Heart, Internal Medicine FAQ - Page 26

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Understanding Blood Pressure Fluctuations During Dialysis: Key Insights

Regarding blood pressure issues during dialysis? My mother is a dialysis patient, but she recently told me that her blood pressure fluctuates during dialysis. Sometimes her blood pressure rises to 200, while at other times it drops to 60, all within the same day. During her most ...


Dr. Yang Jun Reply:
Hello: In response to your question, it is noted that your mother experiences significant fluctuations in blood pressure during dialysis, with blood pressure sometimes dropping to a level that makes it impossible to continue the treatment. However, I would like to know how many y...

[Read More] Understanding Blood Pressure Fluctuations During Dialysis: Key Insights


Concerns About Weakness and Edema After IV Treatment in Elderly Patients

Intravenous (IV) drip My grandfather is 85 years old and generally in good health, but he felt unwell recently and received IV treatment at a small clinic for a week. However, in the past few days, he has become somewhat weak, has swollen legs, and is experiencing drowsiness with...


Dr. Yang Jun Reply:
Hello: In response to your question, your grandfather has developed lower extremity edema and weakness after a week of receiving intravenous fluids. It is important to consider whether there is fluid overload or signs of heart failure. It is advisable to go to the hospital for a ...

[Read More] Concerns About Weakness and Edema After IV Treatment in Elderly Patients


Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options

About Mitral Valve Prolapse Dear Dr. Zhong, I apologize for interrupting your busy schedule. I have been troubled by heart issues for some time. In my past health check-ups, I have consistently shown signs of elevated heart pressure and arrhythmia. The doctor advised me to avoid...


Dr. Zheng Shuxing Reply:
Hello Jojo, Mitral valve prolapse is quite common, with an incidence of about 5%. It primarily occurs in young individuals and is mostly a congenital abnormality, though it is not hereditary. It is often associated with symptoms such as chest discomfort, palpitations, shortness...

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options


Understanding Extra Nerve in the Heart: Causes and Lifestyle Solutions

An additional nerve in the heart? Experiencing unexplained palpitations with heart rates suddenly increasing to over 150 beats per minute. The physician has suggested catheter ablation of the nerve. I would like to inquire if there are lifestyle changes that could help improve th...


Dr. Chen Qingbin Reply:
Hello Yi-Wen: Your condition may be related to abnormalities in the cardiac conduction system. It is best to consult a cardiologist for a detailed examination to determine the treatment plan. Thank you. Director of the Health Education Department, Chen Ching-Pin.

[Read More] Understanding Extra Nerve in the Heart: Causes and Lifestyle Solutions


Understanding Occasional Chest Pain: Causes and Concerns

Occasional chest pain? Hello Doctor, I have been experiencing strange chest pain intermittently for the past two to three years. During these episodes, I feel a stabbing pain in my chest when I move my body, and it is often accompanied by a sharp pain between my ribs when I push ...


Dr. Zhao Chongliang Reply:
Hello! Chest pain can be caused by various conditions related to the heart (such as angina, myocardial infarction, arrhythmias, myocarditis, and pericarditis), lungs and associated structures (such as pneumothorax, pneumonia with pleuritis, rib fractures, pulmonary embolism, and ...

[Read More] Understanding Occasional Chest Pain: Causes and Concerns


Understanding Fluctuating Blood Pressure and Dizziness During Activities

Hypertension I have experienced dizziness and nausea after hiking on two occasions, which led to brief fainting episodes. Additionally, I had another unexplained dizziness episode that caused me to collapse. Previously, I had difficulty breathing and swelling, which prompted me t...


Dr. Yang Jun Reply:
Hello: In response to your question, the dizziness, nausea, and fainting experienced during mountain climbing are related to heart function and blood pressure levels. Although the electrocardiogram is normal, it is possible that heart valve issues could be causing these symptoms....

[Read More] Understanding Fluctuating Blood Pressure and Dizziness During Activities


Understanding Pulmonary Infiltration: Differences from Pulmonary Edema

Pulmonary infiltration What is pulmonary infiltration and how does it differ from pulmonary edema?


