Sudden Rapid Heartbeat During Sleep: Causes and When to Seek Help
Waking up in the middle of the night with a sudden rapid heartbeat? Recently, I have been experiencing episodes during sleep where I feel my heart racing, and I am unable to wake up, accompanied by a sensation of being pressed down by a ghost. Each time, I have to take deep breat...
Dr. Yu Liying Reply:
Hello: This situation may be related to excessive cardiac excitability at night, such as nighttime arrhythmias, anxiety, or panic attacks. It is recommended to try relaxation techniques to reduce nighttime anxiety and stress. Additionally, avoid consuming caffeinated beverages or...[Read More] Sudden Rapid Heartbeat During Sleep: Causes and When to Seek Help
Understanding Sudden Chest Pain: Causes and When to Seek Help
Chest pain? This morning, while trying to go back to sleep, I suddenly experienced a sharp pain in my heart for just a few seconds. This is the first time it has happened. However, I have been experiencing more frequent sharp pains in my right chest. Since it seems to be a chest ...
Dr. Lin Wufu Reply:
Hello, the description seems more related to muscle or nerve issues rather than the heart itself. Further evaluation is needed to determine the exact problem. It is recommended to consult with a family medicine physician, general internist, or neurologist for assessment.[Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Can Sneezing Too Hard Cause Chest Pain After COVID-19?
Sneezing after diagnosis? Hello, I would like to consult a doctor. I was diagnosed with COVID-19 for the second time during the New Year. I took cold medicine and traditional Chinese medicine, and I no longer have yellow phlegm or a sore throat. However, after sneezing quite forc...
Dr. Liao Zhongxin Reply:
1. After a typical COVID-19 infection, a dry cough and decreased appetite may persist for one to two weeks, gradually improving over time. 2. If the cough and chest pain continue, or if there is hemoptysis, it is advisable to visit a healthcare facility to check for possible se...[Read More] Can Sneezing Too Hard Cause Chest Pain After COVID-19?
Understanding Systemic Pain and Allergic Reactions: When to See a Doctor
Generalized tingling, itching, and numbness? Hello Director Gao: I am following up on my inquiry from January 15 regarding my symptoms of generalized itching, tingling, itchy eyes, itchy ears, fungal patches, difficulty concentrating, memory decline, forgetfulness, headaches, che...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Brittle nails are often a result of nutritional deficiencies, and this can be evaluated by a dermatologist. If your primary care physician is unable to address your concerns, and you are also experiencing anxiety related to allergy symptoms, you...[Read More] Understanding Systemic Pain and Allergic Reactions: When to See a Doctor
Sudden Left Chest Pain: Causes and When to Seek Medical Help
Sudden pain in the lower left chest? Hello Dr. Lee, I have seen similar inquiries in the Q&A section, but I still want to confirm my condition with you (as described below). Since childhood, I have experienced sudden sharp pain in the lower left side of my chest. For example,...
Dr. Li Jian Reply:
It is recommended to visit the pulmonology outpatient clinic for further examination. Thank you for your inquiry.[Read More] Sudden Left Chest Pain: Causes and When to Seek Medical Help
Understanding Suspected Ankylosing Spondylitis: Symptoms and Next Steps
Suspected ankylosing spondylitis? Hello Doctor, I am 28 years old. Initially, six months ago, after a full-body adjustment, I started experiencing stiffness and pain in my back upon waking up, particularly in the upper back (with no issues in the lower back). After stretching in...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Do I have ankylosing spondylitis? --> It would be helpful to check for HLA-B27. Your symptoms have persisted for a while, and chronic lower back pain in young individuals warrants caution regarding ankylosing spondy...[Read More] Understanding Suspected Ankylosing Spondylitis: Symptoms and Next Steps
Chest Pain and Nausea After Sleepless Nights: When to See a Doctor?
Chest pain and nausea after staying up late? If you experienced chest pain and nausea after staying up for 1 to 2 days, but the symptoms resolved after a day, it is still advisable to consult a doctor. While the symptoms may have improved, chest pain can be a sign of a serious co...
