Understanding Heart Palpitations: When to Seek Further Testing
Cardiac issues? Hello, doctor. In March, I experienced daily palpitations and went to the emergency room at two different hospitals. I underwent blood tests, a CT scan, and an electrocardiogram, all of which showed no abnormalities. Later, I was referred to a psychiatrist who dia...
Dr. Li Zhiyao Reply:
Hello: If you are concerned about heart problems, you should first consult a cardiologist. If it is confirmed that there are no heart issues, then you can return to the psychiatrist for follow-up. Additionally, consider the possibility of hyperthyroidism.[Read More] Understanding Heart Palpitations: When to Seek Further Testing
Understanding Dizziness, Chest Tightness, and Nausea: Possible Causes
I've been feeling dizzy these past few days, with nausea and tightness in my chest? Last night, I suddenly felt very dizzy and weak in my limbs, so I immediately lay down to rest. While lying down, I felt much better, but my limbs still felt weak. I rested like this until th...
Dr. Hong Yuanbin Reply:
Hello: Based on the symptoms you described, since you have already undergone cardiac and thoracic examinations, it is suspected that the issue may be related to the esophagus or stomach. The most common condition is gastroesophageal reflux disease (GERD), characterized by a burni...[Read More] Understanding Dizziness, Chest Tightness, and Nausea: Possible Causes
Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...[Read More] Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Understanding Upper Right Abdominal Pain: Causes and Solutions
Regarding sharp pain in the right upper abdomen? Hello, Dr. Hsiao. I have been experiencing a sudden feeling of hunger shortly after meals, which feels somewhat like an empty stomach sensation without the typical stomach growling. If I eat too quickly, I might even feel hungry ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Shi: 1. Regarding your upper right abdominal pain, I believe it may be what is commonly referred to as side stitch, as mentioned in my response on June 27, 2016. Therefore, I recommend that you consult a coach to learn proper breathing techniques while running to avoid ...[Read More] Understanding Upper Right Abdominal Pain: Causes and Solutions
Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know
Left chest tightness, persistent hiccups, and continuous coughing? Hello Doctor, at the beginning of the month, I felt a heaviness in my left chest and sometimes experienced slight weakness in my body. On the 8th, I went to a cardiologist for an examination, and the doctor mentio...
Dr. Hong Yuanbin Reply:
Based on your description, the most likely condition is gastroesophageal reflux disease (GERD). The characteristics of GERD include symptoms that occur after eating or when lying down, such as a mild burning sensation in the chest, noticeable belching, and in severe cases, throat...[Read More] Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know
Understanding Left Upper Abdominal Pain: Causes and When to Seek Help
Left abdominal pain? After researching various materials and sharing experiences online, I have realized that I am experiencing discomfort in the upper left abdomen, approximately near the bottom left rib. The pain is not very severe (it feels more like a dull ache), but it has p...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Abdominal ultrasound primarily serves to diagnose the liver, gallbladder, spleen, kidneys, head of the pancreas, portal vein, superior mesenteric artery, and the biliary system, among other visceral organs and circulatory structures. 2. Upper gastrointestina...[Read More] Understanding Left Upper Abdominal Pain: Causes and When to Seek Help
Understanding Persistent Cough: Causes and Diagnosis Explained
Chronic bronchial itching and cough that cannot be resolved? Thank you, Doctor, for taking the time to answer my questions. I would like to ask: 1. Regarding your mention that lying down can lead to coughing, should we consider the issue of pulmonary edema? Can this condition be ...
Dr. Hong Yuanbin Reply:
Hello: Chronic cough caused by the heart, liver, or kidneys is mostly due to pulmonary edema, which often leads to orthopnea, meaning that coughing or wheezing is more pronounced when lying down. However, pulmonary edema can typically be detected on an X-ray. Additionally, condit...[Read More] Understanding Persistent Cough: Causes and Diagnosis Explained
Persistent Cough After Thyroid Tumor Surgery: Possible Causes Explained
Thyroid tumor has been removed, but persistent cough continues? My mother underwent thyroid tumor removal surgery on Monday. She had been experiencing severe coughing for a week prior to the surgery. The day after the surgery, Tuesday, she did not cough before noon, but after noo...
Dr. Hong Yuanbin Reply:
Coughing can have many causes. Based on the clinical description, the possible reasons for the patient's condition include: 1. A thyroid tumor itself or the damage it causes, as the thyroid can trigger coughing. Even after surgery, it is necessary to monitor the surgical s...[Read More] Persistent Cough After Thyroid Tumor Surgery: Possible Causes Explained
Post-Thyroid Cancer Surgery: Fertility Plans and Considerations
Post-thyroid cancer surgery considerations for fertility planning? Dear Dr. Hsiao, I underwent thyroid cancer surgery in early October 2015, which involved a total thyroidectomy and partial lymphadenectomy. I received radioactive iodine (I-131) treatment in early November 2015, ...
Dr. Xiao Yongxun Reply:
Dear Ms. H: 1. The half-life of iodine-131 is approximately 8 days. You may want to consult your attending physician regarding the dosage at that time to estimate the current residual amount in your body. Logically, from November 2015 to the present, it should theoretically have...[Read More] Post-Thyroid Cancer Surgery: Fertility Plans and Considerations
Persistent Cough and Itchy Airways: Seeking Answers for Unresolved Symptoms
Chronic bronchial itching and cough that cannot be resolved? Hello, doctor. I had a cold at the beginning of April, and after recovering, I started experiencing intense itching from my throat to my chest (likely in the trachea). Pressing firmly on my chest or the area between my ...
