Can Thyroid Function Return After Treatment? Understanding Recurrence Risks
Will hyperthyroidism relapse after treatment? After a period of medication management, the levels of T3 and T4 have returned to normal in a patient with hyperthyroidism. However, the patient occasionally experiences episodes of rapid heartbeat. It has been some time since the pat...
Dr. Yang Guojun Reply:
Please consult the endocrinology and metabolism outpatient clinic for the answers you need.[Read More] Can Thyroid Function Return After Treatment? Understanding Recurrence Risks
Understanding Rapid Heartbeat: Causes and Concerns After Naps
Rapid and racing heartbeat? Why does my heart sometimes beat fast and strong, taking about 10 minutes to calm down, especially after waking up from a nap? Could this be a sign of a problem? It happens about 2-3 times a month. I am 170 cm tall, weigh 78 kg, and am 45 years old. I ...
Dr. Zeng Fenyu Reply:
A detailed examination by a cardiologist is necessary to determine the cause of the condition.[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Naps
Understanding Mitral Valve Prolapse and Its Impact on Heart Function
Mitral valve prolapse with regurgitation? Does "mitral valve prolapse" indicate a significant cardiac pathology? Additionally, if there is "mild regurgitation," does that suggest a "mild functional impairment" of the heart?
Dr. Li Huixiong Reply:
Mitral valve prolapse is a type of "structural heart disease." Mild "regurgitation" indicates a slight functional impairment, but the hemodynamics of the heart may not necessarily be abnormal, so there may not be any clinical symptoms.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Function
Understanding Neck Artery Pain: Causes and Connections to Heart Health
Carotid artery pain? Recently, I have been experiencing pain in the arteries of my neck, which feels similar to muscle cramps—very painful but only lasts for a moment, and it occurs suddenly and unpredictably on both sides of my neck. I am unsure what might be causing this. I hav...
Dr. Hong Hongchang Reply:
According to your description, primary hypertension accounts for approximately 85-90% of hypertension cases; however, it is essential to rule out causes such as congenital renal artery stenosis, adrenal tumors, or other endocrine disorders. Therefore, spontaneous hypertension sho...[Read More] Understanding Neck Artery Pain: Causes and Connections to Heart Health
Managing Mitral Valve Prolapse: Symptoms and Next Steps
Could you please provide more details about the heart-related issues you would like to discuss with Dr. Lee? Hello Dr. Lee: I have a problem with mitral valve prolapse. Since October 3rd, I have been feeling unwell, experiencing dizziness that persists. When I feel dizzy, I often...
Dr. Li Huixiong Reply:
There have been other individuals who have experienced mitral valve prolapse similar to yours (though not necessarily to the same degree) who have asked related questions. Most patients do not have bothersome symptoms, but some, like you, may experience discomfort that interferes...[Read More] Managing Mitral Valve Prolapse: Symptoms and Next Steps
Understanding Elevated GPT Levels: Causes, Implications, and Next Steps
The GPT index is too high? I had a health check-up at the health center, and my GPT (ALT) level was as high as 90. What does this mean? How is this index calculated? What could be causing this phenomenon? What should I do? What kind of tests should I undergo? Please reply promptl...
Dr. Li Huixiong Reply:
GPT and GOT are enzymes, translated as transaminases. Under normal circumstances, they are present in organs such as the heart, liver, and kidneys. However, both are commonly indicative of liver inflammation, which is why we refer to them as "hepatitis indices." Normall...[Read More] Understanding Elevated GPT Levels: Causes, Implications, and Next Steps
Understanding Heart Enlargement: Causes, Effects, and Lifestyle Tips
What is cardiomegaly? Hello, Dr. Ke. I am 24 years old. Recently, during my company's annual health check-up, all the results came back normal, meaning that all the values were within the normal range without any elevated or decreased readings. However, the chest X-ray repor...
Dr. Ke Zhengchang Reply:
Hello, Xiao Wei: Young individuals with an enlarged heart generally require a thorough examination. Please follow up with a cardiology outpatient clinic for further evaluation, as it may also be normal. (Chest imaging is not entirely definitive.)[Read More] Understanding Heart Enlargement: Causes, Effects, and Lifestyle Tips
Understanding Dilated Cardiomyopathy and Related Health Concerns
Dilated cardiomyopathy I am a 23-year-old student, and recently I had a health check-up at school. The examination report indicated that I have **dilated cardiomyopathy** on the chest X-ray, **heart murmurs**, and **goiter** in the neck. What do these terms mean? Is there anythin...
