Heart, Family Medicine FAQ - Page 7

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Understanding Post-Vaccine Symptoms: Fever and Dizziness Concerns

Abnormal body temperature, dizziness? Hello Doctor: I received my second dose of the BNT vaccine on December 5th, and I had an ear temperature of 38 degrees Celsius on that day. I took Tylenol, but my temperature did not improve. To this day, my daily temperature has been between...


Dr. Ye Qianyu Reply:
Hello! Based on your description, experiencing shortness of breath during activity suggests that you should seek medical attention as soon as possible.

[Read More] Understanding Post-Vaccine Symptoms: Fever and Dizziness Concerns


COVID-19 Vaccine Recommendations for Patients with Blood Disorders

Which COVID-19 vaccine can be administered for issues related to red blood cells? Hello Doctor, I would like to inquire whether I can receive vaccinations given my hereditary thalassemia. Additionally, which vaccine would you recommend as the most appropriate? My annual health ch...


Dr. Liao Yaopan Reply:
Hello, the situations mentioned above are generally not considered absolute contraindications for vaccination. However, individual reactions to vaccines can vary. It is important to observe after vaccination. Online consultations do not equate to in-person medical visits and cann...

[Read More] COVID-19 Vaccine Recommendations for Patients with Blood Disorders


Understanding Chest Pain: Causes Beyond Heart and Gastro Issues

Chest pain with tenderness upon palpation? I have been experiencing chest pain for quite a long time, probably over a year (I haven't paid much attention to it). I consulted a cardiologist, and an electrocardiogram showed no abnormalities. I also saw a gastroenterologist; al...


Dr. Ye Qianyu Reply:
Hello! Chest pain should not be related to the coccyx. Based on your description, there is tenderness over the sternum. Since the sternum is thin and the skin covering this area is also thin, the sensory nerves in the periosteum are quite abundant, making it very sensitive to pre...

[Read More] Understanding Chest Pain: Causes Beyond Heart and Gastro Issues


Understanding Heart Rate and Blood Pressure Issues in Family Medicine

Blood pressure and heart rate issues? Usually, my blood pressure is normal, but my heart rate is often around 105. Sometimes, I experience low blood pressure with a heart rate of about 85. Since the beginning of this year, I frequently feel short of breath and slightly wheezy, wi...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the symptoms of palpitations indicate that tachycardia is a clinical manifestation of a condition that requires further investigation to determine the underlying cause. It is recommended that you seek medical attention at a healthcare facility.

[Read More] Understanding Heart Rate and Blood Pressure Issues in Family Medicine


Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia

Heart Rate and Respiration I have iron deficiency anemia and have been taking iron supplements for 1 month and 3 days. I can usually feel the contractions and relaxations of my heart, regardless of whether I am sitting, lying down, or climbing; as long as I feel calm, I can sense...


Dr. Xiao Yongxun Reply:
Dear Ms. Yu: 1. Your description still falls within the range of normal physiological phenomena; I recommend that you share your observations with your attending physician during your next appointment for further evaluation. 2. At that time, if all tests are normal, you may need ...

[Read More] Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia


Unexplained Head Tremors: Could They Be Linked to Heart Issues?

Involuntary head shaking? Hello doctor, I often experience headaches, mostly migraines, but I have had two episodes of unexplained head shaking. The first time, while standing in my room, my head started to shake suddenly, but I was fully conscious and it lasted for nearly a minu...


Dr. Xiao Yongxun Reply:
Dear Mr. Xiaohao: 1. Migraine is often characterized as a "pulsating" headache, meaning it follows a rhythmic pattern similar to vascular pulsation. While it typically occurs on one side of the head, pain can also manifest in the forehead, temples, crown, back of the h...

[Read More] Unexplained Head Tremors: Could They Be Linked to Heart Issues?


