I learned that I had chickenpox as a child; however, I have never experienced symptoms related to shingles, such as a rash. I do occasionally have brief episodes...
Dr. Ye Qianyu Reply:
Hello! A blood test can only confirm if you have had chickenpox. Chickenpox and shingles are diseases caused by the same virus; the initial infection is called chickenpox, and after that, the virus remains dormant in the body. When the immune system is compromised, it can reactiv...[Read More] Understanding Shingles: Symptoms, Triggers, and Arginine Intake
Understanding Asymmetrical Skin Changes: Common Concerns in Family Medicine
Inquiry Consultation Dear Dr. Lin, I have two questions for you: Q1. I have noticed for over a decade that the skin in my right armpit appears slightly more protruded than in my left armpit, giving the visual impression that the muscles in my right armpit are larger. This condi...
Dr. Lin Zhebin Reply:
Hello: 1. Although your right axilla appears more prominent than your left, if you haven't felt any lumps and this has persisted for over ten years, it is likely not a serious issue. It may be related to the increased muscle development in your right chest, right back, and r...[Read More] Understanding Asymmetrical Skin Changes: Common Concerns in Family Medicine
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
Sudden Chest Tightness After Eating Cherries: What Could It Mean?
Sudden chest tightness? After eating 2 to 3 cherries, I suddenly felt chest tightness and a bit of shortness of breath. What could be the cause?
Dr. Ye Qianyu Reply:
Hello! Please recall if you have been eating quickly, which may have caused a temporary esophageal obstruction leading to a feeling of chest tightness. If you still feel unwell, please seek medical attention at a healthcare facility.[Read More] Sudden Chest Tightness After Eating Cherries: What Could It Mean?
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
Understanding Your Health Check Report: Amylase and CYFRA21-1 Concerns
Health Check Report - Cytokeratin and Pancreatic Amylase Hello Doctor: I recently received my health check report, and there are two areas of concern that I would like to ask your opinion on before visiting a healthcare provider. The first is the amylase level, which is nearly a ...
Dr. Lin Zhebin Reply:
Hello: 1. If the amylase level is close to a thousand, there should be a high suspicion of pancreatitis. It is usually advisable to check the more specific lipase level. Additionally, while an abdominal ultrasound can visualize the pancreas, it may not provide detailed informatio...[Read More] Understanding Your Health Check Report: Amylase and CYFRA21-1 Concerns
Understanding Rib Pain: Causes and When to See a Doctor
Consultation for pain around the rib cage? Hello Doctor, about two weeks ago, I started experiencing vague pain under my lower ribs and on the side of my chest (I don't recall any external trauma). The pain is sometimes sharp, cramping, and occasionally tender to the touch. ...
Dr. Ye Qianyu Reply:
Hello! I recommend that you visit a pulmonology clinic.[Read More] Understanding Rib Pain: Causes and When to See a Doctor
Understanding Weight Fluctuations and Gastrointestinal Discomfort
Slight recovery after weight loss? Hello, doctor. About a month ago, I weighed approximately 63.3 kg, but I don't weigh myself often and only do so occasionally. This morning, after waking up, I found that my weight had dropped to 60.4 kg. Previously, I had also seen my weig...
Dr. Cai Dongqi Reply:
Hello, Xiao Lin: A weight loss of 3% in one month, 5% in three months, and over 10% in six months is considered significant. Given your age, first consider whether it might be due to poor gastrointestinal intake or absorption issues, or check your thyroid function and blood gluco...[Read More] Understanding Weight Fluctuations and Gastrointestinal Discomfort