Chest pain, Internal Medicine FAQ - Page 4

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Is It a Cold or Tuberculosis? Understanding Your Symptoms

Symptoms of tuberculosis (TB) and the common cold may overlap? Hello Doctor, I usually don't catch colds often, but this time my family had a cold, and I accidentally used their utensils and ate food they had touched. Now my throat feels scratchy and phlegmy, and I've b...


Dr. Hong Yuanbin Reply:
Hello, based on your symptoms, they are more indicative of an upper respiratory tract infection rather than tuberculosis. As for COVID-19, if you do not have a travel history or known exposure, the likelihood is quite low. Therefore, based on your description, it is most likely a...

[Read More] Is It a Cold or Tuberculosis? Understanding Your Symptoms


Understanding High Adrenaline Levels: Causes and Health Implications

Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...


Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...

[Read More] Understanding High Adrenaline Levels: Causes and Health Implications


Three Common Health Concerns to Discuss with Your Doctor

Three questions to ask the doctor? Hello, I have been observing my body recently and have three areas I would like to consult a doctor about. First, I noticed a cord-like structure extending from my scrotum, but my testicles are not evenly positioned in the center. Is this normal...


Dr. Hong Yuanbin Reply:
Hello, 1. It is normal for a healthy individual's testicles to vary in size and position; this is completely normal, so there is no need to worry. 2. A pneumothorax typically presents with severe chest pain and shortness of breath. Based on your description, it is unlike...

[Read More] Three Common Health Concerns to Discuss with Your Doctor


Understanding Breathing Sensations and Muscle Pain After Exercise

Please ask your question? Hello doctor, today my boyfriend noticed that I haven't been exercising much besides walking, and he's worried that staying at home due to the pandemic might affect my health. He taught me how to do push-ups, and after struggling to complete ju...


Dr. Hong Yuanbin Reply:
Hello, some young males can indeed experience spontaneous pneumothorax, but it typically presents with significant shortness of breath and chest pain. Based on your description, it does not seem to be pneumonia or pneumothorax, but rather a muscle strain caused by sudden intense ...

[Read More] Understanding Breathing Sensations and Muscle Pain After Exercise


Understanding Your Body's Response to Push-Ups: Is It Normal?

Please provide the content you would like me to translate regarding push-up-related questions? Hello, doctor. I usually don't exercise much except for walking, and my boyfriend is worried that staying indoors due to the pandemic is not good for my health, so he taught me how...


Dr. Hong Yuanbin Reply:
Hello, some young males can indeed experience spontaneous pneumothorax, but it typically presents with noticeable shortness of breath and chest pain. Based on your description, it does not seem to be pneumonia or pneumothorax, but rather a muscle strain caused by sudden intense e...

[Read More] Understanding Your Body's Response to Push-Ups: Is It Normal?


Chest Tightness and Throat Pain: When to Seek Further Medical Attention

Chest tightness, sore throat, cough, and sharp pain in the throat and chest? Hello doctor, I have been experiencing chest tightness and throat pain for the past week or two. However, it doesn't hurt when I drink water. Occasionally, I have a cough, and when I cough, I feel s...


Dr. Hong Yuanbin Reply:
Hello, based on your symptoms, it is indeed most likely a respiratory infection. However, if you experience persistent fever, ongoing chest pain, or continuous shortness of breath, you should consider seeking medical attention to check for other issues or to rule out the possibil...

[Read More] Chest Tightness and Throat Pain: When to Seek Further Medical Attention


Concerns About Inhalation Pneumonia After Taking Herbal Powder

Throat and trachea issues, suspected choking on traditional Chinese medicine powder? Hello, Doctor Hong. I took some traditional Chinese medicine powder after breakfast, and I’m not sure if my mouth was too dry, but when I poured the powder into my mouth, it felt like it stuck to...


Dr. Hong Yuanbin Reply:
Hello, based on the process and symptoms you described, there are no signs of aspiration pneumonia unless there are subsequent symptoms such as wheezing, chest pain, or fever. In that case, you would need to consult a pulmonologist, an infectious disease specialist, or a family m...