Understanding Right Upper Back Pain: Causes and Concerns

Right-sided back pain? About a month ago, I suddenly noticed a dull pain in the right side of my upper back near the scapula. After sitting in a slouched position for a while, the discomfort intensifies, but if I sit up straight, the pain completely disappears. Lying down also do...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it may be myofascial inflammation or the presence of trigger points. I recommend that you visit a rehabilitation specialist for evaluation.

[Read More] Understanding Right Upper Back Pain: Causes and Concerns


Understanding Post-AZ Vaccine Heart Issues: Symptoms and Concerns

Cardiac issues related to the AZ vaccine? Hello, doctor. It has been over a month since I received the AZ vaccine, and I often feel tightness in my upper back (along the spine) that is difficult to relieve. Although I usually have a habit of exercising, my physical performance ha...


Dr. Hou Angting Reply:
Hello, online friend: Most common side effects of vaccines typically improve within about two weeks. If you experience dizziness, chest tightness, difficulty breathing, or even orthopnea after exercising, it is important to rule out any cardiac issues, and I recommend seeking med...

[Read More] Understanding Post-AZ Vaccine Heart Issues: Symptoms and Concerns


Struggling with Nasal Congestion After Vaccination: Which Specialist to See?

Which department should I see? Hello Doctor: After getting vaccinated on Friday, I've been experiencing nasal congestion every night when trying to sleep, which makes it difficult to breathe comfortably and fall asleep (I didn't have daily nasal congestion before). Last...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine or general internal medicine clinic.

[Read More] Struggling with Nasal Congestion After Vaccination: Which Specialist to See?


Understanding and Managing Occasional Fainting: Causes and When to Seek Help

Idiopathic syncope Hello, doctor. Recently, I have been increasingly troubled by an intermittent issue, which is fainting. I feel like I'm about to pass out, with a dry mouth and my vision gradually darkening. Usually, when I rest to the side, I start to sweat a little, and ...


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

[Read More] Understanding and Managing Occasional Fainting: Causes and When to Seek Help


Understanding Occasional Fainting: Causes and When to Seek Help

Occasional, irregular fainting? Hello, doctor. My health checks during military service and school admissions were all normal. Recently, I have been increasingly troubled by an intermittent issue, which is fainting. I feel like I'm about to faint, experiencing dry mouth and ...


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

[Read More] Understanding Occasional Fainting: Causes and When to Seek Help


Understanding Unexplained Leg Swelling in Elderly Patients: Causes and Solutions

What could be the possible causes of unexplained swelling in both legs? Hello Dr. Hsiao, I would like to inquire about my grandmother (who is 82 years old). Last month, her lower legs, insteps, and toes suddenly became swollen (like edema, leaving an indentation when pressed). Sh...


Dr. Xiao Yongxun Reply:
Dear Miss Xiao Bei: 1. There are many causes of lower extremity edema, with common ones including heart failure, nephrotic syndrome, liver failure or cirrhosis, deep vein thrombosis of the lower limbs, cellulitis, lymphedema, hypothyroidism, and side effects of medications, amo...

[Read More] Understanding Unexplained Leg Swelling in Elderly Patients: Causes and Solutions


Cold Wrists and Weakness After Vaccination: When to Seek Medical Help

The wrist feels cold and somewhat weak? I have hyperthyroidism, and my heart rate is already a bit fast. After receiving the BNT vaccine last Thursday, my heart rate increased from 74-80 to 81-85. Today, my wrist feels a bit cold intermittently. Should I see a specialist, or shou...


Dr. Ye Qianyu Reply:
Hello! Based on your description, your current physiological responses are still within a reasonable range. Due to the recent significant temperature fluctuations, I recommend dressing in layers with a light jacket. If you experience any other discomfort, please visit a medical f...

