Chest pain, Internal Medicine FAQ - Page 8

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Understanding Sharp Chest Pain: Which Cardiology Specialist to See?

Sharp pain near the heart? Sometimes I feel a sharp pain near my heart, and it gets worse with each breath; it eases a bit when I don't breathe. I have previously had an X-ray and an electrocardiogram, both of which showed no issues. The doctor suggested that I see a cardiol...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. The causes of chest pain may originate from the skin, chest wall, lungs, heart and major blood vessels, gastrointestinal tract, or psychological factors. Pain from musculoskeletal disorders, pneumothorax, pleuritis, and pericarditis may wor...

[Read More] Understanding Sharp Chest Pain: Which Cardiology Specialist to See?


Understanding Right Chest Pain When Lying Down: Causes and Next Steps

Chest pain on the right side when lying down? Dear Dr. Lee: Recently, I have been experiencing pain in my right chest when lying down to sleep. I need to adjust my position (lying on my side) to reduce the pain, and I also experience pain when getting up. Sometimes, I feel pain w...


Dr. Li Huixiong Reply:
Your pain seems to be related to changes in posture, particularly in the right chest area. Clinically, it does not appear to be a cardiac issue, nor does it seem to involve the lungs or liver; it is more likely related to a musculoskeletal problem. You can start by scheduling an ...

[Read More] Understanding Right Chest Pain When Lying Down: Causes and Next Steps


Understanding Symptoms: Headache, Weakness, and Possible Bacteremia

Headache, weakness in the right arm with difficulty lifting, previously had a fever up to 40 degrees Celsius, chest pain, neck stiffness, and red spots on the body? A 45-year-old female friend experienced sudden onset of headache five days ago, along with weakness in her right ar...


Dr. Cai Yaozhou Reply:
Hurry to the large hospital to register for an internal medicine emergency consultation for a series of tests to check for bacteremia. Additionally, due to neck stiffness, a consultation with a neurologist may be necessary to rule out the possibility of meningitis.

[Read More] Understanding Symptoms: Headache, Weakness, and Possible Bacteremia


Understanding Chest Pain: Causes and Concerns for Your Health

Chest pain Hello, doctor! For the past two or three days, I have been experiencing persistent pain in my chest, specifically in an area where a bone protrudes. There hasn't been any external trauma, and the pain is less noticeable when I am relaxed. Some people have suggeste...


Dr. Li Huixiong Reply:
At the age of 21, the likelihood of experiencing angina is low. Typically, a protrusion in the chest area is a normal anatomical structure. Have you ever experienced ulcers in your stomach or duodenum? It is possible that you may be dealing with a peptic ulcer or gastric spasms. ...

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


Understanding Left Chest Pain: Causes and When to Seek Help

Pain Recently, I have been experiencing pain in the lower chest (around the ribs) or on the left side of my chest. Sometimes, it feels uncomfortable to breathe, as if something is pressing down on it, and I have to exert effort to breathe properly. It usually takes about three mi...


Dr. Li Huixiong Reply:
Based on your symptoms and considering your age, if you have not been informed by a physician of any history of congenital heart disease, the likelihood of developing heart disease is low, although not impossible. If your symptoms have developed recently, I believe gastrointestin...

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


Understanding Intermittent Lung Pain: Possible Causes and Symptoms

Lung issues I have been experiencing occasional pain in my lungs recently. It's quite strange because it doesn't hurt a lot, but it does hurt for a brief moment. What could this symptom indicate?


Dr. Lin Mingfeng Reply:
When experiencing chest pain, it is important to pay attention to the location, nature, timing of the pain, accompanying symptoms, and aggravating factors. In adolescents, most cases are related to musculoskeletal issues. Some may be associated with lifestyle habits or physical a...

[Read More] Understanding Intermittent Lung Pain: Possible Causes and Symptoms


Struggling with Back Pain: Finding Relief for Sleepless Nights

The back pain prevents me from lying flat to sleep? Hello Doctor: About two years ago, I was diagnosed with lupus erythematosus after experiencing pleural effusion. At that time, I had difficulty breathing; whenever I lay flat, I would experience chest pain and shortness of breat...


