Heart, Family Medicine FAQ

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...

Understanding Leg Pain and Chest Discomfort After COVID-19 Recovery

Tingling sensations in the left calf and chest? Hello: After being diagnosed with COVID, I noticed that my heart beats very strongly. I have seen a cardiologist, had an electrocardiogram and a Holter monitor, and had blood tests, all of which were reported as normal. Recently, I ...

Dr. Lin Zhebin Reply:
Hello: The sensations of a strong heartbeat, discomfort in your left calf, and chest tightness with stabbing pain may be related to a confirmed COVID-19 infection, specifically long COVID symptoms. Currently, the management of long COVID sequelae primarily focuses on symptom cont...

Understanding Leg Pain and Chest Discomfort After COVID-19 Recovery

Tingling in the left calf and chest? Hello, after being diagnosed with COVID, I noticed that my heart beats very strongly. I have seen a cardiologist who performed an electrocardiogram and monitored my heart rhythm, and after blood tests, the doctor said everything was normal. Re...

Understanding Your Health Check Results: Key Insights and Recommendations

Health examination data consultation Based on the provided lab results, here is the interpretation: - **Creatinine (CREA)**: 0.76 mg/dL - This value is within the normal range, indicating normal kidney function. - **Total Cholesterol**: 251 mg/dL - This is considered high. It is...

Dr. Cai Dongqi Reply:
Hello: Begin with dietary control (low fat: reduce fried foods, fatty meats, skin, animal fats, organ meats, and meat broth). Exercise for 30 minutes daily, at least 5 days a week. Follow up in 3 months without the need for medication, diagnosed with mildly elevated cholesterol.

Understanding Heart Palpitations and Weakness After Heat Stroke and Vaccination

Strong heartbeat with weakness and shortness of breath? I previously experienced heatstroke that triggered angina, and after receiving a vaccine, I now feel as if my heart is being crushed whenever I sweat (for example, after eating hot food or being in a stuffy environment). It ...

Dr. Lin Zhebin Reply:
Hello: Your symptoms of chest pain, palpitations, general weakness, and cold sweats are indeed concerning for potential heart issues, and they may also be related to autonomic nervous system dysfunction. However, it is possible that no abnormalities will be found during an examin...

Unexplained Chest Pain and Neck Tightness: Seeking Answers

Chest pain and neck tightness with no identifiable cause? Hello Doctor: I sincerely apologize for the lengthy message, but this issue has been troubling me for over a year... Let me briefly describe my symptoms. Since June of last year, I have been experiencing unexplained tightn...

Dr. Lin Zhebin Reply:
Hello: Your symptoms of left chest pain, palpitations, left shoulder pain, neck tightness, shortness of breath, dizziness, and headaches raise concerns about potential cardiac issues. There is a possibility of acute arrhythmia; however, if you do not experience an episode during ...

Understanding Upper Left Back Pain: When to Seek Medical Advice

Dull and distended pain above the left kidney? The left upper back near the spine is experiencing dull and pressure-like pain. I can feel it when lying down or bending over, and sometimes there is pain in the side ribs as well. I am concerned it might be a pancreatic issue. I hav...

Dr. Lin Zhebin Reply:
Hello: The pain in the upper left area of your back could potentially be related to various issues, ranging from the skin, muscles, tendons, ligaments, bones, diaphragm, pleura, lungs, heart, stomach, spleen, kidneys, small intestine, to large intestine, among others. Since you h...

Understanding Elevated Red Blood Cell and Platelet Counts: Causes and Solutions

Elevated red blood cells and platelets? Hello Dr. Lin, I would like to inquire about the reasons for my elevated red blood cell (RBC) and platelet counts over the past three years. Can these values be improved on my own? Here are my annual test results: —2022 RBC 5.58 (10^6/uL) P...

Dr. Lin Zhebin Reply:
Hello: 1. In the case of red blood cells, we typically also assess hemoglobin (Hb) and mean corpuscular volume (MCV) for a comprehensive evaluation. An elevated red blood cell count may be due to conditions such as thalassemia or polycythemia. 2. If platelet counts are elevated a...

Pain Near the Shoulder Blade: Causes and Solutions for Upper Back Discomfort

Pain in the right upper back near the indentation close to the scapula? Hello Doctor: A few days ago, I woke up and noticed a sharp pain on both sides of my back when I bent down to tie my hair. After about two days, the pain changed to a sharp sensation near the right upper back...

Dr. Lin Zhebin Reply:
Hello: Regarding your issue of sharp pain in the back, if the pain occurs during arm or body movements, it is more likely related to superficial soft tissue problems such as muscles, tendons, or ligaments. However, since you mentioned that the pain also occurs when eating, drinki...

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...

Understanding X-rays: Do You Need a Specialist for Chest Issues?

