Chest, Family Medicine FAQ - Page 8

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Understanding High Cholesterol and Low Triglycerides: A Health Inquiry

Total cholesterol is elevated, but triglycerides are low? Hello, doctor. Recently, I went to the hospital for a blood test and found that my total cholesterol is elevated while my triglycerides are low. I have a habit of working out at home (about 3-4 times a week, alternating tr...


Dr. Hou Angting Reply:
Hello, netizen: The cholesterol levels we commonly refer to are composed of triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein (LDL). Therefore, if triglycerides are high, cholesterol levels will inevitably be high; however, high cholesterol does not neces...

[Read More] Understanding High Cholesterol and Low Triglycerides: A Health Inquiry


Understanding Right Upper Back Pain: Causes and Concerns

Right-sided back pain? About a month ago, I suddenly noticed a dull pain in the right side of my upper back near the scapula. After sitting in a slouched position for a while, the discomfort intensifies, but if I sit up straight, the pain completely disappears. Lying down also do...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it may be myofascial inflammation or the presence of trigger points. I recommend that you visit a rehabilitation specialist for evaluation.

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


Understanding Chest and Back Discomfort: When to Seek Medical Help

There is a feeling of heaviness, fullness, and tightness in the left chest and the left back? Hello Doctor: I have been to the emergency room 3 to 4 times in the past few months! My condition is that I often feel a dull, bloated, and tight sensation in my left chest. There is a w...


Dr. Liao Yaopan Reply:
Hello, regarding the above situation, the relevant examinations have mostly been completed, and there are no significant abnormalities. Please continue to maintain a regular routine, engage in appropriate exercise, and keep a positive mood. Online consultations are not equivalent...

[Read More] Understanding Chest and Back Discomfort: When to Seek Medical Help


Understanding Post-AZ Vaccine Heart Issues: Symptoms and Concerns

Cardiac issues related to the AZ vaccine? Hello, doctor. It has been over a month since I received the AZ vaccine, and I often feel tightness in my upper back (along the spine) that is difficult to relieve. Although I usually have a habit of exercising, my physical performance ha...


Dr. Hou Angting Reply:
Hello, online friend: Most common side effects of vaccines typically improve within about two weeks. If you experience dizziness, chest tightness, difficulty breathing, or even orthopnea after exercising, it is important to rule out any cardiac issues, and I recommend seeking med...

[Read More] Understanding Post-AZ Vaccine Heart Issues: Symptoms and Concerns


Struggling with Nasal Congestion After Vaccination: Which Specialist to See?

Which department should I see? Hello Doctor: After getting vaccinated on Friday, I've been experiencing nasal congestion every night when trying to sleep, which makes it difficult to breathe comfortably and fall asleep (I didn't have daily nasal congestion before). Last...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine or general internal medicine clinic.

[Read More] Struggling with Nasal Congestion After Vaccination: Which Specialist to See?


Understanding Blood in Sputum After Endoscopy: What You Need to Know

Blood in sputum? Hello, doctor. I experienced difficulty swallowing and chest pain, so I underwent an endoscopy with biopsy last week. The endoscopy indicated only some reflux. However, this morning when I woke up, I noticed that my phlegm had turned slightly brown. Then, just th...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the relationship between hemoptysis and gastroscopy is minimal. It is recommended that you consult a pulmonologist and an otolaryngologist.

[Read More] Understanding Blood in Sputum After Endoscopy: What You Need to Know


Understanding Vaccine-Related Skin Spots: Thrombosis or Purpura?

Vaccine blood spots Hello, doctor. I would like to ask about the petechiae caused by the vaccine. Do these subcutaneous bleeding spots appear suddenly (overnight) with many spots, or do they gradually increase day by day? Before I received the COVID-19 vaccine, I had just visited...


Dr. Ye Qianyu Reply:
Hello! The causes of the two conditions are different. Please observe if you have any of the following symptoms: severe persistent headache accompanied by vision changes or seizures, severe and persistent abdominal pain lasting more than 24 hours, swelling or pain in the lower ex...

[Read More] Understanding Vaccine-Related Skin Spots: Thrombosis or Purpura?