Dr. Chen Baoli Reply:
Hello, Mei-Yi: Are you taking your lupus medication regularly? If so, we can temporarily rule out the possibility of recurrent pleural effusion (or pulmonary edema). A small number of lupus patients may experience this kind of shortness of breath, especially when unable to lie fl...

[Read More] Struggling with Back Pain: Finding Relief for Sleepless Nights


Understanding Intermittent Chest Pain: Causes and Concerns

Why has there been chest pain two to three times in the past month? I have been experiencing unexplained chest pain at times. Could you please tell me what might be causing this? I'm not sure if it's an issue with my thoracic cavity or my heart. This has been happening ...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Chest pain generally refers to pain occurring in the thoracic region and chest cavity. Common diagnoses include skin conditions (such as shingles), chest wall issues (such as costochondritis, shoulder disorders, intercostal injuries, spinal...

[Read More] Understanding Intermittent Chest Pain: Causes and Concerns


Understanding Osteoporosis at 22: Causes and Treatment Options

Osteoporosis at the age of 22? Hello doctor... I was diagnosed with osteoporosis at the age of 18. Recently, I went to the hospital for a check-up, and the orthopedic doctor said my osteoporosis has progressed from stage two to stage three. Although I don't like to exercise,...


Dr. Yang Hongzhi Reply:
Some endocrine issues can lead to osteoporosis. Given your symptoms, hyperthyroidism should be considered, and you may want to consult with an endocrinologist.

[Read More] Understanding Osteoporosis at 22: Causes and Treatment Options


Am I Dying? Understanding Unexplained Symptoms and Seeking Help

Am I going to die soon? Doctor, my symptoms are quite strange... 1. When I walk, I feel unsteady... I can't tell if it's my head or my body that's shaking... 2. It feels like something is jumping in my chest, which is very uncomfortable. 3. My chest has been hurtin...


Dr. Hong Hongchang Reply:
For those who are unsure of what to do: Based on your description of the condition, it seems to involve a wide range of issues. However, I recommend starting with a visit to a cardiologist, followed by a consultation with a psychiatrist, so that your symptoms and physical manifes...

[Read More] Am I Dying? Understanding Unexplained Symptoms and Seeking Help


Understanding Heart Valve Disorders: Symptoms, Risks, and Management Tips

Cardiovascular diseases? Hello Dr. Chen, I would like to ask you some questions regarding a 22-year-old female friend of mine. She has mitral and tricuspid regurgitation and sometimes experiences palpitations. I have heard that she may also have valve degeneration. During cold ...


Dr. Chen Qingbin Reply:
The issues you mentioned are all related to heart disease, and you should consult a cardiologist for a thorough examination and treatment.

[Read More] Understanding Heart Valve Disorders: Symptoms, Risks, and Management Tips


Understanding Unexplained Chest Pain: Causes and When to Seek Help

Unexplained chest pain? Hello, doctor: This evening while practicing the piano, I suddenly experienced severe pain in my left chest, near the heart. It felt like a cramp, and I could only maintain a certain position without moving to avoid the pain. I also couldn't take a fu...


Dr. Zhao Chongliang Reply:
When considering general chest pain, one must take into account various sources such as the chest wall, heart, respiratory organs, esophagus, and surrounding tissues. Additionally, women may experience breast tenderness before menstruation, which can also lead to chest pain. In...

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


Understanding Chest Pain: Causes and When to Seek Help

Chest tightness or chest pain? Hello doctor, I have been experiencing a feeling of tightness and pain in my chest for over two weeks now. Initially, I thought it was due to exercise, but it hasn't improved over time. When sitting, I often feel my heart beating strongly, and ...


Dr. Zhao Chongliang Reply:
On October 5th, another woman raised a similar question, and the response provided at that time is as follows for your reference. (When considering general chest pain, one must take into account various sources of pain such as the chest wall, heart, respiratory organs, esophagus,...

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


Understanding Sudden Chest Pain: Causes and When to Seek Help

Chest pain Hello! My friend just returned from a business trip to mainland China and suddenly experienced severe chest pain. What could be the cause? Thank you!