Regarding X-rays? Hello, Doctor: I have an autoimmune disease and previously had an X-ray of my lungs or chest (the upper area). I did some research online! An X-ray can reveal a lot of information. The basic things that can be assessed include the heart, lungs, bones, lung marki...

Dr. Cai Dongqi Reply:
Hello: That's correct, a chest X-ray can only reveal the aforementioned findings. It is advisable to consult multiple pulmonologists for further evaluation.

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 ...

Understanding Chest Discomfort: When to Seek Medical Attention

Chest discomfort? Hello, doctor. About a month ago, I suddenly felt a tightness in my chest as if my heart was being compressed, which lasted for about ten seconds. I was quite worried, so I went to the hospital to see a cardiologist, but the doctor said there was nothing serious...

Dr. Ye Qianyu Reply:
Hello! You can choose the medical specialty based on your symptoms.

Persistent Chest Pain: When to Consult a Family Medicine Specialist

The symptoms have persisted for two weeks? Hello doctor, I have been experiencing unexplained pain for two weeks. During the first week, I felt pain in my left chest when coughing, laughing, hiccuping, or making large movements (it felt like internal pain). After taking over-the-...

Dr. Lin Zhebin Reply:
Hello: The discomfort in your left chest may be related to issues with the skin, musculoskeletal system, nerves, pleura, lungs, or heart. It is recommended that you first visit a family medicine physician to investigate the cause.

Understanding Chest Tightness After Vaccination: When to Seek Help

Chest tightness? Hello Dr. Lin, I received my first dose of the BNT vaccine last October, and that same night I experienced chest tightness and discomfort, prompting me to go to the emergency room. The ER physician jokingly informed me that vaccine side effects do not occur that ...

Dr. Lin Zhebin Reply:
Hello: Since your chest discomfort has persisted for almost a year, the likelihood of it being related to the BNT vaccine is quite low. Persistent chest discomfort may indicate potential issues with the heart or lungs. It is recommended that you consult a cardiologist or a pulmon...

Understanding Post-Vaccine Symptoms After COVID-19 Diagnosis

Vaccination and Symptoms After Diagnosis Hello, doctor. I was diagnosed with COVID-19 while getting vaccinated in April, and now I have several symptoms that I don't know what illness they indicate. 1. I have been experiencing a rapid heartbeat for four months, which feels...

Dr. Li Zhenggang Reply:
Hello: Based on your description, since you have been evaluated by specialists in cardiology and dermatology, you can rest assured that there are no particularly severe or dangerous conditions! Of course, your discomfort still persists and continues to trouble you. In this regard...

Rapid Heartbeat and Nausea: Understanding Common Family Medicine Symptoms

Rapid heartbeat. Nausea and the urge to vomit? I sometimes experience sleep issues, but last night I slept well due to exhaustion. This morning, I felt okay, but suddenly during breakfast, I felt nauseous and had the urge to vomit, along with a rapid heartbeat and slight cold swe...

Dr. Lin Zhebin Reply:
Hello: Based on your description, your discomfort seems to be related to transient hypotension. There are many potential causes for transient hypotension, including orthostatic hypotension, dehydration, food or medication effects, anemia, endocrine disorders, and heart diseases, ...

Understanding Persistent Chest Pain: Causes and Concerns Explained

Chest pain issues? Hello doctor, I started experiencing pain in the center of my chest around early June, which later became a mild ache. Sometimes I also feel pain on the left side of my chest, but most of the time, the pain is in the center. After feeling that it had persisted ...

Dr. Liu Hongxiang Reply:
Hello, Xin Xin: A CT scan can clearly reveal the presence or absence of aortic dissection. You have been experiencing chest pain for nearly a month, and since the cardiologist found no issues, it may be necessary to consider whether there are any musculoskeletal problems. At this...

Feeling Dizzy and Nauseous While Standing: When to Seek Medical Help?

Sudden nausea and gradual loss of vision while standing for a long time? Hello, doctor. After dinner today, while waiting in line at the night market, I suddenly started feeling nauseous and even experienced a dry heave. Feeling very uncomfortable, I moved to a nearby open area t...

Dr. Lin Zhebin Reply:
Hello: Based on your description, your discomfort may be related to your heart and blood pressure. It is important to rule out whether temporary arrhythmia is causing low blood pressure, which could lead to symptoms such as dizziness, blurred vision, and nausea. I recommend that ...

Managing High Blood Pressure: Essential Questions for Your Family Doctor

Blood pressure issues? Hello Doctor: My uncle is in his 50s, standing 176 cm tall and weighing around 60-70 kg. Today, he visited a family medicine clinic due to neck pain (which he feels is similar to a stiff neck). The doctor measured his blood pressure, which was over 170, nea...

Dr. Lin Zhebin Reply:
Hello: 1. Hypertension can be managed by a primary care physician, unless it affects the kidneys or heart, in which case referral to a nephrologist or cardiologist may be considered. Additionally, tests related to hypertension typically include blood tests, urinalysis, electrocar...

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