Health check-up, Internal Medicine FAQ - Page 15

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Understanding Mitral Valve Prolapse: Genetic Risks and Family History

I have mitral valve prolapse? I am 15 years old and during my health check-up in my first year of high school, some issues were found in my electrocardiogram. Later, after experiencing severe chest pain, I went to the hospital for more detailed examinations, and it was discovered...


Dr. Chen Qingbin Reply:
Hello Vivi: Mitral valve prolapse is not a hereditary condition, so you don't need to worry too much. Director of the Health Education Department, Chen Ching-Pin.

[Read More] Understanding Mitral Valve Prolapse: Genetic Risks and Family History


Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions

Incomplete right bundle branch block Hello Doctor: I am thirty years old, and occasionally when I feel very fatigued or have stayed up late, I experience a sensation of tightness in my chest, which is quite uncomfortable. However, this discomfort disappears after a good night...


Dr. Liu Hongxiang Reply:
In the left ventricle of the heart, there are left and right bundle branches that conduct electrical signals simultaneously. If the conduction through the right bundle branch slows down but does not completely block, it is referred to as "incomplete right bundle branch block...

[Read More] Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions


Understanding Urine Test Results: What Does ob+ Mean?

Regarding small questions about health check-ups? Recently, I had a general health check-up, and in the report, the urine section showed ob+. What does this mean?


Dr. Wang Fangli Reply:
Hello, Miss Cloud: OB refers to occult blood, which means there is blood in the urine that is not visible to the naked eye. The presence of occult blood may indicate kidney issues, urinary tract infections, or stones, or it could be due to your menstrual period not being complete...

[Read More] Understanding Urine Test Results: What Does ob+ Mean?


Can Women with One Kidney and Uterus Didelphys Safely Get Pregnant?

Is it suitable for someone born with a congenital kidney deficiency to become pregnant? Hello Dr. Yang, I recently underwent an examination due to gastritis, and during the ultrasound, it was discovered that I only have one kidney. Additionally, my liver detoxification function...


Dr. Yang Jun Reply:
Hello, Xiao Qi: In response to your inquiry, I will address your questions in three parts: 1. The human body has two kidneys, and as long as one kidney functions normally, the body can effectively excrete toxins, regulate water, maintain electrolyte balance, control blood press...

[Read More] Can Women with One Kidney and Uterus Didelphys Safely Get Pregnant?


Understanding Elevated CA19-9 Levels: Next Steps for Pancreatic Cancer Screening

Elevated CA19-9 levels? In early February, I underwent a health check-up, which included a pancreatic cancer screening. My CA19-9 level was 51.08. What further examinations should I undergo, and what specific tests should be conducted?


Dr. Hong Hongchang Reply:
The pancreatic cancer markers CEA and CA19-9 have been noted. Therefore, it is recommended to undergo an ultrasound examination and follow-up at a gastroenterology outpatient clinic.

[Read More] Understanding Elevated CA19-9 Levels: Next Steps for Pancreatic Cancer Screening


Is Your Kidney Inflamed? Understanding Proteinuria and Back Pain

Is it a kidney inflammation? Recently, I underwent a health check-up and found that I have proteinuria and hematuria. I usually experience lower back pain and my diet tends to be high in salt and flavor.


Dr. Li Huixiong Reply:
I recommend that you redo the urine test. When collecting the urine, remember to first void a small amount and then collect the midstream urine for testing. This method provides more valuable reference data and makes it easier to determine if there is any inflammation. Otherwise,...

[Read More] Is Your Kidney Inflamed? Understanding Proteinuria and Back Pain


Understanding Blood Sugar Levels: Is 99 mg/dL a Cause for Concern?

Blood glucose During my health check-up, my fasting blood glucose level was 99 mg/dL, whereas it used to be around 87 mg/dL. The normal range is 65-110 mg/dL. Does this mean I am at a higher risk of developing diabetes? Is there a way to lower my blood sugar levels? Is this relat...


Dr. Ke Zhengchang Reply:
Reply to Aaron: A fasting blood sugar level of 99 is still within the safe normal range. At the age of 23, your chances of developing diabetes are low. The risk of diabetes is related to family history, obesity, and lifestyle habits. Engaging in regular exercise, reducing fat int...

