Chest, Family Medicine FAQ - Page 7

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Understanding Drug Interactions and Choosing the Right Specialist

Drug interactions and consultations are typically handled by specialists in pharmacology, internal medicine, or clinical pharmacy? 1. After swallowing food yesterday, I have been experiencing a sharp pain in the middle right side of my chest when swallowing. Which specialty shoul...


Dr. Hou Angting Reply:
Hello, internet user: If you are experiencing difficulty swallowing, you can visit an otolaryngologist for an examination. If you have worsening chest pain, it is advisable to go to the emergency department promptly. For medication-related issues, I recommend discussing them with...

[Read More] Understanding Drug Interactions and Choosing the Right Specialist


Understanding Aspirin Use: Concerns and Alternatives for Blood Clot Management

Hello, doctor, regarding the use of aspirin? Recently, I experienced some discomfort in my chest due to pain in my upper left back, which prompted me to see a doctor. After the examination, the doctor performed a blood test and found that my thrombus value was 0.55 (the physician...


Dr. Liao Yaopan Reply:
Hello, I'm not sure what you mean by "thrombus value." Are you referring to D-Dimer (D-Dimer test)? If so, a value of 0.55 should be considered borderline. As for aspirin, it has antiplatelet aggregation effects, and its impact on D-Dimer levels is subjective. If y...

[Read More] Understanding Aspirin Use: Concerns and Alternatives for Blood Clot Management


Understanding Multiple Pains: Chest, Head, and Back Discomfort Explained

Multiple areas of pain for three days? Two days ago, I experienced chest pain (located in the middle, slightly to the left). Although the pain has subsided, I noticed small raised bumps above the previous pain area (which are not itchy). Subsequently, I began to feel pain in the ...


Dr. Lin Zhebin Reply:
Hello, Miss: I believe that your widespread pain throughout your body should first consider the possibility of a viral infection. Given the current season, the likelihood of influenza virus infection should be taken into account, and if there is a history of exposure to COVID-19,...

[Read More] Understanding Multiple Pains: Chest, Head, and Back Discomfort Explained


Unexplained Fever for Over a Year: Seeking Answers and Next Steps

Fever of unknown origin for over a year? Hello Doctor, my condition started two years ago with unexplained fevers (ear temperature around 37.5 to 38.3 degrees Celsius). I consulted an infectious disease specialist at the hospital and underwent various tests (including blood tests...


Dr. Lin Zhebin Reply:
Hello, I will address your questions one by one: 1. If traditional Chinese medicine is ineffective in reducing your fever, should you continue seeking medical attention, and what direction should that take? From a Western medicine perspective, I personally believe that you shou...

[Read More] Unexplained Fever for Over a Year: Seeking Answers and Next Steps


Understanding Chest Tightness, Digestive Issues, and Scalp Numbness

Chest tightness, indigestion, and scalp tingling? Hello, doctor. Recently, I have occasionally experienced a tingling sensation on the left side of my scalp, similar to goosebumps. Additionally, over the past two weeks, I have had the following symptoms: 1. A feeling of tightness...


Dr. Liao Yaopan Reply:
Hello, the symptoms mentioned above are quite non-specific. Given your long history of medication use, I recommend discussing with your psychiatrist whether these symptoms may be related to the long-term effects of the medications. Additionally, reassess if you need assistance fr...

[Read More] Understanding Chest Tightness, Digestive Issues, and Scalp Numbness


Assessing Health: Is It Physical or Psychological Anxiety?

Please have the physician evaluate? Hello, doctor. I am someone who is prone to anxiety, and recently I have been experiencing various physical issues. I feel that something is off with my body. In addition to gastroesophageal reflux, I often experience dry mouth (which does not ...


Dr. Hou Angting Reply:
Hello, internet user: I suggest you first visit a family medicine physician for further evaluation. Wishing you good health.

[Read More] Assessing Health: Is It Physical or Psychological Anxiety?