Dr. Li Jian Reply:
If you are experiencing intermittent chest pain, please consult a cardiologist. Thank you.[Read More] Chest Pain and Nausea After Sleepless Nights: When to See a Doctor?
Understanding Symptoms: Sweating and Chest Pain After Diagnosis
Medical consultation Hello doctor, I would like to ask a question. I am currently on the fourth day of my diagnosis, and I have been sweating continuously while lying in bed. I also have chest pain and cannot sleep well; when I do manage to fall asleep, it’s only for about two ho...
Dr. Lin Wufu Reply:
It still sounds like symptoms related to COVID-19. It is recommended to follow up with an infectious disease specialist or a pulmonologist for further evaluation.[Read More] Understanding Symptoms: Sweating and Chest Pain After Diagnosis
Chest Pain and Cough After Car Accident: What You Need to Know
Chest pain and cough after a car accident? After the car accident, I experienced chest pain. It has been over a week now, and I have started to cough intermittently. The chest pain has gradually decreased over the past week.
Dr. Li Jian Reply:
Hello: This issue is not within the specialty of Metabolism, so I recommend consulting a pulmonologist. Thank you.[Read More] Chest Pain and Cough After Car Accident: What You Need to Know
Swallowed Fish Bone: Should You See a Doctor for Chest Pain?
Accidental ingestion of a fish bone? Hello, a few days ago I got a fish bone stuck in my throat, and it seems I swallowed it. Since yesterday, I've been experiencing a burning sensation in my chest that has lasted all day. Should I see a doctor? I'm worried that the fis...
Dr. Hong Yuanbin Reply:
Hello, theoretically, the symptoms of accidentally swallowing a fishbone do not typically include a burning sensation, so the likelihood of that is considered low. However, if the symptoms persist, one should consider esophageal reflux. If discomfort continues, it is advisable to...[Read More] Swallowed Fish Bone: Should You See a Doctor for Chest Pain?
Post-COVID Coughing: When to Seek Chest X-Ray for Blood-Streaked Phlegm?
What is the appropriate timing for a chest examination after being diagnosed with a condition and still experiencing hemoptysis? Hello doctor, I was diagnosed at the end of last year and completed isolation in early January. I continued to self-isolate until I tested negative on ...
Dr. Hong Yuanbin Reply:
Hello, if you cough forcefully, it can easily cause microvascular rupture in the throat, leading to blood-tinged sputum. This should gradually improve as the cough resolves. Whether a follow-up chest X-ray is necessary mainly depends on whether you experience shortness of breath ...[Read More] Post-COVID Coughing: When to Seek Chest X-Ray for Blood-Streaked Phlegm?
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose levels are elevated? On October 14, 2021, I went to the emergency room due to discomfort from vaccine side effects, around 8 PM after dinner, feeling very anxious (due to chest pain). The emergency department recorded a blood glucose level of 171. A few days...
Dr. Li Jian Reply:
Fasting blood glucose greater than 100 mg/dL or hemoglobin A1c greater than 5.6% indicates prediabetes. Low-dose mirtazapine is not commonly associated with hyperglycemia. Maintaining proper dietary control and lifestyle adjustments is key. Thank you for your inquiry.[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Understanding Aspiration Pneumonia Symptoms After Choking
Regarding the issue of choking and aspiration into the trachea? If you experienced choking while drinking hot kimchi soup and felt a sensation of fluid flowing through the right lung area, accompanied by severe coughing, you should be aware of the following potential symptoms of ...
