Heart, Internal Medicine FAQ

Concerns About Eating Undercooked Pork: Do You Need to See an Infectious Disease Specialist?

Eating undercooked pork in barbecue? When eating barbecue, I thought it was beef and consumed it medium-rare, only to later find out it was pork! Doctor, I have two questions: 1. Is it necessary to see an infectious disease specialist for this situation? 2. Is the prevalence of t...

Dr. Liao Zhongxin Reply:
1. According to the information from the Centers for Disease Control in Taiwan, a member of the indigenous community in Hualien County, Peng Zhaoxi, frequently consumed raw wild boar meat. Over a month ago, he developed a hard lump on the inner side of his left thigh. After exami...

Concerns About Pork Tapeworm Infection After Handling Fresh Pork

Pork tapeworm parasite This morning, I went to the market to buy pork (ground pork). The vendor said the pork was freshly slaughtered. After I brought it home and handled it, I forgot to wash my hands, but I did use alcohol to disinfect them before eating. Is there a risk of para...

Dr. Liao Zhongxin Reply:
No; you can refer to the CDC's information: https://www.cdc.gov.tw/Category/ListContent/AHwuigegBBBmuDcbWkzoGQ?uaid=T0MRJj8KVycdb4ZS6EGu_g. In Hualien County, an indigenous man named Peng Zhaoxi frequently consumed raw wild boar meat. Over a month ago, he developed a hard lu...

Concerns About Pork Tapeworm Infection After Handling Fresh Pork

Dr. Liao Zhongxin Reply:
No; you can refer to the information from the Centers for Disease Control: https://www.cdc.gov.tw/Category/ListContent/AHwuigegBBBmuDcbWkzoGQ?uaid=T0MRJj8KVycdb4ZS6EGu_g. In Hualien County, an indigenous man named Peng Zhaoxi frequently consumed raw wild boar meat. Over a month a...

Frequent Dizziness and Unsteadiness: When to Seek Medical Attention

Dizziness and unsteadiness? Hello, Doctor. I would like to ask about my condition. Over the past few weeks, I have been experiencing frequent dizziness. It started with pain in the back of my head, followed by dizziness and instability when standing. I often feel like I'm go...

Dr. Xie Rongyuan Reply:
Hello: If you frequently experience dizziness, it is important to seek medical attention to determine the underlying cause. Thank you for your message!

Managing Hyperthyroidism in Children: Concerns and Treatment Insights

Hyperthyroidism in children? Hello Doctor: My child, around 8 years old, started showing signs of hyperthyroidism. After treatment (taking antithyroid medication and medication to lower heart rate), the free T4 levels quickly returned to normal, but the TSH has remained consisten...

Dr. Li Jian Reply:
Pediatric thyroid issues should be consulted with a pediatric endocrinologist for more specialized care. Thank you for your inquiry.

Understanding Exercise Fatigue and Heart Issues: A Patient's Journey

Exercise, fatigue, heart problems? Dear Doctor, For the past few months, I have been feeling more fatigued than usual. I feel weak when standing and cannot walk for long periods. Additionally, my exercise capacity has decreased significantly; I often experience an inexplicable ...

Dr. Hong Yuanbin Reply:
Based on your description, it is possible that the issue may be due to physiological or psychological factors. I recommend starting with a visit to a family medicine specialist to check your basic health status, such as whether you have anemia or if your endocrine system is funct...

Understanding the Connection Between Nasal Congestion and Rapid Heart Rate

Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...

Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...

Understanding Intermittent Pain Under the Left Chest: Causes and Insights

Pain in the lower left chest? Hello, doctor. This morning, I woke up due to a sharp pain in the lower left side of my chest. It feels like intermittent sharp pain (not related to breathing). The pain extends to the side as well, and I can't pinpoint a specific tender spot; I...

Dr. Hong Yuanbin Reply:
Hello, heart valve issues are unlikely to be the cause of your symptoms. The most probable reason is a mild muscle strain related to posture, possibly due to your sleeping position or physical activity. This usually allows the muscles to relax and rest, and it should gradually im...

Understanding Arrhythmia: Causes, Symptoms, and Treatment Options

Arrhythmia Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.

Dr. Xie Rongyuan Reply:
Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition. Thank you for your message!

Managing Chronic Fatigue and Immune Issues: A Comprehensive Guide

Feeling unwell? At the age of 41, my immune system seems to be particularly weak, and I have trouble sleeping. My gastrointestinal digestion has slowed down, and I feel that the nutrients from the food I eat are not being absorbed properly, leading to frequent vaginal infections ...

Dr. Hong Yuanbin Reply:
Hello, 1. It is recommended to maintain a regular routine and engage in regular exercise to boost immunity and reduce the likelihood of infections. 2. Regarding blood pressure, it does not directly affect immunity; however, effectively managing blood pressure can reduce the ri...

Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar

Diabetes Recipe Hello Doctor, my grandmother is 148 cm tall and weighs 31 kg. She follows a lacto-vegetarian diet and has diabetes, hypertension, and hyperlipidemia, with blood sugar levels around 120-140 mg/dL. She takes oral medications for blood sugar and blood pressure in the...

