Chest tightness, Internal Medicine FAQ - Page 7

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Rare Salmonella Infection in Father's Heart: A Critical Medical Case

My father's right heart vessel is infected with Salmonella, and his condition is critical..? My father suddenly experienced chest tightness, shortness of breath, and chills around 3:40 PM on August 12. My mother urgently took him to the New Building Hospital in Tainan. After...


Dr. Ke Zhengchang Reply:
In response to Su Wenting: Based on your description, it may be infectious vasculitis with associated aortic aneurysm. Typically, treatment involves antibiotics for two to four weeks while also managing hypertension. If there is no improvement or if the condition worsens, surgica...

[Read More] Rare Salmonella Infection in Father's Heart: A Critical Medical Case


Is Long-Distance Flying Safe for Patients with Mitral Valve Prolapse?

Is it safe for individuals with mitral valve prolapse to undertake long flights? I am experiencing shortness of breath, numbness in my hands, chest tightness and pain, and sudden cold sweats. After undergoing an echocardiogram, the doctor mentioned that I have some palpitations a...


Dr. Ke Zhengchang Reply:
Hello, Kuang: Seroxat is a mild sedative that can alleviate symptoms of palpitations and anxiety. It can be taken regularly for a period of time, and the medication should only be discontinued after symptoms have resolved. Generally, individuals with mild mitral valve prolapse ca...

[Read More] Is Long-Distance Flying Safe for Patients with Mitral Valve Prolapse?


Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults

Left ventricular hypertrophy (LVH) Hello Doctor, I am 24 years old and have been experiencing some heart issues. I have visited several hospitals for examinations, and some doctors have mentioned left ventricular hypertrophy, while others have referred to mitral valve prolapse or...


Dr. Ke Zhengchang Reply:
Hello Ah-Hui: The electrocardiogram does not have a term for left ventricular high voltage; what you are describing may be left ventricular hypertrophy. If there is no hypertension, it is advisable to follow up with a cardiology clinic for monitoring of the electrocardiogram.

[Read More] Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults


Understanding Palpitations: Causes, Symptoms, and Solutions

Palpitations Hello Doctor: I would like to ask about my frequent palpitations. I often feel my heart beating very strongly. For instance, when I lie down and watch TV with the remote control placed on my chest, the remote moves with my heartbeat. I frequently experience chest tig...


Dr. Zeng Fenyu Reply:
Hyperthyroidism can cause palpitations, but other conditions such as irregular heartbeat, heart problems, and stimulation of the sympathetic nervous system can also lead to palpitations. To reduce the occurrence of palpitations, in addition to monitoring thyroid function, it is i...

[Read More] Understanding Palpitations: Causes, Symptoms, and Solutions


Understanding Heart Valve Issues and Hypertension: Risks and Treatments

Heart disease & hypertension Hello, Dr. Ko. My boyfriend has been experiencing chest tightness due to stress for quite some time, to the point where he couldn't sleep. After much persuasion, he finally went to the hospital for an examination. He said the doctor informed ...


Dr. Ke Zhengchang Reply:
If a young male has a blood pressure of 180/130, he must seek emergency treatment for malignant hypertension and be hospitalized for further evaluation to determine the cause of the hypertension. Unless there are severe congenital anomalies or abnormalities of the heart and major...

[Read More] Understanding Heart Valve Issues and Hypertension: Risks and Treatments


Understanding Asthma: Managing Symptoms and Preventing COPD in Adults

Asthma is a chronic Hello, I had asthma from ages 10 to 16, during which I always experienced wheezing during attacks. After moving away for school and work, I no longer had wheezing episodes, but I would experience chest tightness and coughing for a few hours to a few days after...


Dr. Guo Conghuai Reply:
Hello Ms. Gina: Chest tightness or wheezing after a cold does not necessarily indicate asthma. There is a condition known as post-viral wheezing syndrome, which can mimic asthma and often persists for several weeks following a viral respiratory infection. A definitive diagnosis r...

