Chest, Internal Medicine FAQ - Page 28

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Dizziness While Swimming: Understanding Causes and Solutions

Dizziness while swimming? Hello, doctor: I personally experience discomfort, such as dizziness and nausea, when swimming or soaking in hot springs if the water level exceeds my chest for half an hour to an hour. I've heard that this might be related to heart issues. Is that ...


Dr. Ke Zhengchang Reply:
Hello Mark: Before swimming, it's advisable to do some warm-up exercises and gradually acclimate to the water temperature before entering the pool. If the water temperature is very high (above 40 degrees Celsius), limit your time to 15 minutes at a time, then take a break an...

[Read More] Dizziness While Swimming: Understanding Causes and Solutions


Understanding Unusual Heart Symptoms: Dizziness, Palpitations, and Weakness

My heart feels strange? Dizziness, palpitations, continuous shortness of breath, generalized weakness and numbness, and occasional chest pain.


Dr. Ke Zhengchang Reply:
Hello, Mini: It is common for young women to experience symptoms such as palpitations and shortness of breath. Common causes include anxiety, arrhythmias, and asthma. It is advisable to follow up with a cardiology clinic for further evaluation.

[Read More] Understanding Unusual Heart Symptoms: Dizziness, Palpitations, and Weakness


Understanding Your Symptoms: Is It Nasopharyngeal Cancer or Something Else?

Unknown symptoms? January 21, 2001 DEAR DR. KOH, HOW ARE YOU? AND HAPPY CHINESE LUNAR NEW YEAR. REF: Nasopharyngeal Carcinoma or Another Health Problem? I have a question I would like to ask Dr. Koh. My blood tests showed: EBV IgA <32x (-) which is normal, but EBV IgG <...


Dr. Ke Zhengchang Reply:
Hello Lai Chun Shi: It is recommended that you visit an otolaryngologist for a detailed examination, as blood tests for viral antibodies are not very meaningful.

[Read More] Understanding Your Symptoms: Is It Nasopharyngeal Cancer or Something Else?


Understanding the Symptoms of Veterans' Disease: A Guide for Patients

Symptoms of Veterans' Disease? Hello Dr. Ke: What are the symptoms of Veterans' Syndrome (also known as Gulf War Syndrome) during its onset? Thank you!


Dr. Ke Zhengchang Reply:
Hello Lily: The symptoms are similar to those of general pneumonia, such as fever, cough, and chest pain. In severe cases, there may be difficulty breathing, confusion, and gastrointestinal discomfort.

[Read More] Understanding the Symptoms of Veterans' Disease: A Guide for Patients


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


Emergency Steps to Take During a Heart Attack: A Family Guide

How to handle a myocardial infarction in an emergency? Hello, my mother has a history of myocardial infarction, and we are concerned about the possibility of another episode. I would like to know what we can do as a family while transporting her to the hospital if it happens agai...


Dr. Ke Zhengchang Reply:
Hello Bear: First, it is essential to have regular follow-up treatment at the cardiology outpatient clinic. You should keep sublingual nitroglycerin tablets at home for chest pain relief. During an episode, provide oxygen (it is best to have a small oxygen tank at home) and immed...

[Read More] Emergency Steps to Take During a Heart Attack: A Family Guide


Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks

Cardiovascular disease Last February, I experienced difficulty breathing and muscle tightness (in my neck), and the doctor diagnosed it as a cold. After taking medication for a few days, the symptoms disappeared. Around June or July of this year, I felt a persistent heaviness in ...


Dr. Zeng Fenyu Reply:
Hello Jane! The information you provided is insufficient to determine whether it is myocarditis. Relying solely on one electrocardiogram for diagnosis and prognosis seems a bit inadequate. It is recommended to seek a differential diagnosis from a cardiologist. Sincerely, Dr. Feng...

[Read More] Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks


Understanding Duodenal and Gastric Ulcers: Symptoms and Pain Management

Whole body Duodenal ulcer (stenosis), gastric ulcer... pain occurs when fasting and also slightly after eating... pain in the heart and chest ribs... generalized bone pain... leg pain while walking...


Dr. Ke Zhengchang Reply:
Hello Judy: It is recommended that you visit the gastroenterology clinic for examination and treatment.

[Read More] Understanding Duodenal and Gastric Ulcers: Symptoms and Pain Management


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 Chest Discomfort: Causes and Relief Strategies

Chest tightness? Hello, Dr. Ke; I have been experiencing this symptom since the fifth or sixth grade. Whenever I am under stress, overly fatigued, or consume sugary drinks (e.g., cola, iced tea), I feel a sense of tightness in my chest (which can be painful at times) and nausea (...


