Why Am I Still Tired After Sleeping 7-8 Hours?
Feeling tired despite sleeping for a long time and needing to sleep more? Hello, Doctor. I have seen news reports stating that sleeping for at least 7 hours is generally sufficient, so I usually sleep between 7 to 8 hours. However, sometimes I still feel the urge to sleep more. I...
Dr. Cai Yaozhou Reply:
The golden sleep period for humans is from 10 PM to 6 AM. This is when the human circadian rhythm activates at 10 PM, leading to the secretion of growth hormone and melatonin, a slight decrease in body temperature, and a gradual transition of brain waves from high-amplitude alpha...[Read More] Why Am I Still Tired After Sleeping 7-8 Hours?
Understanding Right Atrial Enlargement and Sinus Tachycardia in Teens
Questions regarding health check-up reports? Hello Doctor: My sister just started her first year of high school this year, and recently the school arranged for a health check-up. The report indicated that my sister has right atrial enlargement and sinus tachycardia. I would like ...
Dr. Li Huixiong Reply:
Right atrial enlargement and sinus tachycardia in your sister should be considered normal, especially if she has a slender, flat upper body. During examinations, right atrial enlargement is often observed, and it is common for both adolescent males and females to experience a fas...[Read More] Understanding Right Atrial Enlargement and Sinus Tachycardia in Teens
Understanding Edema: Which Specialist to Consult and Testing Tips
Symptoms of edema? Hello, Doctor: I would like to ask you... 1. Recently, I went for a health check-up at the hospital, and the doctor mentioned that I have edema. I researched some information online and learned that there are many causes of edema. Before confirming the cause of...
Dr. Wu Jiyu Reply:
1. The causes of edema involve organs such as the kidneys, heart, and liver, so a nephrology evaluation should be considered first. 2. If a urine test is required, it is advisable to avoid the menstrual period.[Read More] Understanding Edema: Which Specialist to Consult and Testing Tips
Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Many questions, please take the time to clarify, thank you! I am 29 years old, 165 cm tall, and weigh 50 kg. In recent years, I have frequently experienced the following symptoms: 1. I suffer from insomnia and vivid dreams every day, with poor sleep quality. Despite feeling ver...
Dr. Yang Hongzhi Reply:
Hello: Based on your symptoms, it is difficult to determine if there is any specific disease. Generally, when FT4 is elevated, TSH tends to decrease; your results are atypical and may warrant further monitoring. ANA is an indicator of autoimmune diseases, and a positive reaction ...[Read More] Understanding Persistent Health Issues: Seeking Answers for Common Symptoms
Which Medical Specialty Should You See for Swelling in the Legs?
If you have edema, you should consult a specialist in internal medicine or a nephrologist, as they can evaluate the underlying causes and provide appropriate treatment? Hello... My grandfather is 82 years old and generally in good health, but recently he has been experiencing swe...
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. When experiencing swelling in both legs, it is important to consider potential issues with the liver, kidneys, or heart. Other causes should also be taken into account, such as hypothyroidism, pregnancy (in female patients), spontaneous cau...[Read More] Which Medical Specialty Should You See for Swelling in the Legs?
Understanding Severe Leg Swelling: Causes and Relief Strategies
My mother initially had swelling in her thigh, and now her calf is also swollen? Hello Doctor: My mother previously had severe swelling in her right thigh, feeling as if the skin was about to burst. There is a significant size difference between her legs. Initially, we thought it...
Dr. Lin Mingfeng Reply:
First, press on the foot to see if there is any indentation; if so, it may indicate lower extremity edema. There are many diseases that can cause lower extremity edema, such as heart failure, renal failure, liver dysfunction, malnutrition, as well as conditions like cellulitis, t...[Read More] Understanding Severe Leg Swelling: Causes and Relief Strategies
Understanding Electrolyte Imbalance Symptoms and When to Seek Medical Help
Electrolytes Symptoms of electrolyte imbalance can vary depending on which electrolytes are affected and the severity of the imbalance. Common symptoms include: 1. Muscle cramps or spasms 2. Weakness or fatigue 3. Nausea or vomiting 4. Confusion or changes in mental status 5. Ir...
