Chest Pain and Weight Loss: Seeking Medical Advice for Health Concerns
Please ask your question? Hello, Doctor: I have two questions I would like to ask you, and I hope you can provide some guidance! 1. Recently, I have been experiencing sharp pain in my chest, particularly in the left side around the heart area, and sometimes in the sides of my a...
Dr. Lin Jizhi Reply:
Chest pain that occurs with breathing or activity can commonly be attributed to several conditions: 1. Pneumonia 2. Pleuritis 3. Musculoskeletal pain 4. Neuralgia 5. Peptic ulcer 6. Angina. Of course, without a physical examination, it is difficult to determine the exact cause. H...[Read More] Chest Pain and Weight Loss: Seeking Medical Advice for Health Concerns
Understanding Mitral and Tricuspid Valve Insufficiency: A Patient's Journey
Mitral and tricuspid valve insufficiency Hello, Doctor! Four and a half years ago, I discovered that I had abnormalities related to my cardiovascular system, such as sudden severe chest pain, rapid heartbeat, and abnormal blood pressure. I am currently serving in a military subst...
Dr. Li Huixiong Reply:
I am sorry to hear about your condition, but having an open attitude towards seeking medical help is a positive mindset. If you wish to undergo further examinations to confirm your diagnosis, with the current level of healthcare in Taiwan, any regional teaching hospital or above ...[Read More] Understanding Mitral and Tricuspid Valve Insufficiency: A Patient's Journey
Is a Pen Refill Left in the Body Dangerous? Understanding the Risks
Pen refill inserted into the flesh? A classmate mentioned that a pencil lead was inserted into their flesh many years ago and has not been removed since. I would like to ask if this is harmful to the body. Could it potentially travel through the bloodstream and puncture the heart...
Dr. Guo Conghuai Reply:
Hello: Inserting a pen tip into the flesh will result in the formation of granulation tissue, which is not harmful to the person and will not travel to the heart. Congratulations![Read More] Is a Pen Refill Left in the Body Dangerous? Understanding the Risks
Dietary Guidelines for Managing Kidney Disease and Heart Conditions
Diet for Kidney Disease My father has a history of coronary artery disease, and he has experienced proteinuria, as evidenced by foamy urine, for some time. He has previously consulted both traditional Chinese medicine and Western medicine, but his symptoms do not seem to have imp...
Dr. Hong Hongchang Reply:
Hello: In addition to blood lipids, there are other factors related to coronary heart disease. The causes include diet, medications, and genetic metabolism. Furthermore, hyperuricemia can lead to kidney damage, resulting in proteinuria. It is recommended to follow up with a cardi...[Read More] Dietary Guidelines for Managing Kidney Disease and Heart Conditions
Understanding Heart Palpitations and Mitral Valve Prolapse Symptoms
Cardiac issues? Dear Doctor: Sometimes I experience a sensation of my heart twitching (which is not painful), and at times I also feel pain in my heart. I have a condition of mitral valve prolapse, so I wonder why this happens. I have never mentioned this to a doctor because I th...
Dr. Li Huixiong Reply:
Regarding issues of physical discomfort, one should never hesitate to seek medical attention, as it is for your own good, isn't it? Mitral valve prolapse, if not severe, generally does not present symptoms. Even if there are symptoms, they are not typically as you described....[Read More] Understanding Heart Palpitations and Mitral Valve Prolapse Symptoms
Experiencing Rapid Heartbeat After Taking Antiarrhythmic Medication?
After taking medication to control arrhythmia, I feel that my heart is beating quite fast! Thank you, Dr. Ko, for your previous response. I am feeling quite anxious due to unprecedented changes in my body, and since the doctor hasn't replied, I am being even more cautious! A...
Dr. Ke Zhengchang Reply:
In response to leoujane: Arrhythmias may not improve even after medication treatment, so if you experience any discomfort, it is advisable to visit a cardiology clinic for continued monitoring of your electrocardiogram and adjustment of medication dosages. Additionally, it is imp...[Read More] Experiencing Rapid Heartbeat After Taking Antiarrhythmic Medication?
Understanding Adrenal Hormone Injections: Side Effects and Management
Injection of adrenal hormones? Hello Dr. Ke, I would like to ask some questions. My friend has an endocrine issue, which he says is a hereditary condition, and he has developed acute renal failure. During one of his episodes, he mentioned that he went to the hospital to receive...