[Read More] Understanding Blood Sugar Levels: Is 99 mg/dL a Cause for Concern?


Understanding Aortic Tortuosity: What You Need to Know

Aortic coarctation? Hello Dr. Ke: During my full body check-up last year, this condition was discovered. I usually don't have any unusual symptoms, I occasionally smoke (no more than one cigarette a day), I don't have a habit of drinking alcohol, and I go to bed early. ...


Dr. Ke Zhengchang Reply:
Hello, Mr. Jiang: Based on your description, it appears that the chest X-ray from your health check-up revealed aortic tortuosity, which is mostly a natural change associated with aging. However, it is important to monitor for conditions such as hypertension, diabetes, or dyslipi...

[Read More] Understanding Aortic Tortuosity: What You Need to Know


Essential Health Check Insights: Anemia, Low Blood Pressure, and Urinary Issues

Health check-up After a health check-up, the following symptoms were found. What should I pay attention to? Thank you! 1. There is anemia, with both hematocrit and hemoglobin levels being inadequate, and his blood pressure is 110/60 (which is considered low blood pressure). Wha...


Dr. Hong Hongchang Reply:
Anemia may be due to excessive loss or bone marrow disorders, requiring further diagnosis. Hematuria combined with elevated uric acid levels can lead to kidney damage and chronic renal failure. It is recommended to follow up with a nephrology outpatient clinic.

[Read More] Essential Health Check Insights: Anemia, Low Blood Pressure, and Urinary Issues


Understanding Low Triglycerides: Health Implications and Management Tips

Low triglycerides? I found related questions in the FAQ, but I still cannot understand my situation. I would greatly appreciate Dr. Tseng's clarification! I am 162 cm tall and weigh 50 kg, a non-smoker, and I usually eat little meat and almost no seafood, preferring sweet fo...


Dr. Zeng Fenyu Reply:
If the total cholesterol is greater than 200 mg/dL without other risk factors, dietary and lifestyle modifications can be initiated, and a follow-up should be done after three months. If the levels remain high, medication treatment may be considered. It is recommended that you co...

[Read More] Understanding Low Triglycerides: Health Implications and Management Tips


Understanding Incomplete Right Bundle Branch Block in ECG for Seniors

Electrocardiogram (ECG or EKG) Hello Dr. Ke: I have a question regarding an electrocardiogram (ECG) examination that I would like to consult you about. I would greatly appreciate your guidance. I came across a common issue where patients inquired about incomplete right bundle bra...


Dr. Ke Zhengchang Reply:
In response to Rose: If the electrocardiogram shows only incomplete right bundle branch block, it generally does not present any symptoms and does not require treatment. It is sufficient to manage blood pressure effectively and to have regular follow-ups with a cardiologist to mo...

[Read More] Understanding Incomplete Right Bundle Branch Block in ECG for Seniors


Understanding Proteinuria: Symptoms, Prevention, and Treatment Options

Regarding urinary protein? Three years ago, during a comprehensive health check-up, I was found to have protein in my urine. This year, when I tested my urine again, there was still protein present. I know my urine is very concentrated. I would like to ask what symptoms are assoc...


Dr. Zeng Fenyu Reply:
Hello Alpha: 1. Patients with proteinuria may not always exhibit symptoms; however, severe proteinuria may present with symptoms such as edema and hypertension. 2. It is recommended that you take the time to visit the nephrology outpatient clinic for follow-up examinations. (Resp...

[Read More] Understanding Proteinuria: Symptoms, Prevention, and Treatment Options


Understanding High Blood Pressure: Effective Treatment and Recovery Tips

How to treat hypertension? I recently had a basic health check-up, and the nurse informed me that I have high blood pressure. However, I am unclear about why I have this condition. How can I return to a healthy blood pressure level? Additionally, what steps can I take to restore ...


Dr. Zeng Fenyu Reply:
Blood pressure is the force exerted by circulating blood on the walls of blood vessels. There are many potential causes of high blood pressure, and it is advisable to visit an internal medicine clinic for a physician to determine the underlying cause of your hypertension. General...

