Understanding Joint and Muscle Pain: Causes, Symptoms, and Management
Joint and muscle pain Hello Doctor, I would like to ask you a few questions. 1. Initially, I experienced pain in my right knee and went to an orthopedic clinic where an ultrasound revealed inflammation and swelling. The doctor suggested a possible meniscus injury. However, afte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Initially, I experienced pain in my right knee and visited an orthopedic clinic where an ultrasound revealed inflammation and swelling. The doctor suggested a possible meniscus injury. After a follow-up visit with no i...[Read More] Understanding Joint and Muscle Pain: Causes, Symptoms, and Management
Managing Blood Pressure and Heart Rhythm Medications: A Patient's Dilemma
Issues with Blood Pressure Medications Hello Dr. Lee, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for three months to maintain my condition. Sometimes I feel weak, and when I measure my blood pres...
Dr. Li Jian Reply:
For issues related to palpitations and low blood pressure, you may consult a cardiology department. Thank you for your inquiry.[Read More] Managing Blood Pressure and Heart Rhythm Medications: A Patient's Dilemma
Managing COVID-19 in Patients with Sjögren's Syndrome: Treatment Insights
After being diagnosed with COVID-19 three times, the patient has been unable to test negative for an extended period following the most recent diagnosis? Hello Doctor, my mother has been diagnosed with Sjögren's syndrome for over ten years. Currently, she is taking one pill ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I would like to ask whether antiviral medication is necessary, or if there is a need for antiviral medication for patients with Sjögren's syndrome? (I am not opposed to taking it; if possible, I hope the physicia...[Read More] Managing COVID-19 in Patients with Sjögren's Syndrome: Treatment Insights
Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Post-Exposure Prophylaxis (PEP) Hello doctor, today I went to Mackay Memorial Hospital for PEP treatment, and the doctor prescribed me BikTarVy (bictegravir/emtricitabine/tenofovir alafenamide). Can I drink alcohol while taking this medication? If so, how long should I wait after...
Dr. Liao Zhongxin Reply:
1. First, regarding the precautions for using Loxone (Tadalafil): When using Loxone film-coated tablets, please adhere to the following precautions and medication recommendations: - Follow the physician's prescription: Before using Loxone film-coated tablets, obtain an ...[Read More] Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
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 Heart Report: Insights on CAD Severity and Next Steps
Could you please help me review the report and let me know if it is serious? Thank you? Clinical history: Rule out coronary artery disease (CAD) Procedures: Following the intravenous injection of 2 mCi of Thallium-201 chloride under stress conditions induced by Dipyridamole 0.5...
Dr. Yu Liying Reply:
You may have coronary artery disease, and it is recommended that you seek medical treatment. Treatment may include advanced imaging studies, lifestyle modifications, and medication therapy. In some cases, interventional procedures such as stent placement or coronary artery bypass...[Read More] Understanding Your Heart Report: Insights on CAD Severity and Next Steps
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Doctor: I apologize, as I have recently been experiencing frequent weakness in my heart. The results of the echocardiogram report are as follows: Doppler LV IVRT(H)(91.2 msec) (70-90) M-Mode RVDd () (5-21) RWT (0.51 mm) MV E-F slope(L)(61.1 mm/s) (80-150) A ...
Dr. Yu Liying Reply:
The report indicates that the size of the cardiac chambers is normal, the overall systolic function of the left ventricle is normal, and the diastolic function of the left ventricle is normal, with mild tricuspid regurgitation. It is recommended to continue monitoring for changes...[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
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
Sudden Rapid Heartbeat During Sleep: Causes and When to Seek Help
Waking up in the middle of the night with a sudden rapid heartbeat? Recently, I have been experiencing episodes during sleep where I feel my heart racing, and I am unable to wake up, accompanied by a sensation of being pressed down by a ghost. Each time, I have to take deep breat...
Dr. Yu Liying Reply:
Hello: This situation may be related to excessive cardiac excitability at night, such as nighttime arrhythmias, anxiety, or panic attacks. It is recommended to try relaxation techniques to reduce nighttime anxiety and stress. Additionally, avoid consuming caffeinated beverages or...[Read More] Sudden Rapid Heartbeat During Sleep: Causes and When to Seek Help
Managing Thyroid Medication: From Hyperthyroidism to Hypothyroidism Concerns
The treatment for hyperthyroidism has been reduced, but the medication is still being taken? Hello Doctor: I have been experiencing a rapid heartbeat, and blood tests revealed hyperthyroidism with TSH < 0.005 and Free T4 > 7.7. The doctor prescribed: for the first and secon...
