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 Left-Side Numbness and Pain: Seeking Answers in Medical Care
Numbness on the left side of the body, along with weakness and soreness on the inner side of the left arm, with no identifiable cause? Since early last year, I have been experiencing numbness in my left pinky and ring fingers, which then progressed to my legs. By the end of the y...
Dr. Lin Zhebin Reply:
Hello: Based on your symptoms of discomfort on the left side and the tests you have undergone, it may be advisable to consider a cervical MRI to check for any cervical nerve compression. I recommend consulting with a neurologist or neurosurgeon for this matter. Additionally, rega...[Read More] Unexplained Left-Side Numbness and Pain: Seeking Answers in Medical Care
Understanding Breathing Issues and Fatigue in Elderly Patients
Wheezing, forceful exhalation? My father is 84 years old and has dementia, hypertension, diabetes, and anemia. Recently, he received a blood transfusion due to low hemoglobin levels. After returning home, he has been experiencing excessive sleepiness, and we are unsure of the cau...
Dr. Cai Dongqi Reply:
Hello, Zhang: 1. First, visit an otolaryngologist to check for any issues in the nasal cavity that may be causing respiratory obstruction or sleep apnea. 2. Experiencing shortness of breath during activity and chest pain may indicate heart failure or angina; please consult a card...[Read More] Understanding Breathing Issues and Fatigue in Elderly Patients
Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?
Persistent vomiting, headache, constipation, and runny nose? Hello Doctor, I started feeling nauseous last Tuesday. On Tuesday morning, without having eaten anything, I vomited the food from Monday night. From 9:00 AM to 12:00 PM, I vomited more than four times, almost every hour...
Dr. Xiao Yongxun Reply:
Dear Miss Rabbit: 1. There are many causes of nausea and vomiting, including: neurological (migraine, inner ear disorders, brain lesions), psychiatric (emotional or environmental stress, cyclical vomiting syndrome in children, psychogenic vomiting), metabolic (renal failure, me...[Read More] Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?
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
Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations
Nasal congestion + runny nose + chest pain + vomiting + palpitations? Hello, I have been experiencing severe nasal congestion since December, which often prevents me from sleeping at night. (When my nose is clear, I have thick white phlegm.) After two to three weeks of significan...
Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, we should consider the possibility of a respiratory or gastrointestinal infection. Additionally, the symptoms of chest pain and palpitations may indicate a cardiac issue, as potential causes can involve multiple organs. It is recommende...[Read More] Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations
COVID-19 Vaccination and Safe Dining: Your Health Questions Answered
Regarding COVID-19 vaccines and food delivery? Hello, Doctor: I would like to ask the following questions: a. I received my first dose of the COVID-19 vaccine (AstraZeneca) on September 10, 2021, my second dose (BioNTech) on November 24, 2021, and my booster dose (BioNTech) on Ma...
Dr. Xiao Yongxun Reply:
Dear Anonymous Sir: 1) Which COVID-19 vaccine should I get (are there side effects)? Answer: According to the regulations of the Centers for Disease Control (CDC), starting from October 11, 2023, the XBB.1.5 COVID-19 vaccine is available for everyone aged 6 months and older. Af...[Read More] COVID-19 Vaccination and Safe Dining: Your Health Questions Answered
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 Skin Changes and Muscle Twitches: When to Seek Medical Advice
Medical issues Hello, doctor. I recently noticed that I suddenly developed several moles on my body (not too many, but within a short period, I have developed about 5-10 moles, mostly on my upper body and arms). Is this normal? Thank you. Additionally, I have been experiencing so...
