Understanding Unexplained Symptoms: Which Specialist Should You See?
My mother is 52 years old and has various health issues. Which specialty should she see? Symptoms: I often smell irritating odors (such as sewage, chili pepper, and a cool scent) and sometimes cough due to these irritating smells. Occasionally, it feels like I am being burned by ...
Dr. Li Jian Reply:
If there are abnormal skin sensations, one can consult a neurologist. If there are abnormalities in the sense of smell, one can see an otolaryngologist.[Read More] Understanding Unexplained Symptoms: Which Specialist Should You See?
Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Thyroid issues Hello Doctor, I received the AZ vaccine on August 5th, and about 10 days later, I experienced rapid heartbeat, chest tightness, and some shortness of breath until I sought medical attention on August 19th. My thyroid blood test results were as follows, while other ...
Dr. Lin Jianliang Reply:
Hello: Question 1: The distinction between mild and severe is quite subjective. Based on your values: FT4: 1.86 (reference range 0.59-1.43), it is not significantly above the upper limit. Question 2: Please follow your attending physician's advice; if the doctor has not inst...[Read More] Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Understanding Asthma in Young Adults: When to Seek Further Treatment
Asthma issues Hello, Doctor: I would like to ask you about a concern regarding my child (currently 19 years old) after their recent visit to the clinic. They have been experiencing frequent chest tightness and shortness of breath, so we took them to a nearby clinic for evaluation...
Dr. Hong Yuanbin Reply:
Hello, if it is indeed "asthma with status asthmaticus," it is quite serious. However, I suspect you might have seen the diagnosis on a medical report or a prescription label? This term is usually derived from the billing codes used for health insurance claims and may n...[Read More] Understanding Asthma in Young Adults: When to Seek Further Treatment
Understanding Stiff and Swollen Finger Joints: Causes and Solutions
Stiffness and swelling in the finger joints? Hello Doctor: Last year in late autumn, I noticed stiffness in my finger joints upon waking up, but it was mild, so I didn't pay much attention to it. Recently, however, the frequency has increased, and almost every day my fingers...
Dr. Zeng Guosen Reply:
Hello, experiencing stiffness in the finger joints upon waking, pain in the index finger, swelling in the fingers, positive urine occult blood test, and hair loss should not be ignored, but there is no need to panic. Please seek medical evaluation, as there are many potential cau...[Read More] Understanding Stiff and Swollen Finger Joints: Causes and Solutions
Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups
Immune system dysfunction in adults with Still's disease? Hello Doctor: I have an immune system disorder (the doctor has diagnosed me with suspected "Adult Still's Disease" on the medical certificate). Due to the recent pandemic, I haven't been able to at...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The inflammation index you mentioned, which is over ten thousand, could possibly refer to the ferritin level, which is an indicator of adult Still's disease and also serves as a reference for disease stability. Given that your levels were o...[Read More] Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups
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?
Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Hypothyroidism Treatment Issues Hello Doctor, I am a patient with hypothyroidism. I have been undergoing treatment for about three years and have been taking thyroid hormone, but there has been little improvement in my lab values or physical condition. Dietary changes and exercis...
Dr. Lin Jianliang Reply:
Hello: Generally speaking, patients with hypothyroidism who regularly take their medication to keep thyroid hormone levels within the normal range are less likely to experience symptoms of hypothyroidism. Based on your description, it is recommended to first consult with an endoc...[Read More] Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Understanding Chest Tightness in Hyperthyroidism and Heart Valve Issues
Chest tightness issue? Hello, doctor. I am a patient with hyperthyroidism, and my only symptom is a slightly elevated heart rate. I also have a problem with mitral valve insufficiency. Currently, I am controlling my hyperthyroidism with medication, taking two tablets of methimazo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, there could indeed be many causes for your breathing difficulties. It may be necessary to check your blood oxygen levels; if they are abnormal, you should be cautious about potential lung or heart issues. However, since you have already undergone...[Read More] Understanding Chest Tightness in Hyperthyroidism and Heart Valve Issues
Understanding Tongue Pain: The Role of B12 Deficiency and Parasites
Tongue pain and issues related to vitamin B12 deficiency and parasitic infections (long text)? Hello Doctor, I mainly want to ask about parasites and gastrointestinal issues. Here are my personal details: At the age of 12, I contracted pneumonia and took antibiotics for a month ...
