Which Specialist Should You See for Breathing and Menstrual Issues?
Which specialty should I consult first for these symptoms? Experiencing shortness of breath and fatigue after minimal exertion, such as walking from the first to the second floor, is concerning. You may notice an increased heart rate and louder heartbeat during these episodes. Ad...
Dr. Lin Zhebin Reply:
Hello: Your symptoms of shortness of breath, dizziness, and rapid heartbeat, along with the mention of prolonged menstrual periods, may indicate that increased menstrual flow could be causing anemia, which in turn leads to your discomfort. It is recommended that you first consult...[Read More] Which Specialist Should You See for Breathing and Menstrual Issues?
COVID-19 Symptoms or Autonomic Nervous System Disorder?
Is it a symptom of the confirmed diagnosis or is there an additional complication of autonomic nervous system dysfunction? Hello, doctor. I would like to explain that I am experiencing a second diagnosis of COVID-19 and I have a history of mitral valve prolapse with regurgitation...
Dr. Liao Yaopan Reply:
Hello, whether or not a diagnosis is confirmed should still be determined by viral testing. However, it is difficult to confirm the presence of the aforementioned discomfort symptoms based on experience and clinical research. It is advisable to seek appropriate treatment or manag...[Read More] COVID-19 Symptoms or Autonomic Nervous System Disorder?
Understanding Blood Pressure Fluctuations: Causes and Concerns
Blood pressure issues? Hello, doctor. I previously went to the hospital for an examination and was found to have mild to moderate mitral and aortic valve regurgitation, along with issues related to autonomic dysfunction. The doctor advised me to measure my blood pressure daily. T...
Dr. Liu Hongxiang Reply:
Hello, Sir: The beta-blocker belongs to the category of nonselective beta-adrenergic blockers, which can lower blood pressure and heart rate. Its duration of action is relatively short, with a half-life of approximately 3-5 hours. A typical difference in blood pressure between th...[Read More] Understanding Blood Pressure Fluctuations: Causes and Concerns
Managing Asthma Issues Triggered by Sinusitis in Patients
Sinusitis triggers asthma issues? Hello, doctor. My mother had a cold last week that triggered her sinusitis (she has a history of sinusitis). It has not improved after a week. Three days ago, she visited a doctor and was prescribed antibiotics, which have helped her condition sl...
Dr. Lin Zhebin Reply:
Hello: Sinusitis is classified as an upper respiratory tract infection, but it can potentially progress to a lower respiratory tract infection, such as pneumonia. If you experience persistent tachycardia accompanied by shortness of breath, it is advisable to seek medical treatmen...[Read More] Managing Asthma Issues Triggered by Sinusitis in Patients
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 Discomfort: When to Seek Medical Help
Chest tightness? Hello doctor, sometimes I experience abdominal bloating and have a constant urge to burp, accompanied by chest tightness and noticeable heart palpitations that feel like sudden fright. When I stand up, I feel dizzy and want to sit down immediately. My breathing f...
Dr. Liu Hongxiang Reply:
Hello, Sir: The letter states that the cardiology examination showed no abnormalities, so the noticeable increase in heartbeats accompanied by a sensation similar to being startled is likely a subjective feeling. The dizziness experienced when standing up may be due to orthosta...[Read More] Understanding Chest Discomfort: When to Seek Medical Help
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
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
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 Bowel Issues: Anxiety and Gastrointestinal Health
Bowel movement issues Hello Doctor: I have been experiencing intermittent bowel issues for quite some time. I wonder if this is related to the anxiety I developed while caring for my father, who had esophageal cancer, about 4 to 5 years ago. I'm not sure what to do... Around...
Dr. Chen Bozhang Reply:
Hello, it is recommended to seek medical attention at a regional or higher-level hospital for a comprehensive evaluation. You may visit the Department of Family Medicine, Hepatobiliary and Gastroenterology, or the Department of Colorectal Surgery. Thank you.[Read More] Understanding Bowel Issues: Anxiety and Gastrointestinal Health
Does Cardiovascular Medication Increase Heat Stroke Risk?
Does taking cardiovascular medications increase the risk of heat stroke? Hello Dr. Lin, in 2015, I was diagnosed with left coronary artery atherosclerosis. In 2020, due to atrial fibrillation, I underwent two catheter ablation procedures. Since then, I have been taking five medic...
Dr. Lin Zhebin Reply:
Hello: 1. The medications you are taking that are more likely to cause discomfort in your body include: - Isosorbide Dinitrate: Its primary function is vasodilation, and it may cause side effects such as dizziness, palpitations, and hypotension, among others. - Propafeno...[Read More] Does Cardiovascular Medication Increase Heat Stroke Risk?