Dr. Hong Yuanbin Reply:
Hello, if you are not currently experiencing a persistent cough, the likelihood of aspiration pneumonia should be very low. You can observe for 2-3 days, and if there are no symptoms such as fever or cough, it should be fine. Thank you for your question.[Read More] Understanding Aspiration Pneumonia Symptoms After Choking
Understanding Choking: When to Seek Medical Attention for Throat Issues
Regarding choking? Hello Dr. Hong, Recently, while drinking at home, I experienced discomfort and itchiness in my throat after eating fried food and then drinking something cold. This caused me to feel like I was choking. At that moment, I couldn't hold it in and ended up ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the human body has mechanisms to prevent choking, such as the epiglottis. Therefore, unless there is a loss of consciousness, it is unlikely to aspirate into the trachea. Additionally, since you did not experience any particular discomfort afterw...[Read More] Understanding Choking: When to Seek Medical Attention for Throat Issues
Chest Pain After Prolonged Singing: Causes and Concerns
Experiencing chest pain after singing with prolonged vocalization? Today, due to special requirements, I needed to record audio. The length of the audio required a prolonged exhalation while vocalizing. I did not take a breath before starting to vocalize and continued to do so un...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the chest pain during deep inhalation, if located in the upper part, may be caused by strain on the thoracic wall or ribs. If it is in the lower part, it could be due to pressure on the stomach. In any case, this is mostly a physiological phenome...[Read More] Chest Pain After Prolonged Singing: Causes and Concerns
Understanding Chest Pain and Cough: Causes and Treatment Options
Chest pain and cough? Hello, doctor. Since March, I have been experiencing pain in the center of my chest. I have visited both pulmonology and cardiology several times, and after undergoing X-rays and heart-related tests, everything came back normal. The pain occurs mainly in the...
Dr. Hong Yuanbin Reply:
Hello, based on your description and the fact that you have already had an X-ray, it does seem more like costochondritis. However, costochondritis typically does not present with a cough. I recommend that you first get tested for COVID-19. If the result is negative and you still ...[Read More] Understanding Chest Pain and Cough: Causes and Treatment Options
Vaccines and Inflammation: Understanding Symptoms in Ankylosing Spondylitis
Vaccines and Inflammatory Markers Hello Doctor, I am a patient with ankylosing spondylitis. Recently, after receiving the vaccine, I have developed new symptoms of chest pain, which has lasted for six months. Both cardiology and pulmonology have stated that it is not a heart or l...
Dr. Zeng Guosen Reply:
Hello, the vaccine can indeed trigger the activation of autoimmune diseases. First, it's important to determine whether the nature and location of the chest pain are related to ankylosing spondylitis; you may want to consult a rheumatologist. If that is ruled out, you should...[Read More] Vaccines and Inflammation: Understanding Symptoms in Ankylosing Spondylitis
Understanding Persistent Low-Grade Fever in COVID-19 Patients
Regarding the persistent low-grade fever in confirmed cases of COVID-19? Hello: I tested positive for COVID-19 via PCR on May 12. From May 11 to May 14, my axillary temperature was 37.5 degrees Celsius. From May 15 to May 24, my daily axillary temperature ranged from 37 to 37.3 d...
Dr. Hong Yuanbin Reply:
Hello, if you experience moderate to severe symptoms such as shortness of breath, chest pain, or altered consciousness, you should seek medical attention. If these symptoms are not present, it is advisable to rest more and drink plenty of water, as you should gradually improve. T...[Read More] Understanding Persistent Low-Grade Fever in COVID-19 Patients
How Smoking Affects Pain Areas in Ankylosing Spondylitis Patients
Newly added pain locations for ankylosing spondylitis? Hello Doctor, I often see reports online stating that patients with ankylosing spondylitis should not smoke, but they do not explain how smoking affects ankylosing spondylitis. I would like to ask you, if smoking increases pa...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Ankylosing spondylitis not only affects the spine but also indirectly or directly impacts the ribs due to their connection with the spine, leading to chest and back pain. Many chronic ankylosing spondylitis patients experience rib or chest pain...[Read More] How Smoking Affects Pain Areas in Ankylosing Spondylitis Patients
Blood-Streaked Sputum After COVID-19: When to Seek Medical Attention?
The diagnosed patient is coughing up sputum with a slight trace of blood? I tested positive on May 19. Initially, I had a cough but no phlegm. By the morning of May 21, I noticed blood streaks in my phlegm when I coughed it up. My wife said that my coughing technique might be wro...
Dr. Hong Yuanbin Reply:
Hello, COVID-19 patients may experience some microvascular bleeding in the throat during severe coughing, which can lead to blood-tinged sputum. Symptomatic treatment is recommended, and it should gradually improve. However, if there is persistent fever, chest pain, or severe sho...[Read More] Blood-Streaked Sputum After COVID-19: When to Seek Medical Attention?