Dr. Ke Zhengchang Reply:
Replying to Bear: I have not heard of injecting adrenal hormones for acute renal failure. Injecting epinephrine can lead to increased heart rate, vasoconstriction, and cold sweats. It should not be administered casually. I recommend visiting a hospital to consult with the endocri...[Read More] Understanding Adrenal Hormone Injections: Side Effects and Management
Understanding Right Ventricular Hypertrophy: Implications and Care Tips
Cardiology Doctor: Hello! Recently, my mother’s blood pressure suddenly rose above 100. She went to the hospital for blood tests and an electrocardiogram (ECG). The ECG report indicated right ventricular hypertrophy and damage to the heart membrane. Could you please explain what ...
Dr. Ke Zhengchang Reply:
I recommend visiting a hospital's cardiology department for a detailed examination, including an echocardiogram and an electrocardiogram (ECG), to better understand the severity of the condition. Generally, both regional hospitals and medical centers have cardiologists who c...[Read More] Understanding Right Ventricular Hypertrophy: Implications and Care Tips
Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain
Regarding the issue of valve prolapse? Dear Doctor: Regarding some medical conditions (Anxiety, Mitral Valve Disease, VBI), I experienced dizziness and discomfort at the beginning of last year, and I underwent a cardiac ultrasound. The doctor mentioned that I might experience pal...
Dr. Li Huixiong Reply:
Anxiety refers to a state of worry or unease. Mitral valve disease pertains to conditions affecting the heart's mitral valve. As for VBI, its abbreviation is unclear. From your words, one can infer the busyness and stress you are experiencing, which is a common phenomenon in...[Read More] Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain
Understanding Atrial Fibrillation: Do You Need Long-Term Medication?
Heart disease I was diagnosed with arrhythmia in September 2000, and the doctor informed me that I would need to take medication long-term. However, another doctor at a different hospital, while treating me for another condition, told me that I did not need to take medication lon...
Dr. Ke Zhengchang Reply:
There are many types of arrhythmias, varying in severity. Mild cases may not require medication, while more severe cases may necessitate surgery or catheter ablation. It is advisable to consult a cardiologist for a thorough examination and follow-up.[Read More] Understanding Atrial Fibrillation: Do You Need Long-Term Medication?
Understanding Elevated Heart Rate: Causes and Solutions for Adults
Heart rate Hello, I am a 55-year-old male. My blood pressure is within normal limits, but my heart rate is as high as 90, sometimes even reaching 100, without any vigorous exercise. In the past, I had low blood pressure, and my heart rate was in the range of 80 to 90. I would app...
Dr. Ke Zhengchang Reply:
Hello Peter: A rapid heartbeat with normal blood pressure is generally caused by anxiety or the consumption of caffeinated beverages. It is recommended to visit a cardiology clinic for an electrocardiogram (ECG) examination and treatment.[Read More] Understanding Elevated Heart Rate: Causes and Solutions for Adults
Rare Salmonella Infection in Father's Heart: A Critical Medical Case
My father's right heart vessel is infected with Salmonella, and his condition is critical..? My father suddenly experienced chest tightness, shortness of breath, and chills around 3:40 PM on August 12. My mother urgently took him to the New Building Hospital in Tainan. After...
Dr. Ke Zhengchang Reply:
In response to Su Wenting: Based on your description, it may be infectious vasculitis with associated aortic aneurysm. Typically, treatment involves antibiotics for two to four weeks while also managing hypertension. If there is no improvement or if the condition worsens, surgica...[Read More] Rare Salmonella Infection in Father's Heart: A Critical Medical Case
Persistent Chest Pain: Understanding Symptoms and When to Seek Help
hurt I have been experiencing heart pain for 21 hours (maybe more) from 11 PM to 9 PM. I cannot take deep breaths, laugh, or perform any physical activities. Initially, I thought I would feel better after going to bed, but when I woke up the next morning, the pain persisted. Brea...
Dr. Ke Zhengchang Reply:
Dear Ivy: Your symptoms may be related to valvular heart disease, neuralgia, pleuritis, or anxiety. I suggest you come to the hospital for a chest X-ray and EKG studies to confirm the final diagnosis, and the doctor can provide you with the appropriate treatment.[Read More] Persistent Chest Pain: Understanding Symptoms and When to Seek Help
Understanding Heart Palpitations and Sleep Issues: A Guide
Heart... Thyroid Experiencing a strong heartbeat that makes it difficult to fall asleep, often feeling sleepy... being able to sleep for several hours a day yet still feeling tired, with the heartbeat sometimes being very noticeable and at times feeling like I can't catch my...
