Blood pressure, Internal Medicine FAQ

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Managing Blood Pressure and Heart Rhythm Medications: A Patient's Dilemma

Issues with Blood Pressure Medications Hello Dr. Lee, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for three months to maintain my condition. Sometimes I feel weak, and when I measure my blood pres...


Dr. Li Jian Reply:
For issues related to palpitations and low blood pressure, you may consult a cardiology department. Thank you for your inquiry.

[Read More] Managing Blood Pressure and Heart Rhythm Medications: A Patient's Dilemma


Understanding Kidney Function: GFR, Proteinuria, and Health Concerns

Glomerular filtration rate and urinary protein issues? I am currently 42 years old and would like to inquire about some health concerns. I had a health check-up last October, and during this year's company health screening, I noticed that some values have significantly dropp...


Dr. Li Jian Reply:
Regarding the issues of proteinuria and glomerular filtration rate, please consult a nephrologist for further evaluation. Thank you for your inquiry.

[Read More] Understanding Kidney Function: GFR, Proteinuria, and Health Concerns


Understanding Your Exercise ECG Report: Key Insights for Patients

Please have the physician assist in reviewing the exercise electrocardiogram report? Please assist in reviewing whether the exercise electrocardiogram report is normal. Thank you very much! Order Date: June 1, 2024 Examination Date: June 7, 2024 Conclusions: 1) Target he...


Dr. Yu Liying Reply:
The exercise electrocardiogram report indicates that cardiac function is good under high-intensity exercise, with no significant signs of ischemic heart disease. However, non-specific ST-T changes and premature atrial contractions (PACs) were noted during the exercise, and furthe...

[Read More] Understanding Your Exercise ECG Report: Key Insights for Patients


Understanding Weight Changes After Knee Surgery: What to Know

Weight issues Hello Doctor, my mother is about 60 years old and had knee replacement surgery earlier this year. She is currently recovering well and can climb stairs. The only medication she is taking now is one pill in the morning and one in the evening for blood pressure and he...


Dr. Li Jian Reply:
If you are unsure about how to exercise appropriately, you can consult a rehabilitation specialist for therapy to prevent muscle atrophy. Thank you for your inquiry.

[Read More] Understanding Weight Changes After Knee Surgery: What to Know


Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms

Suspected heart failure with mitral valve issues? Hello Doctor, thank you for your response. To provide some background, last year I experienced several months of sleep deprivation. I usually do not drink alcohol, but one night while out with friends, I was forced to drink a cock...


Dr. Xie Rongyuan Reply:
Hello: MVP is a common condition characterized by the prolapse of one or both leaflets of the mitral valve into the left atrium during systole due to mitral valve insufficiency. The pathological mechanism is not fully understood. Pro-BNP testing can assist in the diagnosis of con...

[Read More] Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms


Risks of Discontinuing Hypertension Medication for Natural Remedies

Drug interactions Doctor, my father has high blood pressure and has been taking medication regularly. He has a condition that causes him to need to urinate every 20-30 minutes, so he started taking pumpkin seed supplements. He mentioned that taking both together might lower his b...


Dr. Lin Wuxuan Reply:
Chronic disease patients are advised not to arbitrarily adjust their medication dosage, frequency, or discontinue their medication. If there is a need to take dietary supplements or adjust medications, please discuss it with your attending physician. Thank you.

[Read More] Risks of Discontinuing Hypertension Medication for Natural Remedies


Understanding Uric Acid Levels: Insights on Gout and Health Management

Interpretation of Uric Acid Levels Hello, Doctor. I am 175 cm tall and weigh 97 kg. I have had high blood pressure since I was 16 years old. I do not drink alcohol but often stay up late. On March 15, I sprained my left ankle; at the time, there was no pain or swelling. However, ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have been losing weight for over a month, with my weight dropping from 104 kg to 97 kg. I would like to know if my lowest uric acid level in my life, which is 5.6 mg/dL, is due to dietary control or because I previ...

[Read More] Understanding Uric Acid Levels: Insights on Gout and Health Management


Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics

Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...


Dr. Zhang Shixin Reply:
Hello: 1. Regarding the glomerular filtration rate, if your blood pressure and blood sugar are well-controlled, it is recommended to monitor the trends. 2. Diabetic nephropathy is usually accompanied by proteinuria; therefore, maintaining stable blood sugar and blood pressure is ...

[Read More] Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics


Understanding Subtle Body Tremors: Causes and Solutions

There is a slight tremor in the body that is not visible to the naked eye? Since early February, after eating something bad and thinking it was food poisoning, I experienced diarrhea and went to the emergency room. Since then, I have often felt my heart racing, and when I get anx...


Dr. Zhang Shixin Reply:
Hello: In addition to electrolyte abnormalities, endocrine dysfunctions such as hyperthyroidism can also lead to symptoms like tachycardia, elevated blood pressure, diarrhea, and tremors. If your symptoms are affecting your daily life, it is recommended that you follow up with an...

[Read More] Understanding Subtle Body Tremors: Causes and Solutions


Can High Blood Pressure and Kidney Issues Justify Stopping Medication?

Can medication be discontinued for hypertension, proteinuria, and poor kidney function? Recently, my husband wants to buy a supplement in Japan called "Serum High" to replace the medication prescribed by his doctor. The ingredients of "Serum High" include saff...


Dr. Lin Wuxuan Reply:
Hello, to control and stabilize the condition, it is not advisable for patients to abruptly discontinue medication. Physicians prescribe medications based on the patient's condition. If there are any concerns regarding the medication, it is recommended to schedule a follow-u...