Dr. Zhao Chongliang Reply:
Hello! Pulmonary infiltration is a term used in the interpretation of chest X-rays. When we identify abnormalities in a chest X-ray, we describe them accordingly. If the changes are typical, such as calcification, fibrosis, cavitation, or consolidation, we can immediately apply t...

[Read More] Understanding Pulmonary Infiltration: Differences from Pulmonary Edema


Understanding Chest Discomfort: When to Seek Medical Advice

I would like to ask a question? Hello Doctor: Sometimes I feel a sense of heaviness in my chest. My breathing is occasionally not smooth, and I sometimes experience a bit of pain, specifically on the right side of my heart.


Dr. Wang Fangli Reply:
Hello, 吉祥虎: Your description is insufficient to diagnose your condition. It is recommended that you visit a family medicine or internal medicine clinic for an examination to facilitate early improvement.

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


Understanding Morning Eye Puffiness: Is It Edema and Does Bathing Help?

Edema? Waking up in the morning with swollen eyelids could be due to edema. Edema is the medical term for swelling caused by excess fluid trapped in the body's tissues. As for the claim that taking a bath can promote metabolism, it is true that warm baths can temporarily inc...


Dr. Yang Jun Reply:
Hello: In response to your question about feeling eyelid swelling upon waking up, it may not necessarily be caused by edema. If you also experience swelling in the face or lower extremities, it would be advisable to consult a physician to determine if it is related to kidney, hea...

[Read More] Understanding Morning Eye Puffiness: Is It Edema and Does Bathing Help?


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

Edema Forwarding a question from a netizen to the Director: I saw on TV that Director Tu helped a homeless person with a medical consultation... It seemed like there were issues with their gastrointestinal health that might cause edema... I think I might have edema too... Is ther...


Dr. Xiao Yongxun Reply:
Hello: In response to your inquiry regarding edema, it refers to a condition characterized by an increase in extracellular fluid. Clinically, it presents differently based on the location and underlying pathology, with numerous related diseases that cannot all be listed. However,...

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


Understanding Tuberculosis Treatment: Insights from Dr. Ko in Taiwan

Taiwan e-Hospital - Internal Medicine / Dr. Ke Dear Dr. Ke Cheng-Chang, I apologize for reaching out via email; I should have visited you in person, but my work schedule during the day makes it inconvenient. I hope you can understand. My father is Mr. Wang Jin-Can, and I believe...


Dr. Ke Zhengchang Reply:
1. Tuberculosis medications may cause nausea, liver function abnormalities, and skin allergies, so liver function monitoring is necessary. If any discomfort occurs, the medication must be stopped immediately or switched to another drug. 2. If there is severe itching, the medicati...

[Read More] Understanding Tuberculosis Treatment: Insights from Dr. Ko in Taiwan


Can Diabetes Cause Nose and Hand Damage Without Treatment?

Can diabetes cause the nose to decay? I've heard that diabetic feet can become ulcerated. If someone has diabetes and doesn't see a doctor, will their hands also become ulcerated? Will their nose also become ulcerated, and will they definitely go blind?


Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. Diabetes is a metabolic disorder primarily caused by defects in the secretion of insulin from the pancreatic β-cells, leading to an insufficient amount of insulin or inadequate action of insulin, resulting in elevated blood glucose levels....

[Read More] Can Diabetes Cause Nose and Hand Damage Without Treatment?


Understanding Ear Temperature Changes: A Sign of Underlying Health Issues?

Ear problems? Hello, doctor. Thank you for your hard work. I usually have a weaker constitution and have heart disease, ankylosing spondylitis, and allergies. I would like to ask: my ears are usually cold, but sometimes one ear is cold while the other is warm. I am unsure what co...


Dr. Zhao Chongliang Reply:
There have been no reports of ear-related issues associated with ankylosing spondylitis to date. Generally, the ears can experience congestion on one or both sides due to the abundance of small blood vessels. Given your history of heart disease, it is unclear whether you have hyp...

[Read More] Understanding Ear Temperature Changes: A Sign of Underlying Health Issues?


