Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Sarcoidosis is a systemic granulomatous disease I have been experiencing fatigue, weight loss, low-grade fever, and night sweats for the past few months, but I have not had a cough or cold. After an examination, my doctor said that both my white blood cells and red blood cells ar...
Dr. Zhao Chongliang Reply:
Sarcoidosis is quite rare in Taiwan, with occasional reports from Japan, primarily affecting African Americans and Scandinavians. It is an idiopathic, non-caseating granulomatous disorder that can involve multiple organ systems, previously thought to be related to birch pollen al...[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Understanding Intermittent Chest Pain and Discomfort in Mitral Valve Prolapse
Cardiac discomfort? Hello Doctor: I have symptoms of mitral valve prolapse, and I would like to inquire why I feel that my chest pain occurs intermittently. When it doesn't flare up, I feel fine, but when it does, the pain is unbearable and quite frequent. Additionally, ever...
Dr. Zhao Chongliang Reply:
Mitral valve prolapse often leads to transient arrhythmias, which can cause various symptoms or vague discomfort that is difficult to pinpoint. By the time a patient arrives at the hospital for examination, the arrhythmia may have resolved. Repeated visits to the doctor can somet...[Read More] Understanding Intermittent Chest Pain and Discomfort in Mitral Valve Prolapse
Could My Grandma's Symptoms Indicate Purpura or Another Condition?
Is this purpura? Hello doctor, I have a question. My grandmother (86 years old) cannot walk for long periods; her feet and ankles easily swell, and she often has small bruises on her calves. Could this be purpura, or could it be indicative of other diseases? (She does not have an...
Dr. Zheng Shuxing Reply:
Hello: Elderly individuals may experience swelling and bruising after prolonged walking, which is indicative of lower extremity edema. If elevating the legs and resting leads to improvement, it is advisable to rest with elevated legs after exercise. Additionally, a medical evalua...[Read More] Could My Grandma's Symptoms Indicate Purpura or Another Condition?
Understanding Nighttime Shivers and Cold Sensitivity: When to Seek Help
I have a question? Hello Doctor: I would like to ask, every time I have a fever or gastroenteritis, I experience intense shaking throughout my body in the middle of the night, and it continues without stopping. My heart also races significantly (this happens about 1-2 times every...
Dr. Zeng Guosen Reply:
Hello, experiencing full-body shivering before a fever is a normal physiological response, typically occurring before a high fever. This reaction is due to the body's response to toxins during infection or inflammation. The symptoms you are experiencing could potentially be ...[Read More] Understanding Nighttime Shivers and Cold Sensitivity: When to Seek Help
Understanding Hypothyroidism: Can It Cause Heart Rhythm Disorders?
Hypothyroidism Hypothyroidism can indeed lead to symptoms such as arrhythmias.
Dr. Li Huixiong Reply:
Hypothyroidism does not cause arrhythmias.[Read More] Understanding Hypothyroidism: Can It Cause Heart Rhythm Disorders?
Understanding Right Chest Pain: Possible Causes and When to Seek Help
Chest pain Recently, I've been experiencing pain in my right chest, especially when I lower my shoulder; it hurts the most then. I can't really pinpoint the source of the pain when I touch it. It's strange because I don't recall any sports injuries. What could...
Dr. Zhao Chongliang Reply:
Chest pain can be caused by serious conditions such as acute myocardial infarction, aortic dissection, pulmonary embolism, lung cancer, esophageal cancer, rib or intercostal tumors, or pneumothorax. It can also result from less severe issues like chest wall pain (including menstr...[Read More] Understanding Right Chest Pain: Possible Causes and When to Seek Help
Managing High Blood Sugar in Heart Disease Patients: Key Insights and Tips
My father has a history of heart disease and recently his blood sugar level was found to be over 230? Recently, my dad was hospitalized and found to have extremely high blood sugar levels. He also has heart disease. However, his cardiologist once told him that if he develops diab...