Post-Illness Fatigue in an 83-Year-Old with Heart Issues: What to Know
An 83-year-old mother has recovered from a cold but is experiencing generalized weakness. She has a history of hypertension and has undergone stent placement in her heart? Dear Dr. Tsai, Hello. My mother is 83 years old and has hypertension, with a stent placed in her heart. She...
Dr. Cai Dongqi Reply:
Hello: 1. Patients with heart failure may experience fatigue and weakness, shortness of breath while walking, and palpitations. If they also have cold sweats and pale complexion, it is essential to go to the emergency room (myocardial infarction). 2. Cold symptoms can also cause ...[Read More] Post-Illness Fatigue in an 83-Year-Old with Heart Issues: What to Know
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
Do Medications Interact with Food? Understanding Drug-Food Conflicts
What are the interactions between medications and food? Hello, I would like to ask if after taking one tablet of Ailait and one tablet of Aishuteng, I experienced a feeling of slowed heart rate about an hour later after eating herbal jelly. Could this be related to a conflict bet...
Dr. Lin Zhebin Reply:
Hello: Based on my experience, Allegra (fexofenadine) and Acetaminophen should not have the effect of slowing down the heart rate, and there should not be any significant interactions with herbal jelly. If your heart rate continues to slow down and is accompanied by symptoms such...[Read More] Do Medications Interact with Food? Understanding Drug-Food Conflicts
Excessive Yawning and Tears: Is It Normal and How to Improve?
Medical Consultation: Family Medicine Issue - Yawning I would like to ask the doctor, even after getting enough sleep, I still find myself yawning excessively and tearing up, to the point where I can yawn 5 to 6 times in a row, and my mask gets wet from the tears. Is this normal?...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. Essentially, the physiological mechanisms behind yawning are not yet fully understood in the medical field. It may be triggered by insufficient cerebral blood circulation or the accumulation of carbon dioxide, prompting yawning to expel carbon dioxide and inhale...[Read More] Excessive Yawning and Tears: Is It Normal and How to Improve?
Understanding Dizziness, Nausea, and Chest Discomfort: A Family Medicine Perspective
Dizziness, blurred vision, nausea? Today, while I was taking the MRT, I suddenly felt unwell. It started with a cool sensation in my left chest, followed by dizziness, and my vision gradually blurred to the point where I could barely see. However, my breathing was relatively smoo...
Dr. Lin Zhebin Reply:
Hello: 1. Your chest discomfort accompanied by dizziness and vomiting may indicate the possibility of an acute arrhythmia; additionally, it is important to consider whether there is a condition of anemia. 2. Your abdominal discomfort may be related to your menstrual cycle; howeve...[Read More] Understanding Dizziness, Nausea, and Chest Discomfort: A Family Medicine Perspective
Understanding Your Symptoms: Night Sweats, Eye Discomfort, and Digestive Issues
What’s wrong with me? 1. For three consecutive weeks, I have been experiencing night sweats and waking up almost gasping for air, with blood oxygen levels typically ranging between 90-93%. My heart rate is normal, but I then feel extremely cold and shiver, no matter how I cover m...
Dr. Xiao Yongxun Reply:
Dear Ms. Leslie Lin: Your complaints are very diverse, including issues related to the cardiovascular system, respiratory system, digestive system, and even the nervous system. It is difficult to determine the cause based solely on this information. Often, it is necessary for a p...[Read More] Understanding Your Symptoms: Night Sweats, Eye Discomfort, and Digestive Issues
Understanding Your Health Check Report: Common Concerns and Insights
Questions about health check-up reports? Hello Doctor, I am 186 cm tall and weigh 72 kg. I have a regular exercise routine that includes three aerobic sessions and two strength training sessions per week, with a relatively high intensity. I also pay attention to my diet. However,...
Dr. Lin Zhebin Reply:
Hello: 1. A fasting blood glucose level of 101 is not something to be overly concerned about. The normal reference range is based on the majority of the population, and a single fasting blood glucose measurement can be influenced by the duration of fasting and the food consumed...[Read More] Understanding Your Health Check Report: Common Concerns and Insights
Supporting Elderly Recovery: Navigating Health Challenges After Illness
The elderly person was generally healthy but is unable to get up after a serious illness? Hello, doctor. I would like to ask for advice regarding medical management for my grandfather, who is currently 97 years old. Two years ago, he experienced confusion upon waking up and had l...
Dr. Cai Dongqi Reply:
Hello: 1. In elderly patients with fever and shortness of breath, the primary consideration is infection, especially pneumonia. If there are confirmed cases in the household, it is likely that the grandfather may also be infected (rapid testing at the emergency department may be ...[Read More] Supporting Elderly Recovery: Navigating Health Challenges After Illness