Dr. Ke Zhengchang Reply:
Hello Miss Chang Wan-rong; if you suspect that hyperthyroidism is causing symptoms such as rapid heartbeat and insomnia, it is recommended to visit a hospital and consult an endocrinologist for a blood test.[Read More] Understanding Heart Palpitations and Sleep Issues: A Guide
Understanding Heart Pain: Is It a Sign of Heart Disease?
Chest pain? I sometimes experience sharp pain in my heart, and when it occurs, I cannot take a deep breath because it is extremely painful. During these episodes, I am afraid to take a deep breath. Additionally, I sometimes feel this sharp pain when I am half-reclining, and any m...
Dr. Ke Zhengchang Reply:
Reply to Xiao Feng: Generally, it is primarily neuropathic pain or mitral valve prolapse. If symptoms persist, please consult a cardiologist for an examination.[Read More] Understanding Heart Pain: Is It a Sign of Heart Disease?
Managing Fluid Intake in CHF Patients: Guidelines and Recommendations
CHF stands for Congest In cases of congestive heart failure (CHF), fluid restriction may be necessary. The general recommendation for fluid intake is typically around 1,500 to 2,000 milliliters (cc) per day, but this can vary based on individual patient needs and the severity of ...
Dr. Ke Zhengchang Reply:
Hello AMY: In cases of heart failure with acute pulmonary edema, it is important to restrict fluid intake and administer diuretics for treatment. Once the patient is stable, the general medication regimen for stable patients allows for a daily fluid intake (including all food) of...[Read More] Managing Fluid Intake in CHF Patients: Guidelines and Recommendations
Understanding Abnormal Heart Palpitations: Causes and When to Seek Help
Abnormal pulsation in the epigastric region? I noticed abnormal pulsations in my epigastric area upon waking up on June 30th. There were strong pulsations for about 5 seconds followed by lighter pulsations for another 5 seconds. After that, I frequently experienced brief mild pul...
Dr. Ke Zhengchang Reply:
Reply to Mr. Charlie: It is common for the general population to experience occasional arrhythmias, and there is no need to reduce regular physical activity. It is recommended to visit a cardiology clinic for an electrocardiogram follow-up examination.[Read More] Understanding Abnormal Heart Palpitations: Causes and When to Seek Help
Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits
Is a slow heartbeat harmful to the body? A friend (weighing approximately 100 kg and standing at 180 cm) underwent a physical examination, and their heart rate was 58 beats per minute. I would like to ask: (1) Under what circumstances can the heart rate slow down? (2) How can it ...
Dr. Ke Zhengchang Reply:
Hello Fion Chen: A heart rate below 60 beats per minute is referred to as bradycardia. There are many causes, but if the rhythm is regular and blood pressure is normal, no treatment is necessary (such as in athletes). However, if the rhythm is irregular and the heart rate is too ...[Read More] Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits
Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults
Left ventricular hypertrophy (LVH) Hello Doctor, I am 24 years old and have been experiencing some heart issues. I have visited several hospitals for examinations, and some doctors have mentioned left ventricular hypertrophy, while others have referred to mitral valve prolapse or...
Dr. Ke Zhengchang Reply:
Hello Ah-Hui: The electrocardiogram does not have a term for left ventricular high voltage; what you are describing may be left ventricular hypertrophy. If there is no hypertension, it is advisable to follow up with a cardiology clinic for monitoring of the electrocardiogram.[Read More] Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults
Understanding Pulmonary Artery Mass: Symptoms, Diagnosis, and Treatment
There is a growth on the outside of the pulmonary artery? Previously, the results from my hospital examination revealed that during a frontal chest X-ray, a mass approximately 3 to 4 centimeters in size was clearly visible outside the pulmonary artery, making it appear enlarged. ...
Dr. Ke Zhengchang Reply:
Hello, Xiao Ru: There is a tumor shadow on the X-ray, and a CT scan is necessary to determine its size, location, and nature. If a tumor is suspected, surgical treatment is required. The current surgical risks are very low, and you can be discharged in about a week.[Read More] Understanding Pulmonary Artery Mass: Symptoms, Diagnosis, and Treatment