Heart, Internal Medicine FAQ - Page 22

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Understanding Hypothyroidism: Symptoms, Leg Swelling, and More

Hypothyroidism What are the symptoms of hypothyroidism? Can it cause lower limb edema? Recently, I have experienced swelling in my lower limbs, and my urine tests came back normal. My blood tests showed only a GTO value of 40, while the rest were normal. My blood pressure is slig...


Dr. Huang Dayao Reply:
Hello, there are many causes of lower limb edema. Generally speaking, if urine output is normal, it is likely not related to the kidneys. Hypothyroidism can also cause edema, but it is different from typical edema; the swelling caused by hypothyroidism does not pit when pressed, ...

[Read More] Understanding Hypothyroidism: Symptoms, Leg Swelling, and More


Understanding Low Cholesterol: Symptoms, Risks, and Dietary Tips

Low cholesterol Hello, I would like to ask about my friend. He is 178 cm tall, weighs 66 kg, and is a male with good physical fitness. He exercises for at least one to two hours every day. Recently, his appetite has increased, and he doesn't feel like he is gaining weight. B...


Dr. Chen Qingbin Reply:
Hello, Xingchen: If the heart valve is incomplete, it is best to visit a cardiologist at the hospital. Generally, low cholesterol levels do not present significant symptoms, and regular monitoring with a normal diet is sufficient.

[Read More] Understanding Low Cholesterol: Symptoms, Risks, and Dietary Tips


Understanding Unexplained Chest Pain: Causes and When to Seek Help

Unexplained chest pain? Hello, doctor: This evening while practicing the piano, I suddenly experienced severe pain in my left chest, near the heart. It felt like a cramp, and I could only maintain a certain position without moving to avoid the pain. I also couldn't take a fu...


Dr. Zhao Chongliang Reply:
When considering general chest pain, one must take into account various sources such as the chest wall, heart, respiratory organs, esophagus, and surrounding tissues. Additionally, women may experience breast tenderness before menstruation, which can also lead to chest pain. In...

[Read More] Understanding Unexplained Chest Pain: Causes and When to Seek Help


Understanding Chest Pain: Causes and When to Seek Help

Chest tightness or chest pain? Hello doctor, I have been experiencing a feeling of tightness and pain in my chest for over two weeks now. Initially, I thought it was due to exercise, but it hasn't improved over time. When sitting, I often feel my heart beating strongly, and ...


Dr. Zhao Chongliang Reply:
On October 5th, another woman raised a similar question, and the response provided at that time is as follows for your reference. (When considering general chest pain, one must take into account various sources of pain such as the chest wall, heart, respiratory organs, esophagus,...

[Read More] Understanding Chest Pain: Causes and When to Seek Help


Understanding Body Water Retention: Causes and Management Tips

Fluid retention Dr. Yang: Hello, I apologize for the intrusion. I am 157 cm tall and weigh 46.5 kg. I have a history of hypertension, palpitations, and pyelonephritis, and I am intermittently on medication. However, due to oliguria and edema (systemic, particularly in the eyelids...


Dr. Yang Jun Reply:
Hello: In response to your question, uncomplicated pyelonephritis typically does not lead to severe deterioration of kidney function, unless there is a pre-existing chronic kidney disease, in which case there is a possibility of developing acute renal failure. Given your history ...

[Read More] Understanding Body Water Retention: Causes and Management Tips


Understanding Excessive Sweating, Heart Palpitations, and Eye Discomfort

I often sweat... experience palpitations and irregular heartbeat... have insomnia... neck and shoulder pain... and discomfort in my eyes..? I sweat more than average. My height is 177 cm and my weight is 75 kg. I often experience periodic palpitations, feel easily anxious, and ge...


Dr. Yang Hongzhi Reply:
First, hyperthyroidism should be ruled out, which can be done through a blood test.

[Read More] Understanding Excessive Sweating, Heart Palpitations, and Eye Discomfort


Understanding Gallstones: Symptoms, Treatment Options, and Weight Concerns

After having gallstones, I feel like my life is going to be dull? Hello Doctor, I learned from a health check that I have gallstones. I have always considered myself a healthy person, going to bed early, waking up early, jogging regularly, and being mindful of my diet. My health ...


