Heart, Internal Medicine FAQ - Page 12

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Understanding Chest Discomfort: When to Seek Medical Attention

Chest tightness or chest pain? Hello Doctor, lately I have been feeling a slight heaviness and discomfort in my heart area, but it's very mild. When I take a deep breath, it feels a bit bloated. I used to experience occasional pain and have seen a doctor before, who mentione...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your discomfort is related to a cold. I recommend that you get plenty of rest, stay hydrated, and treat any related symptoms. If the discomfort persists, you may want to consider seeking medical treatment. Thank you for your inquiry...

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Understanding Chest Pain: A Student's Concerns About Heart Health

I woke up in the early morning due to chest tightness and pain? Hello, Doctor. I am a resident student. Due to being overweight, I use the treadmill for at least an hour each day at a speed of about 6 to 7 kilometers per hour. However, I have been inactive for a while, so I get q...


Dr. Hong Yuanbin Reply:
Hello, based on your current condition, exercising is indeed your best option and will likely provide you with the most benefit. However, since you do not have a regular exercise routine, I recommend starting gradually. In terms of speed, you should run at a pace where you can ta...

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Low Lymphocyte Count: Could It Indicate HIV Infection?

A low lymphocyte count and a neutrophil count near the upper limit of normal could potentially indicate various conditions, including HIV. However, these findings alone are not definitive for an HIV diagnosis. It is important to consult a healthcare professional for further evalu...


Dr. Liao Zhongxin Reply:
Regarding <My Story>, the response is as follows: 1. I discovered painful urination and purulent discharge in mid-December last year and immediately sought medical attention at a clinic. However, there was no discharge during the examination. The doctor administered an in...

[Read More] Low Lymphocyte Count: Could It Indicate HIV Infection?


Persistent Left Back Itching and Numbness: Seeking Answers in Medical Care

Numbness and itching deep in the left back? About five months ago, I started feeling a tingling and itchy sensation deep in my left back, near the scapula. Scratching the skin is completely ineffective, and pressing hard provides only slight relief. Since the itchy sensation is a...


Dr. Hong Yuanbin Reply:
Hello, I understand you have been feeling unwell and it has not improved. Based on your description, there are indeed many conditions that could cause such symptoms, including left arm injuries (such as strains or poor posture), heart issues, or problems with the stomach or pancr...

[Read More] Persistent Left Back Itching and Numbness: Seeking Answers in Medical Care


Understanding Hyperthyroidism: Symptoms, Treatments, and Dietary Guidelines

Thyroid issues Hello, doctor! Over the past one to two years, my thyroid function tests have been normal. However, six months ago, I started feeling hot all the time, not sensitive to cold, and my heart rate increased from 70-80 to around 100. I also noticed slight swelling in my...


Dr. Hong Yuanbin Reply:
Hello, 1. Due to the complex composition of traditional Chinese medicine, it is difficult to generalize whether it will have an effect. 2. Corticosteroids can help with exophthalmos caused by hyperthyroidism, but they are not very effective for neck swelling. 3. If thyroid fu...

[Read More] Understanding Hyperthyroidism: Symptoms, Treatments, and Dietary Guidelines


Persistent Swelling in One Leg: What Specialist to Consult?

Swelling won't go down?! Hello Doctor: My father has diabetes and has recently experienced swelling in his foot, which extends beyond the sole to the ankle, but it is only affecting one foot. He has seen a metabolic specialist who found no issues. Which department should he ...


Dr. Xiao Yongxun Reply:
Dear Ms. Emily: 1. There are many causes of lower extremity edema. Generally speaking, if the edema is bilateral, one should consider heart failure, nephrotic syndrome, hypoalbuminemia, cirrhosis, medication side effects, pregnancy, hypothyroidism, and other potential causes. I...

[Read More] Persistent Swelling in One Leg: What Specialist to Consult?


Do You Need Regular Kidney Function Tests? Common Concerns Explained

Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...


Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...

[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained


Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options

Chest pain associated with sarcoma? Hello Doctor: Last October, I experienced prolonged unexplained fever (38 degrees Celsius) and visited the infectious disease department multiple times for examinations. During this period, I also had night sweats, weight loss (3 kg in one mont...


Dr. Zeng Guosen Reply:
1. Sarcomatoid carcinoma is not a common disease, and it is recommended to seek medical attention at a medical center. 2. Bringing all relevant medical records can help the physician quickly understand your condition. Thank you for your inquiry.

[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options


Is Chest Tightness and Elbow Pain Linked to Mitral Valve Prolapse?

Is chest tightness causing chest pain and elbow pain? Hello, doctor. Two years ago, I worked in security for over a year, and due to long hours and night shifts, I experienced chest tightness. Later, in February 2015, I was diagnosed with mitral valve prolapse. Last year, the fre...


Dr. Hong Yuanbin Reply:
Hello, typical angina usually does not become more painful when pressure is applied. Based on your description, it seems less like typical angina and more likely related to stress or irregular lifestyle causing discomfort in the chest. However, I recommend that if you want to con...

[Read More] Is Chest Tightness and Elbow Pain Linked to Mitral Valve Prolapse?


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


Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension

There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...


Dr. Xiao Yongxun Reply:
Dear Mr. Anong: 1. Your height is 163 cm, weight is 103 kg, and your body mass index (BMI) is 48.9 kg/m², which classifies you as severely obese. Consequently, your risk of developing the following conditions is increased: hypertension, dyslipidemia, metabolic syndrome, type 2 d...

