Heart, Family Medicine FAQ

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Understanding Left Armpit Bone Pain: When to Seek Medical Help

Pain in the left axilla upon palpation of the bone? In the past week, I have been working 12-hour shifts every day. I have started to experience symptoms such as soreness in my left armpit when pressing on the bone, a bit of shortness of breath, and a rapid heartbeat for several ...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you first visit a pulmonology clinic.

[Read More] Understanding Left Armpit Bone Pain: When to Seek Medical Help


Managing Menopausal Symptoms: Night Sweats, Heart Palpitations, and Insomnia

Menopausal palpitations and insomnia? Hello, I am 53 years old. In 2021, I had a uterine fibroid about 10 cm in size, which was surgically removed along with my uterus, while my ovaries were preserved. Over the past year, I have started experiencing episodes of waking up at night...


Dr. Cai Dongqi Reply:
Hello: For menopausal syndrome, please consult a gynecologist to check for hormone reduction. Medication treatment may lead to some improvement.

[Read More] Managing Menopausal Symptoms: Night Sweats, Heart Palpitations, and Insomnia


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?


Understanding Red Flags in Blood Test Results: What You Need to Know

Red text on blood test results? Hello, doctor. Recently, I went to the emergency room due to back pain, chest tightness, and shortness of breath. I had blood tests and a chest X-ray done. The emergency physician diagnosed me with muscle inflammation, and the X-ray of my heart and...


Dr. Lin Zhebin Reply:
Hello: Your blood test report indicates microcytic anemia and elevated platelet count, which may be related to iron deficiency anemia. In women, iron deficiency anemia is more commonly caused by chronic bleeding due to heavy menstrual flow. Additionally, gastrointestinal bleeding...

[Read More] Understanding Red Flags in Blood Test Results: What You Need to Know


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 Abdominal Pulsations: Causes and Concerns

Abdominal pulsation When lying flat, I feel something hard in my abdomen that seems to be pulsating. It moves, but sometimes I can't feel the hard area, although it still feels like it's beating, similar to a heartbeat. Could this be an abdominal aortic aneurysm? 🥹 I ha...


Dr. Lin Zhebin Reply:
Hello: The hard and pulsating object you feel in your abdomen while lying flat is likely the abdominal aorta, rather than an abdominal aortic aneurysm. If you are concerned, it is advisable to seek medical evaluation.

[Read More] Understanding Abdominal Pulsations: Causes and Concerns


Which Specialist to See for Sweaty Palms and Shortness of Breath?

If you are experiencing shortness of breath and warmth in your palms, you should consult a specialist in Pulmonology (for respiratory issues) or Internal Medicine? Hello Doctor, my father is about 58 years old and had COVID-19 approximately three years ago. In the last month or t...


Dr. Lin Zhebin Reply:
Hello: Your father's physical discomfort may need to be evaluated for potential heart or lung issues. It is recommended to consult with a cardiologist or a pulmonologist for examination.

[Read More] Which Specialist to See for Sweaty Palms and Shortness of Breath?


Understanding Left Upper Back Pain: Causes and When to Seek Help

Pain and swelling in the upper left back? Hello Dr. Chen, I am inquiring on behalf of my father. He is 60 years old and has recently started experiencing pain in his upper left back over the past few days. Last night, I asked him to describe the pain, and he said it feels similar...


Dr. Chen Bozhang Reply:
Could you please ask the current neurologist to assist in the evaluation and refer or arrange for examinations as needed based on the patient's condition? Thank you.

[Read More] Understanding Left Upper Back Pain: Causes and When to Seek Help


Understanding Cold Sensation and Rapid Heartbeat During Sleep

Regarding feeling cold and experiencing a rapid heartbeat while sleeping? I have been having trouble sleeping lately and have some questions for the doctor. Recently, I feel very cold while sleeping. At first, I thought it might be due to the air conditioning or fan being too str...


Dr. Lin Zhebin Reply:
Hello: The symptoms of feeling cold and having a rapid heartbeat at night are likely due to high stress causing irregular sleep patterns, which results in sympathetic nervous system activation. However, it is also important to consider other issues such as infections or endocrine...

[Read More] Understanding Cold Sensation and Rapid Heartbeat During Sleep


Understanding Frequent Breathing Difficulties: Asthma or Heart Issues?

Shortness of breath Hello, doctor. I have a question today. I have asthma, and during an attack, I experience frequent coughing, poor sleep, and even difficulty breathing. Using bronchodilators provides significant relief. I find that changes in weather can easily trigger my asth...


Dr. Liu Hongxiang Reply:
Hello, Qing: It seems that you are using short-acting bronchodilators more frequently. If you are experiencing frequent episodes, it is recommended to use both short-acting and long-acting bronchodilators together, as this can help stabilize your breathing. During episodes of dys...

[Read More] Understanding Frequent Breathing Difficulties: Asthma or Heart Issues?


Understanding Forceful Heartbeats and Chest Discomfort: Next Steps

Palpitations and chest tightness? Hello Doctor: Since the afternoon of April 12, I have been feeling a strong heartbeat, especially when leaning against the back of a chair or lying in bed, where I can distinctly feel my chest rising and falling. I subsequently consulted a cardio...


