Blood pressure, Internal Medicine FAQ

Understanding Low Triglycerides: Health Implications and Management Tips

Low triglycerides? I found related questions in the FAQ, but I still cannot understand my situation. I would greatly appreciate Dr. Tseng's clarification! I am 162 cm tall and weigh 50 kg, a non-smoker, and I usually eat little meat and almost no seafood, preferring sweet fo...

Dr. Zeng Fenyu Reply:
If the total cholesterol is greater than 200 mg/dL without other risk factors, dietary and lifestyle modifications can be initiated, and a follow-up should be done after three months. If the levels remain high, medication treatment may be considered. It is recommended that you co...

Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits

Is a slow heartbeat harmful to the body? A friend (weighing approximately 100 kg and standing at 180 cm) underwent a physical examination, and their heart rate was 58 beats per minute. I would like to ask: (1) Under what circumstances can the heart rate slow down? (2) How can it ...

Dr. Ke Zhengchang Reply:
Hello Fion Chen: A heart rate below 60 beats per minute is referred to as bradycardia. There are many causes, but if the rhythm is regular and blood pressure is normal, no treatment is necessary (such as in athletes). However, if the rhythm is irregular and the heart rate is too ...

Understanding 24-Hour Blood Pressure Monitors: Design, Usage, and Rarity

Blood pressure monitor What does a 24-hour blood pressure monitor look like? How is it carried by the patient? Is it rare?

Dr. Ke Zhengchang Reply:
Hello, Hsiao-Ching: The 24-hour blood pressure monitor is similar to a portable device that can be worn on the body. The blood pressure cuff is placed on the upper arm and measures blood pressure at set intervals for recording purposes, making it convenient to understand fluctuat...

Understanding Incomplete Right Bundle Branch Block in ECG for Seniors

Electrocardiogram (ECG or EKG) Hello Dr. Ke: I have a question regarding an electrocardiogram (ECG) examination that I would like to consult you about. I would greatly appreciate your guidance. I came across a common issue where patients inquired about incomplete right bundle bra...

Dr. Ke Zhengchang Reply:
In response to Rose: If the electrocardiogram shows only incomplete right bundle branch block, it generally does not present any symptoms and does not require treatment. It is sufficient to manage blood pressure effectively and to have regular follow-ups with a cardiologist to mo...

Understanding Blood Pressure Discrepancies Between Arms: Key Insights

The difference in blood pressure between the two arms is too significant? Yesterday, I measured my blood pressure on my left arm and got 130/80, while on my right arm it was 160/95. I measured twice and got the same results. Today, I measured my left arm three times and got readi...

Dr. Ke Zhengchang Reply:
Hello Mingxin: Normal blood pressure at rest should be below 140/90 mmHg, with a difference between both arms of 10-15 mmHg. Electronic blood pressure monitors can be affected by interference and movement, so it is advisable to take multiple readings. Ensure that both arms are st...

Understanding Heart Valve Issues and Hypertension: Risks and Treatments

Heart disease & hypertension Hello, Dr. Ko. My boyfriend has been experiencing chest tightness due to stress for quite some time, to the point where he couldn't sleep. After much persuasion, he finally went to the hospital for an examination. He said the doctor informed ...

Dr. Ke Zhengchang Reply:
If a young male has a blood pressure of 180/130, he must seek emergency treatment for malignant hypertension and be hospitalized for further evaluation to determine the cause of the hypertension. Unless there are severe congenital anomalies or abnormalities of the heart and major...

Understanding High Blood Pressure: Effective Treatment and Recovery Tips

How to treat hypertension? I recently had a basic health check-up, and the nurse informed me that I have high blood pressure. However, I am unclear about why I have this condition. How can I return to a healthy blood pressure level? Additionally, what steps can I take to restore ...

Dr. Zeng Fenyu Reply:
Blood pressure is the force exerted by circulating blood on the walls of blood vessels. There are many potential causes of high blood pressure, and it is advisable to visit an internal medicine clinic for a physician to determine the underlying cause of your hypertension. General...

Dietary Restrictions for Kidney Disease Patients: What to Avoid

Dietary Restrictions for Patients with Kidney Disease Hello. I have a 65-year-old friend who had a lobe of his kidney removed last year due to a tumor. I would like to know if there are any dietary restrictions for patients like him, and if there are any lifestyle habits he shoul...

Dr. Ke Zhengchang Reply:
Hello Ms. Star: Patients with only one kidney must pay attention to their diet and avoid excessive salt intake, monitor their blood pressure, and regularly visit the hospital for kidney function follow-up.

Understanding Moderate Myocardial Ischemia: Risks, Lifestyle Changes, and Treatment Options

Moderate myocardial ischemia and hypoxia? Hello Dr. Lee: I have a long history of hypertension, but it is controlled with medication. Recently, a doctor diagnosed me with moderate myocardial ischemia and valvular insufficiency. How serious is this in terms of heart disease? What ...

Dr. Li Huixiong Reply:
If you have "moderate myocardial ischemia," you need to be very cautious. Hypertension is actually quite related to myocardial ischemia. Therefore, it is essential to control your blood pressure effectively. Some medications, in particular, have positive effects on both...

Understanding Persistent Dizziness and Nausea in Elderly Patients

Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of thyroid hormone and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hypertensio...

Dr. Ke Zhengchang Reply:
Hello Kany: Based on your description, your mother has hypertension, dizziness, and suspected intestinal adhesions. It is recommended to schedule an appointment with a neurologist to adjust her antihypertensive and dizziness medications. Additionally, for the issue of intestinal ...

Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor mentioned a deficiency in thyroid hormones and advised her to drink more electrolyte solutions), she has been experiencing dizziness and nausea. She has a history of hyperten...

Dr. Li Huixiong Reply:
Seeing you write extensively indeed leaves you, as children, unsure of what to do. In fact, simplifying matters and focusing on the key points is essential. The most common situation in outpatient clinics is that after prolonged illness, patients often lose sight of the main issu...

Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Ever since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has be...

Dr. Hong Hongchang Reply:
The patient has hypertension, endocrine disorders, electrolyte imbalances, and postoperative enteritis, which may clinically present with elevated white blood cell counts associated with bacterial infection. Additionally, the patient's use of corticosteroids may lead to decr...

Understanding Hypoxia: Symptoms and Potential Causes in Adults

Cerebral hypoxia I have the following symptoms: there are two cords under both ears that run down along my neck, and I often feel a tightness in my throat. Additionally, the muscles in the back of my neck feel very tense, and pressing on them causes soreness. These symptoms frequ...

Dr. Ke Zhengchang Reply:
Hello Jen: Your symptoms seem to be caused by excessive tightness in the neck muscles, which is often due to lack of sleep or overexertion. You can start with local heat therapy, and if necessary, you may consult a rehabilitation specialist for further evaluation and treatment.

Understanding Persistent Dizziness and Nausea: A Guide for Caregivers

Headache Hello, I would like to inquire about my mother. Since she fainted last November (the doctor said it was due to a lack of iodine and advised her to drink more sports drinks), she has been experiencing dizziness and nausea. She has a history of hypertension and has been ta...

Dr. Zeng Fenyu Reply:
There are many causes of dizziness, including brain diseases, vestibular nerve disorders, cardiopulmonary diseases leading to insufficient cerebral blood flow, psychogenic factors, and postmenopausal syndrome in women. Regarding the condition you mentioned, if the patient already...

Unusual Symptoms of Hypertension: Understanding Your Health Concerns

Unusual Symptoms of Hypertension Hello, I have a question regarding hypertension. My mother is 60 years old and started showing symptoms of high blood pressure last year. It recurred again before the Lunar New Year this year. She had been controlling it with Western medication, b...

Dr. Zeng Fenyu Reply:
1. The three situations mentioned above are unrelated to chronic hypertension. 2. The primary cause has not been identified; what you mentioned could also be a vascular disease that requires further examination. 3. In terms of diagnosis, there are two conditions present, but on...

Is a Blood Pressure of 130/88 Normal with Calcium and Beta Blockers?

Is it normal? Is it normal for my blood pressure to be maintained at 130/88 or 130/90 if I take one calcium channel blocker and one beta-blocker each morning and evening?

Dr. Ke Zhengchang Reply:
Hello, Xiao P: Your blood pressure is normal, and it is reasonable to use two medications for control.

Communicating with Doctors: Heart and Lung Function Tests for Hypertension

Cardiopulmonary function tests and cardiovascular diseases? Dear Dr. Ke, I have been suffering from hypertension for many years, and in the past, I also had hyperlipidemia, arrhythmia, gastric ulcers, Helicobacter pylori infection, urinary tract infections, and ureteral stones. ...

Dr. Ke Zhengchang Reply:
Dear Mr. Shih Ping-Ming: Our hospital (Hsinchu Hospital, Department of Health) has been offering a cardiology education clinic every Tuesday evening from 6:30 PM to 8:30 PM since January of the 90th year. Dr. Po Shih-Chun will be available for consultations to provide you with de...

Understanding Sepsis, Pancreatitis, and Medical Negligence: A Personal Tragedy

Regarding sepsis, pancreatitis, and platelets, medical negligence inquiry!!! My mother underwent surgery for kidney stones at a hospital on November 8. On the 26th, she experienced significant bleeding (approximately 1000cc of blood) and was transferred to the intensive care unit...

Dr. Zeng Fenyu Reply:
Based on the described situation, it is evident that your esteemed mother's condition is indeed serious and complex. I would like to express my deepest condolences for her passing. However, this consultation system is not suitable for making medical assessments. Without a th...

Understanding Hypertension: Concerns About Blood Pressure Variability and Medication Effects

Hypertension Hello Doctor: Regarding hypertension, I am currently taking LOPID CAPSULES 300MG (GEMFIBROZIL). Are there any side effects associated with this medication? Additionally, I have been troubled by a persistent issue where the blood pressure readings I take in the mornin...

Dr. Ke Zhengchang Reply:
Hello Leo: A person's blood pressure can fluctuate due to time, weather, emotions, and activity levels. If blood pressure varies significantly and remains consistently high (measure blood pressure after resting for more than ten minutes), it is necessary to switch to long-ac...

Understanding Post-Exercise Fainting: Causes and Concerns

Post-exercise syncope Hello Doctor: This is the second time I have experienced these symptoms. The last time was six months ago after playing basketball. While resting on the sidelines (standing), I suddenly felt dizzy, and my heart had a sensation of "not being able to catc...

Dr. Ke Zhengchang Reply:
Dear Mr. Wu Bozhang: Arrhythmia (tachycardia after exercise) can lead to a drop in blood pressure and dizziness. It is recommended that you warm up before exercising and avoid prolonged activity. Additionally, it is advisable to undergo an electrocardiogram (ECG) examination at...

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