Understanding Prolonged Fever: Blood Test Insights and Concerns
Blood tests for fever lasting more than 6 days? Hello Doctor, I have been experiencing a fever for over 6 days (around 38 degrees Celsius). I visited the clinic twice (COVID-19 and influenza tests were negative). The clinic doctor recommended that I go to a large hospital for blo...
Dr. Li Jian Reply:
The inflammatory index is slightly elevated, and the glomerular filtration rate can be monitored by a nephrologist. Thank you for your inquiry.[Read More] Understanding Prolonged Fever: Blood Test Insights and Concerns
Inverted P Waves and Irregular Heartbeat: What You Need to Know
Inverted P waves and irregular heartbeat? Hello, I have been experiencing frequent palpitations and feel that my breathing efficiency is poor. I went to the hospital for an examination, and the doctor mentioned the sinoatrial node, noting that the P waves on my electrocardiogram ...
Dr. Yu Liying Reply:
In this situation, it is recommended that you seek medical attention and discuss with your physician whether further examinations are necessary. As for whether you can engage in exercise, it is advisable to avoid vigorous activities until a diagnosis and treatment plan are establ...[Read More] Inverted P Waves and Irregular Heartbeat: What You Need to Know
Understanding Your Exercise ECG Report: Key Insights for Patients
Please have the physician assist in reviewing the exercise electrocardiogram report? Please assist in reviewing whether the exercise electrocardiogram report is normal. Thank you very much! Order Date: June 1, 2024 Examination Date: June 7, 2024 Conclusions: 1) Target he...
Dr. Yu Liying Reply:
The exercise electrocardiogram report indicates that cardiac function is good under high-intensity exercise, with no significant signs of ischemic heart disease. However, non-specific ST-T changes and premature atrial contractions (PACs) were noted during the exercise, and furthe...[Read More] Understanding Your Exercise ECG Report: Key Insights for Patients
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 Abdominal Pain: Causes and When to Seek Help
Abnormal abdominal pain Hello, doctor. I am 29 years old and I have ankylosing spondylitis and chronic anemia (with an average hemoglobin level of about 20). I'm not sure if this is related to the events I've experienced. The first incident occurred when I was around 20...
Dr. Zheng Weijun Reply:
Hello, thank you for your detailed description. First, regarding your mention that "the average hemoglobin does not exceed 20," this value is within the normal range; the normal hemoglobin level for women is 12–16 g/dL, so your current hemoglobin level may not be abnorm...[Read More] Understanding Abdominal Pain: Causes and When to Seek Help
Understanding Upper Abdominal Bloating: Causes and Solutions
Upper abdominal bloating and pain? Hello Doctor, in the past couple of years, due to exam preparations, I have been sitting a lot and exercising less. I have experienced mild gastric discomfort before several major exams, but recently I have been frequently experiencing upper abd...
Dr. Hong Yuanbin Reply:
Hello, based on your description, your stomach pain is likely primarily caused by exam stress, which is exacerbated by your menstrual period. It is expected that your symptoms will improve after the exams are over and the stress is relieved. During this time, I recommend engaging...[Read More] Understanding Upper Abdominal Bloating: Causes and Solutions
Managing Thyroid Issues After Total Thyroidectomy: A Patient's Journey
Thyroid issues The family member is 63 years old, has undergone total thyroidectomy over a year ago, and has completed radioactive iodine therapy, with no other chronic illnesses. Initially, they were supplementing with 50 mg of Levothyroxine, but after a follow-up visit, the doc...
Dr. Li Jian Reply:
In addition to T3, it is also important to consider TSH and free T4 levels to determine their status. If there are concerns about excessive supplementation leading to hyperthyroidism, an electrocardiogram (ECG) and a bone density test can be performed to check for any arrhythmias...[Read More] Managing Thyroid Issues After Total Thyroidectomy: A Patient's Journey
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
Undercooked Pork: Health Risks and When to Seek Medical Help
Eating undercooked pork? In October 2021, I ate undercooked pork chops at a teppanyaki restaurant. Over the past few months, I have frequently experienced itching in my buttocks, increased episodes of diarrhea, and sometimes abdominal cramps. I'm unsure if these symptoms are...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the main concern is diarrhea and the possibility of a parasitic infection. It is recommended to visit a gastroenterologist or a family medicine physician to arrange for a stool test to check for any eggs. If none are found, the likelihood of a pa...[Read More] Undercooked Pork: Health Risks and When to Seek Medical Help
Breathing Difficulties and Chest Pain: Understanding Your Symptoms
Difficulty breathing can cause wheezing, and there may be a stabbing or cramping sensation in the heart? Recently, I've been feeling like I have to take deep breaths to get enough air, and this sensation is more pronounced when I'm wearing a mask. After some physical ac...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it could potentially be a problem related to the stomach, lungs, or heart. However, further examination may be necessary to determine the exact issue. I recommend visiting a cardiology or pulmonology clinic for evaluation. You may need to undergo...[Read More] Breathing Difficulties and Chest Pain: Understanding Your Symptoms
Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Heart sound changes In auscultation, there are specific characteristics of heart sounds that can help differentiate between S1 and S2. S1, the first heart sound, is primarily associated with the closure of the atrioventricular valves (mitral and tricuspid valves) at the beginning...