Dr. Hong Yuanbin Reply:
Based on the medical condition, it is important to clarify whether everything was normal before the cold in April, whether there are any underlying diseases, and if there are any other illnesses in the family to determine the relationship with the cold in April. Therefore: Situa...[Read More] Persistent Cough and Itchy Airways: Seeking Answers for Unresolved Symptoms
Understanding Thyroid Disorders: Signs of Relapse and Complications
Hyperthyroidism Hello, doctor. I apologize for the interruption, but I would like to ask a question. My wife has a thyroid condition and previously experienced complications with her heart and kidney failure. However, she was stabilized and has been on medication for management. ...
Dr. Xie Rongyuan Reply:
Hello: If you have bruising on your body, you should seek medical attention promptly to determine the cause, whether it is due to a deficiency in platelets or a coagulation disorder. Regarding thyroid function issues, you should also get tested for TSH, Free T3, and Free T4 to ob...[Read More] Understanding Thyroid Disorders: Signs of Relapse and Complications
Understanding Blood Pressure Fluctuations: Concerns and Solutions
Blood pressure issues Hello Doctor: I am 170 cm tall and weigh 53 kg. My parents do not have hypertension, I rarely drink alcohol, and I quit smoking six months ago. I tend to get anxious and have annual health check-ups, where my blood pressure has always been normal (<120/&l...
Dr. Li Zhiyao Reply:
Hello: 1. Blood pressure can vary due to internal factors such as physical activity and emotions, as well as external factors like temperature; this is a normal phenomenon. 2. Most people tend to have higher blood pressure readings in the hospital compared to at home, which is re...[Read More] Understanding Blood Pressure Fluctuations: Concerns and Solutions
Understanding Chest Discomfort and Digestive Issues After Exercise
Left chest tightness, frequent belching after meals, and feeling the heartbeat while walking? Hello Doctor, at the beginning of April, I developed tendonitis in the ligaments of my right foot. Since I was going to Japan, I visited a clinic to obtain muscle relaxants and other com...
Dr. Li Zhiyao Reply:
Hello: 1. Considering your physical condition, I personally recommend that you consult a cardiologist at a major hospital for a more thorough evaluation. 2. Exercise should be based on the principle of avoiding injuries; the situation you described is indeed insufficient. It is n...[Read More] Understanding Chest Discomfort and Digestive Issues After Exercise
Managing Diabetes Medications for Lean Patients: Key Considerations
Diabetes medication consultation? Hello Doctor, my father is 63 years old and has symptoms of diabetes (pre-meal blood sugar around 120). He is currently taking diabetes medication. My father has a lean body type and is not obese, follows a vegetarian diet, and avoids greasy food...
Dr. Xiao Yongxun Reply:
Dear Mr. Paul Chen: 1. The first-line medication for most patients with type 2 diabetes is Metformin, which you referred to as Asures®. Regarding medication choices for leaner diabetic patients, there can indeed be some controversy in the medical community. It is advisable to in...[Read More] Managing Diabetes Medications for Lean Patients: Key Considerations
Understanding Tingling Sensations in the Head: Causes and Concerns
The head often feels tingly and prickly, as if blood is rushing to it? Dr. Lee, I usually experience a tingling sensation in my head. I measured my blood pressure and it was 143/86. By noon, I still felt a bit of tingling. I would like to ask you about my current medications: I a...
Dr. Li Zhiyao Reply:
Hello: Based on your description, I recommend that you consult a neurologist.[Read More] Understanding Tingling Sensations in the Head: Causes and Concerns
Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth
Hypertension often makes me feel unwell, difficult to fall asleep, dry mouth, and fatigue? Hypertension is causing persistent discomfort, difficulty sleeping, dry mouth, and fatigue. The average heart rate is between 90 and 115 beats per minute, and the blood pressure is 162/101 ...
Dr. Li Zhiyao Reply:
Hello: Since you already know you have high blood pressure, you should seek medical attention and not delay treatment.[Read More] Managing High Blood Pressure: Sleep Issues, Fatigue, and Dry Mouth
Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...
Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Dizziness, Blurred Vision, and Palpitations: Is It Just a Cold?
Dizziness, blurred vision, and palpitations? I have recently caught a cold, but occasionally I feel dizzy, have a strong heartbeat, and my vision seems to be blurry. Could this be related to the cold, or is it due to another reason?
Dr. Li Zhiyao Reply:
Hello: In addition to considering cold factors, it is also important to assess whether the symptoms are related to medication. If the symptoms persist, it is advisable to consult a neurologist.[Read More] Dizziness, Blurred Vision, and Palpitations: Is It Just a Cold?
Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Arrhythmia in Hyperthyroidism Hello, Doctor. I was diagnosed with Graves' disease and hyperthyroidism at the age of 40. I have been taking medication for hyperthyroidism for a year now, but I still occasionally experience arrhythmias, with a heart rate of about 120, especial...
Dr. Xie Rongyuan Reply:
Hello: You should go to the hospital for further examination of thyroid function abnormalities. As for your daughter's T4 and TSH levels, they are within the normal range. If her symptoms persist, you should promptly visit the hospital to identify the underlying cause. Thank...[Read More] Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Managing Anxiety and Respiratory Symptoms: Understanding Your Health Concerns
Anxiety, tension, excessive nasal mucus, and phlegm? Hello, doctor. Since February of this year, I have experienced an increase in nasal discharge and started coughing up phlegm. On one or two occasions, I noticed blood-streaked sputum, so I consulted an ENT specialist who confir...
Dr. Xie Rongyuan Reply:
Hello: If you have a persistent cough that has not improved, it is best to go to the hospital for a chest X-ray to check for any abnormalities. Stress, anxiety, and panic can lead to shortness of breath and increased heart rate, so it is advisable to manage your emotions. Thank y...[Read More] Managing Anxiety and Respiratory Symptoms: Understanding Your Health Concerns