[Read More] Concerns About Inhalation Pneumonia After Taking Herbal Powder


Understanding Hypothyroidism: Symptoms, Diagnosis, and Treatment Options

Thyroid issues What is hypothyroidism? I have upper abdominal and chest pain and consulted a gastroenterologist who performed some tests revealing a gastric ulcer and pulmonary infiltration. The blood report indicated low thyroid hormone levels. The doctor keeps saying there are ...


Dr. Hong Yuanbin Reply:
Hello, a general thyroid function test typically checks three values: TSH, T3, and free T4. Among these, free T4 is the most representative of thyroid function, while the other two values serve as supplementary indicators. However, all three values can fluctuate due to an individ...

[Read More] Understanding Hypothyroidism: Symptoms, Diagnosis, and Treatment Options


Should You Seek Further Evaluation for Persistent High Blood Pressure?

Is it necessary to go to a major hospital for further examination? Hello Doctor: My father (approximately 57 years old) is currently undergoing hypertension monitoring at a clinic and is taking antihypertensive medication. However, his daily blood pressure readings at home are st...


Dr. Hong Yuanbin Reply:
Hello, it is recommended to measure your blood pressure regularly 3-4 times a day. Before each measurement, make sure to rest for at least 15 minutes to obtain more accurate readings. If you are measuring your blood pressure only once a day or even less, and it exceeds 140 mmHg, ...

[Read More] Should You Seek Further Evaluation for Persistent High Blood Pressure?


Understanding Chest Pain: Causes and When to Seek Medical Help

Chest pain in the center? Hello Doctor: I have been experiencing pain in the middle of my chest recently. Given that my family has a history of ankylosing spondylitis, I am concerned that this might be related. I work in a sedentary office job, and the pain is intermittent (it ha...


Dr. Zeng Guosen Reply:
Hello, some cases of ankylosing spondylitis may present with pain in the middle of the chest. However, chest pain can have other causes, so differential diagnosis is necessary to rule out other possibilities. It is recommended to consult a rheumatologist first. Thank you for your...

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


Persistent Dry Cough for Months: When to Seek Further Medical Help?

Coughing for several months? Hello Doctor: I have been coughing for nearly three months without improvement. During this time, I have visited an otolaryngologist twice, and there was only slight improvement, but the cough persisted. The cough is dry, with no phlegm, occurring abo...


Dr. Hong Yuanbin Reply:
Based on your description, it is most likely that you previously had a cold, which may have led to complications such as chronic bronchitis, combined with the current poor air quality and the significant temperature fluctuations in the mornings and evenings, resulting in occasion...

[Read More] Persistent Dry Cough for Months: When to Seek Further Medical Help?


Understanding Non-Rheumatic Mitral Valve Prolapse: Is It Congenital?

Non-rheumatic mitral valve prolapse Is the non-rheumatic mitral valve prolapse diagnosed recently due to caffeine-induced palpitations a congenital condition?


Dr. Lin Wufu Reply:
Hello! As far as I know, mitral valve prolapse is mostly congenital, so it may be discovered in young individuals who seek medical attention due to symptoms like chest tightness or mild chest pain. Mitral valve prolapse itself typically does not have a significant impact on cardi...

[Read More] Understanding Non-Rheumatic Mitral Valve Prolapse: Is It Congenital?


Understanding Right Lower Chest Pain: Possible Causes and Next Steps

There is a dull pain in the lower right area of the chest, and there is tenderness upon palpation? Hello Dr. Hong, Since May of last year, I have been experiencing a dull pain in the lower right side of my chest (approximately to the right of the xiphoid process) that lasts for...


Dr. Hong Yuanbin Reply:
Hello, the location you described is indeed at the junction of the heart, lungs, stomach, liver, gallbladder, and pancreas. Many diseases need to be considered. According to your description, the chest X-ray is normal, so the most likely issue is gastritis. It is recommended to f...

[Read More] Understanding Right Lower Chest Pain: Possible Causes and Next Steps


Does Mitral Valve Prolapse Affect Male Sexual Function?

Does mitral valve prolapse cause sexual dysfunction? Does mitral valve prolapse cause sexual dysfunction? Since it is related to heart blood flow, I am concerned about its impact as a male.


Dr. Xiao Yongxun Reply:
Dear Mr. Luas: 1. There are very few studies that report mitral valve prolapse as a cause of sexual dysfunction. 2. Most cases of mitral valve prolapse are asymptomatic. A small percentage may experience symptoms such as shortness of breath, palpitations, chest pain, arrhythmias...