Dr. Hong Yuanbin Reply:
Hello, auscultation can indeed help infer S1 and S2 heart sounds, but this requires a professional cardiologist's assessment. For the general public, it is sufficient to distinguish whether the heartbeat is regular and to assess the heart rate. A stethoscope cannot accuratel...[Read More] Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Hello, doctor? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I visited a gastroenterologist and underwent an endoscopy, which revealed only mild gastritis. I also ha...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I noticed that you have experienced symptoms of dysphagia along with multiple areas of muscle pain, which may be related to rheumatology. If you have seen many specialists without a clear diagnosis, I recommend that you visit a rheumatologist fo...[Read More] Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Understanding Low Heart Rate: Implications and When to Seek Cardiology Care
Bradycardia Hello, doctor. In my health check report, there is an electrocardiogram (ECG) finding suggestive of myocardial ischemia, and my hemoglobin and mean corpuscular hemoglobin concentration are low. My smartwatch has a heart rate monitoring function, and a normal resting h...
Dr. Hong Yuanbin Reply:
Hello, regarding bradycardia, it should be assessed in conjunction with your symptoms. If you have no discomfort, there may not be a need to address it. A low hemoglobin level and mean corpuscular hemoglobin concentration indicate anemia, and the specific hemoglobin level should ...[Read More] Understanding Low Heart Rate: Implications and When to Seek Cardiology Care
Managing Unstable Blood Pressure: When to Consider Medication
Unstable blood pressure? Hello, doctor. Three months ago, my blood pressure suddenly spiked to 200/105 at midnight, but I didn't feel unwell. I went to the emergency room, and basic tests like an ECG and X-ray were done, which showed no issues. I was prescribed medication, a...
Dr. Su Zhehong Reply:
It is recommended to consult a cardiologist for further evaluation and to check for potential causes of secondary hypertension.[Read More] Managing Unstable Blood Pressure: When to Consider Medication
Understanding Heart Palpitations: Causes and Concerns
Chest pain? Hello, doctor! Recently, I've been experiencing frequent heart palpitations, but they are not painful. Sometimes, if the palpitations last too long, I start to cough. Could this be palpitations, or is it due to excessive stress?
Dr. Xie Rongyuan Reply:
Hello: It is recommended that you undergo an electrocardiogram (ECG) and a chest X-ray examination at the hospital to determine the underlying cause. Thank you for your message![Read More] Understanding Heart Palpitations: Causes and Concerns
Managing High Blood Pressure: Tips for Relief and Better Health
Hypertension issues Hello, Doctor: I would like to ask a question that has been bothering me. Whenever my blood pressure spikes to 130-140, I experience headaches at night. As soon as I close my eyes, it feels like I'm on a roller coaster. For the past two years, my head CT,...
Dr. Lin Wuxuan Reply:
Hello: Based on your symptoms, I would recommend that you regularly measure your blood pressure at home in the morning and evening. Additionally, it is advisable to record your response to the antihypertensive medication and inform your physician during your follow-up visit, as t...[Read More] Managing High Blood Pressure: Tips for Relief and Better Health
Understanding Unexplained Body Sensations: Which Specialist to Consult?
Health issues. Which department should I consult? Hello Dr. Hong, I would like to consult about some unusual symptoms I'm experiencing and which specialty I should see to determine what illness I might have. My symptoms include experiencing internal pulsations after a night...
Dr. Hong Yuanbin Reply:
Hello, based on your description, there are two possible causes for the palpitations. First, there may be a temporary episode of tachycardia. Since you mentioned that you have previously undergone an exercise electrocardiogram that showed tachycardia, I recommend a 24-hour Holter...[Read More] Understanding Unexplained Body Sensations: Which Specialist to Consult?
Persistent Chest Discomfort: When to Seek Further Medical Evaluation
Chest discomfort or tightness? I've been feeling a tightness in my chest these past few days. I saw a doctor who said it might be related to my digestive system. I've been taking medication for a few days, but it hasn't improved. Sometimes the discomfort is more no...
Dr. Hong Yuanbin Reply:
Hello, many diseases can manifest as chest discomfort, including cardiac issues, pulmonary problems, gastrointestinal disorders, or musculoskeletal issues. If you experience persistent chest discomfort, it is advisable to visit a hospital for a thorough examination, which may inc...[Read More] Persistent Chest Discomfort: When to Seek Further Medical Evaluation
Understanding Dizziness and Discomfort: When to Seek Medical Advice
Dizziness, body heat, discomfort, and dry heaving? Hello, Doctor! Recently, I've been experiencing dizziness and a feeling of warmth in my body after walking or standing for about a minute. My walking becomes unstable, especially during exercise, and I feel a pressure in my ...
Dr. Liao Zhongxin Reply:
Dear readers: "I have been experiencing dizziness when walking or standing for about a minute." Here are some responses: 1. Consider two aspects: (1) Orthostatic hypotension: This occurs when standing up suddenly after prolonged sitting or lying down, leading to ...[Read More] Understanding Dizziness and Discomfort: When to Seek Medical Advice
Understanding Chest Pain: A Student's Concerns About Heart Health
I woke up in the early morning due to chest tightness and pain? Hello, Doctor. I am a resident student. Due to being overweight, I use the treadmill for at least an hour each day at a speed of about 6 to 7 kilometers per hour. However, I have been inactive for a while, so I get q...
Dr. Hong Yuanbin Reply:
Hello, based on your current condition, exercising is indeed your best option and will likely provide you with the most benefit. However, since you do not have a regular exercise routine, I recommend starting gradually. In terms of speed, you should run at a pace where you can ta...[Read More] Understanding Chest Pain: A Student's Concerns About Heart Health