Dr. Hong Yuanbin Reply:
1. Theoretically, eosinophil levels may rise during a parasitic infection; however, this is not absolute, as many individuals with parasitic infections may have normal test results. 2. Indeed, when testing stool for ova, unless the parasite is shedding eggs at the time of testi...[Read More] Understanding Tongue Pain: The Role of B12 Deficiency and Parasites
Understanding Heart Palpitations: When to Seek Medical Advice
Cardiac issues Hello, doctor. A few days ago, I experienced symptoms of chest tightness. After searching online, I found that palpitations can be felt as a noticeable heartbeat. However, for several years, I have been able to feel my heartbeat almost all the time when I am still ...
Dr. Li Jian Reply:
Hello: The sensation of feeling one's heartbeat is referred to as palpitations. There are many situations that can cause palpitations, commonly including life stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated wit...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Symptoms of Electrolyte Imbalance After Colonoscopy
Is it a symptom of electrolyte imbalance? Hello doctor, I had a colonoscopy on February 4th, and starting the next day, I began to experience slight dizziness, fatigue, chest tightness, nausea, and a feeling of fullness in my stomach. I have no appetite and feel like vomiting at ...
Dr. Hong Yuanbin Reply:
Hello, during a colonoscopy, air is usually insufflated into the intestines to allow for clearer and safer examination, which may cause the symptoms you described after the procedure. Additionally, bowel preparation for the colonoscopy can also lead to the symptoms you mentioned....[Read More] Understanding Symptoms of Electrolyte Imbalance After Colonoscopy
Understanding Sudden Pain in the Lower Left Chest: 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 (and sometim...
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 Pain in the Lower Left Chest: Causes and When to Seek Help
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
Understanding Sudden Pain in the Lower Left Chest: 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, 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 pleuritis, costochondritis, or a ...[Read More] Understanding Sudden Pain in the Lower Left Chest: Causes and When to Seek Help
Understanding Nocturnal Wheezing: Causes and Concerns for Sleep Health
Sudden wheezing sounds during sleep? Hello Dr. Hong, I apologize for interrupting you during your busy schedule. Recently, I have noticed that I experience wheezing sounds while sleeping. After doing some research on Google, I suspect it might be related to respiratory issues, so...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that temperature changes or allergies may have led to allergic rhinitis and bronchitis. I recommend starting with keeping warm and wearing a mask, as well as engaging in moderate exercise, which can be helpful. If symptoms persist, it ma...[Read More] Understanding Nocturnal Wheezing: Causes and Concerns for Sleep Health
Chronic Phlegm and Chest X-Ray Concerns: What You Need to Know
Chronic sputum production and chest X-ray abnormalities? Hello, Doctor. For the past few months, I seem to have been experiencing a persistent phlegm condition. If I refer to my earliest medical visit, it was in September of this year. There were times when I didn't feel muc...
Dr. Hong Yuanbin Reply:
Hello, based on your initial X-ray, we did not observe any significant issues. Your symptoms are primarily upper respiratory symptoms, which could be due to a common cold, COVID-19 infection, influenza, or allergic bronchitis. These conditions can be difficult to differentiate ba...[Read More] Chronic Phlegm and Chest X-Ray Concerns: What You Need to Know
Could Your Cold Symptoms Indicate a COVID-19 Infection Abroad?
If you are experiencing cold symptoms while abroad, how likely is it that they could be related to COVID-19? Hello doctor, I am currently abroad and feeling quite worried due to cold symptoms. I am unsure if there is a possibility of having COVID-19. Initially, I had a sensation ...
Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, it is indeed a respiratory infection. However, it is not possible to distinguish whether it is COVID-19 solely based on symptoms; confirmation of the diagnosis requires testing. Thank you for your inquiry.[Read More] Could Your Cold Symptoms Indicate a COVID-19 Infection Abroad?
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?