[Read More] Understanding High Blood Pressure: Effective Treatment and Recovery Tips


Understanding Mitral Valve Insufficiency: Concerns and Care Tips

Cardiac Issues Dr. Ke: Hello, I experienced mitral valve regurgitation due to a cold and fever during my childhood. In 1986, during a health check-up, the doctor informed me that my heart was enlarged and recommended urgent surgery for repair, which I underwent in May of that yea...


Dr. Ke Zhengchang Reply:
Dear Ms. Yuequan: After heart valve surgery, it is essential to continue follow-up care with a cardiologist and to adhere to long-term medication therapy. It is normal for the heart to remain slightly enlarged after the surgery, so there is no need for excessive concern. A low-so...

[Read More] Understanding Mitral Valve Insufficiency: Concerns and Care Tips


Understanding Hyperuricemia: Risks, Treatment, and Genetic Factors

Hyperuricemia Before the Lunar New Year, I went to the hospital for a health check-up. After the report came out, my uric acid level was as high as 8.4! However, I do not have any symptoms of gout. Doctor, is this a cause for concern? Do I need to take medication? What should I p...


Dr. Hong Hongchang Reply:
Hyperuricemia - A blood test shows uric acid levels exceeding 8.0 mg/dL. It is advisable to avoid foods high in purines (such as organ meats, seafood, and rich broths) and to refrain from drinking beer. Additionally, increasing water intake and engaging in moderate exercise can b...

[Read More] Understanding Hyperuricemia: Risks, Treatment, and Genetic Factors


Improving Low HDL and Managing High Cholesterol Through Diet

High cholesterol Hello Dr. Lee: My father is 57 years old, and during his health check-up, it was found that he has high cholesterol levels—specifically, elevated low-density lipoprotein (LDL) cholesterol and low high-density lipoprotein (HDL) cholesterol. Additionally, his trigl...


Dr. Li Huixiong Reply:
Do you know your father's cholesterol levels? If only the cholesterol is elevated while the triglycerides are normal or below normal, it is referred to as pure hypercholesterolemia. If HDL is low, there is a potential risk for vascular hardening. Management can be divided in...

[Read More] Improving Low HDL and Managing High Cholesterol Through Diet


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 Post-Exercise Heart Palpitations and Breathing Issues

Increased heart rate after exercise? Hello Dr. Ke, I would like to ask you about a heart-related issue. I often experience rapid heartbeat and shortness of breath after exercising, which usually resolves with a bit of rest. However, yesterday was more severe; after cycling, I had...


Dr. Ke Zhengchang Reply:
Hello, Antia; it is recommended that you undergo an exercise electrocardiogram (ECG) to check for any arrhythmias and signs of cardiac hypoxia.

[Read More] Understanding Post-Exercise Heart Palpitations and Breathing Issues


Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes

Questions regarding diaphragmatic hernia? Hello, I recently underwent a health check-up and the report indicated that I have gastritis, as well as a hiatal hernia. I also experience food reflux when I overeat or consume greasy foods, and I tend to vomit whenever I overeat and lie...


Dr. Ke Zhengchang Reply:
Hello Ms. Wu Pei-Rong: A diaphragmatic hernia must be diagnosed through an upper gastrointestinal series. For gastroesophageal reflux, it is advisable to eat small, frequent meals and to stop eating when feeling about 70% full. Avoid lying down immediately after meals. Additional...

[Read More] Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes


Understanding Persistent Bitter Taste: Causes and Solutions

Bitter taste in the mouth? I have been experiencing a persistent bitter taste in my mouth for the past year. I have undergone health check-ups and visited the hospital for examinations, but no conclusions have been reached. Recently, I have also tried traditional Chinese medicine...


Dr. Hong Hongchang Reply:
A bitter taste in the mouth is commonly associated with oral diseases such as periodontal disease, gastrointestinal disorders, and metabolic diseases. It is advisable to visit a nearby hospital's internal medicine outpatient clinic for further evaluation.

[Read More] Understanding Persistent Bitter Taste: Causes and Solutions


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