Heart, Family Medicine FAQ - Page 10

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Understanding Chest and Back Pain: When to Seek Medical Help

Chest pain and back pain issues? Hello Doctor: About two years ago, I suddenly woke up in the middle of the night due to severe stabbing pain near my heart. In the afternoon, I experienced the same type of pain again. A few days later, I had similar severe stabbing pain on the ri...


Dr. Chen Bozhang Reply:
Hello Ms. Chen: You mentioned experiencing intermittent pain near your heart, which resembles symptoms commonly referred to as palpitations. This may stem from abnormal heartbeats or issues with other organs. It is advisable for you to visit a cardiology or family medicine clinic...

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


Chest Pain When Lying Down: Understanding Causes and Solutions

Chest pain in specific positions? Hello, doctor. I have had trouble sleeping easily since my student days. In the past three to four years, I have noticed that sleeping in a position where my body is flat, my arms are raised, and my head is resting on the pillow helps me fall asl...


Dr. Xiao Yongxun Reply:
Dear Ms. H: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, differential diagnoses should be conside...

[Read More] Chest Pain When Lying Down: Understanding Causes and Solutions


Intermittent Pain in the Center of the Clavicle: Which Specialist to Consult?

Intermittent sharp pain in the central area of the clavicle (depression)? Based on the symptoms described, you should consider seeing a specialist in orthopedics or a physician specializing in musculoskeletal disorders. They can evaluate your condition and determine the underlyin...


Dr. Xiao Yongxun Reply:
Dear Miss Ping: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, differential diagnoses should be mad...

[Read More] Intermittent Pain in the Center of the Clavicle: Which Specialist to Consult?


Understanding Abnormal Urinalysis Results: What They Mean for Your Health

Health examination report issues? Hello Doctor: Recently, the employee health check report was released, and there were some red flags in the report. I would like to inquire about the possible issues related to the following items/test values/units/reference: - Epith. (Sediment)...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the urine test needs to be rechecked. Please return for a follow-up appointment one week after your menstrual period ends, and collect a midstream urine sample for testing, as this will minimize the impact on the results. Regarding the blood test...

[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health


Struggling to Breathe: Which Specialist Should You See?

Shortness of breath? Hello, doctor. I would like to ask about my recent difficulty in breathing, which feels like there is a blockage in my throat, and I keep experiencing hiccups. Which specialty should I consult for this condition?


Dr. Wu Zongying Reply:
Hello: Breathing difficulties can be categorized into three areas: 1. If you have a history of asthma, please consult a pulmonologist. 2. If your breathing difficulties are caused by nasal swelling or congestion, you should see an internist or an otolaryngologist (ENT). 3. If nei...

[Read More] Struggling to Breathe: Which Specialist Should You See?


Why Are My Veins More Visible? Understanding Potential Health Concerns

Blood vessels become more prominent? Hello Doctor, I am 160 cm tall and weigh around 70 kg. Previously, my veins were not very visible. However, this past week, I have noticed that the blue veins on the inner side of my wrists have become more prominent (they appear bluer, and th...


Dr. Wu Zongying Reply:
Hello: The dilation or constriction of blood vessels is related to temperature and circulation. When the temperature is higher or when consuming more stimulating foods, blood vessels tend to dilate. Conditions that increase blood circulation, such as after exercise or consuming m...

[Read More] Why Are My Veins More Visible? Understanding Potential Health Concerns


CT Scan with Non-Ionic Contrast: Diabetes and Medication Considerations

Non-ionic contrast agent for brain CT (computed tomography)? CT scan of the brain: I have had diabetes for 8 years, and my recent blood tests show normal kidney function. Below are the medications I am taking: Metabolism specialist: Metformin HCl 850 mg, Lyrica (pregabalin) 75 ...


Dr. Ye Qianyu Reply:
Hello! Here are the answers to your questions: Question 1: The medication that needs to be discontinued is "Metformin HCl 850mg." The discontinuation period is the day of the CT scan and the two days before and after, totaling five days. For example, if the CT scan is...

[Read More] CT Scan with Non-Ionic Contrast: Diabetes and Medication Considerations


Understanding Digestive Issues and Chest Discomfort: A Guide for Patients

Chest tightness and difficulty in digestion? Hello Doctor: Recently, I have noticed that my stomach is not feeling well. I often experience difficulty digesting food, bloating, and an inability to burp. A while ago, I had diarrhea, but it doesn't happen frequently. I also fe...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended to first consult a gastroenterologist for evaluation, and if necessary, an endoscopy should be performed. Additionally, for the symptoms of fainting, it is advisable to follow up with a neurologist. Online consultations are not ...

