Understanding Heart Discomfort During Dialysis: Causes and Solutions
Discomfort in the heart during dialysis? Dear Dr. Wu, I have a family member, a 30-year-old female, who has been undergoing dialysis treatment for nearly two years. Recently, she experienced a sudden myocardial infarction and underwent cardiac catheterization and coronary artery...
Dr. Wu Jiyu Reply:
Based on your inquiry, the hemoglobin measurement is approximately 21-25, which is low. After blood transfusion, you may discuss with your physician whether erythropoietin (EPO) or iron supplements are adequate or if there are other bleeding issues (such as gastrointestinal bleed...[Read More] Understanding Heart Discomfort During Dialysis: Causes and Solutions
Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?
Palpitations after receiving the Moderna vaccine? I received the Moderna vaccine this morning. On the same day, I experienced only arm soreness and a mild fever. However, at night, while lying flat, I felt a noticeable heartbeat. I measured my heart rate multiple times, and it ra...
Dr. Hong Yuanbin Reply:
Hello, the discomfort you described is indeed a common side effect of the Moderna vaccine, typically occurring within 48 hours. Most symptoms improve within this timeframe. If you still feel unwell after 48 hours or experience chest pain, it is advisable to seek medical attention...[Read More] Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?
Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help
Shortness of breath lasting for one week + occasional chest pain? On the night of the 7th, I woke up feeling somewhat short of breath for no apparent reason. I hadn't turned on the air conditioning, and it didn't feel like my usual nasal congestion, but it felt very obs...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the main issue is subjective discomfort. I recommend measuring your body temperature and blood oxygen levels. If both are normal, you may consider an outpatient consultation. It could be caused by anemia or hyperthyroidism. However,...[Read More] Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help
Understanding Lung Infiltration: When to Seek Further Medical Evaluation
Lung issues Doctor, I have a question. I went to see a family physician because I had a cold, and I underwent an X-ray, blood tests, and sputum analysis (my sputum has always been white, without any yellow or blood-tinged coloration). Later, my cough symptoms improved, and during...
Dr. Hong Yuanbin Reply:
Hello, based on the current pandemic situation, it is recommended to first undergo COVID-19 testing. If the result is negative and symptoms persist, further evaluation by a pulmonologist at a major hospital may be necessary. As for pulmonary infiltrates, it is essentially inflamm...[Read More] Understanding Lung Infiltration: When to Seek Further Medical Evaluation
Understanding Left Chest Pain: When to Seek Medical Attention
Pain upon palpation at the lower edge of the left chest? Hello Doctor: Recently, I have noticed pain when pressing on the lower edge of my left chest (about 5 centimeters below the left nipple). There is no pain when I stretch my arm or breathe; it only hurts when I apply pressur...
Dr. Hong Yuanbin Reply:
Based on your description, the most likely conditions are costochondritis or pleuritis. If you are not experiencing fever or shortness of breath, there is no need to seek medical attention at this time. However, if the discomfort persists, you may consider visiting a pulmonologis...[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Concerns About Clindamycin: Esophagitis and Recovery Time
Please provide the content you would like me to translate into English? Hello Doctor, thank you for your response yesterday. I would like to ask about something else. I realized that I took the clindamycin medication before bed. The medication bag mentioned esophagitis. Although ...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely a mild gastritis or gastroesophageal reflux, which typically does not lead to esophageal perforation. Usually, it will gradually improve over a few days, and there is no need for an endoscopy at this time. However, if symptoms persist for s...[Read More] Concerns About Clindamycin: Esophagitis and Recovery Time
Understanding Mild Throat Pain: When to Seek Further Medical Attention
Slight pain in the throat? Hello Doctor, I recently seem to have caught a cold and visited an ENT specialist. I'm still taking medication, but I still feel pain on the right side of my throat, near the tonsils. The ENT doctor only mentioned slight inflammation. I have had to...
Dr. Hong Yuanbin Reply:
Hello, stones are less likely to form in the throat and esophagus. Based on your description, it seems to be an upper respiratory infection combined with pharyngitis. It is indeed recommended to drink plenty of water and rest. However, if you have a persistent fever lasting more ...[Read More] Understanding Mild Throat Pain: When to Seek Further Medical Attention
Understanding Throat Pain: When to Worry and When to Rest
Slight pain in the throat? Hello Doctor, I recently seem to have caught a cold and visited an ENT specialist. I'm still taking medication, but I still feel pain on the right side of my throat, near the tonsils. The ENT doctor only mentioned slight inflammation. I previously ...
