Blood pressure, Internal Medicine FAQ - Page 22

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Understanding Low White Blood Cell Count: Causes and Recovery Tips

Leukopenia I am an intern teacher in Taipei. Last Friday, I felt unwell, experiencing symptoms similar to a cold, dizziness, and fever. After taking medication for three days without improvement, I had a poor appetite and felt very weak. On the fourth day, I was hospitalized, and...


Dr. Ke Zhengchang Reply:
Hello, A-Jing: Generally, viral infections may cause a temporary decrease in white blood cell count (which can last for one to two weeks). If subsequent monitoring shows recovery to above 4000, there should be no major concerns. However, if the count remains persistently low, it ...

[Read More] Understanding Low White Blood Cell Count: Causes and Recovery Tips


Understanding Heart Issues: Risks and Considerations for Pacemaker Implantation

Cardiac issues Hello Dr. Lee! I often feel a tightness in my chest and have difficulty breathing. I went to the hospital for an examination, and the doctor believes I have myocardial ischemia and arrhythmia. The doctor suggested that I get a pacemaker. Given my age, is there any ...


Dr. Li Huixiong Reply:
Implanting a cardiac pacemaker is a very serious and significant recommendation, and this procedure is carried out through the collaboration of a team of cardiology specialists. Therefore, when you are advised to have a pacemaker implanted, you can trust that your physician has c...

[Read More] Understanding Heart Issues: Risks and Considerations for Pacemaker Implantation


Understanding Blood Pressure Measurement and Calf Tendonitis Symptoms

Tendonitis of the calf? Hello, when measuring blood pressure with a traditional mercury sphygmomanometer, do you hear the maximum pulse sound? Or is the first pulse sound considered the systolic pressure? Then, is the subsequent pulse sound the diastolic pressure? Please clarify ...


Dr. Hong Hongchang Reply:
Hello: 1. In a traditional mercury sphygmomanometer, the first sound indicates systolic pressure, while the disappearance or reduction of sound indicates diastolic pressure. If the pulse is very faint, it may be due to improper placement of the stethoscope or an issue with the st...

[Read More] Understanding Blood Pressure Measurement and Calf Tendonitis Symptoms


Health Check Report: Key Concerns and Follow-Up Recommendations

Health Screening Report Dr. Li: Hello, I had a health check-up last month, and the physician's overall assessment is as follows. Should I go for a follow-up at the hospital? Are there any specific concerns I should pay attention to? 1. Mild fatty liver, liver cysts, and gall...


Dr. Li Huixiong Reply:
The recommendations are as follows: 1. For mild fatty liver, liver cysts, and gallbladder polyps, an ultrasound follow-up once a year is sufficient. 2. Schedule a repeat blood cell count for comparison; if abnormalities are confirmed, consult a hematologist for clarification. 3. ...

[Read More] Health Check Report: Key Concerns and Follow-Up Recommendations


Understanding Mitral Valve Prolapse: Symptoms, Diagnosis, and Treatment Options

Mitral valve prolapse I experience sharp pain in my chest, located slightly to the upper left between my breasts. The frequency of the pain varies; sometimes it occurs when I change positions or move my body. The episodes can last for two to three days and have persisted for six ...


Dr. Ke Zhengchang Reply:
Mild mitral valve prolapse may not be discernible with a standard stethoscope. It is recommended to follow up at a cardiology clinic and arrange for an echocardiogram for a more accurate assessment.

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Diagnosis, and Treatment Options


Understanding Back Pain and Chest Tightness: When to Seek Medical Advice

Back pain and chest tightness? Dr. Ke, I have some questions to ask you: Recently, I have been experiencing symptoms such as nasal allergies, cold, and cough. Even after taking medication, I still feel unwell, with persistent dizziness, tightness in my neck, muscle stiffness and ...


Dr. Ke Zhengchang Reply:
Hello Lisa: Chronic hypertension and hyperlipidemia require long-term adherence to medication and regular outpatient follow-up for blood pressure monitoring and blood tests. If symptoms of an upper respiratory tract infection occur, such as cough, dizziness, runny nose, and muscl...