Severe Back Pain During Deep Breathing: Causes and Solutions

Severe pain at the ends of the rib cage in the back during deep breathing? Hello, doctor. I am wondering if the changes in weather could be causing me to experience chest tightness and back pain while breathing. At times, when I lie down at night to sleep, I feel a pressure-like ...


Dr. Chen Bozhang Reply:
Hello! It is recommended to continue monitoring, or to transfer to a family medicine clinic for evaluation. Thank you!

[Read More] Severe Back Pain During Deep Breathing: Causes and Solutions


Managing High Cholesterol: Should You See a Family Doctor?

What are the types of cholesterol medications and the relevant outpatient departments? Due to stretching, I experienced pain from my back to my chest, which has occurred twice with an interval of about a year. I went to the hospital for a check-up, and my heart showed no abnormal...


Dr. Chen Bozhang Reply:
Hello! Please be sure to take your medication as prescribed. If you need to reassess your health condition and medication usage, it is recommended to visit a cardiology or family medicine outpatient clinic at another medical facility. Thank you!

[Read More] Managing High Cholesterol: Should You See a Family Doctor?


Understanding Upper Right Abdominal Discomfort: Diagnostic Questions and Insights

Questions regarding discomfort in the right upper abdomen? Recently, I have been experiencing discomfort in the upper right abdomen, specifically three fingerbreadths above the navel and near the lower edge of the rib cage. There is a daily dull pain accompanied by a strong burni...


Dr. Xiao Yongxun Reply:
1. Common diagnoses for right upper quadrant pain include gallstones, gallbladder tumors, liver abscesses, liver tumors, bile duct stones, subdiaphragmatic abscesses, neuropathic pain due to spinal lesions, rib fractures or costal cartilage fractures, duodenal ulcers or gastric u...

[Read More] Understanding Upper Right Abdominal Discomfort: Diagnostic Questions and Insights


Persistent Right Chest Pain After Sleep: When to Seek Medical Help?

Pain on the outer side of the right chest upon waking up? A week ago, I woke up with pain on the outer side of my right chest, which feels like a strain. I thought it would improve after a few days, but it hasn't. It hurts when I cough, yawn, or lie flat while sleeping. Whic...


Dr. Ye Qianyu Reply:
Hello! I recommend that you see a pulmonologist.

[Read More] Persistent Right Chest Pain After Sleep: When to Seek Medical Help?


Understanding Symptoms: Chest Pain, Dizziness, and Throat Issues

I would like to ask what symptoms it could be? Hello, recently I have been experiencing intermittent symptoms such as chest tightness, chest pain, dizziness, diarrhea, fatigue, discomfort in the upper abdomen, and a feeling of swelling below the throat. These symptoms tend to res...


Dr. Xiao Yongxun Reply:
Dear Mr. K: 1. Based on your description of "recent intermittent symptoms of chest tightness, chest pain, dizziness, diarrhea, fatigue, discomfort in the upper abdomen, and a sensation of swelling below the throat, along with recent observations of blood streaks in the thro...

[Read More] Understanding Symptoms: Chest Pain, Dizziness, and Throat Issues


Concerns About Taking Doxycycline with Insufficient Water

Having difficulty drinking liquid medication is a concern? Hello doctor, I took doxycycline antibiotics yesterday. Since the water was very hot, I couldn't drink much and just swallowed the pill. Later, I drank a bottle of tea, but during meals, I felt a strange sensation be...


Dr. Ye Qianyu Reply:
Hello! Based on your description, I recommend that you drink more water in the coming days. If you experience any discomfort, please visit a gastroenterologist for an examination.

[Read More] Concerns About Taking Doxycycline with Insufficient Water


Persistent Fever for a Week: Possible Causes and Next Steps

Fever has been frequent over the past week? Hello doctor, since last Wednesday, I have been experiencing fever every evening, ranging between 38-39 degrees Celsius. During the afternoons, I do not have this symptom, and I do not have a runny nose or cough. Right before the fever ...


Dr. Liao Yaopan Reply:
Hello, the most common cause of fever is still due to infections. If the cause is not determined and the fever persists, further investigation is recommended. It is advisable to consult an infectious disease specialist for evaluation. Please note that online consultations are not...