Dr. Hong Yuanbin Reply:
Hello, stones are less likely to form in the throat and esophagus. Based on your description, it seems to be an upper respiratory infection combined with pharyngitis. It is indeed recommended to drink plenty of water and rest. However, if you have a persistent fever lasting more ...[Read More] Understanding Throat Pain: When to Worry and When to Rest
Understanding Left Chest Pain: Causes and When to Seek Help
Pain in the lower left chest? Hello, doctor. Recently, I've been experiencing sudden sharp pains on the left side of my chest that radiate to the lower part of my left chest. Sometimes the pain lasts only a few seconds, while other times it can last for 3 to 5 minutes (and s...
Dr. Hong Yuanbin Reply:
Hello, gastroesophageal reflux typically causes pain in the upper abdomen rather than the left chest. I'm not sure if your pain worsens with inhalation or certain specific movements. Based on your description, it seems more similar to pleurisy, costochondritis, or a muscle s...[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Understanding Sudden Left Chest Pain: Causes and When to Seek Help
Pain in the lower left chest? Hello, doctor. Recently, I've been experiencing sudden sharp pains on the left side of my chest, extending to the lower part of my left chest. Sometimes the pain lasts only a few seconds, while other times it can last 3 to 5 minutes (sometimes p...
Dr. Hong Yuanbin Reply:
Hello, gastroesophageal reflux typically causes pain in the upper abdomen rather than the left chest. I'm not sure if your pain worsens with inhalation or specific movements. Based on your description, it seems more similar to pleurisy, costochondritis, or a muscle strain. I...[Read More] Understanding Sudden Left Chest Pain: Causes and When to Seek Help
Understanding Sudden Left Chest Pain: Causes and When to Seek Help
Pain in the lower left chest? Hello, doctor. Recently, I have been experiencing sudden sharp pains on the left side of my chest, extending to the lower part of my left breast. Sometimes the pain lasts only a few seconds, while other times it can last for 3 to 5 minutes (and press...
Dr. Hong Yuanbin Reply:
Hello, esophageal reflux typically causes pain in the upper abdomen and is less likely to be felt in the left chest. I'm not sure if your pain worsens with inhalation or specific movements. Based on your description, it seems more similar to pleurisy, costochondritis, or a m...[Read More] Understanding Sudden Left Chest Pain: Causes and When to Seek Help
Managing IBS and Varicocele: Is Combining Anticholinergics Safe?
Medication Consultation Irritable bowel syndrome with diarrhea: Trancolon 7.5 mg three times a day, Avertine 60 mg three times a day. Left varicocele: hyoscyamine 0.125 mg three times a day. I was once sent to the emergency room, underwent KUB imaging, and had ST segment elevatio...
Dr. Hong Yuanbin Reply:
Hello, these two medications have similar mechanisms of action and may indeed have interactions. However, whether the dosage is appropriate should still be based on your clinical symptoms and assessed accordingly. It is advisable to consult your physician or clinical pharmacist f...[Read More] Managing IBS and Varicocele: Is Combining Anticholinergics Safe?
Left Side Chest Pain: Is It Muscle Strain or Something More Serious?
Left lateral chest pain? On December 26th, after working at the factory, I had to lift heavy bags. When I got home that day, I didn't feel any pain, but by Monday afternoon, I suddenly experienced severe, spontaneous pain on the outer side of my left chest. It was also painf...
Dr. Li Jian Reply:
Pain triggered by arm movements or pressure is more akin to muscular or neuropathic pain, often associated with lifting heavy objects. Visceral pain typically does not present with pressure sensitivity. If symptoms persist without improvement, please visit an internal medicine ou...[Read More] Left Side Chest Pain: Is It Muscle Strain or Something More Serious?
Understanding Post-Choking Discomfort: Is It Aspiration Pneumonia?
