Chest, Internal Medicine FAQ - Page 18

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Why Does Drinking Water Sometimes Feel Cool in My Chest?

Feeling a cool sensation in the chest when drinking water? Sometimes when I drink water, I feel a cool sensation in my chest (lungs), which often occurs when I ride a bike and inhale a lot of polluted air, leading to a feeling of tightness in my chest. At that moment, drinking wa...


Dr. Chen Junwei Reply:
Hello: The sensation of a cool feeling in the chest when drinking water is not typically mentioned as a medical symptom. It may be caused by the significant temperature difference when drinking cold water after exercising. Additionally, if there is chest tightness due to poor air...

[Read More] Why Does Drinking Water Sometimes Feel Cool in My Chest?


Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants

Recurrent colds Hello doctor, I am currently taking steroids and immunosuppressants, but for the past two weeks, I have been experiencing continuous colds, tonsillitis, headaches, and a tight feeling in my chest. I feel chest pain when lying flat, and I become short of breath aft...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, the diseases treated with corticosteroids and immunosuppressants are generally autoimmune diseases, such as systemic lupus erythematosus and rheumatoid arthritis. If not well controlled, these conditions can also attack the lungs, leading to lung...

[Read More] Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants


Post-Fever Complications: Understanding Symptoms and Concerns

Problems that may arise after a high fever? Hello, I would like to ask about my condition. Two days ago, I had a high fever of 39.5 degrees Celsius and visited a family medicine clinic. The doctor mentioned that my high fever could be due to either a bacterial or viral infection....


Dr. Li Huixiong Reply:
Based on the symptoms you described, it does seem to be a respiratory infection. Typically, primary care physicians will only provide medications for symptomatic treatment. From the medications you are taking, it appears that the physician who examined you not only prescribed sym...

[Read More] Post-Fever Complications: Understanding Symptoms and Concerns


Persistent Fever for 19 Days: Understanding Symptoms and Next Steps

Fever for 19 days? I have had a fever for 19 days, with intermittent spikes and drops in temperature. Seven days before the fever started, I underwent numerous tests, including WBC, CRP, platelet count, and other related blood tests in the infectious disease department, all of wh...


Dr. Qiu Zhengbin Reply:
Hello: Since your symptoms have not yet resolved and there are still reports pending from the rheumatology department, I recommend that you return to the rheumatology clinic to check for any issues. Wishing you a speedy recovery.

[Read More] Persistent Fever for 19 Days: Understanding Symptoms and Next Steps


Long-Term Use of Antacid: Is It Safe for GERD Patients?

Long-term use of gastric mucosa protectants issues? I have gastroesophageal reflux disease (GERD), so before bed, I take medication and drink 10 mL of a digestive aid (containing Aluminum Hydroxide, Magnesium Hydroxide, and the anti-foaming agent Simethicone). This significantly ...


Dr. Yang Weishun Reply:
For patients with renal insufficiency or chronic kidney failure, the use of any antacids or laxatives containing magnesium or aluminum is not recommended. This is because individuals with impaired kidney function cannot adequately excrete these ions, leading to accumulation in th...

[Read More] Long-Term Use of Antacid: Is It Safe for GERD Patients?


Understanding Chills and Night Sweats: A Guide for Seniors

Chills and night sweats? Hello Doctor: I am 70 years old and have had no significant health issues in the past, nor have I taken any traditional or Western medications. Three weeks ago, I started experiencing chills and excessive sweating every day around 2 to 3 PM, lasting for a...


Dr. Guo Hanyue Reply:
Hello! Due to Dr. Kuo Han-Yue from our Infectious Disease Department providing support at Taitung Hospital, we recommend that if you are feeling unwell, please seek medical attention at the hospital as soon as possible. Thank you!

[Read More] Understanding Chills and Night Sweats: A Guide for Seniors


Understanding Dizziness in Elderly Patients: Causes and Next Steps

Dizziness Consultation My mother is 70 years old and has been suffering from dizziness lately. She is almost completely bedridden and unable to move. She has hypertension, which is controlled with medication. She has seen various specialists but has not found a cause. Please cons...


