Understanding Left-Sided Lower Back Pain: Causes and Next Steps
Left posterior flank pain? Hello Doctor: Recently, I have not been feeling well and have been experiencing physical and mental tension. Two weeks ago, I had a four-day episode of head pressure and dizziness (migraine), and I occasionally feel my heart racing. I visited an ENT spe...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the previous symptoms were indeed more indicative of a cold. However, considering the recent situation, it is highly suspected that you may have a urinary tract stone. I recommend that you consult a urologist, as you may need to undergo a urinaly...[Read More] Understanding Left-Sided Lower Back Pain: Causes and Next Steps
Understanding Left Chest and Abdominal Pain: Causes and Symptoms
Pain and bloating in the lower left abdomen? Hello doctor, I often feel a lot of bloating and pain in the area below my left chest, and sometimes I also have a sensation of not being able to catch my breath. What could these symptoms indicate? I previously went to the hospital fo...
Dr. Hong Yuanbin Reply:
Hello, the area you are referring to should be carefully evaluated for potential heart or lung issues. However, considering your age and the fact that you have had an X-ray, the likelihood of these conditions is low. The next possibility could be gastrointestinal problems, such a...[Read More] Understanding Left Chest and Abdominal Pain: Causes and Symptoms
Understanding Mitral Valve Prolapse: When to Seek Medical Attention
Mitral valve prolapse Hello, doctor. I was diagnosed with mitral valve prolapse in February and was prescribed medication at that time. Recently, I've been experiencing sudden shortness of breath while lying down or sitting, which is quite uncomfortable. Previously, this wou...
Dr. Hong Yuanbin Reply:
Hello, valve issues are concerning as they may be accompanied by arrhythmias, heart failure, or pulmonary edema. These conditions require a personal examination for accurate assessment. Therefore, if you are experiencing shortness of breath, it is advisable to seek medical attent...[Read More] Understanding Mitral Valve Prolapse: When to Seek Medical Attention
Fast Heart Rate with Low Blood Pressure: Should You Be Concerned?
Low blood pressure but rapid heartbeat? Hello, I have undergone several examinations and have found that my heart rate is quite fast, around 110 beats per minute. If I walk up stairs or briskly walk (to the point of mild shortness of breath), my heart rate can spike to about 160 ...
Dr. Hong Yuanbin Reply:
Hello, everyone's blood pressure and heart rate can vary, and the so-called normal values are for reference. It is recommended that you measure your blood pressure and heart rate 2-3 times a day, preferably after resting for 20 minutes. If all readings are normal and you hav...[Read More] Fast Heart Rate with Low Blood Pressure: Should You Be Concerned?
Post-Exercise Weakness: Heart Pain, Breathing Issues, and Cold Sweats
Post-exercise generalized weakness, difficulty breathing, chest pain, and profuse sweating? This morning, I overslept and rushed to the station. When I arrived, I felt very dizzy and thought I would wash my face at the nearby McDonald's. However, as soon as I walked in, my h...
Dr. Xie Rongyuan Reply:
Hello: If you have the above symptoms, please go to the hospital for a detailed examination. Anemia can increase the workload on the heart, which is certainly related to cardiac issues. Thank you for your message![Read More] Post-Exercise Weakness: Heart Pain, Breathing Issues, and Cold Sweats
Does Mitral Valve Prolapse Affect Male Sexual Function?
Does mitral valve prolapse cause sexual dysfunction? Does mitral valve prolapse cause sexual dysfunction? Since it is related to heart blood flow, I am concerned about its impact as a male.
Dr. Xiao Yongxun Reply:
Dear Mr. Luas: 1. There are very few studies that report mitral valve prolapse as a cause of sexual dysfunction. 2. Most cases of mitral valve prolapse are asymptomatic. A small percentage may experience symptoms such as shortness of breath, palpitations, chest pain, arrhythmias...[Read More] Does Mitral Valve Prolapse Affect Male Sexual Function?
Understanding the Link Between High Uric Acid and Heart Health
Cardiac issues and elevated uric acid levels? Cardiac issues: I experience shortness of breath while jogging, which prevents me from continuing. This phenomenon occurs about 10 minutes into jogging (I haven't recorded it carefully). Which department should I visit for an exa...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Indeed, there is a trend of metabolic diseases occurring at younger ages, and it's great that you are being vigilant. Regarding your concerns, my recommendations are as follows: 1. If you experience shortness of breath during jogging, it...[Read More] Understanding the Link Between High Uric Acid and Heart Health
Managing High Cholesterol: Should You Choose Medication or Lifestyle Changes?
High cholesterol I have had high cholesterol issues since childhood. After taking lipid-lowering medication for about a year, my cholesterol levels returned to normal. My doctor believes I can try stopping the medication. Since stopping, I have been exercising regularly and follo...
Dr. Xiao Yongxun Reply:
Dear Ms. Fei: 1. According to the regulations of our national health insurance, patients with cardiovascular diseases or diabetes whose total cholesterol level exceeds 160 mg/dL or low-density lipoprotein cholesterol (LDL-C) exceeds 100 mg/dL may be eligible for pharmacological ...[Read More] Managing High Cholesterol: Should You Choose Medication or Lifestyle Changes?
Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
High school student with hypoglycemic coma? Hello Doctor, my daughter, who is in her first year of high school, suddenly reported feeling dizzy and weak while studying at home in mid-December. I intended to check her blood pressure (her school health check and regular measurement...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough consideration of other factors is necessary. Generally, hypoglycemia can...[Read More] Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
Understanding Heart Palpitations: Tests and Treatment Options
Cardiac issues and diagnostic concerns? Recently, my heart has been racing, reaching a maximum of 136 beats per minute, and my hands also tremble. I underwent a resting electrocardiogram and a chest X-ray, and the doctor said everything was normal, only prescribing me antiarrhyth...