Dr. Li Jian Reply:
During the treatment process for hyperthyroidism, fluctuations may occur. Please ensure regular blood tests are conducted to facilitate dosage adjustments. Thank you for your inquiry.[Read More] Managing Thyroid Medication: From Hyperthyroidism to Hypothyroidism Concerns
Understanding Weight Changes After Knee Surgery: What to Know
Weight issues Hello Doctor, my mother is about 60 years old and had knee replacement surgery earlier this year. She is currently recovering well and can climb stairs. The only medication she is taking now is one pill in the morning and one in the evening for blood pressure and he...
Dr. Li Jian Reply:
If you are unsure about how to exercise appropriately, you can consult a rehabilitation specialist for therapy to prevent muscle atrophy. Thank you for your inquiry.[Read More] Understanding Weight Changes After Knee Surgery: What to Know
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
Challenging Cases of Severe Hypokalemia: When Potassium Supplements Fail
Severe hypokalemia that cannot be corrected? My mother suffers from severe hypokalemia, with potassium levels ranging from about 1.7 to 1.9 when stable, and dropping to as low as 1.4 during severe episodes. She takes potassium tablets daily, with the hospital prescribing up to 60...
Dr. Huang Yaoxuan Reply:
You can visit the outpatient clinic for a detailed assessment and examination.[Read More] Challenging Cases of Severe Hypokalemia: When Potassium Supplements Fail
Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained
Mitral valve prolapse Doctor, is my report normal? Is the difficulty in breathing, chest tightness, and dizziness caused by mitral valve prolapse? AO 27 mm (normal range 20-37) IVS 7 mm (normal range 7-10) LVEF M 70.8% AV 16 mm (normal range 16-26) LVPW 7 mm (normal ran...
Dr. Xie Rongyuan Reply:
Hello: Mild mitral regurgitation (MR) and tricuspid regurgitation (TR) are abnormal findings. If there are any concerns, you should consult a cardiologist. Thank you for your message![Read More] Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained
Understanding Subtle Body Tremors: Causes and Solutions
There is a slight tremor in the body that is not visible to the naked eye? Since early February, after eating something bad and thinking it was food poisoning, I experienced diarrhea and went to the emergency room. Since then, I have often felt my heart racing, and when I get anx...
Dr. Zhang Shixin Reply:
Hello: In addition to electrolyte abnormalities, endocrine dysfunctions such as hyperthyroidism can also lead to symptoms like tachycardia, elevated blood pressure, diarrhea, and tremors. If your symptoms are affecting your daily life, it is recommended that you follow up with an...[Read More] Understanding Subtle Body Tremors: Causes and Solutions
Understanding Sudden Chest Pain: Causes and When to Seek Help
Chest pain? This morning, while trying to go back to sleep, I suddenly experienced a sharp pain in my heart for just a few seconds. This is the first time it has happened. However, I have been experiencing more frequent sharp pains in my right chest. Since it seems to be a chest ...
Dr. Lin Wufu Reply:
Hello, the description seems more related to muscle or nerve issues rather than the heart itself. Further evaluation is needed to determine the exact problem. It is recommended to consult with a family medicine physician, general internist, or neurologist for assessment.[Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Struggling with Unexplained Health Issues: Seeking Effective Solutions
There are many health conditions? Hello, doctor. I have been experiencing many health issues, but I have encountered obstacles in seeking medical help and have not been able to find the cause of my problems or receive effective assistance. Therefore, I would like to seek your opi...
Dr. Lin Wufu Reply:
Hello, you may need to schedule a follow-up appointment with the Infectious Disease Department for further examination to determine if there are any physiological issues. Additionally, please measure your body temperature daily to check for fever after experiencing chills and shi...[Read More] Struggling with Unexplained Health Issues: Seeking Effective Solutions
Restoring Your Body Clock: Tips for Managing Sleep and Palpitations
Circadian rhythm, sleep, palpitations, autonomic nervous system dysregulation? Hello, doctor. For the past month, I have developed a habit of staying up late, often not going to sleep until 5 AM. I usually do not eat while staying up late, and my body has not reacted too severely...
Dr. Li Jian Reply:
Because you are still young, it won't take long for you to adjust. It is recommended to get some sunlight during the day and increase your activity level, as this can also improve sleep quality. Thank you for your inquiry.[Read More] Restoring Your Body Clock: Tips for Managing Sleep and Palpitations
Unsteady and Dizzy: Understanding Balance Issues in Autoimmune Conditions
Feeling unsteady and unable to maintain balance at all times? Hello, doctor. I have rheumatoid arthritis, and one day after sitting in the same position for too long, I suddenly felt dizzy, weak, and cold, almost fainting. After seeking medical attention, I have been experiencing...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If you are continuously undergoing medication management and follow-up treatment, it is advisable to return to your rheumatologist. This visit can help assess for any potential medication side effects and evaluate for cervical spine compression ...[Read More] Unsteady and Dizzy: Understanding Balance Issues in Autoimmune Conditions
Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...
Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?