[Read More] Does Mitral Valve Prolapse Affect Male Sexual Function?


Understanding Enterococcus Infections: Arthritis, Neuropathy, and More

Enterococcus arthritis neuropathy Hello Dr. Liao: I have seen many doctors without improvement in my condition, so I am here to seek your advice regarding my medical history: Last August, I was diagnosed with prostatitis and took broad-spectrum antibiotics, specifically tetracycl...


Dr. Liao Zhongxin Reply:
Dear readers, Recently, there have been reports of an increase in cases of vancomycin-resistant enterococci (VRE) infections in hospitals in Hong Kong. Once infected, treatment can be very challenging, with a mortality rate as high as 30%. This outbreak has quickly garnered publ...

[Read More] Understanding Enterococcus Infections: Arthritis, Neuropathy, and More


Understanding Dizziness and Discomfort: When to Seek Medical Advice

Dizziness, body heat, discomfort, and dry heaving? Hello, Doctor! Recently, I've been experiencing dizziness and a feeling of warmth in my body after walking or standing for about a minute. My walking becomes unstable, especially during exercise, and I feel a pressure in my ...


Dr. Liao Zhongxin Reply:
Dear readers: "I have been experiencing dizziness when walking or standing for about a minute." Here are some responses: 1. Consider two aspects: (1) Orthostatic hypotension: This occurs when standing up suddenly after prolonged sitting or lying down, leading to ...

[Read More] Understanding Dizziness and Discomfort: When to Seek Medical Advice


Understanding Blood Sugar Levels: Anxiety's Impact on Health

Blood sugar issues? Hello Doctor: I have anxiety issues, and according to my psychiatrist, I have what is known as panic disorder, which often causes chest pain, hyperventilation, and difficulty breathing. Yesterday, I experienced sudden, unbearable chest pain and felt like I cou...


Dr. Hong Yuanbin Reply:
Hello, regarding your anxiety issue, based on your description, it seems to be "hyperventilation syndrome," which refers to excessive breathing that leads to the removal of carbon dioxide, causing numbness in the hands and feet. You can try breathing into a paper bag to...

[Read More] Understanding Blood Sugar Levels: Anxiety's Impact on Health


Understanding Chest Pain: Causes and Concerns for Students

Chest tightness or pain? Hello Doctor: I am a high school student. Today, I did not engage in any strenuous activities or exercise at school, but starting in the morning, I experienced severe chest tightness, difficulty breathing, and persistent coughing. When I take deep breaths...


Dr. Hong Yuanbin Reply:
Hello, based on your symptoms, there are a few possibilities. First, I'm not sure if you've had a cold recently. Typically, a cold can be associated with pleuritis, which may lead to the symptoms you've described. If this is the case, resting more should gradually ...

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


Can Ankylosing Spondylitis Cause Chest Pain? Understanding Your Symptoms

Can ankylosing spondylitis cause chest pain? I have ankylosing spondylitis and have been experiencing severe chest pain for several years. Recently, the condition has worsened, resulting in persistent overall pain that is difficult to pinpoint. Deep breathing or movements of the ...


Dr. Zeng Guosen Reply:
Ankylosing spondylitis can affect the sternum and surrounding ribs, as well as other cartilage or connective tissues, leading to inflammation and pain. However, other causes of chest pain should also be ruled out. It is recommended to seek medical attention for differential diagn...

[Read More] Can Ankylosing Spondylitis Cause Chest Pain? Understanding Your Symptoms


Understanding Chest Pain: A Student's Concerns About Heart Health

I woke up in the early morning due to chest tightness and pain? Hello, Doctor. I am a resident student. Due to being overweight, I use the treadmill for at least an hour each day at a speed of about 6 to 7 kilometers per hour. However, I have been inactive for a while, so I get q...


Dr. Hong Yuanbin Reply:
Hello, based on your current condition, exercising is indeed your best option and will likely provide you with the most benefit. However, since you do not have a regular exercise routine, I recommend starting gradually. In terms of speed, you should run at a pace where you can ta...

[Read More] Understanding Chest Pain: A Student's Concerns About Heart Health


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