Heart, Internal Medicine FAQ

Understanding Blood Pressure Drops and Nausea During Dialysis

Dialysis issues The links provided lead to recent blood test reports. I would like to ask the doctor why my grandmother often experiences a drop in blood pressure, confusion, and nausea during the dialysis process. When we asked her attending physician, the doctor only advised us...

Dr. Wu Hongjie Reply:
Hello: There are many causes of intradialytic hypotension (IDH) during dialysis: excessive weight gain between dialysis sessions (> 5%), heart failure, malnutrition, female gender, autonomic nervous system dysfunction, etc., are common causes. 1. If there is excessive weight...

Excessive Sweating and Fatigue: Understanding Possible Causes

Symptoms such as sweating and weakness? Hello Doctor, I would like to inquire about my mother. Sometimes when she works at the market in the morning, she sweats excessively, and even after changing into a fresh outfit, she returns home completely damp. Today, after coming home, s...

Dr. Li Jian Reply:
You can go to the hospital to check your thyroid function. If thyroid antibodies are elevated, symptoms such as sweating and palpitations may occur.

Understanding Chest Pain and Cough: Causes and Treatment Options

Chest pain and cough? Hello, doctor. Since March, I have been experiencing pain in the center of my chest. I have visited both pulmonology and cardiology several times, and after undergoing X-rays and heart-related tests, everything came back normal. The pain occurs mainly in the...

Dr. Hong Yuanbin Reply:
Hello, based on your description and the fact that you have already had an X-ray, it does seem more like costochondritis. However, costochondritis typically does not present with a cough. I recommend that you first get tested for COVID-19. If the result is negative and you still ...

Vaccines and Inflammation: Understanding Symptoms in Ankylosing Spondylitis

Vaccines and Inflammatory Markers Hello Doctor, I am a patient with ankylosing spondylitis. Recently, after receiving the vaccine, I have developed new symptoms of chest pain, which has lasted for six months. Both cardiology and pulmonology have stated that it is not a heart or l...

Dr. Zeng Guosen Reply:
Hello, the vaccine can indeed trigger the activation of autoimmune diseases. First, it's important to determine whether the nature and location of the chest pain are related to ankylosing spondylitis; you may want to consult a rheumatologist. If that is ruled out, you should...

Understanding IgA Nephropathy Treatment Options and Concerns

Treatment options for IgA nephropathy? Hello, Doctor! Recently, I had a kidney biopsy, and when reviewing the report, my attending physician asked me to take a picture of the report with my phone so I could look up the information at home. He only mentioned that the biopsy result...

Dr. Lin Wuxuan Reply:
IgA nephropathy has different treatment approaches depending on the individual's condition. If there are any concerns, it is advisable to return for a follow-up and consult the primary physician for clarification. Thank you.

Understanding Heart Issues: Propranolol Use and Symptoms Explained

Cardiac issues Hello, doctor. This month, I have frequently experienced a sensation of rapid heartbeat. On May 16, I went to a large hospital for an electrocardiogram and echocardiogram. The doctor explained that it might be due to hypersensitivity of the sympathetic nervous syst...

Dr. Hong Yuanbin Reply:
Hello, due to the multifaceted considerations regarding medication use, it is recommended to follow the prescribing physician's instructions for taking the medication. Only discontinue use if the heart rate drops below 60 beats per minute. As for feeling unwell, there may be...

Understanding the Link Between Ankylosing Spondylitis and Vaccination

The relationship between ankylosing spondylitis and vaccines? Hello Doctor, I am a 51-year-old male patient with ankylosing spondylitis. I received my first dose of the BNT vaccine in October last year and the second dose in January this year. I would like to ask if the symptoms ...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Is my chest pain more likely caused by the vaccine or by smoking? --> Ankylosing spondylitis can also cause chest pain, and the likelihood may be higher than the side effects from the vaccine, so it is unlikely to...

Chest Pain in Ankylosing Spondylitis: Which Specialist to See First?

If a patient with ankylosing spondylitis experiences chest pain, they should first consult a rheumatologist? Hello Doctor, I am 51 years old and a patient with ankylosing spondylitis, which I developed at the age of 45. My symptoms initially included only buttock pain and morning...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. I recommend seeing a rheumatologist first, as the duration of pain and the pain pattern may resemble that of ankylosing spondylitis, and it could potentially be related to it. If you still have concerns, you can discuss your anxiety about cardi...

Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes

Significant weight loss with normal thyroid function tests? Hello Dr. Lee, In early November last year, during my health check-up, my height and weight were 181 cm and 58.7 kg, respectively. Aside from being underweight, all other indices were normal (including CEA and fecal occ...

Dr. Li Jian Reply:
If thyroid function is normal, it may be advisable to consult a gastroenterologist to investigate whether the weight loss is related to chronic diarrhea.

Does Ankylosing Spondylitis Increase Severe COVID-19 Risk?

Do patients with ankylosing spondylitis have a higher risk of developing severe COVID-19? Hello doctor, may I ask if patients with ankylosing spondylitis are more likely to develop moderate to severe symptoms after contracting COVID-19? Thank you, doctor.

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Whether patients with rheumatic diseases develop severe illness after infection is related to their overall health status at the time of infection. Factors such as whether the rheumatic disease is well-controlled, the current condition of the d...