[Read More] Cold Wrists and Weakness After Vaccination: When to Seek Medical Help


Understanding Unexplained Physical Symptoms: When to Seek Help

Physical discomfort? Hello Doctor, since mid-August, I have been experiencing tingling and numbness in my fingers and limbs upon waking up. I went to a neurologist for an examination, and I will be undergoing more in-depth tests soon. Between mid-August and October, I have felt t...


Dr. Xiao Yongxun Reply:
Dear Student Chen, The characteristics of Generalized Anxiety Disorder (GAD) include chronic and persistent worry that is multifaceted (e.g., concerning finances, family, health, the future, etc.), excessive, difficult to control, and often accompanied by other nonspecific physi...

[Read More] Understanding Unexplained Physical Symptoms: When to Seek Help


Diarrhea and Rapid Heartbeat: When to See a Doctor?

Diarrhea and rapid heartbeat? Hello, doctor: Recently, my bowel movements have been unformed, and in the last two instances, I noticed that I experienced a rapid heartbeat during defecation. I'm not quite sure what palpitations feel like; I can feel the arteries in my abdome...


Dr. Ye Qianyu Reply:
Hello! Based on your description of acute symptoms such as diarrhea and palpitations (feeling your heartbeat), please monitor your body temperature. If the symptoms persist, it is advisable to visit a family medicine or gastroenterology clinic for evaluation.

[Read More] Diarrhea and Rapid Heartbeat: When to See a Doctor?


Should You Get Tested for COVID-19 After an ER Visit?

Medical consultation Hello doctor, my mother felt discomfort in her heart yesterday, so we went to the emergency room. However, the area next to the internal medicine department was filled with patients exhibiting symptoms like coughing and vomiting. We wore medical masks the ent...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the risk you are exposed to currently only requires self-health management. Although the emergency department is considered a high-risk area, it does not necessarily mean there will be cases. It is recommended that you pay close attention to the ...

[Read More] Should You Get Tested for COVID-19 After an ER Visit?


Understanding Throat Discomfort After Choking on Medication

Experiencing discomfort in the throat after choking on medication? Hello Doctor: Yesterday, while taking my medication, it got stuck in my throat. I swallowed a large gulp of water, but it didn't go down and I felt a choking sensation. After that, I still had water in my mou...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that you may have injured the mucous membrane of your throat while swallowing medication. Please recall if you accidentally swallowed any part of the foil packaging along with the medication. If there is a possibility of having ing...

[Read More] Understanding Throat Discomfort After Choking on Medication


Understanding Iron Deficiency Anemia: Severity, Risks, and Treatment Concerns

Iron deficiency anemia Hello, doctor. I would like to ask about my previous blood test results: Hb: 10.2, HCT: 32.6, MCV: 71.2, MCH: 22.3, PLT: 408, RDW-CV: 17.5, Ferritin: 4.5. Are these anemia values considered severe? What would happen if I don't address this? During my l...


Dr. Xiao Yongxun Reply:
Dear Miss Ruru, 1. The information you provided indicates that you have microcytic anemia; due to your Ferritin level of 4.5 ng/ml being low (normal values are 23.9-336.2 ng/mL for males and 11.0-306.8 ng/mL for females), this may suggest iron deficiency anemia. A definitive dia...

[Read More] Understanding Iron Deficiency Anemia: Severity, Risks, and Treatment Concerns


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


Understanding Dizziness, Shortness of Breath, and Palpitations in Seniors

Dizziness, shortness of breath, and palpitations? Hello doctor, I am asking on behalf of my mother. She is 63 years old and has recently been experiencing frequent dizziness, which is often accompanied by shortness of breath and palpitations occurring 2 to 3 times a day, lasting ...


Dr. Liu Hongxiang Reply:
Hello, Xiao Mei: Your mother does not have a history of heart disease, but she has recently been experiencing frequent dizziness, along with shortness of breath and palpitations, occurring 2 to 3 times a day and lasting from half an hour to several hours. She also has unexplained...

[Read More] Understanding Dizziness, Shortness of Breath, and Palpitations in Seniors


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