Understanding Blood Pressure and Pulse: When to Seek Further Evaluation
Blood pressure, pulse? Hello doctor, last December, I had my blood pressure and pulse checked for a thyroid examination, and the results were within normal limits, around 120/70, with a heart rate in the 90s. The doctor advised me to keep an eye on it. In early September of this ...
Dr. Liu Hongxiang Reply:
Hello JJ: Due to factors such as exercise, speaking, or eating that can affect blood pressure, it is important to sit quietly for at least 10 to 15 minutes before measuring your blood pressure. Additionally, the best times to measure blood pressure are 30 to 60 minutes after waki...[Read More] Understanding Blood Pressure and Pulse: When to Seek Further Evaluation
Is It Safe for Seniors with Head Issues to Get the Second AZ Vaccine?
Issues with the administration of the second dose of the AZ vaccine? Hello. My elder family member has an appointment to receive the second dose of the AstraZeneca vaccine tomorrow. They had a head injury from a car accident in their younger years and have been experiencing occas...
Dr. Xiao Yongxun Reply:
Dear Ms. Cheng: 1. According to the data published by our Centers for Disease Control, the contraindications for the AstraZeneca COVID-19 vaccine include a history of severe allergic reactions to vaccine components, previous severe allergic reactions after receiving this vaccine...[Read More] Is It Safe for Seniors with Head Issues to Get the Second AZ Vaccine?
COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Questions related to COVID-19 vaccines? Hello, I am 52 years old. Last April, I visited a gynecologist and blood tests indicated that I have entered menopause. Since then, I have experienced menopausal symptoms such as insomnia, night sweats, anxiety, and palpitations, which have...
Dr. Xiao Yongxun Reply:
Dear Ms. K: 1. The AstraZeneca COVID-19 vaccine is a non-replicating viral vector vaccine containing the gene for the SARS-CoV-2 spike protein (S protein) and is used for the prevention of COVID-19. This vaccine has received emergency use authorization from the WHO, the EU, and ...[Read More] COVID-19 Vaccine Concerns for Women in Menopause: A Guide
Managing Blood Pressure Medications: Concerns About Heart Health and Stability
Blood pressure medication issues, heart problems, blood pressure, blood pressure medication issues? My mother-in-law's blood pressure in the morning is about 150/79, but in the evening, it drops to 89/54. She is taking medications including Xinsun and Yide Yuyue. However, he...
Dr. Hou Angting Reply:
Due to the inability to access previous medication records, it is recommended to consult the original prescribing physician, who may have more detailed medication records. If there are any concerns, it is advisable to seek a consultation to inquire about the medications. Thank yo...[Read More] Managing Blood Pressure Medications: Concerns About Heart Health and Stability
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Glycated hemoglobin (HbA1c) and fasting blood glucose levels are used to diagnose diabetes? Hello Doctor, I would like to ask you a few questions: I had a diabetes test done a year ago on August 2020, where my fasting blood glucose was 83 mg/dL and my hemoglobin A1c was 5.61%. I ...
Dr. Huang Hongshuo Reply:
The reference upper limit for fasting blood glucose is 99 mg/dL, while the upper limit for blood glucose two hours after a meal is 139 mg/dL. Hemoglobin A1c, often referred to as average blood glucose, has an upper limit of 5.6%. The range for elevated fasting blood glucose is 10...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Post-Medication Guidelines: Can You Exercise, Bathe, or Lie Down?
Precautions after medication - Is it safe to exercise, take a shower, or lie down immediately after taking the medication? Hello, I have been on long-term medication, and I previously experienced discomfort in my stomach after taking medication and then lying down or exercising. ...
Dr. Xiao Yongxun Reply:
Dear Ms. Ann: 1. When using medications, it is essential to consider the unique pharmacokinetics and pharmacodynamics of each drug. This means that every medication, whether it is an injection, oral medication, inhaled drug, suppository, or topical treatment, involves the absorp...[Read More] Post-Medication Guidelines: Can You Exercise, Bathe, or Lie Down?
Can Patients with Low Blood Pressure Receive the Moderna Vaccine?
Can patients with low blood pressure receive the Moderna vaccine? Hello Dr. Wu, my grandfather is a long-term diabetes patient and also has cardiovascular disease. Due to taking (Jian An Xin), it has affected his blood pressure, which has always been on the lower side, so he can ...