Dr. Li Zhiyao Reply:
Hello Mr. Kuo: Based on the situation you described, the first consideration should be whether your blood pressure is too low. A blood pressure of 110/70 may be considered low for a 70-year-old, which could lead to weakness and confusion, making it difficult for the patient to ge...

[Read More] Understanding Dizziness in Elderly Patients: Causes and Next Steps


Understanding Rib Pain and Abdominal Discomfort: Causes and Relief

Pressing on the middle of the ribs causes pain, and there is a feeling of heaviness and pain in the lower abdomen. I often wake up at night due to the pain while lying down? The cartilage in the middle of the ribs is painful to light pressure, and there is a persistent feeling of...


Dr. Liao Zhongxin Reply:
Question: Why is there pain in the middle of the ribs and bloating pain in the lower abdomen, which also hurts when lying down at night? Answer: 1. Each person has a xiphoid process at the junction between the chest and abdomen, which is a cartilaginous structure. Its protrusion...

[Read More] Understanding Rib Pain and Abdominal Discomfort: Causes and Relief


Managing Hyperthyroidism and Mitral Valve Insufficiency: A Patient's Journey

Hyperthyroidism and mitral valve insufficiency? Hello Dr. Yang, I have a few questions I would like to ask you. I have been dealing with hyperthyroidism for nearly 10 years. At the end of 2008, due to a recurrence of hyperthyroidism, I started taking medication again. However, t...


Dr. Yang Hongzhi Reply:
Coughing is not a common side effect of medications for hyperthyroidism. If it is indeed a side effect, in addition to surgery, radioactive iodine treatment can also be considered for hyperthyroidism.

[Read More] Managing Hyperthyroidism and Mitral Valve Insufficiency: A Patient's Journey


Understanding Chest Discomfort: Possible Causes and Solutions

Thoracic issues Hello Doctor: Recently, I have been feeling a tightness in my chest at times, as if something is pressing down. What could be the possible causes of this? Thank you for your response.


Dr. Chen Junwei Reply:
Hello: The symptoms of chest tightness and pain can have different possible causes depending on the presence of other related conditions (such as hypertension, diabetes, heart disease, etc.) or risk factors (such as advanced age, smoking, excessive alcohol consumption, etc.). Com...

[Read More] Understanding Chest Discomfort: Possible Causes and Solutions


How to Differentiate Between Stomach, Heart, Liver, and Lung Discomfort?

Hello doctor, I would like to inquire about issues related to the chest and abdominal cavity..? Hello, doctor. I would like to ask how to determine whether my discomfort is related to my stomach, heart, liver, or lungs? Are there any specific differences in the discomfort associa...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, discomfort in the xiphoid process area is generally not related to heart, lung, or gastrointestinal diseases. Most cases improve with rest and heat application. It is recommended to follow up with a thoracic specialist for further examination and...

[Read More] How to Differentiate Between Stomach, Heart, Liver, and Lung Discomfort?


Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help

Shortness of breath and palpitations? Hello, doctor. I usually have a habit of drinking alcohol and smoking. About two weeks ago, after drinking, I suddenly felt palpitations and difficulty breathing the next day, which persisted for a long time, along with some dizziness. I went...


Dr. Xiao Yongxun Reply:
Hello: In response to your question, palpitations, shortness of breath, and dizziness each have many potential causes, and these three symptoms can be interrelated. Normal chest X-ray, electrocardiogram (ECG), blood tests, or blood pressure measurements may help rule out some pos...

[Read More] Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help


Chest Pain While Swallowing: Causes and When to Seek Help

excuse me? If you experience pain in the chest area when swallowing, especially noticeable when drinking hot soup, it could be due to several reasons. Possible causes include esophagitis (inflammation of the esophagus), gastroesophageal reflux disease (GERD), or even a condition ...


Dr. Li Huixiong Reply:
Pain in the chest area when swallowing, especially noticeable with hot soup, may indicate a lesion in the mid-esophagus. If the discomfort is significant, it is advisable to consult a gastroenterologist for an upper gastrointestinal endoscopy.

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


Understanding Arrhythmia: When to Seek Medical Attention for Heart Issues

Arrhythmia Hello Doctor: I am currently a university student majoring in design, with a height of about 170 cm and a weight of approximately 63-65 kg. I often stay up late and exercise at least once a week (playing softball and basketball). I do not smoke or drink alcohol, but I ...