Sudden Chest Pain After Exercise: When to Seek Medical Advice

Sudden chest pain? A few days ago, after exercising and having dinner, I felt chest pain while washing the dishes. It hurt for a moment and then stopped, only to come back briefly again. This has made me hesitant about whether I should consult a clinic near my home.


Dr. Hou Angting Reply:
Hello: If you continue to feel unwell, it is advisable to visit a clinic for a doctor's examination and evaluation. Wishing you good health.

[Read More] Sudden Chest Pain After Exercise: When to Seek Medical Advice


Chest Pain and Pressing Sensations: Is It Related to Adenomyosis?

Sternal compression pain Hello Doctor: I have adenomyosis, and I experience pain when pressing on the bones around my chest, especially in the center of my chest near the xiphoid process, which is the most painful area. Generally, I feel pain with pressure, but it becomes more in...


Dr. Ye Qianyu Reply:
Hello, based on your description, the pain in this area is classified as breast pain. If it is cyclical and hormone-related, it is also important to examine any musculoskeletal issues, such as pectoralis major strain or pain caused by scoliosis. I recommend you visit a breast sur...

[Read More] Chest Pain and Pressing Sensations: Is It Related to Adenomyosis?


Unexplained Fatigue After Vaccination: When to See a Family Doctor

Unexplained fatigue and a desire to sleep? Hello, doctor. Recently, I've been experiencing fatigue upon waking up. It has worsened after receiving a vaccine about a week ago, and I'm unsure if it's related to the vaccine. Even though I've been sleeping for ove...


Dr. Ye Qianyu Reply:
Hello, yes, you can visit a family medicine clinic for consultation.

[Read More] Unexplained Fatigue After Vaccination: When to See a Family Doctor


Understanding Body Vibrations During Sleep: Causes and When to Seek Help

Whole body shaking during sleep? I have been experiencing some insomnia lately, and last night I couldn't sleep. While lying down, I suddenly felt my whole body vibrating, but it subsided within about 5 minutes. After that, I noticed some soreness in my thigh and arm muscles...


Dr. Xiao Yongxun Reply:
Dear Ms. R: 1. Chlorzoxazone (200 mg) acts on the spinal polysynaptic reflex pathways related to skeletal muscle spasms, thereby blocking nerve conduction. It is a centrally acting muscle relaxant that alleviates abnormal muscle tension without affecting normal muscle function. ...

[Read More] Understanding Body Vibrations During Sleep: Causes and When to Seek Help


Does Masturbation After AZ Vaccine Affect Immunity or Side Effects?

Questions about receiving the AZ vaccine? Hello doctor, I am a 20-year-old male. I received the AZ vaccine on September 14th at around 4 PM, and it has now been 14 hours since then. However, being young and vigorous, I did not control my desires. About 13 hours later (around 6 AM...


Dr. Xiao Yongxun Reply:
Dear Mr. W: 1. After receiving the AstraZeneca vaccine, common reactions include pain and swelling at the injection site, which usually resolve within a few days. You may apply ice to the area, but please do not rub or scratch the injection site. 2. Fever (≥38°C) may occur afte...

[Read More] Does Masturbation After AZ Vaccine Affect Immunity or Side Effects?


Pain in the Center of the Chest: Causes and When to Seek Help

Pressing down on the center of the chest causes pain? I would like to inquire about a specific point in the center of my chest that hurts when pressed, but does not hurt at other times. It only hurts when I apply pressure to that fixed point.


Dr. Cai Dongqi Reply:
If it is not costochondritis, then it may be a normal structure of the xiphoid process that does not require attention.

[Read More] Pain in the Center of the Chest: Causes and When to Seek Help


Understanding Swallowing Difficulties: A Comprehensive Guide for Patients

Swallowing difficulties Hello, I would like to ask the doctor about my condition. Five months ago, I underwent an upper endoscopy due to abdominal pain, and it was noted that I had polyps and mild gastritis. However, two to three weeks later, I suddenly experienced chest pain, ne...


Dr. Ye Qianyu Reply:
Hello! Your chest pain and difficulty swallowing may indeed be related to gastroesophageal reflux disease (GERD). In addition to medication, dietary and lifestyle adjustments are necessary for improvement, such as avoiding spicy and greasy foods, caffeine, sweets, hard-to-chew fo...

