Chest pain, Internal Medicine FAQ - Page 2

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Understanding the Link Between Ankylosing Spondylitis and Vaccination

The relationship between ankylosing spondylitis and vaccines? Hello Doctor, I am a 51-year-old male patient with ankylosing spondylitis. I received my first dose of the BNT vaccine in October last year and the second dose in January this year. I would like to ask if the symptoms ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Is my chest pain more likely caused by the vaccine or by smoking? --> Ankylosing spondylitis can also cause chest pain, and the likelihood may be higher than the side effects from the vaccine, so it is unlikely to...

[Read More] Understanding the Link Between Ankylosing Spondylitis and Vaccination


Chest Pain in Ankylosing Spondylitis: Which Specialist to See First?

If a patient with ankylosing spondylitis experiences chest pain, they should first consult a rheumatologist? Hello Doctor, I am 51 years old and a patient with ankylosing spondylitis, which I developed at the age of 45. My symptoms initially included only buttock pain and morning...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. I recommend seeing a rheumatologist first, as the duration of pain and the pain pattern may resemble that of ankylosing spondylitis, and it could potentially be related to it. If you still have concerns, you can discuss your anxiety about cardi...

[Read More] Chest Pain in Ankylosing Spondylitis: Which Specialist to See First?


Post-Vaccine Reactions: Understanding Chest Pain and Discomfort

Reactions after the third dose of the vaccine? Hello, doctor. I would like to inquire about my condition. After receiving my third vaccine dose on April 23, I experienced a fever for the first two days. On the third day, I had symptoms of chest tightness and chest pain (approxima...


Dr. Hong Yuanbin Reply:
Hello, what you described could indeed be vaccine side effects. However, most vaccine side effects typically improve without the need for treatment. If your symptoms gradually become milder, you do not need to seek medical attention. If your symptoms worsen or do not improve, the...

[Read More] Post-Vaccine Reactions: Understanding Chest Pain and Discomfort


Understanding Unexplained Chest Pain: Causes and When to Seek Help

Unexplained chest pain? I have been doing physical labor, specifically moving goods, and for the past month, I have been going to bed late and waking up early. I started experiencing chest pain in a fixed location, which has been a mild discomfort for a week. Sometimes the pain i...


Dr. He Yonghe Reply:
Hello, Student Pan. Lifting heavy objects may cause muscle strains, so it is advisable not to lift anything too heavy. If you experience persistent chest pain, you should go to the hospital for an examination.

[Read More] Understanding Unexplained Chest Pain: Causes and When to Seek Help


Undercooked Pork: Health Risks and When to Seek Medical Help

Eating undercooked pork? In October 2021, I ate undercooked pork chops at a teppanyaki restaurant. Over the past few months, I have frequently experienced itching in my buttocks, increased episodes of diarrhea, and sometimes abdominal cramps. I'm unsure if these symptoms are...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the main concern is diarrhea and the possibility of a parasitic infection. It is recommended to visit a gastroenterologist or a family medicine physician to arrange for a stool test to check for any eggs. If none are found, the likelihood of a pa...

[Read More] Undercooked Pork: Health Risks and When to Seek Medical Help


Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot

Questions regarding post-vaccination issues? Hello, I received my second dose of the BNT vaccine on December 6th, and my first dose was the AZ vaccine in September. I experienced a fever after the first dose, but I didn't have any significant reactions after the second dose....


Dr. Hong Yuanbin Reply:
Hello, the chest pain you described due to a change in posture is not typically a symptom of myocarditis; it is usually caused by muscle or bone strain. If it were myocarditis, the chest pain would be persistent and accompanied by shortness of breath. It is advisable to monitor t...

[Read More] Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot


Breathing Difficulties and Chest Pain: Understanding Your Symptoms

Difficulty breathing can cause wheezing, and there may be a stabbing or cramping sensation in the heart? Recently, I've been feeling like I have to take deep breaths to get enough air, and this sensation is more pronounced when I'm wearing a mask. After some physical ac...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it could potentially be a problem related to the stomach, lungs, or heart. However, further examination may be necessary to determine the exact issue. I recommend visiting a cardiology or pulmonology clinic for evaluation. You may need to undergo...