Dr. Ye Qianyu Reply:
Hello! Based on your description, there are no issues with the heart, only mitral valve prolapse. It can be inferred that the palpitations are a secondary phenomenon, likely triggered by certain situations. It may be helpful to identify the causes and make adjustments. Ensure ade...

[Read More] Understanding Forceful Heartbeats and Chest Discomfort: Next Steps


Can People with Favism Safely Consume Pearl Powder?

Consumption of pearl powder in individuals with favism? Hello, I have a personal history of favism and have been advised not to consume pearl powder. Recently, I noticed that some beauty and health products contain pearl powder, so I searched for information related to favism. I ...


Dr. Lin Zhebin Reply:
Hello: The main component of pearl powder is calcium carbonate, along with a small amount of carbohydrates, amino acids, and trace elements (including heavy metals), among others. Calcium carbonate, carbohydrates, and amino acids are unlikely to cause hemolytic reactions in indiv...

[Read More] Can People with Favism Safely Consume Pearl Powder?


Why Am I Sleeping 15 Hours and Still Feeling Tired?

Recently, even after sleeping for over ten hours, I still feel easily fatigued? Hello, doctor. I have been sleeping for about fourteen to fifteen hours a day for the past few days, and after waking up for more than an hour, I start to feel sleepy again. I haven't taken any m...


Dr. Lin Zhebin Reply:
Hello: The reasons for your fatigue, aside from medication effects or physical exhaustion, may also include considerations such as anemia, infections, sleep apnea, abnormalities in heart/liver/kidney function, blood sugar/electrolyte imbalances, endocrine disorders, and other iss...

[Read More] Why Am I Sleeping 15 Hours and Still Feeling Tired?


Understanding Sudden Back Pain While Breathing: Causes and Concerns

Pain in the back during breathing? About five minutes after finishing dinner, while walking, I suddenly experienced sharp pain in my back, roughly in the middle and lower right area. The pain worsens with deep breaths or exhalation, feeling like a stabbing pain. Although it is no...


Dr. Lin Zhebin Reply:
Hello: The possible causes of your back pain may include issues related to the heart, lungs, aorta, kidneys, pancreas, gastrointestinal tract, spine, intervertebral discs, and muscles, among others. Since the severity can vary greatly, it is recommended that you seek medical eval...

[Read More] Understanding Sudden Back Pain While Breathing: Causes and Concerns


Understanding Sudden Sleepiness: Possible Causes and Concerns

Sudden excessive sleepiness? Hello Doctor, for the past week or two, I have suddenly been experiencing excessive daytime sleepiness every afternoon, along with weakness in my right limbs. I used to rarely feel my heart beating, but now I can easily sense it. This week, I have als...


Dr. Cai Dongqi Reply:
Hello Ms. Hsu: 1. Hyperthyroidism can also cause these symptoms; please consult a metabolic specialist. 2. If you experience persistent anxiety and difficulty sleeping, it may be a case of autonomic nervous system dysregulation; please see a psychiatrist.

[Read More] Understanding Sudden Sleepiness: Possible Causes and Concerns


Understanding Overwork: The Impact of Intense Exercise vs. Workplace Stress

Workplace, Exercise Hello Dr. Lee, I would like to ask you whether engaging in intense physical activities such as running or hiking can lead to overexertion, or if overexertion is solely related to work. What types of occupations are likely to cause overexertion? What are the co...


Dr. Li Zhenggang Reply:
Currently, the term "overwork" that we use is a general public expression and does not have an official unified definition. Therefore, whether exercise can lead to overwork depends on your understanding and definition of overwork. As for the issues related to overwork t...

[Read More] Understanding Overwork: The Impact of Intense Exercise vs. Workplace Stress


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


Which Medical Specialty Should You Consult for Chest Pain and Numbness?

Which specialty should I see? Experiencing tightness in the neck and shoulders, along with severe stabbing pain in the left chest, left arm numbness and weakness, difficulty breathing with a feeling of pressure, nausea, cold sweats, and pallor when turning the body to the left an...


Dr. Liu Hongxiang Reply:
Hello Ms. Chun, based on the symptom analysis, there are issues related to muscles and nerves that may be causing your condition. It is recommended that you visit the orthopedic or neurology department at the hospital for an evaluation of your physical condition. Wishing you good...

[Read More] Which Medical Specialty Should You Consult for Chest Pain and Numbness?


Traveling Abroad with Hypertension and Diabetes: Essential Tips for Patients

Patients with hypertension, hyperglycemia, and hyperlipidemia traveling abroad? Hello, doctor. I am a long-term patient with hypertension, hyperlipidemia, and diabetes, and I regularly monitor my condition. I exercise daily and administer insulin. Can I take a short-haul flight (...


Dr. Liu Hongxiang Reply:
Hello Mr. Fu: For patients with hypertension, hyperlipidemia, and diabetes who are on long-term medication and regularly monitored, maintaining good hygiene and lifestyle habits, and who do not have complications and are prepared with their medications and medical history for tra...

[Read More] Traveling Abroad with Hypertension and Diabetes: Essential Tips for Patients


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


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