[Read More] Understanding Swallowing Difficulties: A Comprehensive Guide for Patients


Understanding Adverse Reactions to the AZ Vaccine: Chest Pain and Symptoms

Adverse reactions to the AZ vaccine? I received the AZ vaccine on the evening of September 9th, and it has been almost a week since then. I occasionally experience a dull pain in the upper part of my right breast, and my body temperature has been fluctuating between 36.5 and 37.5...


Dr. Ye Qianyu Reply:
Hello! If you experience a fever lasting more than 48 hours after receiving the vaccine, or if you develop any concerning symptoms, it is recommended that you seek medical attention at a healthcare facility.

[Read More] Understanding Adverse Reactions to the AZ Vaccine: Chest Pain and Symptoms


Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know

Elevated body temperature? Hello Doctor, I received the AZ vaccine a month ago, and it has been over 5 weeks now. My daytime temperature (ear temperature) is around 37.1 degrees Celsius, and during the warmer hours from noon to afternoon, it can reach 37.3 degrees. When I exercis...


Dr. Xiao Yongxun Reply:
Dear Ms. Lai, 1. The reactions that may occur after receiving the AstraZeneca vaccine are mostly pain and swelling at the injection site, which typically resolve within a few days. You may apply a cold compress, but please do not rub or scratch the injection site. Fever (≥38°C) ...

[Read More] Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know


Understanding Dizziness: Causes and When to Seek Medical Help

Dizziness issues? Hello, doctor: I have experienced several instances where, after riding my motorcycle for about 1 to 3 hours and stopping for approximately 10 minutes, I start to feel chest tightness and discomfort. Suddenly, I experience vision blackouts, instability while sta...


Dr. Chen Bozhang Reply:
Dear Ms. Chen, In your letter, you mentioned that during several instances of riding your bike, you experienced symptoms such as chest tightness, blurred vision, dizziness, cold sweats, and difficulty breathing. These symptoms are likely related to cardiovascular issues, includi...

[Read More] Understanding Dizziness: Causes and When to Seek Medical Help


Understanding Discomfort in the Chest Area: Possible Causes and Solutions

Physical discomfort? Hello Doctor: For the past few weeks, I have been experiencing a sensation of fullness in the area located three fingerbreadths below the center of my breast, which I believe is near the xiphoid process. Throughout the day, I sometimes feel a sense of pressur...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is advisable to consult a gastroenterologist to assess for any gastrointestinal issues. Please also maintain a regular routine and engage in appropriate exercise. Reminder: online consultations are not equivalent to in-person visits and cannot...

[Read More] Understanding Discomfort in the Chest Area: Possible Causes and Solutions


Understanding Chest Pain: When to Seek the Right Specialist

Chest pain Hello Doctor, I have been experiencing pain in my chest for the past two to three months. I have consulted with cardiology, pulmonology, and gastroenterology, and they all said there is no issue. The pain mainly occurs when I exert myself, feeling like a sharp pain, or...


Dr. Liao Yaopan Reply:
Hello, if evaluations from cardiology, thoracic, and gastroenterology for chest pain show no abnormalities, could it be caused by a neuromuscular issue? It may be worthwhile to have an orthopedic or neurological assessment. Please note that online consultations are not equivalent...

[Read More] Understanding Chest Pain: When to Seek the Right Specialist


Understanding Chest Discomfort: Is It Esophageal or Cardiac?

Mild chest pain? Hello, Doctor: Last weekend, I had a cold and visited a clinic where the doctor prescribed me cold medication. However, after taking the nighttime medication on Sunday, I experienced a sensation of chest pain the next day. It is especially noticeable during lunch...


Dr. Xiao Yongxun Reply:
Dear Ms. Helen: 1. After food passes through the pharynx, it enters the esophagus, which is a long tubular structure approximately 25 to 30 centimeters in length. It is located behind the trachea and extends from the pharynx through the neck and chest, passing through the diaphr...

[Read More] Understanding Chest Discomfort: Is It Esophageal or Cardiac?


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