Dr. Lin Zhebin Reply:
Hello: 1. The sudden appearance of many moles on your body is mostly related to genetic factors, but it may also be associated with sun exposure, hormonal changes, or a decline in immune function. It is advisable to monitor the characteristics of the moles for any changes. If y...[Read More] Understanding Skin Changes and Muscle Twitches: When to Seek Medical Advice
Understanding Unexplained Sweet Taste in the Mouth: A Guide for Seniors
Frequent unexplained sweet taste in the mouth? Dear Dr. Liao, Hello. My mother has been experiencing a sweet taste in her mouth frequently over the past month, and this occurs not only during or after meals. She is 83 years old and had a heart catheterization about ten years ago...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns: 1. The sweet sensation in your mouth over the past month is a non-specific symptom and a subjective feeling, making it difficult to attribute to a specific disease. 2. The results of the kidney ultrasound show renal parenchymal disease, bilater...[Read More] Understanding Unexplained Sweet Taste in the Mouth: A Guide for Seniors
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
Understanding Persistent Leg Swelling: Causes and Solutions
Bilateral lower extremity edema? My mother has been experiencing swelling in both legs for the past year, sometimes to the point of discomfort. She has consulted with cardiologists, orthopedic specialists, family medicine doctors, obstetricians, nephrologists, and urologists, and...
Dr. Chen Bozhang Reply:
If the elderly person has already consulted multiple specialists and all tests have confirmed no abnormalities, in addition to continuing regular medication and outpatient follow-ups, it may be beneficial to consult a nutritionist for advice. Trying adjustments in diet or daily r...[Read More] Understanding Persistent Leg Swelling: Causes and Solutions
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?
Understanding Urinalysis Results: When to Consult a Specialist
Urinalysis Hello, during a recent routine check-up, several urine test results were found to be above the normal range: - Leukocytes: (++), 100/uL - Occult Blood: (++), 50/uL - RBC: 6-9 HPF (reference value: 0-5) - WBC: 20-29 HPF (reference value: 0-5) - Crystals: Ammonium urat...
Dr. Lin Zhebin Reply:
Hello: The results of your urine test do suggest a possible urinary tract infection; however, since you do not have symptoms such as fever, painful urination, lower abdominal pain, or back pain, it is advisable to increase your fluid intake rather than immediately resorting to an...[Read More] Understanding Urinalysis Results: When to Consult a Specialist
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 and Managing Severe Foot Pain in the Elderly
Grandfather's foot pain issue? Hello doctor, I would like to ask about my grandfather who has been experiencing severe foot pain recently. Initially, he mentioned that his foot had been hurting for a month, and he thought he could just endure it. Eventually, he couldn't...
Dr. Liu Hongxiang Reply:
Hello, Sisi: According to the information provided, it seems that you are currently experiencing pain near the left foot's dorsum close to the ankle. An orthopedic examination with X-rays indicated that the bones appear normal, but there is some degeneration. Additionally, t...[Read More] Understanding and Managing Severe Foot Pain in the Elderly
Understanding Loss of Appetite: Causes and Treatment Options
Loss of appetite Hello Doctor, last October I experienced vomiting after staying up all night to catch up on my studies. Since then, I have had a persistent loss of appetite. I consulted a gastroenterologist who diagnosed me with gastroesophageal reflux disease (GERD). After trea...
Dr. Lin Zhebin Reply:
Hello: Based on your description of physical discomfort and the situation regarding medical consultations and prescriptions, it is inferred that you may be experiencing anxiety and depression. Additionally, it is important to consider the possibility of endocrine disorders, such ...[Read More] Understanding Loss of Appetite: Causes and Treatment Options
Choking on Food: Understanding Coughing, Phlegm, and Chest Discomfort
Choking with excessive phlegm? Hello, doctor. A couple of days ago (on May 24), while eating a hamburger and drinking milk tea, I was talking to a colleague and accidentally choked. I felt embarrassed to cough it out, so I swallowed hard and then went to the restroom to cough for...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that you are experiencing throat inflammation and hoarseness due to the process. The inhalation cough may indicate that a small foreign body has entered the respiratory tract, and the ability of the respiratory system to handle the...[Read More] Choking on Food: Understanding Coughing, Phlegm, and Chest Discomfort