ECG, Internal Medicine FAQ - Page 2

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Understanding Chest Pain: Causes, Concerns, and Connections to Back Pain

Chest tightness or chest discomfort? Hello, doctor. Recently, I've suddenly experienced chest tightness and pain over the past few weeks. Sometimes it’s on the left side, sometimes on the right, and the location of the pain varies. It seems to move around. I went to the hosp...


Dr. Hong Yuanbin Reply:
Hello, chest pain is often most concerning for heart disease. The heart is located on the left side of the body, and based on your description, it occasionally radiates to the right side. The symptoms you describe do not strongly resemble typical heart disease, which usually show...

[Read More] Understanding Chest Pain: Causes, Concerns, and Connections to Back Pain


Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know

Left chest tightness, persistent hiccups, and continuous coughing? Hello Doctor, at the beginning of the month, I felt a heaviness in my left chest and sometimes experienced slight weakness in my body. On the 8th, I went to a cardiologist for an examination, and the doctor mentio...


Dr. Hong Yuanbin Reply:
Based on your description, the most likely condition is gastroesophageal reflux disease (GERD). The characteristics of GERD include symptoms that occur after eating or when lying down, such as a mild burning sensation in the chest, noticeable belching, and in severe cases, throat...

[Read More] Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know


Understanding Weight Loss and Side Effects of Forxiga and Olmetec

Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...


Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...

[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec


Managing Anxiety and Respiratory Symptoms: Understanding Your Health Concerns

Anxiety, tension, excessive nasal mucus, and phlegm? Hello, doctor. Since February of this year, I have experienced an increase in nasal discharge and started coughing up phlegm. On one or two occasions, I noticed blood-streaked sputum, so I consulted an ENT specialist who confir...


Dr. Xie Rongyuan Reply:
Hello: If you have a persistent cough that has not improved, it is best to go to the hospital for a chest X-ray to check for any abnormalities. Stress, anxiety, and panic can lead to shortness of breath and increased heart rate, so it is advisable to manage your emotions. Thank y...

[Read More] Managing Anxiety and Respiratory Symptoms: Understanding Your Health Concerns


Chest Discomfort: Understanding Treatment Options for Heart Issues

Chest tightness and discomfort with deep breathing? Today, I went to Nanmen Hospital for an X-ray, electrocardiogram (ECG), and blood tests. Dr. Lin prescribed three medications for myocardial infarction, angina, and pain relief. Only the ECG showed abnormalities; the rest were n...


Dr. Li Huixiong Reply:
Are you saying that only the electrocardiogram (ECG) showed abnormalities while other tests were normal, and then some oral medications were prescribed? Were you informed that you have heart disease? I hope you can clarify two things with your doctor: first, whether the heart dis...

[Read More] Chest Discomfort: Understanding Treatment Options for Heart Issues


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 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


Understanding Nighttime Chest Pain: Causes and Solutions

Respiration Occasionally, I experience a sharp pain on the left side of my chest when taking a deep breath. This often occurs around midnight, just before going to sleep.


Dr. Zhong Weisheng Reply:
Occasionally, I experience sharp pain on the left side of my chest when taking a deep breath. It is recommended to visit a hospital to consult a physician for a physical examination, and if necessary, to undergo an electrocardiogram (ECG) and chest X-ray. Dr. Chuang Wei-Sheng.

[Read More] Understanding Nighttime Chest Pain: Causes and Solutions


Unexplained Swelling in Legs: Causes and When to Seek Help

Unexplained edema? Hello, doctor: My mother is currently 51 years old and has a history of hypertension. She has been taking medication regularly to control her blood pressure. However, for the past two weeks, she has been experiencing swelling in both legs, and when pressed, the...


Dr. Yang Zhongwei Reply:
Hello! The main causes of bilateral leg edema include the following: 1. Renal origin: This includes nephrotic syndrome and chronic kidney failure. Urinalysis should be performed to check for proteinuria, and blood tests to assess kidney function are necessary. 2. Hepatic origin: ...

[Read More] Unexplained Swelling in Legs: Causes and When to Seek Help


Understanding Chest Pain: When to Seek Medical Attention

Internal Medicine Hello, two months ago I often experienced chest pain. I thought taking painkillers would be enough. At first, it was manageable, but recently the pain has been accompanied by cold sweats and discomfort while breathing. Eating is usually normal, but sometimes I f...


Dr. Wang Weijie Reply:
Dear Ms. Chiu, The most common cause of chest pain is related to cardiovascular issues. Your symptoms, which include pain that leads to sweating and discomfort in breathing, suggest that you should seek medical attention as soon as possible for evaluation. This may include tests...

[Read More] Understanding Chest Pain: When to Seek Medical Attention


Understanding ECG Results: Next Steps for Heart Health Concerns

Electrocardiogram & Heart Hello doctor, I recently experienced sudden palpitations, dizziness, and shortness of breath, so I went to the provincial hospital for an electrocardiogram, which showed no abnormalities. However, I am still experiencing chest tightness and difficult...


Dr. Chen Qingbin Reply:
Hello KIKI: Your condition may be caused by anxiety disorder. However, it is best to visit a hospital for a physician's assessment and appropriate examination and treatment.

[Read More] Understanding ECG Results: Next Steps for Heart Health Concerns


Understanding Blood Pressure Concerns: Key Questions for Managing Hypertension

Regarding blood pressure issues? Hello Doctor: My mother is 63 years old and has a hypertension issue, but she only takes her medication when she feels unwell. Recently, she has been experiencing chest tightness and a rapid heartbeat. When measuring her blood pressure at the clin...