[Read More] Understanding Asthma: Managing Symptoms and Preventing COPD in Adults


Understanding Chinese Restaurant Syndrome: Symptoms and Management

Chinese Restaurant Syndrome? Hello, I have been experiencing migraine symptoms for over ten years, accompanied by vomiting, muscle soreness, and general weakness. Recently, the symptoms have become more severe. A friend pointed out that I might have what is known as Chinese Resta...


Dr. Ke Zhengchang Reply:
Reply to Alice: The symptoms of Chinese Restaurant Syndrome include transient burning sensations in the neck and upper arms, chest tightness, and headaches. Your symptoms are more severe and include vomiting, muscle soreness, and generalized weakness, which are less characteristi...

[Read More] Understanding Chinese Restaurant Syndrome: Symptoms and Management


Understanding Right Side Back Pain and Its Possible Connections

Medical consultation Hello Dr. Ke, In the past month or two, I have frequently experienced a tingling sensation in the lower right side of my back. Recently, I have also been feeling pain in my right heel while walking. I'm wondering if there is a connection between these ...


Dr. Ke Zhengchang Reply:
Hello Ms. Hsieh, This symptom is most likely caused by postural misalignment leading to neuromuscular strain and inflammation. Treatment and rehabilitation therapy would be beneficial.

[Read More] Understanding Right Side Back Pain and Its Possible Connections


Understanding Mild Chest Discomfort: Causes and When to Seek Help

Occasional mild chest discomfort? Hello, my symptoms include occasional mild chest tightness and a cool sensation, as well as a feeling of something in my throat that comes and goes for over a year. I have undergone a full health check-up and have had blood tests, an electrocardi...


Dr. Ke Zhengchang Reply:
Hello Lu: Please follow up for treatment at the cardiology outpatient clinic.

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


Understanding Chest Tightness and Rib Pain After an Accident

Chest tightness and rib pain? Hello, doctor. A few months ago, I was involved in a car accident that caused a chest impact, but I did not feel any pain at the time. Recently, I have been experiencing frequent chest tightness and pain below the left rib cage, which becomes more pr...


Dr. Li Huixiong Reply:
If there are no obvious discomforts within a week after the car accident, then the recent chest tightness and pain under the left rib cage are likely to be significantly less related to the accident. Additionally, since you have noticed that the symptoms are more pronounced after...

[Read More] Understanding Chest Tightness and Rib Pain After an Accident


Understanding Your Arrhythmia: Concerns After Treatment and Diagnosis

Then I don't know what type of arrhythmia I have? I am unsure about what type of arrhythmia I have. After taking medication, I no longer experience episodes, and the original symptoms of chest tightness have disappeared. My heart no longer feels heavy, and I should be satisf...


Dr. Ke Zhengchang Reply:
Hello Jane: You may be experiencing paroxysmal tachycardia, and a 24-hour Holter monitor may be necessary to identify the cause. I hope you can visit the cardiology outpatient clinic for further evaluation.

[Read More] Understanding Your Arrhythmia: Concerns After Treatment and Diagnosis


Communicating with Doctors: Heart and Lung Function Tests for Hypertension

Cardiopulmonary function tests and cardiovascular diseases? Dear Dr. Ke, I have been suffering from hypertension for many years, and in the past, I also had hyperlipidemia, arrhythmia, gastric ulcers, Helicobacter pylori infection, urinary tract infections, and ureteral stones. ...


Dr. Ke Zhengchang Reply:
Dear Mr. Shih Ping-Ming: Our hospital (Hsinchu Hospital, Department of Health) has been offering a cardiology education clinic every Tuesday evening from 6:30 PM to 8:30 PM since January of the 90th year. Dr. Po Shih-Chun will be available for consultations to provide you with de...

