Blood pressure, Internal Medicine FAQ

Understanding Essential Hypertension: Symptoms, Management, and Recovery Potential

Hypertension I have essential hypertension, and my blood pressure is usually around 155/85 without medication. I discovered my hypertension about a year and a half ago after my military service. My lifestyle is quite irregular; I often stay up until 3 or 4 AM and smoke, as I have...

Dr. Ke Zhengchang Reply:
1. In addition to medication management, hypertension requires regular exercise, smoking cessation, and a reduction in dietary fats and high-sodium foods. Increasing the intake of fruits and vegetables and maintaining a normal lifestyle are essential for keeping blood pressure wi...

Understanding Low Blood Pressure: Symptoms and Possible Health Issues

Hypotension I have been experiencing low blood pressure lately, with occasional rapid heartbeats and cold sweats. Whenever I have cold sweats, I tend to eat a lot, and I've noticed some weight loss. However, I don't have a loss of appetite, but I feel very tired and hav...

Dr. Yang Hongzhi Reply:
Rapid heartbeat, excessive sweating, and nervousness, along with increased appetite and weight loss, may indicate hyperthyroidism. Thyroid function tests can be conducted to make a diagnosis.

Understanding Cough Side Effects from Diabetes and Hypertension Medications

Diabetes... Hypertension My father is taking medication for diabetes and has previously taken medication due to a bacterial infection from a prostate examination. Recently, he has been coughing frequently (he has quit smoking). A while ago, I read in the newspaper that there is a...

Dr. Ke Zhengchang Reply:
A class of antihypertensive medications is known to commonly cause cough; these medications are angiotensin-converting enzyme (ACE) inhibitors. Common examples include Capoten, Renitec, Zestril, Tritace, and Acertil.

Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Exercise Tips

Heart valve Thank you for your response, Director. In 1995, I experienced palpitations, arrhythmia, and high blood pressure, which led me to see a cardiologist. I was diagnosed with mild mitral valve prolapse with regurgitation and tricuspid regurgitation. Since then, I have been...

Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. Mitral valve prolapse with regurgitation is mostly asymptomatic; however, it can occasionally cause chest pain, palpitations, fatigue, or shortness of breath. In severe cases, these symptoms may be more pronounced. The conditions of your m...

Managing Low Blood Pressure: Tips for Daily Care and Treatment

Hypotension How can individuals with low blood pressure achieve long-term management and maintain their daily health?

Dr. Wang Fangli Reply:
Hello, Shu Zhen: Normal individuals with low blood pressure do not require treatment. It is sufficient to maintain a balanced diet, regular exercise, and adequate sleep in daily life. Thank you for your question. Internal Medicine, Dr. Wang Fangli.

Can Women with One Kidney and Uterus Didelphys Safely Get Pregnant?

Is it suitable for someone born with a congenital kidney deficiency to become pregnant? Hello Dr. Yang, I recently underwent an examination due to gastritis, and during the ultrasound, it was discovered that I only have one kidney. Additionally, my liver detoxification function...

Dr. Yang Jun Reply:
Hello, Xiao Qi: In response to your inquiry, I will address your questions in three parts: 1. The human body has two kidneys, and as long as one kidney functions normally, the body can effectively excrete toxins, regulate water, maintain electrolyte balance, control blood press...

Understanding Dialysis and Kidney Removal in Diabetic Patients

Dialysis and nephrectomy? Patients with diabetes currently undergoing dialysis have been diagnosed with kidney disease requiring nephrectomy. Doctor, may I ask: 1. Is there still any kidney function remaining after starting dialysis? 2. Can both kidneys be removed simultaneously?

Dr. Wang Yiming Reply:
1. Although a patient is undergoing dialysis, the residual kidney tissue still retains several functions, such as the ability to excrete a small amount of water, produce erythropoietin (EPO), and generate various endocrine substances that influence blood pressure. 2. If possible,...

Managing Blood Pressure Issues in Hemodialysis Patients: Key Insights and Solutions

Blood pressure issues in hemodialysis? Hello Doctor: 1. I would like to ask you two questions. If a patient undergoing hemodialysis for 10 years has a history of hypertension but, for some unknown reason, their blood pressure has dropped to around 100 without taking any antihyp...

Dr. Wang Yiming Reply:
Hello Ms. Wdvrdx: Your question is very profound and is a common topic among dialysis physicians. The most frequent issue faced by patients undergoing hemodialysis is fluctuations in blood pressure, particularly during standard dialysis sessions. The most significant factors infl...

Do I Have Gout? Understanding Diagnosis and Medication Options

Do I really have gout? Should I take these medications? Dear Doctor, I have a condition of elevated uric acid levels (it reached 10.2 two years ago, 8.7 three months ago, and currently 8.8). My blood pressure fluctuates between normal and slightly high (not frequently monitored)...

Dr. Liu Hongxiang Reply:
Gout is caused by the deposition of uric acid crystals in the joints, leading to acute arthritis, and the higher the uric acid levels, the greater the likelihood of developing gout. Symptoms typically manifest as swelling, redness, heat, and pain in a single joint. The first two ...

Choosing the Most Accurate Digital Blood Pressure Monitor and Calibration Tips

Blood pressure monitor Which brand of electronic blood pressure monitor is more accurate, and how can I calibrate it once a year? Please provide some guidance.

Dr. Yang Jun Reply:
Hello Jenny: There are many types of electronic blood pressure monitors, and their accuracy should be relatively similar. However, the principles for choosing a blood pressure monitor are: 1. Arm-cuff monitors are more accurate (wrist or finger monitors are not recommended). 2. I...