Dr. Hong Yuanbin Reply:
Hello, heart rhythm medications primarily control heart rate and should not have a significant impact on thyroid function. As for the reason behind your increased heart rate, it may be necessary to visit a family medicine or cardiology specialist for a 24-hour Holter monitor to c...[Read More] Understanding Heart Palpitations: Tests and Treatment Options
Understanding Winter Blood Pressure Changes in the Elderly
Winter Blood Pressure Issues in the Elderly Hello, doctor. I would like to ask about blood pressure issues in the elderly. I found some information online stating that it is normal for blood pressure to be higher in winter. Since I work in a nursing facility, there has been signi...
Dr. Xiao Yongxun Reply:
Dear Ms. Zhen: V = I × R (Voltage = Current × Resistance) Similarly: BP (Blood Pressure) = CO (Cardiac Output) × TPR (Total Peripheral Resistance) = (SV (Stroke Volume) × HR (Heart Rate)) × TPR R = 8ηL/πr^4 Where R: Resistance; η: Viscosity; L: Length; π: Pi; r: Radius of th...[Read More] Understanding Winter Blood Pressure Changes in the Elderly
Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Experiencing lower back pain after receiving the flu vaccine? Hello doctor, I received the flu vaccine on Friday afternoon, and since then my lower back has been very sore. Is this a side effect of the vaccine? I need to take care of my child, and especially after sitting in the ...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question "<Is back pain after receiving the flu vaccine a side effect of the vaccine?>", here is the response: I. Please refer to the CDC's Q&A: http://www.cdc.gov.tw/qa.aspx? Q1: Is the flu vaccine safe? What side effects m...[Read More] Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Understanding Breathing Issues After Quitting Smoking: A Guide
Smoking cessation issues I have been smoking for 5-6 years and recently started to quit smoking. I am also exercising, riding my bike for about an hour and a half each evening. However, sometimes I experience a sensation of not being able to get enough air before bed, and I often...
Dr. Hong Yuanbin Reply:
Hello, based on your father's condition, it is likely that he has had allergic rhinitis for a long time, possibly due to long-term smoking. I recommend some ways to improve the situation, such as regular exercise and keeping warm, especially during sleep. If symptoms persist...[Read More] Understanding Breathing Issues After Quitting Smoking: A Guide
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?
Understanding Causes of Chest and Throat Burning Sensations
Burning sensation in the chest and throat? Hello, doctor. I would like to ask what other conditions, besides gastroesophageal reflux disease (GERD), can cause a burning sensation in the chest and throat? For example, can heart disease, bronchial diseases, respiratory diseases, or...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the most common cause is indeed gastroesophageal reflux disease (GERD). Additionally, esophageal infections, gastritis, mediastinitis, and myocarditis are also possible causes. It is recommended to first undergo an upper endoscopy, and if the res...[Read More] Understanding Causes of Chest and Throat Burning Sensations
Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...
Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Effective Weight Loss Strategies: Overcoming Common Challenges
Struggling to lose weight? Hello, Doctor: My height is 161.5 cm, weight is 70 kg, and my BMI is 26.83. I have read several weight loss books, and the doctor has mentioned to eat less and exercise more, but when I exercise more, I tend to eat more! Just relying on the phrase "...
Dr. Xiao Yongxun Reply:
1. Your height is 161.5 cm, weight is 70 kg, and your BMI is 26.83 kg/m², which classifies you as overweight. In medicine, there are various weight loss methods; however, there is no single method that is universally effective for everyone. Since obesity can lead to insulin resis...[Read More] Effective Weight Loss Strategies: Overcoming Common Challenges
When to Stop Medication for Hyperthyroidism: A Patient's Concern
The issue of when to discontinue medication for hyperthyroidism? Hello, doctor. This April, I experienced a noticeable increase in heart rate along with other uncomfortable symptoms. At the beginning of May, I visited a family medicine clinic where blood tests diagnosed me with h...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit the endocrinology department for further examination. If it is subacute thyroiditis, there will be no need for medication once recovery is achieved. Thank you for your message![Read More] When to Stop Medication for Hyperthyroidism: A Patient's Concern
Understanding Abdominal Discomfort While Lying Flat: Possible Causes
Abdominal discomfort? When lying flat on your back while sleeping, you experience discomfort around the area between your chest and abdomen, but you do not feel this discomfort when sleeping on your side. What could be the possible reasons for this? You do not have a significant ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you are experiencing discomfort in the area of the esophagus and stomach. The most common cause for this is gastroesophageal reflux disease (GERD). It is recommended to eat smaller, more frequent meals and to reduce the intake of ir...[Read More] Understanding Abdominal Discomfort While Lying Flat: Possible Causes
Exercise Concerns for Patients with Hypothyroidism: What You Need to Know
Concerns about exercise in hypothyroidism? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. Last week, I discovered a lump in my neck, and after visiting the clinic yesterday, I was diagnosed with hypothyroidism. The physician mentioned that it is...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to avoid intense exercise in the initial stages to prevent overexertion. Once the medication stabilizes, you can gradually increase the intensity of your workouts. However, it is still advisable not to push yourself too hard. Thank you for your question.[Read More] Exercise Concerns for Patients with Hypothyroidism: What You Need to Know