Dr. Ke Zhengchang Reply:
Hello Julia: Dilated cardiomyopathy is a serious heart condition that requires prompt consultation with a cardiologist. Additionally, the cause of the thyroid enlargement must also be investigated, as both hypothyroidism and hyperthyroidism can lead to cardiac complications.[Read More] Understanding Dilated Cardiomyopathy and Related Health Concerns
Understanding Bloating, Chest Tightness, and Breathing Difficulties: Liver Warning Signs?
Chest tightness and difficulty breathing due to bloating? I often experience bloating, chest tightness, and difficulty breathing. Could this be a warning sign related to my liver?
Dr. Li Huixiong Reply:
In simple terms, your symptoms can be categorized into two areas: 1. gastrointestinal issues and 2. respiratory issues. Conditions such as gastritis, duodenitis, or gastric or duodenal ulcers can often lead to bloating or a sensation of chest tightness, and even difficulty breath...[Read More] Understanding Bloating, Chest Tightness, and Breathing Difficulties: Liver Warning Signs?
Understanding Mitral Valve Prolapse with Regurgitation: Symptoms and Management
Mitral valve prolapse with regurgitation? I have mitral valve prolapse with mild regurgitation, and I am experiencing headaches, chest tightness, shortness of breath, and nausea. I read on a previous forum that the symptoms of this condition are not very pronounced, so why do I f...
Dr. Li Huixiong Reply:
The heart has several valves, including the tricuspid valve, aortic valve, and mitral valve, the latter also known as the bicuspid valve. It is located between the left atrium and left ventricle and is responsible for opening and closing during the heart's contraction and re...[Read More] Understanding Mitral Valve Prolapse with Regurgitation: Symptoms and Management
Distinguishing Symptoms of Coronary Artery Blockage vs. Valve Dysfunction
Blood pressure is 90/60, heart rate is 100, and feeling very fatigued? Coronary artery obstruction and valvular insufficiency present different clinical symptoms. Coronary artery obstruction typically leads to symptoms such as chest pain (angina), shortness of breath, fatigue, ...
Dr. Ke Zhengchang Reply:
Hello Almin Chen: Coronary artery obstruction must be evaluated through an electrocardiogram and cardiac catheterization, while valve insufficiency needs to be assessed using echocardiography. Please schedule an appointment with the cardiology clinic for examination and treatment...[Read More] Distinguishing Symptoms of Coronary Artery Blockage vs. Valve Dysfunction
Is Laparoscopic Surgery the Only Option for Gallbladder Removal?
Is laparoscopic surgery the only option for gallbladder removal? Dear Dr. Li, I am an insurance company agent. I encountered a situation where the insurance company denied a claim while assisting a policyholder with their application. Therefore, I would like to ask some question...
Dr. Li Huixiong Reply:
In general, surgery should only be performed when there is a medical indication. In your question, you did not mention the reason for the insured undergoing cholecystectomy. If the patient has cholecystitis or gallstones, the physician will assess the severity of the condition an...[Read More] Is Laparoscopic Surgery the Only Option for Gallbladder Removal?
Understanding Heart Issues: Chest Discomfort, Breathing Problems, and Inner Ear Balance
Heart disease Hello, Dr. Ke: 1. Sometimes I experience chest tightness and shortness of breath, which can worsen, especially when walking. I find that taking traditional Chinese medicine helps alleviate my symptoms. 2. During a hospital visit, the doctor mentioned that I have...
Dr. Ke Zhengchang Reply:
Hello Zhu-Ru: Both cardiac and pulmonary issues can present with symptoms of shortness of breath, so it is recommended to visit our hospital's pulmonary medicine department for various examinations and treatments.[Read More] Understanding Heart Issues: Chest Discomfort, Breathing Problems, and Inner Ear Balance
Understanding Dilated Cardiomyopathy: What You Need to Know
Dilated cardiomyopathy I am a 23-year-old student, and I recently had a health check-up. The examination report indicated that I have **dilated cardiomyopathy**, **heart murmurs** in my chest, and **goiter** in my neck. What do these terms mean? Are there any specific concerns I ...