Discomfort after choking? Hello, Dr. Hong. Yesterday, on November 30th, while eating Korean hot pot, I accidentally inhaled some soup. Half a day later, I experienced mild pain in my chest and back, a decreased appetite (eating more makes me feel a bit nauseous), and occasional s...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the inflammation in your throat is primarily caused by the broth, and it is unlikely to have resulted in aspiration pneumonia. I recommend continuing to monitor the situation, and seek medical attention only if you experience sympto...[Read More] Understanding Post-Choking Discomfort: Is It Aspiration Pneumonia?
Understanding Rib Variations and Concerns About Chest Pain
The ribs are not quite the same? Hello doctor, I have a question. When I touch the area below my chest on both sides, I can feel the ribs or the bones beneath the sternum. The left side seems to protrude slightly more than the right side, especially when I tighten my abdomen; it ...
Dr. Hong Yuanbin Reply:
Hello, 1. The bone you are feeling is a rib. It is normal for human ribs to be asymmetrical on the left and right sides, so there is no need to worry. 2. The action of your chest protruding does not cause a pneumothorax. Pneumothorax can be caused by congenital factors or by ...[Read More] Understanding Rib Variations and Concerns About Chest Pain
Understanding Chest Pain: Could It Be a Post-Cold Issue?
Chest muscle pain, follow-up questions, thank you? Hello, doctor, thank you for your response. About a month ago, I had a health check-up and an X-ray was taken; the doctor said there were no abnormalities. During my last visit for a cold, another doctor mentioned that my lungs s...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the main concern should be the chest pain. Given your previous history of a cold, it is likely that you may be experiencing pleuritis or possibly a muscle strain. The topical anti-inflammatory medication you mentioned can be used, and typically, ...[Read More] Understanding Chest Pain: Could It Be a Post-Cold Issue?
Understanding Intermittent Chest Pain: Causes and Concerns
Intermittent chest tightness and pain? Hello doctor, I have been experiencing occasional chest discomfort and pain. I recalled that about a year ago, I fell forward while skateboarding, and my chest hit the ground hard. It was very painful at the time, but it eventually got bette...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the X-ray did not reveal any specific issues, and the pain increases with exertion. This suggests that it may be caused by a muscle injury. I recommend using some oral or topical anti-inflammatory medications, which should help improve your condi...[Read More] Understanding Intermittent Chest Pain: Causes and Concerns
Can Chest Pain from Muscle Injury Heal on Its Own?
Excluding heart and lung issues, the chest muscle is injured? Hello Doctor, I am the inquirer with ID 161912. Thank you very much for your response. I would like to ask if, after ruling out heart and lung issues, the sensation of chest tightness and pain is indeed caused by a mus...
Dr. Hong Yuanbin Reply:
Hello, your condition does seem more like a muscle strain. Typically, it's advisable to rest the injured area and consider using topical analgesic ointments. If the pain persists, you may want to consult an orthopedic specialist or a family medicine physician. If a Western m...[Read More] Can Chest Pain from Muscle Injury Heal on Its Own?
Breathing Difficulties and Chest Pain: Are Masks to Blame?
The issue of wearing masks? Hello, today I noticed that the mask I wore felt different; it seemed harder to breathe while wearing it. After returning home, I experienced increased shortness of breath after taking it off, and I suddenly felt a pain in my chest near the ribs. I...
Dr. Hong Yuanbin Reply:
Hello, if the mask you are wearing is tightly fitted to your nostrils, it may cause some shortness of breath; however, this will not lead to pneumothorax or pneumonia. Your symptoms do not appear to be severe. Regarding mask selection, each type of mask indeed feels different whe...[Read More] Breathing Difficulties and Chest Pain: Are Masks to Blame?
Understanding Mild Chest Pain: Should You Worry About Heart Issues?
Mild discomfort in the chest area? Hello, Doctor Hong. For the past couple of days, I've been experiencing a slight pain near the upper left side of my chest, which seems to be around the bone area when I touch it. Sometimes, when I move my left arm near the back of my armpi...
Dr. Hong Yuanbin Reply:
Hello, 1. The symptoms of arrhythmia typically include palpitations, usually felt near the left anterior chest. These symptoms do not worsen with arm elevation, so your condition is likely not arrhythmia. 2. Based on the symptoms you described, the most probable cause is a st...[Read More] Understanding Mild Chest Pain: Should You Worry About Heart Issues?