[Read More] Persistent Fever for a Week: Possible Causes and Next Steps


Understanding Breathing Difficulties: When to See a Specialist

Shortness of breath? Hello: For the past six months, I have been experiencing almost daily nasal congestion (which requires the use of sprays or medications for relief), occasional stiffness in my shoulders and neck, occasional dizziness, and a light-headed feeling. I have to bre...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you see an otolaryngologist.

[Read More] Understanding Breathing Difficulties: When to See a Specialist


Is It Normal to Feel Chest Tightness from Cold Air?

Inhaling cold air? Doctor, I would like to ask, in previous years, whenever there is a cold front, I feel a tightening sensation in my chest above my heart whenever I breathe in cold air. It's not a pressure or pain. Is this normal? Additionally, there were two occasions whe...


Dr. Liao Yaopan Reply:
Hello, changes in temperature can affect your body's adaptation. Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. If you experience any abnormalities in your heartbeat, it is advis...

[Read More] Is It Normal to Feel Chest Tightness from Cold Air?


Understanding Symptoms: Numbness, Cramps, and Chest Discomfort Explained

For the past two weeks, I have frequently experienced numbness in my hands and feet, along with occasional cramps. This week, the numbness has decreased, but from Tuesday to Thursday morning, I felt discomfort in my chest? Hello, doctor. I apologize for the lengthy description, b...


Dr. Liao Yaopan Reply:
Hello, if you continue to feel unwell, it is advisable to seek medical attention accompanied by a family member. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.

[Read More] Understanding Symptoms: Numbness, Cramps, and Chest Discomfort Explained


Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?

Is it necessary to undergo more detailed examinations to confirm autonomic nervous system dysfunction? Hello doctor, around the end of July this year, after having dinner and using my phone, I suddenly felt a brief disconnection in my mind for a second, followed by numbness in my...


Dr. Ye Qianyu Reply:
Hello! Based on your description, alcohol may lead to poor vitamin absorption, which can result in macrocytic anemia, alcoholic hepatitis, acute gastritis, and alcoholic encephalopathy, potentially causing autonomic nervous system dysfunction. It is recommended that you regularly...

[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Further Testing?


Post-Vaccine Symptoms: Understanding Chest Pain and Shortness of Breath

After receiving the COVID-19 vaccine Hello Dr. Hou, after receiving my first dose of the BNT vaccine on October 22, I experienced fever, followed by chest tightness, shortness of breath, rapid heartbeat, back pain (radiating from the inner side of my right shoulder blade to my ne...


Dr. Hou Angting Reply:
Hello, if you have already been examined by a cardiologist and no significant issues were found, I recommend that you consult with a pain specialist for further evaluation, treatment, and follow-up. Wishing you good health.

[Read More] Post-Vaccine Symptoms: Understanding Chest Pain and Shortness of Breath


Understanding Chest Pain: Causes Beyond Heart and Gastro Issues

Chest pain with tenderness upon palpation? I have been experiencing chest pain for quite a long time, probably over a year (I haven't paid much attention to it). I consulted a cardiologist, and an electrocardiogram showed no abnormalities. I also saw a gastroenterologist; al...


Dr. Ye Qianyu Reply:
Hello! Chest pain should not be related to the coccyx. Based on your description, there is tenderness over the sternum. Since the sternum is thin and the skin covering this area is also thin, the sensory nerves in the periosteum are quite abundant, making it very sensitive to pre...

[Read More] Understanding Chest Pain: Causes Beyond Heart and Gastro Issues


Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia

Heart Rate and Respiration I have iron deficiency anemia and have been taking iron supplements for 1 month and 3 days. I can usually feel the contractions and relaxations of my heart, regardless of whether I am sitting, lying down, or climbing; as long as I feel calm, I can sense...


Dr. Xiao Yongxun Reply:
Dear Ms. Yu: 1. Your description still falls within the range of normal physiological phenomena; I recommend that you share your observations with your attending physician during your next appointment for further evaluation. 2. At that time, if all tests are normal, you may need ...

[Read More] Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia


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