Dr. Cai Zonglong Reply:
Hello, your issue may be associated with peptic ulcers or irritable bowel syndrome. I recommend consulting a gastroenterologist for diagnosis and treatment. Additionally, about 30-35% of people have gallstones, so there is no need to worry unless you experience severe pain or fev...

[Read More] Understanding Gallstones: Symptoms, Treatment Options, and Weight Concerns


Understanding Heart Issues: Symptoms and Concerns You Should Know

Cardiac issues Hello Doctor, in the past month, I have been experiencing noticeable and intense heart palpitations even when I am at rest and not doing anything. Sometimes the heart rate increases, and I often feel a tightness in my chest, with occasional difficulty breathing. La...


Dr. Chen Qingbin Reply:
Your condition may be arrhythmia or excessive anxiety. It is best to visit a hospital for examination.

[Read More] Understanding Heart Issues: Symptoms and Concerns You Should Know


Can Pleural Effusion Lead to Tuberculosis? Understanding the Connection

Will pleural effusion turn into tuberculosis? Will pleural effusion turn into tuberculosis?


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Pleural effusion can be classified into transudate and exudate based on the characteristics of the fluid extracted. The causes of both types are numerous, including tuberculosis, lung tumors, pneumonia, heart failure, connective tissue di...

[Read More] Can Pleural Effusion Lead to Tuberculosis? Understanding the Connection


Understanding Adrenal Hyperplasia: Causes, Symptoms, and Treatment Options

Adrenal hyperplasia issues? 1. What is adrenal hyperplasia? Is it a congenital disorder? Are there acquired forms? Does it require treatment? 2. I have hypertension, and about once or twice a month, my blood pressure exceeds 140/95 mmHg, even though it may be around 120/80 mmHg...


Dr. Chen Qingbin Reply:
Hello Vicky: I apologize for the delayed response due to my vacation. You may be experiencing increased anxiety, which can lead to elevated adrenal secretion, increased heart rate, and higher blood pressure. It would be best to discuss this with your physician to determine if fur...

[Read More] Understanding Adrenal Hyperplasia: Causes, Symptoms, and Treatment Options


Understanding High Total Cholesterol: Symptoms, Risks, and Solutions

Elevated total cholesterol? 1. Height: 176.5 cm 2. Weight: 77 kg 3. Body Mass Index (BMI): 24.7 4. Total Cholesterol: 238 mg/dL 5. Triglycerides: 116 mg/dL 6. Fasting Blood Glucose: 78 mg/dL 7. SGPT (ALT): 247 U/L 8. Blood Pressure: 124/77 mmHg a. What should be ...


Dr. Chen Qingbin Reply:
High cholesterol levels can easily lead to vascular sclerosis. Dietary control (low-fat diet) and regular exercise can help lower cholesterol. If there is a presence of diabetes or heart disease, cholesterol-lowering medication may be necessary.

[Read More] Understanding High Total Cholesterol: Symptoms, Risks, and Solutions


Understanding Lymphadenopathy: Symptoms, Causes, and When to Seek Help

Lymphadenopathy Hello doctor, about three months ago, I noticed a line of swollen lymph nodes on the right side of my neck. When I visited an ENT specialist, the doctor checked for nasopharyngeal cancer and said it was not the case. He mentioned that it was caused by a viral infe...


Dr. Yang Hongzhi Reply:
In principle, lymphadenopathy tends to resolve on its own, and the likelihood of cancer is relatively low. The possibility of a painful infection is greater; however, this is not absolute. You may consider consulting an oncologist or an infectious disease specialist for further e...

[Read More] Understanding Lymphadenopathy: Symptoms, Causes, and When to Seek Help


Understanding Edema: Kidney or Liver Issues from Alcohol Abuse?

Edema Hello, doctor. My father has been a long-term alcoholic, and recently he has developed swelling in his feet. Could this indicate a problem with his kidneys or liver? Both feet are affected. Which specialty should we consult for an outpatient visit? Thank you for your respon...


Dr. Xiao Jingqin Reply:
Common causes of edema that can be evaluated in the fields of hepatology and gastroenterology include 1. heart failure, 2. nephrotic syndrome, and 3. cirrhosis. The primary reasons are often related to excessive body fluid and low serum protein levels. Once edema occurs in cirrho...

[Read More] Understanding Edema: Kidney or Liver Issues from Alcohol Abuse?