Dr. He Niaotong Reply:
1. Yes, you can regularly visit the endocrinology department through the National Health Insurance. As long as your father maintains his blood sugar levels within a good range, it can help reduce the complications associated with diabetes. It is recommended that your father keeps...[Read More] Managing High Blood Sugar in Heart Disease Patients: Key Insights and Tips
Understanding Severe Gastrointestinal Issues After Medication Overdose
Severe gastrointestinal issues? I attempted suicide a month ago due to relationship issues, taking over sixty pills at once, including cold medicine, Abbott 15mg weight loss pills, and detox beauty pills. The day before this incident, I also took twelve sleeping pills. That night...
Dr. Cai Zonglong Reply:
Hello, I think your issue is quite complex. It may be necessary to consult a hematologist to check for any bleeding tendencies. Additionally, you should see an obstetrician-gynecologist to examine for any organ abnormalities. The black vomit you experienced a month ago likely ind...[Read More] Understanding Severe Gastrointestinal Issues After Medication Overdose
Managing Persistent Heartburn and Sleep Issues in Elderly Patients
Heartburn Hello Dr. Hong: My mother is 68 years old. After catching a cold and having a fever last October, her blood pressure has been consistently low, and she has been experiencing significant discomfort and bloating in her stomach. We visited Taipei's Peace Hospital for ...
Dr. Hong Hongchang Reply:
Hello Minmin: The burning sensation in the abdomen may be related to abnormal gastrointestinal motility, which can cause nausea, regurgitation, gastroesophageal reflux, and loss of appetite. Therefore, prokinetic agents can be used to improve the condition in conjunction with ant...[Read More] Managing Persistent Heartburn and Sleep Issues in Elderly Patients
Should I Take Diabetes Medication? Navigating Treatment Options
Do I need to take medication? In the morning, my fasting blood sugar is around 140, and my HbA1c is 7%. Therefore, my doctor said I could manage without medication, just by controlling my diet and exercising, and I should return for regular check-ups every three months. Later, I ...
Dr. Guo Qinghui Reply:
Currently, the fasting blood glucose level is around 170 mg/dL, which requires treatment. The methods include dietary control, exercise, and medication. For dietary management, it is essential to consult a nutritionist to deepen the understanding of dietary control. Engaging in p...[Read More] Should I Take Diabetes Medication? Navigating Treatment Options
Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...
Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Is Joint Pain After a Cold Normal or a Sign to See a Doctor?
What to do if you catch a cold? In the past two days, I have had a cold and consulted a doctor, taking medication. However, since last night, I have been experiencing subtle pain in my left ankle and knee joint, which is gradually becoming weaker and more painful. Is this a sympt...
Dr. Xiao Yongxun Reply:
Hello: In response to your question... 1. The symptoms of a common cold include runny nose, nasal congestion, sneezing, sore throat, cough, headache, muscle aches, joint pain, fever, and more. Common complications include otitis media, sinusitis, pneumonia, and bronchitis. A cold...[Read More] Is Joint Pain After a Cold Normal or a Sign to See a Doctor?
Understanding Upper Body Exercise Limitations: Symptoms and Possible Causes
The issue of being completely unable to move the upper body..? Hello: Whenever I engage in any physical activity that involves my upper body, I experience the following symptoms (regardless of the intensity): 1. Extreme dizziness and severe pain in my head 2. My vision becomes co...
Dr. Chen Jingwen Reply:
Hello! During exercise, a normal person's oxygen demand increases, leading to enhanced function across various body systems. For instance, the sympathetic nervous system accelerates the heart rate, and the increased oxygen demand causes faster breathing (which may be perceiv...[Read More] Understanding Upper Body Exercise Limitations: Symptoms and Possible Causes
Understanding Downward T-Waves in ECG: What You Need to Know
Heart -2 Hello, regarding the previous question. The T waves are inverted in leads V1, V2, and V3, with one occurrence in each lead. Is this a concern? Your question: Hello, could you please explain the situation when the T wave in the heart's electrocardiogram (ECG) is do...
