Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms
Suspected heart failure with mitral valve issues? Hello Doctor, thank you for your response. To provide some background, last year I experienced several months of sleep deprivation. I usually do not drink alcohol, but one night while out with friends, I was forced to drink a cock...
Dr. Xie Rongyuan Reply:
Hello: MVP is a common condition characterized by the prolapse of one or both leaflets of the mitral valve into the left atrium during systole due to mitral valve insufficiency. The pathological mechanism is not fully understood. Pro-BNP testing can assist in the diagnosis of con...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms
Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained
Mitral valve prolapse Doctor, is my report normal? Is the difficulty in breathing, chest tightness, and dizziness caused by mitral valve prolapse? AO 27 mm (normal range 20-37) IVS 7 mm (normal range 7-10) LVEF M 70.8% AV 16 mm (normal range 16-26) LVPW 7 mm (normal ran...
Dr. Xie Rongyuan Reply:
Hello: Mild mitral regurgitation (MR) and tricuspid regurgitation (TR) are abnormal findings. If there are any concerns, you should consult a cardiologist. Thank you for your message![Read More] Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained
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
Frequent Styes: Understanding Causes and Seeking Medical Advice
Frequent occurrence of styes? Hello Doctor: Since last year, I have been preparing for the national exam, and starting in May of this year, I have been experiencing frequent styes, approximately once a month. Recently, just last week, I had a stye on my left eye, and today I have...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Since the symptoms are mostly non-specific, it is difficult to pinpoint where the issue lies. If you are very concerned, you may consider undergoing a comprehensive health check-up. If the results are normal but you continue to experience recurr...[Read More] Frequent Styes: Understanding Causes and Seeking Medical Advice
Frequent Styes: Understanding Causes and When to Seek Help
Frequent occurrence of styes? Hello Doctor: Since last year, I have been preparing for the national exam, and starting in May of this year, I have been experiencing frequent styes, approximately once a month. Recently, just last week, I had a stye on my left eye, and today I deve...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Since the symptoms are mostly non-specific, it is difficult to pinpoint the exact issue. If you are very concerned, you may start with a comprehensive health check-up. If the results are normal but you continue to experience recurrent styes or c...[Read More] Frequent Styes: Understanding Causes and When to Seek Help
Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Medication-related issues in ankylosing spondylitis? Hello, doctor. I am #191897. 1. During my previous visit, I asked the doctor about the medication Celebrex (celecoxib). The doctor believed that my condition was not severe enough to require the use of Salazopyrin (sulfasalaz...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. When I previously consulted with my doctor regarding the use of Salazopyrin (Salar), the doctor believed that my condition was not severe enough to warrant its use, so I was prescribed Celebrex instead. However, I am a...[Read More] Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...
Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...[Read More] Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Arrhythmia Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.
Dr. Xie Rongyuan Reply:
Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition. Thank you for your message![Read More] Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Unexplained Left Back Pain: Causes and When to Seek Help
Unexplained back pain? Left-sided back pain that comes and goes mildly, with no pain during breathing. There is a slight tingling sensation in the left arm and a feeling of chest tightness. I have seen a cardiologist and also visited a clinic; my blood pressure is normal and lung...
Dr. Xie Rongyuan Reply:
Hello: You may consider visiting the pulmonary medicine outpatient clinic. Thank you for your message![Read More] Unexplained Left Back Pain: Causes and When to Seek Help
Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Immune system? Hello, Doctor: I previously asked you about issues related to rheumatology and immunology, specifically about skin pain and itching. I believe I may have lupus erythematosus, and the doctors have suggested further monitoring. The patient has been experiencing persi...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is autonomic nervous system dysfunction included in immune system diseases, or should I consult another specialty? --> Autonomic nervous system dysfunction is not related to the immune system, but immune system di...[Read More] Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Understanding Elevated Body Temperature: Causes and When to Seek Help
Elevated body temperature? Hello Dr. Hong, on Sunday morning (8/21), I bought a rice ball from a convenience store and noticed that the bottom packaging was damaged after taking a few bites, so I discarded it. Later that evening, I felt a bit unwell while staying in an air-condit...