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Understanding Symptoms During HIV Window Period: What You Need to Know

Regarding some questions? Doctor, I would like to ask if diarrhea, chest pain, or increased heart rate can occur during the window period of HIV. Sometimes I feel a dull discomfort in my penis, and I visited a urologist who said there were no visible abnormalities. I still experi...


Dr. Hong Yuanbin Reply:
Hello: When HIV is first contracted, it may present with symptoms similar to those of a cold. However, during the window period, there are usually no specific symptoms. The symptoms you described are generally not indicative of HIV. To confirm whether one has HIV, it is recommend...

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Understanding Kidney Function: Is Your GFR Too Low?

Kidney problems Hello, doctor! I recently received my health check report, which shows a serum creatinine level of 1.23 mg/dL and a glomerular filtration rate (GFR) of 77.51. There were no signs of hematuria or proteinuria. I would like to ask if my GFR is considered low, as I ha...


Dr. Wang Weijie Reply:
Hello: In healthy individuals without proteinuria, a glomerular filtration rate (eGFR) greater than 80 ml/min is considered normal. If there is foamy urine, it may indicate proteinuria, and it is recommended to follow up with a nephrologist. Chronic kidney disease is classified i...

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Understanding Elevated White Blood Cell Count and Its Health Implications

Increasing white blood cell count, hypertension, anemia..? I have been diagnosed with hypertension and frequently experience palpitations, anemia, shortness of breath, chest tightness, chest pain, headaches, and hypoglycemia. Additionally, I experience left shoulder pain during e...


Dr. Hong Yuanbin Reply:
Hello, it is important to first understand if you have been ill a few days prior to the blood test, with the most common illnesses being a cold or gastroenteritis. If so, it is likely due to an acute infection, and usually, your results will return to normal after a few days. If ...

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Rapid Heartbeat and Left Arm Numbness: Should I Be Concerned?

Feeling a rapid heartbeat and slight numbness in the left arm? Doctor, two weeks ago, one night while studying, I suddenly felt a sharp pain in the middle of my chest, near the left side. I then experienced a rapid heartbeat, along with some numbness in my left arm and leg. I was...


Dr. Xiao Yongxun Reply:
Dear Ms. Mabel: 1. You have experienced two episodes of palpitations accompanied by discomfort in your left upper limb, as well as chest discomfort. There are many potential causes for these symptoms, including myocardial ischemia, coronary artery spasm, tachycardia, arrhythmia,...

[Read More] Rapid Heartbeat and Left Arm Numbness: Should I Be Concerned?


How Long Does It Take for Onglyza to Start Working?

Could you please provide more context or details regarding the specific medication or topic related to drug efficacy that you would like Hello Doctor: The endocrinologist prescribed Onglyza (saxagliptin) at a dosage of half a tablet daily. I would like to know how long it typical...


Dr. Xiao Yongxun Reply:
Dear Ms. Coffee Sugar: 1. Eltroxin® (50 mcg or 100 mcg; generic name Levothyroxine) is commonly used to treat hypothyroidism. Due to the longer half-life of Levothyroxine (T4), it is typically taken once daily. The onset of action may take 1 to 2 weeks, and it usually takes 6 t...

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Understanding Persistent Chest Discomfort: When to Seek Medical Attention

Chest tightness or chest pain? Hello, Doctor. In June, I noticed a feeling of tightness in my left chest that I experience every morning upon waking. Compared to my right chest, the left side feels constricted and this sensation almost lasts the entire day. The next morning, it f...


Dr. Hong Yuanbin Reply:
Hello, heart problems can indeed be associated with discomfort in the left arm; however, it is also possible that it is simply inflammation of the left arm. It is essential to visit a cardiology clinic for further evaluation to confirm the diagnosis. Thank you for your question.

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


Understanding Symptoms: Dizziness, Chest Pain, and Numbness Explained

I would like to ask the doctor? I am currently serving in the military and have recently been experiencing frequent feelings of oxygen deficiency, dizziness, and numbness in my hands. Additionally, I have a tightness in my right chest that radiates to my back, causing discomfort....


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is most likely that you have sustained a strain in the right pectoralis major or shoulder muscle group. Of course, the pneumothorax you are concerned about is also a possibility; however, pneumothorax typically presents with severe pain and sh...

[Read More] Understanding Symptoms: Dizziness, Chest Pain, and Numbness Explained


Understanding Chest Tightness and Rapid Heartbeat: Causes and Concerns

Chest tightness or chest pain? Hello, one day last week, I suddenly experienced a rapid heartbeat for no apparent reason. I could clearly feel my heartbeat, but after a few days, the sensation of my heartbeat became less pronounced. However, it was replaced by a feeling of chest ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be paroxysmal arrhythmia. I recommend that you visit a cardiologist or a family medicine physician to arrange for a 24-hour Holter monitor for confirmation. This type of condition is usually benign, meaning it may not necessarily have...

[Read More] Understanding Chest Tightness and Rapid Heartbeat: Causes and Concerns


Do You Need Annual Kidney Check-Ups After Past Urinary Issues?

Kidney problems Is it necessary for a physician who had a history of urethritis over a decade ago and has taken a large amount of traditional Chinese medicine, but has had normal health values twice in recent years, to undergo regular annual check-ups? The physician has a congeni...


Dr. Wu Jiyu Reply:
Hello, based on the information you provided, not all traditional Chinese medicines cause renal dysfunction. Although you have taken a large amount of herbal medicine, it does not necessarily mean that your kidney function is impaired. However, early renal dysfunction may not pre...

[Read More] Do You Need Annual Kidney Check-Ups After Past Urinary Issues?


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