[Read More] Understanding Back Pain and Chest Tightness: When to Seek Medical Advice


Managing Low Blood Pressure: Tips for Thyroid Disease Patients

Hypotension I have thyroid disease and am currently on medication for management. I experience leg cramps while sleeping, my blood pressure is in the 50s, and I often feel dizzy. I'm unsure if low blood pressure requires treatment and how to prevent it. What should I pay att...


Dr. Zeng Fenyu Reply:
If blood pressure is low, dietary salt intake can be increased. If the blood pressure is significantly low and accompanied by symptoms, certain vasopressor medications may be considered. However, it is essential to first investigate any underlying causes of hypotension. It is rec...

[Read More] Managing Low Blood Pressure: Tips for Thyroid Disease Patients


Understanding Normal Blood Pressure: What Are the Standard Values?

Blood pressure Normal blood pressure is generally defined as a systolic pressure (the top number) of less than 120 mmHg and a diastolic pressure (the bottom number) of less than 80 mmHg. Based on the values you provided, with a systolic pressure of approximately 96 mmHg and a dia...


Dr. Ke Zhengchang Reply:
Hello Zoe: Blood pressure includes systolic and diastolic pressure. The normal range for systolic pressure varies by gender and age, approximately 90-140 mmHg, while diastolic pressure ranges from 50-90 mmHg. Generally, young women tend to have lower blood pressure, as long as th...

[Read More] Understanding Normal Blood Pressure: What Are the Standard Values?


Understanding Slow Heartbeat and Breathing Difficulties in Middle-Aged Women

Shortness of breath and bradycardia? Your mother is 50 years old and has not yet reached menopause. Her usual blood pressure is 100/60 mmHg. Recently, she has been experiencing a sensation of a slow heartbeat (measured pulse is 72 beats per minute, heart rate is 80 beats per minu...


Dr. Li Huixiong Reply:
Your mother is 50 years old and has not yet experienced menopause, but her menstrual cycle may be irregular. Her blood pressure is acceptable, and her pulse rate is within the normal range, but it's unclear if it is consistent. It is recommended that you take your mother to ...

[Read More] Understanding Slow Heartbeat and Breathing Difficulties in Middle-Aged Women


Understanding Low Blood Pressure: Symptoms, Risks, and Prevention Tips

Hypotension Does low blood pressure cause stroke? What are the symptoms of low blood pressure? How can low blood pressure be prevented?


Dr. Yang Guojun Reply:
Some women are born with low blood pressure, which should not have any clinical significance. If there are any concerns, please visit the internal medicine clinic, Room 5, for an examination.

[Read More] Understanding Low Blood Pressure: Symptoms, Risks, and Prevention Tips


Understanding FSGS: Is It a Type of Nephrotic Syndrome and Its Implications?

Could you please provide more context or specify what aspect of kidney disease you would like to know about? Focal Segmental Glomerulosclerosis (FSGS) is a type of kidney disease that can lead to nephrotic syndrome. It is characterized by scarring in the kidney's filtering u...


Dr. Li Huixiong Reply:
Focal Segmental Glomerulosclerosis (FSGS) is generally classified under nephrotic syndrome. The term "nephrotic syndrome" typically implies an unknown etiology. This is a type of kidney disease, and approximately two-thirds of patients may seek medical attention due to ...

[Read More] Understanding FSGS: Is It a Type of Nephrotic Syndrome and Its Implications?


Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management

Diabetes Diet Could you provide a one-week meal plan for diabetes, along with food substitutions? I consulted a nutritionist, but I still find it unclear and hope to get some clarification. Thank you!


Dr. Zeng Fenyu Reply:
Hello Kitty! When planning a diet for diabetes, it is essential to consider the patient's age, height, weight, activity level, and physiological conditions (such as kidney function, blood lipid levels, blood pressure, etc.). It is not possible to design an appropriate meal p...

[Read More] Weekly Meal Plan for Diabetes: Food Swaps and Tips for Better Management


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