Long-Term Medication Side Effects for High Uric Acid Levels?

What are the side effects of long-term medication for hyperuricemia? Hello, I would like to ask a few questions. My father is seventy-two years old and has been experiencing severe uric acid issues over the past year or two, which has led to arthritis and mobility difficulties. H...

Dr. Guo Conghuai Reply:
Hello Ms. Li: Your father has elevated uric acid levels and hypertension, which can easily lead to urate nephropathy. Therefore, both uric acid and blood pressure need to be strictly controlled to prevent or delay the onset of this condition. Certain sedatives or sleeping medicat...

Understanding Dizziness After Straining During Bowel Movements

Question Hello, doctor. I have a question that I hope you can help me with. Thank you! Here’s the situation: One day, I had a difficult time having a bowel movement due to constipation, and afterward, I felt dizzy. Why is that?

Dr. Xiao Yongxun Reply:
1. There are many causes of dizziness, and an accurate diagnosis requires a personal visit to a clinic for examination. 2. Regarding your statement about dizziness after bowel movements, it may be caused by straining during constipation, which can lead to parasympathetic nervou...

Confused About Which Specialist to See for Persistent Illness?

I don't know which department to visit? Cold. Weakness in the limbs. Headache. Insomnia. It has been over ten days. I have visited several hospitals without any improvement. I don't know what the problem is.

Dr. Ke Zhengchang Reply:
Hello: It is recommended that you visit an internal medicine or family medicine specialist for a detailed examination of your blood and blood pressure to determine the underlying cause and treatment.

Understanding Mitral and Tricuspid Valve Insufficiency: A Patient's Journey

Mitral and tricuspid valve insufficiency Hello, Doctor! Four and a half years ago, I discovered that I had abnormalities related to my cardiovascular system, such as sudden severe chest pain, rapid heartbeat, and abnormal blood pressure. I am currently serving in a military subst...

Dr. Li Huixiong Reply:
I am sorry to hear about your condition, but having an open attitude towards seeking medical help is a positive mindset. If you wish to undergo further examinations to confirm your diagnosis, with the current level of healthcare in Taiwan, any regional teaching hospital or above ...

Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips

I would like to consult a doctor? Hello, doctor. I would like to ask you some questions and hope for your guidance. 1. What are the symptoms of hypertension and hypotension? How can they be prevented? 2. What are the methods for maintaining kidney health?

Dr. Ke Zhengchang Reply:
Mild hypertension and mild hypotension generally do not present symptoms. However, if blood pressure rises to malignant hypertension (systolic pressure approaching 200 mmHg), symptoms may include headache, neck tightness, dizziness, and blurred vision. Hypotension is commonly obs...

Is a Blood Pressure of 79/99 Too Low? Understanding Low Blood Pressure Symptoms

Blood pressure If the blood pressure is 79/99, is this too low? It's difficult to wake up in the morning; could this be related to low blood pressure?

Dr. Li Huixiong Reply:
Do you know what your blood pressure is? Is it often measured like this? If it consistently reads 79/69 mmHg, it is indeed on the low side. However, if there are no obvious reasons causing the low blood pressure and it has been consistently this way for a long time, it should not...

Understanding 24-Hour Blood Pressure Monitoring: Accuracy and Reliability

Regarding issues related to measuring blood pressure? I saw an article in an online Q&A about measuring blood pressure, which mentioned a device that can measure blood pressure continuously for 24 hours. I would like to ask, if the subject is not in a static position, wouldn&...

Dr. Li Huixiong Reply:
What you are referring to is the "ambulatory blood pressure monitor." It is primarily used to assess the blood pressure status of non-hospitalized patients. It measures both dynamic and static blood pressure, with the interpretation mainly determined by the physician. G...

Understanding Right Ventricular Hypertrophy: Implications and Care Tips

Cardiology Doctor: Hello! Recently, my mother’s blood pressure suddenly rose above 100. She went to the hospital for blood tests and an electrocardiogram (ECG). The ECG report indicated right ventricular hypertrophy and damage to the heart membrane. Could you please explain what ...

Dr. Ke Zhengchang Reply:
I recommend visiting a hospital's cardiology department for a detailed examination, including an echocardiogram and an electrocardiogram (ECG), to better understand the severity of the condition. Generally, both regional hospitals and medical centers have cardiologists who c...

Understanding Elevated Heart Rate: Causes and Solutions for Adults

Heart rate Hello, I am a 55-year-old male. My blood pressure is within normal limits, but my heart rate is as high as 90, sometimes even reaching 100, without any vigorous exercise. In the past, I had low blood pressure, and my heart rate was in the range of 80 to 90. I would app...

Dr. Ke Zhengchang Reply:
Hello Peter: A rapid heartbeat with normal blood pressure is generally caused by anxiety or the consumption of caffeinated beverages. It is recommended to visit a cardiology clinic for an electrocardiogram (ECG) examination and treatment.

Essential Health Check Insights: Anemia, Low Blood Pressure, and Urinary Issues

Health check-up After a health check-up, the following symptoms were found. What should I pay attention to? Thank you! 1. There is anemia, with both hematocrit and hemoglobin levels being inadequate, and his blood pressure is 110/60 (which is considered low blood pressure). Wha...

Dr. Hong Hongchang Reply:
Anemia may be due to excessive loss or bone marrow disorders, requiring further diagnosis. Hematuria combined with elevated uric acid levels can lead to kidney damage and chronic renal failure. It is recommended to follow up with a nephrology outpatient clinic.

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