Dr. Hong Yuanbin Reply:
Hello, since convenience store food is kept at low temperatures throughout the transportation process, the damaged packaging you mentioned should not significantly affect the food itself. Unless you are experiencing any discomfort, there is currently no need for you to seek medic...[Read More] Understanding Elevated Body Temperature: Causes and When to Seek Help
Understanding Bruising on Legs: When to Seek Medical Attention
Leg bruising? Hello doctor, yesterday I noticed several bruises on the front of my lower leg (7 or 8 of varying sizes, mostly yellow). I also checked my inner thighs and arms but did not find any bruises. Recently, I have bumped into the corner of a table a few times, but not to ...
Dr. Hong Yuanbin Reply:
Hello, based on your photo, it does appear that the likelihood of a bruise is highest due to trauma. If you do not have any history of trauma, other factors such as insect bites, skin itching leading to frequent scratching, vigorous washing or massaging of the legs, etc., could a...[Read More] Understanding Bruising on Legs: When to Seek Medical Attention
Understanding Bruising: When to Worry About Your Symptoms
Leg bruising Hello doctor, yesterday I noticed several bruises on the front of my lower leg (about 7 or 8 of varying sizes, mostly yellow). I also checked my inner thighs and arms but did not find any bruises. Recently, I have bumped into the corner of a table a few times, but no...
Dr. Hong Yuanbin Reply:
Hello, based on your photo, it does appear that bruising is most likely due to trauma. If you do not have any history of trauma, other factors such as insect bites, skin itching leading to frequent scratching, vigorous scrubbing, or massaging of the legs could also cause this phe...[Read More] Understanding Bruising: When to Worry About Your Symptoms
Understanding Chest Tightness and Weakness After a Head Injury: What to Know
Occasional chest tightness with shaking and deep breathing? Doctor, why do I experience chest tightness, and even before an episode, I get goosebumps, feel a bit dizzy, and have overall weakness when I take deep breaths? I had a car accident in early June 2020 that resulted in a ...
Dr. Xie Rongyuan Reply:
Hello: If the symptoms occur frequently, it is recommended to visit a cardiologist to check for coronary artery disease or other underlying issues. Thank you for your message![Read More] Understanding Chest Tightness and Weakness After a Head Injury: What to Know
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
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 Dizziness and Fainting: Heart Rate Concerns in Teens
Cardiac issues, dizziness, and fainting? I am currently 17 years old and my heart rate reaches 190 to 200 beats per minute after about 5 minutes of exercise. Is this considered normal? I feel very dizzy and short of breath. I went to the hospital for an ECG, which was normal, and...
Dr. Zeng Guosen Reply:
Hello, if your heart rate reaches 190 to 200 beats per minute after about 5 minutes of exercise, it indicates that the intensity is too high for you. It is recommended to adopt a gradual approach to increase your exercise intensity. If no issues are found, consider consulting a s...[Read More] Understanding Dizziness and Fainting: Heart Rate Concerns in Teens
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
Do I Need Further Heart Catheterization After My Stress Test Results?
Do I need further cardiac catheterization based on my report? Under standardized dipyridamole stress test, (1) no significant inducible ischemia in the myocardium, (2) adequate left ventricular (LV) systolic function. ==============================================================...
Dr. Hong Yuanbin Reply:
Hello, based on your report, there is no evidence of myocardial infarction or heart failure. Whether a cardiac catheterization is necessary should be determined by a cardiologist based on your symptoms and blood test results. It is recommended that you follow up with a cardiology...[Read More] Do I Need Further Heart Catheterization After My Stress Test Results?
Do I Need Further Heart Catheterization After My Stress Test Results?
I have questions regarding my heart examination report. Do I need to undergo further cardiac catheterization? Under standardized dipyridamole stress test, (1) no significant inducible ischemia in the myocardium, (2) adequate left ventricular (LV) systolic function. ==============...
Dr. Hong Yuanbin Reply:
Hello, based on your report, there is no evidence of myocardial infarction or heart failure. Whether a cardiac catheterization is necessary should be determined by a cardiologist based on your symptoms and blood test results. It is recommended that you follow up with a cardiology...[Read More] Do I Need Further Heart Catheterization After My Stress Test Results?