Unexplained Blisters and Weakness in Legs: Possible Causes and Solutions

Weakness in the feet accompanied by unexplained blisters? Dear Dr. Lin, My mother is 58 years old. Over the past six months, she has experienced weakness in her legs (mainly feeling unsteady while walking, as if she is walking on cotton). In the last three months, she has develo...

Dr. Lin Wufu Reply:
Hello: It is difficult to determine the issue based solely on this information. I recommend separating the concerns of foot weakness and blisters. For foot weakness, it is indeed advisable to consult a neurologist, preferably at a regional hospital or higher, as they can arrange ...

Breathlessness After Third Moderna Vaccine: Is It Normal?

Experiencing shortness of breath after receiving the third dose of the vaccine? Hello, doctor! My mother has been experiencing shortness of breath frequently since she received her third dose of the Moderna vaccine two months ago. Is this normal? Two days ago, she mentioned that ...

Dr. Hong Yuanbin Reply:
Hello, myocarditis caused by the Moderna vaccine is less common in the elderly. It is speculated that your mother's underlying health conditions, such as lung or heart issues, may be contributing to her shortness of breath. The likelihood of vaccine side effects is considere...

Understanding Nausea and Discomfort: Common Gastrointestinal Issues

Nausea and discomfort? In the past few days, I have been experiencing a nauseating sensation in my throat. It's not painful, but it feels like something is there, and I can't seem to burp it out. Additionally, I occasionally feel mild discomfort in my upper left abdomen...

Dr. Hong Yuanbin Reply:
Hello, what you mentioned seems to be different conditions. Nausea and upper abdominal pain may suggest gastritis, and a light diet is recommended, which should help improve the skin condition on your hands. Since I haven't seen it directly, I cannot make a definitive diagno...

Understanding Cough and Left Back Pain in Mitral Valve Prolapse Patients

Cold and cough. Soreness in the left back? I have a problem with mitral valve prolapse, and I am taking medication for palpitations and to prevent heart failure. I tend to be more sensitive and anxious, and sometimes my family says I make a big deal out of small issues. However, ...

Dr. Hong Yuanbin Reply:
Hello, 1. Regarding your back pain, it is likely caused by a muscle strain. If you haven't experienced any recent injuries, it may be due to poor posture or muscle strain from excessive coughing. Typically, applying heat or using a topical analgesic can help alleviate the ...

Understanding Dizziness and Fainting: Heart Rate Concerns in Teens

Cardiac issues, dizziness, and fainting? I am currently 17 years old and my heart rate reaches 190 to 200 beats per minute after about 5 minutes of exercise. Is this considered normal? I feel very dizzy and short of breath. I went to the hospital for an ECG, which was normal, and...

Dr. Zeng Guosen Reply:
Hello, if your heart rate reaches 190 to 200 beats per minute after about 5 minutes of exercise, it indicates that the intensity is too high for you. It is recommended to adopt a gradual approach to increase your exercise intensity. If no issues are found, consider consulting a s...

Understanding Gout: Duration, Symptoms, and Treatment Insights

Please ask some questions about gout? Hello, Doctor. My mother suddenly has difficulty walking on her right leg, and her right knee is very swollen, hot, and painful, although there are no visible signs of redness. After being hospitalized, it was found that there were bacteria i...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses to your inquiries: 1. Can gout symptoms last this long? I found online that gout usually comes and goes quickly, but my mother's symptoms have persisted for over a month. --> In terms of gout, this duration is ind...

Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot

Questions regarding post-vaccination issues? Hello, I received my second dose of the BNT vaccine on December 6th, and my first dose was the AZ vaccine in September. I experienced a fever after the first dose, but I didn't have any significant reactions after the second dose....

Dr. Hong Yuanbin Reply:
Hello, the chest pain you described due to a change in posture is not typically a symptom of myocarditis; it is usually caused by muscle or bone strain. If it were myocarditis, the chest pain would be persistent and accompanied by shortness of breath. It is advisable to monitor t...

Breathing Difficulties and Chest Pain: Understanding Your Symptoms

Difficulty breathing can cause wheezing, and there may be a stabbing or cramping sensation in the heart? Recently, I've been feeling like I have to take deep breaths to get enough air, and this sensation is more pronounced when I'm wearing a mask. After some physical ac...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it could potentially be a problem related to the stomach, lungs, or heart. However, further examination may be necessary to determine the exact issue. I recommend visiting a cardiology or pulmonology clinic for evaluation. You may need to undergo...

Do I Need Further Heart Catheterization After My Stress Test Results?

Do I need further cardiac catheterization based on my report? Under standardized dipyridamole stress test, (1) no significant inducible ischemia in the myocardium, (2) adequate left ventricular (LV) systolic function. ==============================================================...

Dr. Hong Yuanbin Reply:
Hello, based on your report, there is no evidence of myocardial infarction or heart failure. Whether a cardiac catheterization is necessary should be determined by a cardiologist based on your symptoms and blood test results. It is recommended that you follow up with a cardiology...

Do I Need Further Heart Catheterization After My Stress Test Results?

I have questions regarding my heart examination report. Do I need to undergo further cardiac catheterization? Under standardized dipyridamole stress test, (1) no significant inducible ischemia in the myocardium, (2) adequate left ventricular (LV) systolic function. ==============...

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