Dr. Wu Zongying Reply:
Hello: The greatest risk associated with vaccine administration is anaphylactic shock, which often occurs within 30 minutes after injection. Additionally, older individuals with unstable cardiovascular conditions should not rush to receive the vaccine; it is advisable to wait unt...[Read More] Can Patients with Low Blood Pressure Receive the Moderna Vaccine?
Understanding Post-Injection Palpitations: Causes and Concerns
Palpitations after injection? Hello Doctor: I do not have any diseases or drug allergies. Although I have mild nasal allergies, I have previously experienced allergic reactions to shrimp and sudden hives, but those incidents occurred only once or twice several years ago, and I ge...
Dr. Wu Zongying Reply:
Hello: You asked about the cause of palpitations after vaccination. On one hand, it is a response from the autonomic nervous system; on the other hand, the medication entering the body can also trigger some reactions, which will gradually subside. These reactions should not be cl...[Read More] Understanding Post-Injection Palpitations: Causes and Concerns
Understanding Anxiety vs. Physical Discomfort: A Guide for Young Adults
Unsure if it's anxiety or genuine discomfort? Hello, doctor. I am currently 22 years old. Recently, for the past two or three days, I have been feeling a bit bloated while awake, as I often feel the urge to burp or pass gas to relieve the pressure. However, when I go to slee...
Dr. Ye Qianyu Reply:
Hello! Based on your description, your schedule is indeed not very appropriate. While there is no strict standard for sleep habits, it is recommended that you sleep at least between 11 PM and 3 AM. As long as you get enough sleep (7-9 hours), you should feel alert during the day....[Read More] Understanding Anxiety vs. Physical Discomfort: A Guide for Young Adults
Understanding Throat Symptoms: Thyroid Issues and COVID-19 Concerns
I would like to ask what symptoms are associated with the throat? I have hyperthyroidism, but my test results are all normal. Recently, my heart rate reached a maximum of 160 beats per minute, making it impossible for me to walk. Currently, I am being treated with medication for ...
Dr. Ye Qianyu Reply:
Hello! The protruding area is likely lymphoid tissue, but it cannot specify the type of infection. If you are at risk, it is recommended that you follow the regulations and guidelines of your local health authorities for screening.[Read More] Understanding Throat Symptoms: Thyroid Issues and COVID-19 Concerns
Understanding Your Blood Test Results: Anemia Types and Heart Rate Concerns
Laboratory Report Hello Dr. Yeh, I recently had a blood test done. During the period leading up to the blood draw, I was experiencing a poor appetite and didn't eat much. My sleep quality was also poor, and at rest, my heart rate sometimes increased to around 110 beats per m...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, it appears to be microcytic anemia. If the red blood cell count is elevated, it may indicate thalassemia; if it is low, it could be due to iron deficiency anemia, among other causes. Acute bleeding should also be considered as a possi...[Read More] Understanding Your Blood Test Results: Anemia Types and Heart Rate Concerns
Why Does My Heart Race and Vision Blur When Lying Down at Night?
At night, when lying down to sleep, I suddenly feel my heart rate increase, and when I open my eyes, I experience a sensation of fluctuation? Hello Doctor, I would like to ask about a recent experience where sometimes when I lie down at night, I suddenly feel my heart racing. Whe...
Dr. Wu Zongying Reply:
Hello: It is difficult to make an accurate diagnosis based solely on the description provided without medical examination or testing. Please avoid drinking coffee or tea after noon and observe for two to three days to see if these symptoms persist.[Read More] Why Does My Heart Race and Vision Blur When Lying Down at Night?
Understanding Low Blood Pressure: Causes and Concerns in Family Medicine
Regarding the issue of low blood pressure? Hello Doctor, I would like to inquire about blood pressure issues. Both my husband and I generally have low blood pressure; when sitting, it usually measures around the 90s/60s, and at its highest, it can reach around 100s/70s, while at ...
Dr. Wu Zongying Reply:
Hello: Actually, lying flat does not lower systolic blood pressure; your dizziness may need to be considered in light of other issues. Generally speaking, if blood pressure is slightly below normal but there are no underlying heart conditions or discomfort, there is no need for c...[Read More] Understanding Low Blood Pressure: Causes and Concerns in Family Medicine
Understanding Symptoms: When to Seek Medical Help for Breathing Issues
Shortness of breath, rapid heartbeat, insomnia, constipation? I am currently a high school student with no obesity issues and no history of congenital heart disease or asthma. A few years ago, a traditional Chinese medicine practitioner suggested that I might have an arrhythmia, ...