Dr. Yao Quan Reply:
Hello: 1. Blood pressure exhibits a circadian rhythm, which is related to the activity of the sympathetic nervous system. It is lowest during sleep and highest in the early morning. However, daytime blood pressure is primarily influenced by daily activities and is less related ...

[Read More] Understanding Blood Pressure Concerns: Key Questions for Managing Hypertension


Understanding Severe Palpitations: Causes and Diagnostic Approaches

Severe palpitations? I apologize! Recently, I often feel a strong heartbeat, and there is a sharp pain in the lower left side of my heart. The back of my head also experiences sharp pain that is truly unbearable. It has been occurring more frequently. In previous health check-ups...


Dr. Chen Qingbin Reply:
You need to go to the hospital for an electrocardiogram (ECG) and thyroid function tests.

[Read More] Understanding Severe Palpitations: Causes and Diagnostic Approaches


Understanding Counterclockwise Heart Axis Deviation in ECG Results

Electrocardiogram Issues Hello, Doctor Hsieh: Recently, my electrocardiogram (ECG) report showed "counterclockwise deviation of the heart axis." I searched online but couldn't find detailed information and I'm unclear about the potential implications. Therefor...


Dr. Xie Yonghui Reply:
Hello Miss Elizabeth: "Counterclockwise deviation of the cardiac axis" is not a disease, so please don't worry. It is simply a directional term in electrophysiology. Just like the structure and position of various organs in our bodies, not everyone is exactly the s...

[Read More] Understanding Counterclockwise Heart Axis Deviation in ECG Results


Understanding Redness in Hands and Feet: Causes and Next Steps

What causes the palms and soles to turn red? My mother is about 58 years old and has already gone through menopause. Recently, she has noticed redness in her palms and soles, without any pain or tingling sensations. She does not have hypertension, but her blood pressure reading i...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many causes for chest tightness, including cardiovascular issues (such as angina, myocardial infarction, aortic dissection, mitral valve prolapse, pericarditis), pulmonary conditions (such as pneumothorax, pulmonary embolism, ple...

[Read More] Understanding Redness in Hands and Feet: Causes and Next Steps


Understanding Unexplained Chest Pain: Causes and When to Seek Help

Unexplained chest pain? Hello, doctor: This evening while practicing the piano, I suddenly experienced severe pain in my left chest, near the heart. It felt like a cramp, and I could only maintain a certain position without moving to avoid the pain. I also couldn't take a fu...


Dr. Zhao Chongliang Reply:
When considering general chest pain, one must take into account various sources such as the chest wall, heart, respiratory organs, esophagus, and surrounding tissues. Additionally, women may experience breast tenderness before menstruation, which can also lead to chest pain. In...

[Read More] Understanding Unexplained Chest Pain: Causes and When to Seek Help


Understanding Chest Pain: Causes and When to Seek Help

Chest tightness or chest pain? Hello doctor, I have been experiencing a feeling of tightness and pain in my chest for over two weeks now. Initially, I thought it was due to exercise, but it hasn't improved over time. When sitting, I often feel my heart beating strongly, and ...


Dr. Zhao Chongliang Reply:
On October 5th, another woman raised a similar question, and the response provided at that time is as follows for your reference. (When considering general chest pain, one must take into account various sources of pain such as the chest wall, heart, respiratory organs, esophagus,...

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


Understanding Intermittent Chest Pain and Discomfort in Mitral Valve Prolapse

Cardiac discomfort? Hello Doctor: I have symptoms of mitral valve prolapse, and I would like to inquire why I feel that my chest pain occurs intermittently. When it doesn't flare up, I feel fine, but when it does, the pain is unbearable and quite frequent. Additionally, ever...


Dr. Zhao Chongliang Reply:
Mitral valve prolapse often leads to transient arrhythmias, which can cause various symptoms or vague discomfort that is difficult to pinpoint. By the time a patient arrives at the hospital for examination, the arrhythmia may have resolved. Repeated visits to the doctor can somet...

[Read More] Understanding Intermittent Chest Pain and Discomfort in Mitral Valve Prolapse


Understanding Downward T-Waves in ECG: What You Need to Know

Heart -2 Hello, regarding the previous question. The T waves are inverted in leads V1, V2, and V3, with one occurrence in each lead. Is this a concern? Your question: Hello, could you please explain the situation when the T wave in the heart's electrocardiogram (ECG) is do...


Dr. Li Huixiong Reply:
The presence of T wave changes in leads V1-3 suggests that there may be ischemic heart disease affecting the mid-anterior wall of the heart. It is still recommended that you consult a cardiologist for a stress echocardiogram, wear a 24-hour Holter monitor, or undergo cardiac cath...

[Read More] Understanding Downward T-Waves in ECG: What You Need to Know


Understanding Downward T-Wave Changes in ECG: Causes and Implications

Abnormal T wave in the heart? Hello, what does it mean when the T wave on an electrocardiogram is inverted rather than upright? In 2002, in the United States, I experienced heart pain (the pain was localized and persistent, but not severe). My electrocardiograms consistently show...


Dr. Li Huixiong Reply:
The presence of T waves on an electrocardiogram (ECG) usually indicates the possibility of ischemic heart disease. However, it is important to know how many T waves are present and in which leads they appear. It is advisable to consult a cardiologist for a complete resting ECG. I...

[Read More] Understanding Downward T-Wave Changes in ECG: Causes and Implications


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