[Read More] Breathing Difficulties and Chest Pain: Understanding Your Symptoms


Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?

Does mild carbon monoxide poisoning have any long-term effects? Hello, doctor. Today there was a fire in the building, and I had to run back and forth from the 1st to the 16th floor to rescue elderly individuals. I spent nearly half an hour inside and inhaled a lot of smoke. Afte...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that you are experiencing carbon monoxide poisoning. Your discomfort is probably due to the effects of inhaling dense smoke. I recommend that you continue to monitor your condition. If you experience chest pain, shortness of breath...

[Read More] Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?


Understanding Chest Pain: Causes and Concerns for Your Symptoms

Chest tightness and pain? Hello doctor, two days ago I woke up with a feeling of tightness and pain in my left chest. When I turn over in bed, I experience sharp pain, and I also feel the same sharp pain when I turn my head. However, when I walk or run, I don't feel the shar...


Dr. Lin Wuxuan Reply:
Hello: Based on your symptoms, the first thing that needs to be ruled out is an acute upper respiratory infection. It is recommended that you visit a nearby clinic or seek treatment at the family medicine or otolaryngology department of a hospital. Thank you for your inquiry.

[Read More] Understanding Chest Pain: Causes and Concerns for Your Symptoms


Understanding Chest Pain: Causes and When to Seek Help

Chest pain in the center? For the past 3.4 months, I have been experiencing sudden sharp pain in the center of my chest (the area where CPR compressions are performed). Sometimes the pain radiates to the back at the same point. During these episodes, I also feel a sensation of so...


Dr. Hong Yuanbin Reply:
Based on your description, there are two possible scenarios. If pressing down causes pain in the bony area, it may indicate inflammation of the costal cartilage. In this case, it is recommended to apply some anti-inflammatory ointment on the outer side of the pain, which may help...

[Read More] Understanding Chest Pain: Causes and When to Seek Help


Understanding Left Chest Pain and Its Possible Causes: When to Seek Help

Chronic pain in the left chest area and underarm? Hello Dr. Hong, about a week ago I suddenly experienced pain in the upper left back, specifically in the area of the scapula. Subsequently, I began to feel sharp pain in the corresponding left anterior chest. Over the past two day...


Dr. Hong Yuanbin Reply:
Hello, based on your description, there are two likely possibilities. The first is a muscle strain, which is characterized by increased pain during movement. The second possibility is pleuritis, which may have resulted from a previous respiratory infection, and is characterized b...

[Read More] Understanding Left Chest Pain and Its Possible Causes: When to Seek Help


Understanding Throat Discomfort: Causes of Mucus, Blood, and Inflammation

Throat or nasal area? Hello Doctor, when I woke up this morning and brushed my teeth, I initially felt something like phlegm on my tongue, but it wasn't thick; it felt more like saliva because my throat felt a bit clogged. There was a slight yellowish tint, and after using m...


Dr. Hong Yuanbin Reply:
Hello, if the blood is coming from the lungs, it is usually a shade of iron-gray or rust color. Based on your description, if it is primarily bright red or dark red, it is more likely not originating from the lungs but rather from the mouth or throat. This could be due to issues ...

[Read More] Understanding Throat Discomfort: Causes of Mucus, Blood, and Inflammation


Post-Vaccine Concerns: Understanding Blood Clots and Skin Changes

Post-vaccination issues? Hello doctor, I would like to ask about something. I just received my vaccine around 8 PM, and when I got home, I saw the information they sent back regarding possible symptoms, which mentioned blood clots. I happened to notice two dark spots on my calf, ...


Dr. Hong Yuanbin Reply:
Hello, based on the photos you provided, it appears to be a mole. The blood clots associated with the AZ vaccine refer to thrombosis within blood vessels, which commonly presents with symptoms such as headaches, dizziness, and chest pain, rather than skin lesions like black spots...