[Read More] Can High Blood Pressure and Kidney Issues Justify Stopping Medication?


Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained

Renal dysfunction Hello Doctor: I would like to ask about my recent health check report. My serum creatinine is 1.35, urine creatinine is 110.76, glomerular filtration rate (GFR) is 62.53, hemoglobin A1c is 5.4, fasting blood glucose is 90, uric acid is 7.2, urine protein is 9, a...


Dr. Lin Wuxuan Reply:
Urine or blood tests can determine the presence of hematuria, proteinuria, or any abnormalities in kidney function, which is typically assessed using the glomerular filtration rate (GFR). It is recommended that you bring your test results to a nephrology outpatient clinic at a re...

[Read More] Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained


Understanding Dry Mouth: Causes, Medications, and Solutions

Dry mouth and dry tongue? Hello, doctor. I have been experiencing dry mouth and dry tongue for the past three weeks. My mouth feels very dry every day, and drinking water does not help. This has somewhat affected my daily life. Prior to the dry mouth symptoms, I was taking Loraze...


Dr. Li Jian Reply:
Imipramine may cause dry mouth. Thank you for your inquiry.

[Read More] Understanding Dry Mouth: Causes, Medications, and Solutions


Understanding Positive Urinary Protein: When to Seek Further Evaluation

Urinary protein issue? Hello Dr. Huang, I recently underwent a general health check-up, which included blood and urine tests. When I received the report, the nurse mentioned that everything was normal, but I noticed that my urine protein was positive at 1+, while all other result...


Dr. Huang Yaoxuan Reply:
Hello, a urine protein result of 1+ does not necessarily indicate a problem. If you are concerned, you may want to schedule an appointment with a nephrologist (remember to bring your health check report). Additionally, postural proteinuria is a condition where "normal indivi...

[Read More] Understanding Positive Urinary Protein: When to Seek Further Evaluation


Unsteady and Dizzy: Understanding Balance Issues in Autoimmune Conditions

Feeling unsteady and unable to maintain balance at all times? Hello, doctor. I have rheumatoid arthritis, and one day after sitting in the same position for too long, I suddenly felt dizzy, weak, and cold, almost fainting. After seeking medical attention, I have been experiencing...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If you are continuously undergoing medication management and follow-up treatment, it is advisable to return to your rheumatologist. This visit can help assess for any potential medication side effects and evaluate for cervical spine compression ...

[Read More] Unsteady and Dizzy: Understanding Balance Issues in Autoimmune Conditions


Chronic Lower Back Pain Without Diagnosis: What Are Your Options?

If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...


Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.

[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?


Can Acetazolamide Be Safely Taken with Heart and Cholesterol Medications?

Medication-related issues? Hello, doctor. This New Year's Day, I plan to take my two elderly family members to Wuling to enjoy the scenery. We intend to prepare Acetazolamide for them to prevent symptoms of altitude sickness. Currently, I know that my mother is taking medica...


Dr. Li Jian Reply:
A single dose of Dantrolene has little impact on the cardiovascular system. Thank you for your inquiry.

[Read More] Can Acetazolamide Be Safely Taken with Heart and Cholesterol Medications?


Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide

When blood pressure drops during dialysis and heart rate also decreases, how should it be managed? Hello, Doctor Wu: I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes. I also have coronary artery disease and mild arrhythmia. Last y...


Dr. Wu Hongjie Reply:
For heart-related issues, please consult a cardiologist. In cases of hypotension during dialysis, the on-site nephrologist should provide immediate feedback. Each situation is different, so please respond according to the circumstances at that time. Common management strategies i...

[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide


Understanding Occult Blood in Urine: Implications for Kidney Health

Occult blood? Hello, Doctor Wu. I would like to ask if there is a relationship between occult blood and the kidneys. My occult blood level increased from 4+ to 5+. Will this affect my kidneys? What does an occult blood level of 4+ indicate? My urine protein and other indices are ...


Dr. Wu Hongjie Reply:
Hematuria and occult blood are different. It is important to first confirm the presence of red blood cells in the urine. If red blood cells are present, renal issues such as renal cysts, kidney lesions, stones, or tumors may need to be ruled out. If there is only occult blood wit...

[Read More] Understanding Occult Blood in Urine: Implications for Kidney Health


Can Mouse Droppings Cause Severe Infections and Sepsis?

Inquire about the authenticity of this medical news article? Dear Dr. Lin, A family friend recently passed away. The elder had diabetes and felt symptoms of a urinary tract infection, so they took over-the-counter medication. That night, they developed a fever, which subsided af...


Dr. Lin Wufu Reply:
Hello, mice and mouse droppings naturally carry many pathogens, and contact with them can indeed lead to severe bacterial infections. However, the progression of the condition you mentioned is not uncommon in diabetic patients and may not necessarily be related to mice. It is imp...

[Read More] Can Mouse Droppings Cause Severe Infections and Sepsis?


Understanding the Link Between Creatinine Levels and Hypertension Management

Hypertension and Elevated Creatinine Levels Dear Dr. Lin, Last December, my serum creatinine level was 0.78 mg/dL, with a glomerular filtration rate (GFR) of 122.6 mL/min. I weighed 64 kg and was 170 cm tall. This October, my serum creatinine increased to 0.9 mg/dL, and my micro...


Dr. Lin Wuxuan Reply:
Please take the medication as prescribed and follow up regularly. If you have any concerns, it is advisable to schedule an earlier consultation. Thank you.

[Read More] Understanding the Link Between Creatinine Levels and Hypertension Management


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