Dr. Chen Qingbin Reply:
Your description cannot be used for a medical diagnosis; please advise your friend to visit a hospital for an examination.

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


Persistent Fever: Understanding Symptoms and Seeking Proper Diagnosis

Persistent fever Hello Doctor: I have been experiencing frequent fevers over the past few days. I sweat and feel better when lying down, but the fever returns shortly after. Today marks the fourth day. I currently live in Taichung City, and yesterday I visited the family medicine...


Dr. Zhao Chongliang Reply:
Hello! Recurrent fever, joint pain (discomfort in the spine), cough with chest pain, and sputum (even in small amounts) may indicate bacterial pneumonia or atypical pneumonia. Please first visit a general internal medicine or pulmonary medicine department to arrange for a chest X...

[Read More] Persistent Fever: Understanding Symptoms and Seeking Proper Diagnosis


Understanding Intermittent Chest Pain and Discomfort in Mitral Valve Prolapse

Cardiac discomfort? Hello Doctor: I have symptoms of mitral valve prolapse, and I would like to inquire why I feel that my chest pain occurs intermittently. When it doesn't flare up, I feel fine, but when it does, the pain is unbearable and quite frequent. Additionally, ever...


Dr. Zhao Chongliang Reply:
Mitral valve prolapse often leads to transient arrhythmias, which can cause various symptoms or vague discomfort that is difficult to pinpoint. By the time a patient arrives at the hospital for examination, the arrhythmia may have resolved. Repeated visits to the doctor can somet...

[Read More] Understanding Intermittent Chest Pain and Discomfort in Mitral Valve Prolapse


Understanding Right Chest Pain: Possible Causes and When to Seek Help

Chest pain Recently, I've been experiencing pain in my right chest, especially when I lower my shoulder; it hurts the most then. I can't really pinpoint the source of the pain when I touch it. It's strange because I don't recall any sports injuries. What could...


Dr. Zhao Chongliang Reply:
Chest pain can be caused by serious conditions such as acute myocardial infarction, aortic dissection, pulmonary embolism, lung cancer, esophageal cancer, rib or intercostal tumors, or pneumothorax. It can also result from less severe issues like chest wall pain (including menstr...

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


Understanding Urinary Issues and Chest Pain: A Guide for Patients

Anuria and chest pain? Hello, Doctor: The patient is a 40-year-old woman who is thin and has a history of smoking and alcohol consumption. She experiences difficulty urinating and has been prescribed diuretics three times a day, which have not been very helpful. She frequently ex...


Dr. Zeng Guosen Reply:
Hello: Difficulty in urination, rather than low urine output or renal dysfunction, should not be treated with diuretics. It is important to rule out urinary tract infections, urinary dysfunction, or obstruction. Other medication side effects should also be considered. It is recom...

[Read More] Understanding Urinary Issues and Chest Pain: A Guide for Patients


Understanding Downward T-Waves in ECG: What You Need to Know

Heart -2 Hello, regarding the previous question. The T waves are inverted in leads V1, V2, and V3, with one occurrence in each lead. Is this a concern? Your question: Hello, could you please explain the situation when the T wave in the heart's electrocardiogram (ECG) is do...


Dr. Li Huixiong Reply:
The presence of T wave changes in leads V1-3 suggests that there may be ischemic heart disease affecting the mid-anterior wall of the heart. It is still recommended that you consult a cardiologist for a stress echocardiogram, wear a 24-hour Holter monitor, or undergo cardiac cath...

[Read More] Understanding Downward T-Waves in ECG: What You Need to Know


Understanding Gastrointestinal Issues: Insights on Pain and Surgery

Health Consultation 1. I have been experiencing stomach pain since I gave birth, which has lasted for 4 years. I have had an endoscopy done once a year, but the report has not come out yet. What could be the cause of this? I have also done a stool test that showed trace blood, an...


Dr. Zhao Chongliang Reply:
The results of an upper gastrointestinal endoscopy can typically be discussed directly with the performing physician, without the need to wait for a report. The presence of occult blood in the stool indicates that there may be bleeding somewhere in the gastrointestinal tract or t...

[Read More] Understanding Gastrointestinal Issues: Insights on Pain and Surgery


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