Understanding Amyloidosis: Causes, Treatments, and Prognosis

Causes and Treatment of Amyloidosis My father is 67 years old and underwent cardiac catheterization a month ago. The doctor diagnosed that only one area of the blood vessel required angioplasty, and his condition was stable after the procedure. However, about two weeks later, he ...


Dr. Yang Jun Reply:
Hello: In response to your question, amyloidosis refers to a disease caused by the deposition of amyloid, a fibrous protein, in one or more organs of the body. The clinical manifestations depend on the organs and areas affected, which can lead to systemic and multifocal diseases....

[Read More] Understanding Amyloidosis: Causes, Treatments, and Prognosis


Understanding Low Blood Pressure: Symptoms, Risks, and When to Seek Help

Blood pressure Doctor: Hello, what is considered low blood pressure? For example, even after walking, when I measure my blood pressure, the systolic pressure is between 60-50, and the diastolic pressure is between 50-40, or even lower. Is this normal? My cholesterol levels exceed...


Dr. Chen Qingbin Reply:
Your blood pressure is low; it is advisable to visit a hospital for an internal medicine consultation.

[Read More] Understanding Low Blood Pressure: Symptoms, Risks, and When to Seek Help


Should I Take Medication for Diabetes? Exploring Treatment Options

Is medication necessary? I have been diagnosed with diabetes for a year and a half. During this time, my fasting blood sugar levels have ranged from 140 to 160 mg/dL, and my postprandial blood sugar levels have been between 180 and 200 mg/dL. My HbA1c levels are between 7.0% and ...


Dr. Yang Hongzhi Reply:
Generally, a hemoglobin A1c level below 7.0% is considered acceptable, while a level above 8.0% necessitates intervention. Since your level is currently between these two thresholds, you can try to enhance your diet and exercise as non-pharmacological treatments. However, if you ...

[Read More] Should I Take Medication for Diabetes? Exploring Treatment Options


Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults

Generalized edema, headache (dizziness), insomnia, etc? Hello, my mother is 43 years old and has been feeling unwell lately, experiencing symptoms such as insomnia, headaches (dizziness), and sometimes waking up in the morning with generalized edema. During a previous health chec...


Dr. Zhao Chongliang Reply:
There are many causes of edema, including common kidney diseases (renal failure, nephrotic syndrome), heart diseases (heart failure), liver diseases (cirrhosis), endocrine disorders (hypothyroidism, hyperadrenalism, menstruation), systemic malnutrition, poor blood circulation, an...

[Read More] Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults


Managing Edema in Diabetic Patients: A Guide for Caregivers

Diabetic patients with edema issues? Hello, doctor. My grandmother is a 60-year-old diabetic patient with a history of about 10 years. She has been taking medication to control her blood sugar, which is usually stable and does not exceed 180. However, for the past year, she has b...


Dr. Xie Yonghui Reply:
According to your letter, your grandmother's lower back pain may be caused by urinary tract stones, but the most common reason for lower back pain in elderly individuals is degenerative changes in the lumbar spine. It is necessary to consult an orthopedic specialist for furt...

[Read More] Managing Edema in Diabetic Patients: A Guide for Caregivers


Understanding Bloating: Symptoms, Causes, and When to Seek Help

Bloating? One day, I experienced unexplained headaches, weakness in my limbs, rapid heartbeat (around 117 bpm), nausea, and persistent vomiting. I went to the emergency room, and the doctor suggested it might be due to gastric distension. Are these symptoms indicative of gastric ...


Dr. Li Huixiong Reply:
The correlation among the symptoms you described is not very clear. To make an accurate diagnosis, it is essential to inquire about the circumstances of your visit on that day. The physician who treated you likely had substantial reasons for diagnosing "gastric distension.&q...

[Read More] Understanding Bloating: Symptoms, Causes, and When to Seek Help


Understanding Weakness in Hands and Feet: Causes and Solutions

Weakness in the limbs? Hello, I have been troubled by a long-standing issue where my hands and feet often feel weak. Sometimes, I even struggle to lift my hands to brush my teeth, and when I walk up stairs, it can get so severe that I end up kneeling down. I have low blood pressu...


Dr. Xiao Yongxun Reply:
Hello, in response to your question. The complaint of "weakness in the limbs" is common in clinical practice; however, due to the subjective nature of the experience, which varies from person to person, and the multitude of potential causes that lack specificity, it can...

[Read More] Understanding Weakness in Hands and Feet: Causes and Solutions


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