Dr. Yang Hongzhi Reply:
Hello, Bai Bai: Electrolyte imbalance covers a wide range of issues, and it is unlikely for young individuals to experience symptoms related to this. It is recommended to seek medical attention based on the primary symptoms presented.[Read More] Understanding Electrolyte Imbalance Symptoms and When to Seek Medical Help
Understanding Internal Discomfort in Hands, Feet, and Chest During Sleep
Nourishing the hands and feet? Why do I sometimes feel a tingling or aching sensation in my palms, soles, and heart (chest) while I sleep? It's not on the surface; it feels like it's coming from within, and I can't seem to fall asleep as if someone is scratching me...
Dr. Lin Mingfeng Reply:
Based on your description of itching in the palms and soles, this is an issue related to sensory abnormalities. It is important to first observe for any skin lesions and the possibility of allergies, and to also consider neuropathy. However, if there is also itching in the chest ...[Read More] Understanding Internal Discomfort in Hands, Feet, and Chest During Sleep
Managing Thyroid and Heart Medications: What You Need to Know
Thyroid medication and cardiac medication (hypothyroidism)? After my mother visited the doctor, she was prescribed two medications: one is a thyroid hormone replacement, Eltroxin 0.1 mg (white round tablet), and the other is a cardiovascular medication, Concor 5 (yellow heart-sha...
Dr. Yang Hongzhi Reply:
Hello, sister: Patients with hypothyroidism who experience palpitations and tremors after using Eltroxin should consider dosage issues. Many individuals require lifelong use of Eltroxin. After treatment for hypothyroidism, patients can undergo surgery for other medical conditions...[Read More] Managing Thyroid and Heart Medications: What You Need to Know
Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice
Thyroid issues Hello Doctor: My family member previously went to the hospital for a thyroid function test, which showed T3: 136, T4: 8.27, TSH: 13.3. Later, during a follow-up test, the TSH level increased to over 51. I have a few questions: 1. What could have caused this? 2. My ...
Dr. Yang Hongzhi Reply:
Normal T3 and T4 levels with a slight increase in TSH are referred to as subclinical hypothyroidism, indicating that the thyroid gland is showing a tendency towards dysfunction. However, due to compensatory mechanisms, thyroid function remains normal. If TSH rises to 51, it is ne...[Read More] Understanding Thyroid Issues: Symptoms, Causes, and Dietary Advice
Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes
Hepatitis. Liver Cirrhosis? Is this symptom serious? If it's just in the early stages, should it be treatable? Is this symptom related to diet, or is it due to something else?
Dr. Cai Yaozhou Reply:
In the early stages, liver cirrhosis may not present any symptoms, and liver function tests may appear normal. Diagnosis of liver cirrhosis can be made through liver function tests and abdominal ultrasound. The causes of liver cirrhosis include: 1. Chronic hepatitis B. 2. Chr...[Read More] Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes
Understanding Sharp Chest Pain: Which Cardiology Specialist to See?
Sharp pain near the heart? Sometimes I feel a sharp pain near my heart, and it gets worse with each breath; it eases a bit when I don't breathe. I have previously had an X-ray and an electrocardiogram, both of which showed no issues. The doctor suggested that I see a cardiol...
Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. The causes of chest pain may originate from the skin, chest wall, lungs, heart and major blood vessels, gastrointestinal tract, or psychological factors. Pain from musculoskeletal disorders, pneumothorax, pleuritis, and pericarditis may wor...[Read More] Understanding Sharp Chest Pain: Which Cardiology Specialist to See?
Understanding ECG Results: Next Steps for Heart Health Concerns
Electrocardiogram & Heart Hello doctor, I recently experienced sudden palpitations, dizziness, and shortness of breath, so I went to the provincial hospital for an electrocardiogram, which showed no abnormalities. However, I am still experiencing chest tightness and difficult...
Dr. Chen Qingbin Reply:
Hello KIKI: Your condition may be caused by anxiety disorder. However, it is best to visit a hospital for a physician's assessment and appropriate examination and treatment.[Read More] Understanding ECG Results: Next Steps for Heart Health Concerns
Why Do My Fingers Swell and Feel Tight Upon Waking?
Waking up with swollen and tight fingers? Hello Dr. Yao: May I ask why my fingers are swollen and tight upon waking up? Thank you.