[Read More] Communicating with Doctors: Heart and Lung Function Tests for Hypertension


Understanding Thyroid Issues: Symptoms and Dietary Considerations

Thyroid gland I often experience unexplained chest tightness (on the left side), especially when inhaling. I'm not sure if it feels more like tightness or pain, but it becomes somewhat more comfortable if I tap on it with my fist. Additionally, I have irregular menstrual cyc...


Dr. Zeng Fenyu Reply:
Based on the described symptoms, it cannot be determined whether there is hyperthyroidism. Please visit the endocrinology outpatient clinic for an examination.

[Read More] Understanding Thyroid Issues: Symptoms and Dietary Considerations


Understanding Back Pain and Chest Tightness: When to Seek Medical Advice

Back pain and chest tightness? Dr. Ke, I have some questions to ask you: Recently, I have been experiencing symptoms such as nasal allergies, cold, and cough. Even after taking medication, I still feel unwell, with persistent dizziness, tightness in my neck, muscle stiffness and ...


Dr. Ke Zhengchang Reply:
Hello Lisa: Chronic hypertension and hyperlipidemia require long-term adherence to medication and regular outpatient follow-up for blood pressure monitoring and blood tests. If symptoms of an upper respiratory tract infection occur, such as cough, dizziness, runny nose, and muscl...

[Read More] Understanding Back Pain and Chest Tightness: When to Seek Medical Advice


Understanding Bloating, Chest Tightness, and Breathing Difficulties: Liver Warning Signs?

Chest tightness and difficulty breathing due to bloating? I often experience bloating, chest tightness, and difficulty breathing. Could this be a warning sign related to my liver?


Dr. Li Huixiong Reply:
In simple terms, your symptoms can be categorized into two areas: 1. gastrointestinal issues and 2. respiratory issues. Conditions such as gastritis, duodenitis, or gastric or duodenal ulcers can often lead to bloating or a sensation of chest tightness, and even difficulty breath...

[Read More] Understanding Bloating, Chest Tightness, and Breathing Difficulties: Liver Warning Signs?


Understanding Mitral Valve Prolapse with Regurgitation: Symptoms and Management

Mitral valve prolapse with regurgitation? I have mitral valve prolapse with mild regurgitation, and I am experiencing headaches, chest tightness, shortness of breath, and nausea. I read on a previous forum that the symptoms of this condition are not very pronounced, so why do I f...


Dr. Li Huixiong Reply:
The heart has several valves, including the tricuspid valve, aortic valve, and mitral valve, the latter also known as the bicuspid valve. It is located between the left atrium and left ventricle and is responsible for opening and closing during the heart's contraction and re...

[Read More] Understanding Mitral Valve Prolapse with Regurgitation: Symptoms and Management


Understanding Heart Issues: Chest Discomfort, Breathing Problems, and Inner Ear Balance

Heart disease Hello, Dr. Ke: 1. Sometimes I experience chest tightness and shortness of breath, which can worsen, especially when walking. I find that taking traditional Chinese medicine helps alleviate my symptoms. 2. During a hospital visit, the doctor mentioned that I have...


Dr. Ke Zhengchang Reply:
Hello Zhu-Ru: Both cardiac and pulmonary issues can present with symptoms of shortness of breath, so it is recommended to visit our hospital's pulmonary medicine department for various examinations and treatments.

[Read More] Understanding Heart Issues: Chest Discomfort, Breathing Problems, and Inner Ear Balance


Frequent Awakening During Naps: Is It Related to Heart Health?

Waking up frequently during naptime... Could it be related to the heart?! Hello, Dr. Hong: Since my student days and now as a working professional, I have always taken naps in a seated position or by resting my head on the desk. However, I often wake up suddenly, startled. Frequ...


Dr. Hong Hongchang Reply:
Generally speaking, if there are abnormalities in the heart, clinical manifestations often include chest pain, chest tightness, and swelling of the legs. These symptoms are not typically caused by sitting or sleeping positions that compress the heart. They may arise from poor sle...

[Read More] Frequent Awakening During Naps: Is It Related to Heart Health?


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