Dr. Li Huixiong Reply:
The presence of T wave changes in leads V1-3 suggests that there may be ischemic heart disease affecting the mid-anterior wall of the heart. It is still recommended that you consult a cardiologist for a stress echocardiogram, wear a 24-hour Holter monitor, or undergo cardiac cath...[Read More] Understanding Downward T-Waves in ECG: What You Need to Know
Understanding Downward T-Wave Changes in ECG: Causes and Implications
Abnormal T wave in the heart? Hello, what does it mean when the T wave on an electrocardiogram is inverted rather than upright? In 2002, in the United States, I experienced heart pain (the pain was localized and persistent, but not severe). My electrocardiograms consistently show...
Dr. Li Huixiong Reply:
The presence of T waves on an electrocardiogram (ECG) usually indicates the possibility of ischemic heart disease. However, it is important to know how many T waves are present and in which leads they appear. It is advisable to consult a cardiologist for a complete resting ECG. I...[Read More] Understanding Downward T-Wave Changes in ECG: Causes and Implications
Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Do you recommend whether medication is necessary? Dr. Kuo, my mother is 64 years old, obese, and has a postprandial blood sugar level of 142. Recently, her cholesterol was checked at 266 and triglycerides at 198. Do you recommend that she needs medication? Thank you! Sincerely, Y...
Dr. Guo Qinghui Reply:
Is medication necessary? To answer this question, it is important to understand your mother's health status, such as whether she has heart disease or high blood pressure. Therefore, please have your mother visit a nearby healthcare facility for a comprehensive assessment of ...[Read More] Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Understanding Hydronephrosis: Dietary Impact and Management Tips
Hydronephrosis Grandma has not been feeling well recently, and after examination, she was diagnosed with hydronephrosis and the presence of kidney stones. Is there a significant correlation with diet? She has dementia and diabetes mellitus, so she usually pays special attention t...
Dr. Yang Jun Reply:
Hello: In response to your question... The cause of your grandmother's hydronephrosis is likely due to kidney stones, and it is essential to contact a urologist as soon as possible to check for ureteral obstruction and manage the stones. A diabetic diet does not cause kidney...[Read More] Understanding Hydronephrosis: Dietary Impact and Management Tips
Understanding Chest Tightness and Cough After Cervical Spine Injury
Chest tightness and cough after cervical spine injury? Hello, doctor. Thank you for helping me with my concerns. I was in a car accident two and a half months ago, and after X-ray and MRI examinations, a neurosurgeon diagnosed me with a C5-C6 disc herniation. I am currently weari...
Dr. Chen Fuquan Reply:
Hello Miss, 1. After your car accident, the neurosurgery department conducted X-rays and MRI examinations, diagnosing you with C-5 and C-6 subluxation. You are currently wearing a cervical collar for observation. During this time, please be cautious with your neck and avoid any...[Read More] Understanding Chest Tightness and Cough After Cervical Spine Injury
Is Fiberglass Insulation Dangerous? Concerns About Heart Attack Risks
Will fiberglass cause myocardial infarction? Hello Doctor, today I was installing wall outlets, and the wall is a lightweight partition filled with soundproofing fiberglass insulation. After finishing, my hands were covered in fiberglass dust and shards. I seem to recall my chemi...
Dr. Ke Zhengchang Reply:
Hello: It can be said that glass wool cannot penetrate the stratum corneum of the skin to enter the bloodstream and cause myocardial infarction leading to a stroke. There is no need for concern, and there are no reported cases in the literature, unless there is a large wound and ...[Read More] Is Fiberglass Insulation Dangerous? Concerns About Heart Attack Risks
Understanding Right Axis Deviation and Complete Bundle Branch Block in ECG
What does right axis deviation and complete bundle branch block mean? Previously, I underwent a medical examination due to military service, and the report indicated: right axis deviation and complete bundle branch block, which do not affect cardiac function. Could you please exp...
Dr. Li Huixiong Reply:
The results of a normal cardiac electrophysiological examination follow a specific pathway, known as an electrocardiogram (ECG). Under normal circumstances, each segment of the recording has a roughly fixed duration. Your results indicate right axis deviation and complete bundle ...[Read More] Understanding Right Axis Deviation and Complete Bundle Branch Block in ECG