[Read More] Post-Vaccine Concerns: Understanding Blood Clots and Skin Changes


Understanding Chest Discomfort: Causes and When to Seek Help

Mild discomfort in the chest? Hello, doctor. About two days ago, I took anti-inflammatory medication and antibiotics at the clinic due to a cold. However, the next day, I started feeling a slight, vague pain in the middle of my chest, which is particularly noticeable around meal ...


Dr. Hong Yuanbin Reply:
Hello, the esophagus is quite long, extending from the throat to the chest. Based on your description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or a gastric ulcer. However, the exact cause can only be determined through an endoscopy. As for ...

[Read More] Understanding Chest Discomfort: Causes and When to Seek Help


Understanding Chest Pain: Causes and When to Seek Help

Chest tightness or pain? I am a high school student. On the afternoon of August 9th, I moved some heavy objects, after which I started experiencing severe pressure and pain in my left shoulder and chest. I immediately stopped all activities, and then I began to have some difficul...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have a shoulder muscle strain. It is recommended to rest the injured area, apply some heat, and consider using topical anti-inflammatory ointments or patches, or taking anti-inflammatory medications such as acetaminophen. If the ...

[Read More] Understanding Chest Pain: Causes and When to Seek Help


Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot

After receiving the vaccine Hello, doctor. I recently received my second dose of the Moderna vaccine, and it's been five days. I've been experiencing pain in my arm when making larger movements (like shaking, running, or jumping), but it doesn't hurt much when I&#x...


Dr. Hong Yuanbin Reply:
Hello, based on your description, these are indeed possible phenomena after vaccination. It is not necessarily required to seek medical attention immediately unless the symptoms become more pronounced or if you experience fever, chest pain, severe shortness of breath, or other co...

[Read More] Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot


Post-Vaccine Concerns: Is Chest Pain a Sign of Myocarditis?

Post-Vaccination Issues - 2 Thank you, Dr. Hong, for your previous response. I forgot to mention other aspects while feeling unwell. On July 29 at 13:40, I received the second dose of the Moderna vaccine. On July 30 at 17:00, while going out to buy dinner, I experienced some ches...


Dr. Hong Yuanbin Reply:
Based on the symptoms and timeline you described, it is likely not myocarditis. I recommend getting plenty of rest and staying hydrated. You should seek medical attention only if the symptoms persist for more than 48 hours or if you start feeling increasingly unwell. Thank you fo...

[Read More] Post-Vaccine Concerns: Is Chest Pain a Sign of Myocarditis?


Understanding Intermittent Chest Pain: When to Seek Medical Attention

Occasionally experiencing chest pain? In the past few months, I have been experiencing sudden chest pain that lasts for a second or two. The location of the pain varies; sometimes it is on the left side of my chest, and other times on the right side. I can clearly identify where ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the pain that changes with posture or massage is more likely to be musculoskeletal pain, typically associated with inflammation of the sternum, ribs, or vertebrae. I'm not sure if you've recently experienced poor posture, lifted heavy o...

[Read More] Understanding Intermittent Chest Pain: When to Seek Medical Attention


Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms

Hello, doctor? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I visited a gastroenterologist and underwent an endoscopy, which revealed only mild gastritis. I also ha...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I noticed that you have experienced symptoms of dysphagia along with multiple areas of muscle pain, which may be related to rheumatology. If you have seen many specialists without a clear diagnosis, I recommend that you visit a rheumatologist fo...

[Read More] Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms


Understanding Non-Rheumatic Mitral Valve Insufficiency: Symptoms and Insights

What is non-rheumatic mitral valve insufficiency? Due to experiencing left-sided chest pain for a period of time without improvement, I visited a cardiologist. At that time, I mentioned that the pain was localized to a specific point, and the doctor indicated that it was likely n...


Dr. Hong Yuanbin Reply:
In the past, when medical knowledge was not as advanced, mitral valve insufficiency was often caused by bacterial infections, particularly streptococcal infections. This type of infection is referred to as "rheumatic mitral valve insufficiency." Other causes that are no...

[Read More] Understanding Non-Rheumatic Mitral Valve Insufficiency: Symptoms and Insights


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