Dr. Li Jian Reply:
The dietary principles for diabetes focus on a balanced diet, emphasizing the intake of foods rich in dietary fiber, such as whole grains, vegetables, and fruits. It is important to avoid refined carbohydrate foods, such as sugar, desserts, fruit juices, honey, and sugary beverag...

Understanding Asthma: Managing Persistent Cough and Heart Concerns

Asthma issues I would like to ask the doctor a few questions. Since last winter, I have been coughing persistently. I have visited many clinics, and the doctors have said it is due to allergies caused by changes in the weather, and that it would improve as the weather warms up. I...

Dr. Hong Yuanbin Reply:
Hello, chronic cough can indeed have many causes. The most important thing is to rule out lung and heart issues. If auscultation is normal, the chances of severe asthma are lower, but there may be other lung problems. It is advisable to consult a pulmonology or family medicine ou...

Understanding Dizziness After Sudden Movements: When to Seek Medical Advice

Please ask your question? I apologize for bothering you, doctor, but I have a question. I was lying down playing on my phone when my grandmother suddenly needed to use the bathroom and called for my help. I rushed over, and after standing up, I suddenly felt dizzy and unsteady fo...

Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are referred to as "orthostatic hypotension," which occurs when there is a significant change in body posture and the cardiovascular system is unable to adequately adjust, resulting in temporary low blood pressure. It is recommended t...

Two Medical Questions: Rib Discomfort and Hepatitis B Concerns

Two questions, please ask the doctor? Hello, I have two questions I would like to ask you. Today, while practicing diaphragmatic breathing, I noticed that after exhaling, the left rib, specifically the bone in the upper left part of my abdomen, seems to protrude slightly more tha...

Dr. Hong Yuanbin Reply:
Hello, 1. In a normal human body, the ribs on both sides are not perfectly symmetrical. The condition you mentioned is likely just a normal physiological variation and should not be a cause for concern. 2. The injury you mentioned from being scratched by a fork does not pose a ri...

Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes

The correlation between low albumin levels in systemic lupus erythematosus (SLE) and pregnancy/abortion, along with proteinuria and the calculation method? Dear Dr. Gao, Thank you for your prompt response to my inquiry regarding #186219. I have another question related to lupus...

Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In 2017, starting from June, my proteinuria fluctuated between negative and positive, eventually showing ++ and +++. However, at that time, my albumin level was still at 4.2. There was a year when I did not undergo uri...

Understanding Elevated Body Temperature: Causes and When to Seek Help

Elevated body temperature? Hello Dr. Hong, on Sunday morning (8/21), I bought a rice ball from a convenience store and noticed that the bottom packaging was damaged after taking a few bites, so I discarded it. Later that evening, I felt a bit unwell while staying in an air-condit...

Dr. Hong Yuanbin Reply:
Hello, since convenience store food is kept at low temperatures throughout the transportation process, the damaged packaging you mentioned should not significantly affect the food itself. Unless you are experiencing any discomfort, there is currently no need for you to seek medic...

Understanding Sinus Rhythm with Right Bundle Branch Block: What You Need to Know

Static Electrocardiogram (ECG) Hello Dr. Hong: Recently, during my son's company health check-up, a resting electrocardiogram revealed sinus rhythm with right bundle branch block. Is this considered a heart condition? What kind of treatment is necessary? Should we schedule a...

Dr. Hong Yuanbin Reply:
Hello, this indicates that the electrical conduction in a certain part of the heart is slower, but it doesn't necessarily mean there is a disease; it could also be a normal physiological phenomenon. It is recommended to consult a cardiologist, as further tests such as an ele...

Does Cetirizine Affect Heart Rate? Exploring Alternatives Like Levocetirizine

Cetirizine and heart rate issues? Hello, doctor. I have been taking cetirizine for chronic urticaria for over 10 years. I have been using a smartwatch to monitor my heart rate, which often ranges from 95 to 100 bpm, and when lying down and resting, it is about 80 to 90 bpm. I hav...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is it possible that cetirizine is affecting you? --> The likelihood is very low. In my clinical experience, I have not encountered this, and there is very little literature reporting tachycardia as a side effect. ...

Sudden Rapid Heartbeat and Low Oxygen: Understanding Your Symptoms

Sudden increase in heart rate while sitting, decreased blood oxygen levels, and hand tremors? Hello doctor, after taking a shower tonight, I sat down and suddenly experienced a rapid heartbeat that shot up to over 120 beats per minute. My blood oxygen level dropped from 99 to 93,...

Dr. Hong Yuanbin Reply:
Based on your description, it is likely that the significant temperature changes have activated the sympathetic nervous system, leading to your symptoms. It is advisable to avoid drastic temperature fluctuations and to take care to keep warm after bathing. The rapid heartbeat may...

Understanding the Risks of Industrial Alcohol Exposure in Labs

Industrial alcohol inquiry? Hello Doctor, I am currently interning and trying to understand the products, so I followed a lab technician to conduct experiments. To clean the marker off the beaker, it is better to use 95% alcohol spray, as it washes off more easily. Since I haven&...

Dr. Hong Yuanbin Reply:
Hello, these chemicals or compounds do indeed have a pungent odor, and many can cause dizziness when inhaled. However, unless consumed in large quantities, they are unlikely to cause significant harm to the body. It is recommended to drink plenty of water and rest; this should he...

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