Understanding Mitral Valve Prolapse: When to Seek Medical Attention

Mitral valve prolapse Hello Doctor, I am a person with mild mitral valve prolapse. However, in the past few days, I have been experiencing frequent chest tightness, shortness of breath, and pain on the left side of my chest. My previous doctor advised me to return for a check-u...


Dr. Yang Hongzhi Reply:
If there is mild mitral valve prolapse accompanied by symptoms of chest tightness or chest pain, it may not necessarily be caused by the heart; anxiety, fatigue, or emotional stress can also contribute to these symptoms. Typically, mild valve prolapse does not affect heart functi...

[Read More] Understanding Mitral Valve Prolapse: When to Seek Medical Attention


Struggling with Sleep: A 38-Year-Old's Battle with Insomnia

Unable to sleep at night and unable to sit still during the day? Dear Dr. Chen, I have a wonderful sister who is 38 years old this year. She has been unable to fall asleep on her own at night and relies on medication to sleep for only two or three hours. During the day, while ot...


Dr. Chen Guifeng Reply:
Insomnia has many causes, most of which are psychological or mental factors. If it is severe, it must be treated with psychotherapy by a psychiatrist.

[Read More] Struggling with Sleep: A 38-Year-Old's Battle with Insomnia


Understanding Air Bubbles in Insulin Injections: Risks and Concerns

DM issues Hello Dr. Ke, My mother has had diabetes for over twenty years (family history) and has been using insulin for more than five years. Initially, my father helped her with the injections, but in the past few months, she has learned to inject herself. However, her techniq...


Dr. Ke Zhengchang Reply:
A minimal amount of air injected subcutaneously should be absorbed and is unlikely to cause significant harm to the human body.

[Read More] Understanding Air Bubbles in Insulin Injections: Risks and Concerns


Managing Symptoms of MSG Sensitivity: Tips for Relief

Sensitivity to monosodium glutamate (MSG) If you often feel uncomfortable after consuming foods high in monosodium glutamate (MSG), there are several methods you can try to alleviate your symptoms: 1. **Stay Hydrated**: Drink plenty of water to help flush out the MSG from your s...


Dr. Wang Fangli Reply:
Hello, you can take vitamin B6. Additionally, when eating out, avoid drinking soup first. Internal Medicine, Dr. Wang Fangli.

[Read More] Managing Symptoms of MSG Sensitivity: Tips for Relief


Understanding Potassium Imbalance: Causes, Symptoms, and Prevention

Potassium ion abnormalities Hello, I am 17 years old and have been diagnosed with hyperthyroidism (on medication for about two years). Currently, my resting heart rate is around 100 beats per minute. Recently, I woke up in the middle of the night needing to urinate but found that...


Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. Common symptoms of hyperthyroidism include palpitations, rapid heartbeat, tremors, fast speech, increased appetite, weight loss, exophthalmos, diarrhea, anxiety, and emotional instability. A minority may present with skin itching and hyp...

[Read More] Understanding Potassium Imbalance: Causes, Symptoms, and Prevention


Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions

Incomplete right bundle branch block Hello Doctor: I am thirty years old, and occasionally when I feel very fatigued or have stayed up late, I experience a sensation of tightness in my chest, which is quite uncomfortable. However, this discomfort disappears after a good night...


Dr. Liu Hongxiang Reply:
In the left ventricle of the heart, there are left and right bundle branches that conduct electrical signals simultaneously. If the conduction through the right bundle branch slows down but does not completely block, it is referred to as "incomplete right bundle branch block...

[Read More] Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions


Understanding Low Blood Pressure: Symptoms and Possible Health Issues

Hypotension I have been experiencing low blood pressure lately, with occasional rapid heartbeats and cold sweats. Whenever I have cold sweats, I tend to eat a lot, and I've noticed some weight loss. However, I don't have a loss of appetite, but I feel very tired and hav...


Dr. Yang Hongzhi Reply:
Rapid heartbeat, excessive sweating, and nervousness, along with increased appetite and weight loss, may indicate hyperthyroidism. Thyroid function tests can be conducted to make a diagnosis.

[Read More] Understanding Low Blood Pressure: Symptoms and Possible Health Issues


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