Dr. Zeng Fenyu Reply:
Please consult an internist. Based on your examination results, an explanation will be provided. Just looking at these terms, the severity of the diseases they represent can vary widely, and it is not possible to provide a definitive answer on paper.[Read More] Understanding Dilated Cardiomyopathy: What You Need to Know
Understanding Chest Pressure When Sleeping on the Left Side
Chest compression When I sleep on my left side, I experience a strong feeling of pressure on my heart, which is very uncomfortable. However, when I sleep on my right side, I do not have this issue. I also do not experience this sensation when sitting or standing. This phenomenon ...
Dr. Ke Zhengchang Reply:
Hello THC: It is recommended that you go to the hospital for an electrocardiogram (ECG) and X-ray examination. (Symptoms like these can be related to thoracic or cardiopulmonary issues.)[Read More] Understanding Chest Pressure When Sleeping on the Left Side
Understanding Tricuspid Regurgitation: Causes, Symptoms, and Heart Health
Tricuspid regurgitation During a previous check-up for a rash, the doctor detected a heart murmur and performed an echocardiogram, which revealed tricuspid regurgitation. I would like to know what causes this condition. Is it the same as tricuspid valve prolapse? I'm also co...
Dr. Li Huixiong Reply:
The tricuspid valve is located between the right atrium and right ventricle of the heart, and its primary function is to prevent the backflow of blood into the right atrium during right ventricular contraction. When the heart experiences certain conditions, such as ischemic heart...[Read More] Understanding Tricuspid Regurgitation: Causes, Symptoms, and Heart Health
Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions
Electrocardiogram Issues I recently underwent a comprehensive health examination, and the report indicated that my electrocardiogram showed "incomplete right bundle branch block." The examining physician suggested that I should monitor it regularly. I would like to know...
Dr. Li Huixiong Reply:
Whether it is "complete" or "incomplete" right bundle branch block, there are usually no symptoms of discomfort, so there is no need to worry. Most cases are of unknown origin and may be secondary to myocardial infarction or valvular heart disease; regular fol...[Read More] Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions
Understanding Slow Heartbeat and Breathing Difficulties in Middle-Aged Women
Shortness of breath and bradycardia? Your mother is 50 years old and has not yet reached menopause. Her usual blood pressure is 100/60 mmHg. Recently, she has been experiencing a sensation of a slow heartbeat (measured pulse is 72 beats per minute, heart rate is 80 beats per minu...
Dr. Li Huixiong Reply:
Your mother is 50 years old and has not yet experienced menopause, but her menstrual cycle may be irregular. Her blood pressure is acceptable, and her pulse rate is within the normal range, but it's unclear if it is consistent. It is recommended that you take your mother to ...[Read More] Understanding Slow Heartbeat and Breathing Difficulties in Middle-Aged Women
Understanding Chest Pain Near the Heart: Causes and Concerns
I have pain near my heart on the left side of my chest? Recently, I have gained about 15 kilograms in weight over the past year. Additionally, I previously experienced a trauma to my left chest due to a car accident, which has resulted in pain in that area. This pain has been pre...
Dr. Li Huixiong Reply:
I am not sure when your car accident occurred. Was it serious enough to require hospitalization? The purpose of these two questions is to determine the relationship between the symptoms you described and the left chest contusion. After the accident, did you have a chest X-ray, an...[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns
Understanding the Risks of Cardiac Catheterization for Diabetic Patients
The risks associated with cardiac catheterization in patients with diabetes..? Hello, Doctor: My father is 50 years old and has been diagnosed with diabetes mellitus (D.M.) for over five months. He regularly takes his medication and goes for morning walks every day. His condition...
Dr. Li Huixiong Reply:
According to your statement, your father primarily suffers from two conditions: 1. Diabetes mellitus and 2. Ischemic heart disease. Patients with diabetes are already considered a high-risk group for ischemic heart disease (or coronary artery disease). There is now a suspicion th...[Read More] Understanding the Risks of Cardiac Catheterization for Diabetic Patients