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
Urgent Medical Advice Needed for 63-Year-Old with Unusual Symptoms
Request for consultation advice? My father is 63 years old and was previously in good health without any chronic illnesses. About a month ago, he sought medical attention for sudden hearing loss, which was diagnosed as a viral infection likely caused by a cold. He was treated wit...
Dr. Chen Junwei Reply:
Hello: The main symptoms currently are poor mental state, lack of appetite, and general weakness. However, many internal medical conditions can present with similar symptoms, such as electrolyte imbalance, dehydration, adrenal insufficiency, hyperglycemia or hypoglycemia, and liv...[Read More] Urgent Medical Advice Needed for 63-Year-Old with Unusual Symptoms
Understanding the Connection Between Stomach Issues and Breathing Difficulties
Heavy feeling in the stomach and difficulty breathing? I recently wrote to you about my issues with stomach pain and bloating. I visited Mackay Memorial Hospital, where the doctor prescribed me medication for bloating and gastric relief, but it hasn't been very effective. My...
Dr. Cai Yaozhou Reply:
First, consult a general internist or gastroenterologist to arrange for an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease and Helicobacter pylori infection. Additionally, see a general internist or family medicine specialist to arrange for a chest X...[Read More] Understanding the Connection Between Stomach Issues and Breathing Difficulties
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 Heart Discomfort: When to Seek Cardiac Care
Cardiac discomfort Hello, doctor; this issue has been bothering me for a long time, but it has become particularly severe recently. I often experience chest tightness, and my pulse is irregular—sometimes it is suddenly very fast, then it can be very slow or weak. I have generaliz...
Dr. Cai Yaozhou Reply:
If you see a cardiologist and they order a cardiac ultrasound, and the results are normal, it is likely that emotional stress is a significant contributing factor.[Read More] Understanding Heart Discomfort: When to Seek Cardiac Care
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 Bloating and Discomfort: Causes and Solutions
Stomach feels bloated, stomach feels tight? Hello, my family member experienced sudden abdominal distension about six months ago. They visited a gastroenterologist and underwent examinations, which indicated that everything was normal. It was also suggested that it could be relat...
Dr. Cai Yaozhou Reply:
Perform an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease and gastric ulcers.[Read More] Understanding Bloating and Discomfort: Causes and Solutions
Understanding Sharp Chest Pain: Which Cardiology Specialist to See?
Sharp pain near the heart? Sometimes I feel a sharp pain near my heart, and it gets worse with each breath; it eases a bit when I don't breathe. I have previously had an X-ray and an electrocardiogram, both of which showed no issues. The doctor suggested that I see a cardiol...
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. The causes of chest pain may originate from the skin, chest wall, lungs, heart and major blood vessels, gastrointestinal tract, or psychological factors. Pain from musculoskeletal disorders, pneumothorax, pleuritis, and pericarditis may wor...[Read More] Understanding Sharp Chest Pain: Which Cardiology Specialist to See?
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 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 Dizziness: Causes, Concerns, and Specialist Guidance
Dizziness Hello Dr. Wang, over the past ten years, I have experienced dizziness of unknown origin four to five times, approximately once every two to three years. The most recent episode occurred on March 21 at 6 PM. I recall that each time it happened, it was triggered by worryi...
Dr. Wang Fangli Reply:
Hello Mr. Chih-Chuan: As you mentioned, you experience dizziness each time due to worry about a certain issue. Therefore, it is important to pay attention to regular exercise, ensure adequate sleep, and maintain relaxation for both body and mind. Next time you visit the hospital,...[Read More] Understanding Dizziness: Causes, Concerns, and Specialist Guidance
Understanding Hypokalemia: Causes, Symptoms, and Treatment
What is hypokalemia? What is hypokalemia?
Dr. Shi Guangzhong Reply:
Dear Sir, I apologize for the delayed response due to a recent computer malfunction. Potassium is the most important cation within human cells, directly influencing muscle contraction and nerve conduction functions. Its concentration in plasma is regulated by renal excretion. ...[Read More] Understanding Hypokalemia: Causes, Symptoms, and Treatment
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
Understanding Right Axis Deviation and Complete Bundle Branch Block in ECG
What does right axis deviation and complete bundle branch block mean? Previously, I underwent a medical examination due to military service, and the report indicated: right axis deviation and complete bundle branch block, which do not affect cardiac function. Could you please exp...
Dr. Li Huixiong Reply:
The results of a normal cardiac electrophysiological examination follow a specific pathway, known as an electrocardiogram (ECG). Under normal circumstances, each segment of the recording has a roughly fixed duration. Your results indicate right axis deviation and complete bundle ...[Read More] Understanding Right Axis Deviation and Complete Bundle Branch Block in ECG
Understanding Left Back Pain: When to See a Doctor and Which Specialist?
excuse me? Hello doctor, I have a slight pain in the middle of my left back. It doesn't hurt as much when I take a deep breath, but it's difficult to breathe when I sit up straight. I've never experienced this before. Should I see a doctor? If so, which specialty s...
Dr. Zhao Chongliang Reply:
We usually categorize back pain into upper, middle, and lower regions, and I'm not sure which segment you are referring to. Back pain is often considered the "original sin" of bipedalism in humans, as the vertebrae and intervertebral discs of most vertebrate animal...[Read More] Understanding Left Back Pain: When to See a Doctor and Which Specialist?