Dr. Ke Zhengchang Reply:
Hello, Xiao Li: This symptom may be due to dyspepsia and gastroesophageal reflux disease (GERD). Therefore, in addition to avoiding the aforementioned beverages, coffee, and strong tea, fried foods should also be avoided. Eat until you are about 80% full, engage in more physical ...

[Read More] Understanding Chest Discomfort: Causes and Relief Strategies


How to Address Gynecomastia in Young Men: A Guide for Jack

What should I do??? Dear Doctor, I am a 24-year-old male, and I have been troubled by a condition since the fifth or sixth grade where my chest appears somewhat protruded, which I believe is what is referred to as gynecomastia. I would like to know if there are any ways to make ...


Dr. Zeng Fenyu Reply:
Please visit the endocrinology outpatient clinic to investigate the causes of gynecomastia, so that treatment can be targeted at the underlying cause. If no specific etiology is found and the gynecomastia is indeed severe, cosmetic surgery may be considered; however, it is essent...

[Read More] How to Address Gynecomastia in Young Men: A Guide for Jack


Understanding Gastrointestinal Discomfort: Insights for Office Workers

Gastrointestinal discomfort? Hello! I am an office worker and spend most of my time sitting in the office. I have low physical activity, and my Hepatitis B surface antigen is positive, while the e antigen is negative. My weight and height are 70 kg and 173 cm, respectively. I smo...


Dr. Yang Guojun Reply:
1. Your condition may involve hepatitis B, fatty liver, duodenal ulcer, and irritable bowel syndrome, along with renal insufficiency. Please start by losing weight, quitting smoking, and undergoing triple therapy for the treatment of the duodenal ulcer. 2. The presence of hepat...

[Read More] Understanding Gastrointestinal Discomfort: Insights for Office Workers


Understanding Chest Discomfort: Is It a Heart Issue?

Heart I often feel a tightness in my chest, as if I can't catch my breath. When I pat my chest, it feels like a cough, and releasing a breath makes me feel somewhat better. It gets worse at night, and I can only sleep on my side. Could this indicate a heart problem? Can an e...


Dr. Yang Guojun Reply:
You have autonomic nervous system dysfunction, and after improving your living environment and using medication, you can see improvement in 3 to 4 days.

[Read More] Understanding Chest Discomfort: Is It a Heart Issue?


Understanding Heart Issues: Risks and Considerations for Pacemaker Implantation

Cardiac issues Hello Dr. Lee! I often feel a tightness in my chest and have difficulty breathing. I went to the hospital for an examination, and the doctor believes I have myocardial ischemia and arrhythmia. The doctor suggested that I get a pacemaker. Given my age, is there any ...


Dr. Li Huixiong Reply:
Implanting a cardiac pacemaker is a very serious and significant recommendation, and this procedure is carried out through the collaboration of a team of cardiology specialists. Therefore, when you are advised to have a pacemaker implanted, you can trust that your physician has c...

[Read More] Understanding Heart Issues: Risks and Considerations for Pacemaker Implantation


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 Chest Pain: Causes and Care for Arrhythmia and Thyroid Issues

Chest pain I have a condition of arrhythmia, along with thyroid enlargement and colon polyposis. I often experience a sudden rapid heartbeat upon waking up without getting out of bed, but it gradually returns to normal shortly after. This started about a year ago. Occasionally, I...


Dr. Ke Zhengchang Reply:
Hyperthyroidism can cause symptoms such as rapid heartbeat, anxiety, insomnia, and chest pain. Please visit the endocrinology clinic for a detailed examination and treatment.

[Read More] Understanding Chest Pain: Causes and Care for Arrhythmia and Thyroid Issues


Understanding Mitral Valve Prolapse: Symptoms, Diagnosis, and Treatment Options

Mitral valve prolapse I experience sharp pain in my chest, located slightly to the upper left between my breasts. The frequency of the pain varies; sometimes it occurs when I change positions or move my body. The episodes can last for two to three days and have persisted for six ...


Dr. Ke Zhengchang Reply:
Mild mitral valve prolapse may not be discernible with a standard stethoscope. It is recommended to follow up at a cardiology clinic and arrange for an echocardiogram for a more accurate assessment.

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Diagnosis, and Treatment Options


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


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