Dr. Yao Quan Reply:
Dear Mr. Pu Pu, Edema indicates an excess of fluid. Since the distribution of fluid is primarily determined by gravity, if there is generalized edema, it may be more pronounced in the lower extremities during the day, while upon waking, the edema may be more noticeable in the up...[Read More] Why Do My Fingers Swell and Feel Tight Upon Waking?
How to Lower Your Blood Pressure: Tips for Managing 140 mmHg Systolic
Blood pressure If your systolic blood pressure is 140, here are some ways to improve it: 1. **Dietary Changes**: Adopt a heart-healthy diet that includes plenty of fruits, vegetables, whole grains, and lean proteins. Reduce sodium intake and limit processed foods. 2. **Regular ...
Dr. Zhong Weisheng Reply:
Dear Xiao Ming: According to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) in the United States, hypertension is defined as having two or more resting blood pressure measurements greater than ...[Read More] How to Lower Your Blood Pressure: Tips for Managing 140 mmHg Systolic
Understanding Primary Pulmonary Hypertension: Key Differences from General Hypertension
Primary pulmonary hypertension What is primary pulmonary hypertension, and how does it differ from general hypertension?
Dr. Zhong Weisheng Reply:
Xiao Guo: What you are asking about is primary pulmonary hypertension and how it differs from general hypertension. Pulmonary hypertension refers to the increased pressure in the pulmonary arteries due to primary pulmonary vascular diseases (primary pulmonary hypertension) accomp...[Read More] Understanding Primary Pulmonary Hypertension: Key Differences from General Hypertension
Understanding Fatigue and Lower Back Pain: Causes and Solutions
(Worried about) lower back pain and easy fatigue? Recently, I have been feeling easily fatigued and experiencing some lower back pain. What could be the cause of this? I am quite worried and would appreciate the doctor's insight. Thank you!
Dr. Yao Quan Reply:
Hello: The issue of easy fatigue can be considered from many angles. It may be due to high work stress, anxiety, or a diagnosis of chronic fatigue syndrome. If there are physical abnormalities, it is advisable to check for diseases related to the liver, heart, or endocrine system...[Read More] Understanding Fatigue and Lower Back Pain: Causes and Solutions
Anemia Concerns: Do I Really Need a Blood Transfusion?
Anemia! Is a blood transfusion necessary? Hello, Doctor: I often feel dizzy and almost faint. 1. Before feeling dizzy, I experience some pain and tightness in my heart. 2. I have a tendency to become easily irritable. 3. I feel very fatigued every day. 4. My limbs often feel sore...
Dr. Yao Quan Reply:
Dear Ms. Hsiao, According to your blood test report, you are classified as having "microcytic anemia." The more common causes are iron deficiency anemia and thalassemia. Your hemoglobin level is at #9 (which is low), and if you require a blood transfusion to raise your...[Read More] Anemia Concerns: Do I Really Need a Blood Transfusion?
Understanding Blood Pressure Concerns: Key Questions for Managing Hypertension
Regarding blood pressure issues? Hello Doctor: My mother is 63 years old and has a hypertension issue, but she only takes her medication when she feels unwell. Recently, she has been experiencing chest tightness and a rapid heartbeat. When measuring her blood pressure at the clin...
Dr. Yao Quan Reply:
Hello: 1. Blood pressure exhibits a circadian rhythm, which is related to the activity of the sympathetic nervous system. It is lowest during sleep and highest in the early morning. However, daytime blood pressure is primarily influenced by daily activities and is less related ...[Read More] Understanding Blood Pressure Concerns: Key Questions for Managing Hypertension
Understanding Left Chest Pain: Causes and When to Seek Help
Pain Recently, I have been experiencing pain in the lower chest (around the ribs) or on the left side of my chest. Sometimes, it feels uncomfortable to breathe, as if something is pressing down on it, and I have to exert effort to breathe properly. It usually takes about three mi...
Dr. Li Huixiong Reply:
Based on your symptoms and considering your age, if you have not been informed by a physician of any history of congenital heart disease, the likelihood of developing heart disease is low, although not impossible. If your symptoms have developed recently, I believe gastrointestin...[Read More] Understanding Left Chest Pain: Causes and When to Seek Help