[Read More] Understanding Digestive Issues and Chest Discomfort: A Guide for Patients


Understanding Neck Tension and Its Impact on Left-Side Symptoms

Shoulder and neck tension along with issues on the left side of the body? Initially, I experienced tightness in my neck and went to an orthopedic specialist for an X-ray, which indicated a straightening of the cervical spine. However, there hasn't been much improvement. Duri...


Dr. Ye Qianyu Reply:
Hello! Based on your description of left shoulder joint pain, left lower back and left hip pain, as well as left knee joint pain, it seems that these issues may be related to different areas. Please observe the nature of the pain and any triggering factors more closely. I recomme...

[Read More] Understanding Neck Tension and Its Impact on Left-Side Symptoms


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 Low Potassium: Hormonal Imbalance and Heart Palpitations

Hypokalemia, hormonal imbalance, palpitations? Hello doctor, I often feel discomfort in my throat, like something is stuck. Sometimes I also experience anxiety or palpitations. After work, when I get home to rest, I inexplicably feel cold. I frequently have low potassium levels. ...


Dr. Wu Zongying Reply:
Hello: Hypokalemia can be supplemented by consuming more fruits and vegetables, especially acidic fruits which are higher in potassium. Regarding the weight loss you mentioned in your letter, it is difficult for me to provide recommendations without your BMI. Increasing physical ...

[Read More] Understanding Low Potassium: Hormonal Imbalance and Heart Palpitations


Swollen Face Upon Waking: Causes and When to Seek Help

Swollen face? In recent days, I have been waking up with a swollen face. I feel tightness in the upper half of the right side of my face, and sometimes I can noticeably feel the swelling, although it is not painful; rather, it feels tight when I move it. My gums and teeth do not ...


Dr. Xiao Yongxun Reply:
Dear Sir: 1. In clinical medicine, edema is classified into localized edema and generalized edema. The causes of edema are numerous; some are due to liver dysfunction leading to insufficient albumin production, which can cause edema. Others may result from heart failure, where i...

[Read More] Swollen Face Upon Waking: Causes and When to Seek Help


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 Persistent Headaches: Causes and Recovery Time

Following up on the previous issue regarding physical problems (headache)? Hello Dr. Yeh, I previously asked about my health issues on August 25 (link: <a href="https://adoctor.tw/article/159959">#159959</a>). My body aches significantly improved on August 2...


Dr. Ye Qianyu Reply:
Hello! Based on your description, there are many potential triggers for headaches. I recommend that you measure your body temperature and blood pressure. If either is elevated, it is advisable to seek treatment at a medical facility.

[Read More] Understanding Persistent Headaches: Causes and Recovery Time


Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?

After taking the Japanese B-complex supplement, I experienced numbness in the soles of my feet? Hello Doctor: I am a 54-year-old woman with two children, currently taking medications for heart disease, pseudodiabetes, and sleeping pills (taken before bed). I have been experiencin...


Dr. Wu Zongying Reply:
Hello: If you confirm that the numbness in your feet is caused by taking the medication, you may consider discontinuing it. Aside from the elderly, those with poor dietary habits, or individuals with gastrointestinal absorption issues, vitamins can typically be obtained from natu...

[Read More] Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?


Could Tooth Decay Be Causing My Left-Sided Pain and Discomfort?

I have been experiencing tightness and pain in my left chest, along with tightness in the left side of my neck and throat pain. Could this be related to a cavity? Hello Doctor, I would like to ask for your advice. In February, I suddenly experienced tightness, soreness, and numbn...


Dr. Liao Yaopan Reply:
Hello, based on your description, it may be difficult to explain your symptoms with a single disease, as there could be various reasons causing multiple discomforts. Dental issues should be properly addressed, and chest pain must be evaluated to rule out any cardiopulmonary abnor...

[Read More] Could Tooth Decay Be Causing My Left-Sided Pain and Discomfort?


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 Pulsating Lumps: What Your Symptoms Could Mean

Pulsating mass I recently felt a lump in the upper left part of my abdomen that pulsates like a heartbeat, and sometimes my stomach feels a bit uncomfortable and bloated.


Dr. Wu Zongying Reply:
Hello: Based on your description in the letter, "there is a mass in the upper left abdomen that pulsates like the heart," I recommend that you undergo an ultrasound for an initial examination to differentiate whether it is a vascular mass or something else. The manageme...

[Read More] Understanding Pulsating Lumps: What Your Symptoms Could Mean


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


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