Dr. Chen Qingbin Reply:
Hello, Xiao Hei: Incomplete right bundle branch block and sinus bradycardia generally do not require treatment unless there are significant symptoms, such as chest discomfort, chest pain, or shortness of breath. It is advisable to visit a cardiologist at the hospital.

[Read More] Understanding Arrhythmia: When to Seek Medical Attention for Heart Issues


Understanding Chest Discomfort After Testing Positive for Influenza A

Influenza A Hello Doctor: I previously tested positive for COVID-19 at the hospital. I am currently taking antiviral medication. However, I am experiencing significant chest tightness. I do not have a fever, and the hospital doctor mentioned that my symptoms are mild. My chest ti...


Dr. Li Zhiyao Reply:
Hello, A-Jie: Most individuals infected with the H1N1 influenza virus experience mild symptoms and typically recover within a week without the need for special treatment, allowing most people to rest at home. However, there are a small number of cases where the condition can rapi...

[Read More] Understanding Chest Discomfort After Testing Positive for Influenza A


Persistent Throat Discomfort: When to Seek a Second Opinion?

Sore throat? I've been feeling something strange in my throat lately, as if I have phlegm. I initially just wanted to clear my throat a bit and cough, but it triggered severe coughing, making it hard to breathe. At night, I also feel like I'm producing saliva (or phlegm...


Dr. Liao Zhongxin Reply:
Dear readers: 1. A sensation of a foreign body in the throat often requires the exclusion of external causes, such as smoking, dust mites, dust, or other allergens. 2. Additionally, it is important to consider personal medical history, including any allergic predispositions, m...

[Read More] Persistent Throat Discomfort: When to Seek a Second Opinion?


Understanding Left Rib Pain: Causes and When to Seek Help

Dull pain in the lower left rib area? Hello, Doctor. Day 1: I originally felt a bit of pressure in my left chest and had some difficulty taking a deep breath. Day 2: After eating today, I experienced a dull pain in the lower left rib area and still had trouble taking a deep b...


Dr. Sun Yizhen Reply:
Hello: It is recommended to visit the outpatient clinic for a clinical evaluation.

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


Understanding Chest Pain and Breathlessness: Is It Asthma or Something More?

excuse me? Hello, I have recently experienced shortness of breath, chest pain, and painful breathing when walking my bicycle up a bridge. I need to stop and take slow, deep breaths to feel better. What could be causing this? I have a history of allergic asthma, but I never had th...


Dr. Chen Junwei Reply:
Hello: Allergic bronchitis or asthma is not typically triggered by mild exercise, but symptoms can improve after a short rest. Therefore, the recent experience of shortness of breath while cycling may not be related to the previously suspected asthma. It is recommended to visit a...

[Read More] Understanding Chest Pain and Breathlessness: Is It Asthma or Something More?


Seeking Medical Advice on Sacroiliac Joint Inflammation from X-ray

I would like to inquire about the condition of sacroiliac joint inflammation? I have attached my X-ray of the pelvis and would like to ask the doctor if there is evidence of sacroiliitis. I was diagnosed with ankylosing spondylitis approximately six years ago, with a positive HLA...


Dr. Zeng Guosen Reply:
Hello, based on the X-ray images you provided, it appears to show grade II sacroiliitis (I use "appears" because sometimes the transmitted images are not very clear). The diagnosis of ankylosing spondylitis requires two key conditions: 1. Bilateral sacroiliitis of grade...

[Read More] Seeking Medical Advice on Sacroiliac Joint Inflammation from X-ray


Understanding Nausea and Chest Discomfort in Hot Weather: When to Seek Help

Please ask your question? My brother is around 45 years old, and this summer he experiences nausea, vomiting, and chest tightness whenever the weather is hot, the air is humid, or the air quality is poor. Could this be heat exhaustion? Which specialty should he consult if this oc...


Dr. Yang Zhongwei Reply:
Hello: Heat exhaustion occurs in high temperature and humid environments, leading to excessive sweating and subsequent imbalance of body fluids and electrolytes. The management involves quickly moving to a cool, ventilated area to rest and replenish fluids and electrolytes. If sy...

[Read More] Understanding Nausea and Chest Discomfort in Hot Weather: When to Seek Help


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