Dr. Huang Hongshuo Reply:
Please measure your blood pressure and heart rate once or twice a day, noting the time and any activities prior to measurement, as well as whether you are experiencing any discomfort at that time. Your current diet is significantly unbalanced; please consult a nutritionist about ...[Read More] Understanding Symptoms: When to Seek Medical Help for Breathing Issues
Understanding Limb Numbness and Lower Back Pain: When to Seek Help
Numbness in the limbs and pain in the lower back and hips? I have been experiencing numbness and pain for the past six months. When sitting, I feel soreness and numbness in my hips and lower back (the pain is localized in this area, and after sitting for a while, I can't sta...
Dr. Ye Qianyu Reply:
Hello! I recommend that you see a rehabilitation specialist.[Read More] Understanding Limb Numbness and Lower Back Pain: When to Seek Help
Understanding Heart Rate: Optimal Levels and Health Implications
Rapid pulse issue Hello, doctor. I have been measuring my blood pressure and pulse rate myself. My systolic blood pressure is usually around 120, and my pulse rate is between 80 and 90. What is the ideal pulse rate? I've heard that a pulse rate above 70 may be associated wit...
Dr. Xiao Yongxun Reply:
Dear Mr. Jfkdjk: 1. The factors affecting heart rate are quite complex, with autonomic nervous system control being the most significant. The autonomic nervous system regulates heart rate primarily through the "cardioacceleratory center (CAC)" and the "cardioinhib...[Read More] Understanding Heart Rate: Optimal Levels and Health Implications
Frequent Dizziness and Fainting: Understanding Your Symptoms
I have been frequently experiencing fainting spells lately? Hello Doctor: In the past two weeks, I have frequently experienced hiccups at night and sudden abdominal cramps. When I go to the bathroom to have a bowel movement, I often feel dizzy, break out in a cold sweat, and my f...
Dr. Ye Qianyu Reply:
Hello! Based on your description of experiencing gastrointestinal cramps leading to fainting, I will address your questions in order: 1. To determine if you have anemia, a blood test is necessary to check your hemoglobin levels. Please inform your physician during your follow-u...[Read More] Frequent Dizziness and Fainting: Understanding Your Symptoms
Understanding Rapid Heartbeat and Chest Discomfort After Gastroenteritis
During deep breathing, there is a tightness and stabbing pain in the left chest, along with an increased heart rate? Hello Doctor, on July 27th during the day, I experienced diarrhea (about 5 to 6 times) and developed a fever at night (around 38.3 degrees Celsius). The following ...
Dr. Ye Qianyu Reply:
Hello! Here are the answers to your questions: 1. The heart rate may be elevated due to illness or fever, around 90 beats per minute is currently acceptable. 2. The tightness and stabbing pain in the chest wall are usually indicative of muscle tension; please monitor the area for...[Read More] Understanding Rapid Heartbeat and Chest Discomfort After Gastroenteritis
Understanding Unexplained Weight Loss in a 56-Year-Old Man: Causes and Solutions
Weight loss Hello, my husband is 56 years old. Since I met him, he has never been overweight, with a maximum weight of 58 kg. He is 175 cm tall, but in recent years, his weight has dropped to around 51 kg, which is quite underweight. We have a light diet and consume protein; he e...
Dr. Ye Qianyu Reply:
Hello! Based on your description, the patient has experienced significant weight loss. To investigate the underlying causes, it is recommended to conduct a thorough medical history and physical examination. It would be advisable to visit a family medicine or general internal medi...[Read More] Understanding Unexplained Weight Loss in a 56-Year-Old Man: Causes and Solutions
Missed Fasting Before Health Check: What It Means for Your Health
Forgot to fast before the health check-up? Hello Doctor, during my last health check-up, I forgot to fast and had breakfast before going to the hospital for the tests. The results showed that my fasting blood glucose was "below" the standard range and my total cholester...
Dr. Wu Zongying Reply:
Hello: Here are answers to your questions: 1. If you undergo a health check after breakfast, your cholesterol levels may be elevated. 2. Individuals with anemia may experience dizziness, and their blood pressure may be low, with a slightly elevated heart rate. 3. Your hemoglobin ...[Read More] Missed Fasting Before Health Check: What It Means for Your Health