Understanding Thyroid Issues: When to Seek Medical Attention
Thyroid issues Hello Doctor, I recently noticed something moving up and down under my Adam's apple when I swallow while looking in the mirror. After some research, I found out that it is the thyroid gland. I have only seen examinations done while tilting the head back. I can...
Dr. Li Jian Reply:
You can visit a hospital to see an endocrinologist for thyroid function tests and a thyroid ultrasound examination to determine if there are any abnormalities.[Read More] Understanding Thyroid Issues: When to Seek Medical Attention
Understanding Dizziness and Weakness: When to Seek Medical Help
Dizziness and weakness in the limbs? Hello doctor, my mother has been experiencing dizziness, weakness in her limbs, loss of appetite, and sometimes a rapid heartbeat since the beginning of this month. She has been lying down almost all day. What could be the possible causes, and...
Dr. He Yonghe Reply:
Hello, you can come to my clinic for a consultation on the 1st, 2nd, or 4th in the morning.[Read More] Understanding Dizziness and Weakness: When to Seek Medical Help
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Cardiac arrhythmia Since I have developed arrhythmia after receiving the vaccine, my heart rate fluctuates between 40-50 beats per minute and sometimes spikes to 110-120 beats per minute. I also experience missed beats and have a cough, although I do not have a cold. I feel short...
Dr. He Yonghe Reply:
Hello Ms. Momo, if you are experiencing arrhythmia, you should immediately visit a cardiology clinic for evaluation. If you feel very uncomfortable, please go to the emergency department right away.[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Heart sound changes In auscultation, there are specific characteristics of heart sounds that can help differentiate between S1 and S2. S1, the first heart sound, is primarily associated with the closure of the atrioventricular valves (mitral and tricuspid valves) at the beginning...
Dr. Hong Yuanbin Reply:
Hello, auscultation can indeed help infer S1 and S2 heart sounds, but this requires a professional cardiologist's assessment. For the general public, it is sufficient to distinguish whether the heartbeat is regular and to assess the heart rate. A stethoscope cannot accuratel...[Read More] Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Understanding Arrhythmias in Dialysis Patients: When to Seek Further Evaluation
Dialysis-related arrhythmias Hello Doctor: I am a dialysis patient (for over four years now), and during the dialysis process, I often experience episodes of arrhythmia. Occasionally, sitting up helps alleviate the symptoms. I have undergone multiple 24-hour Holter monitor tests,...
Dr. Wu Jiyu Reply:
Based on your description, the cardiologist's preliminary assessment suggests that the palpitations are likely not of a dangerous nature. However, we understand that they have impacted your quality of life and caused distress. It may be beneficial for you to discuss with you...[Read More] Understanding Arrhythmias in Dialysis Patients: When to Seek Further Evaluation
Concerns About Infection Risks During Blood Draw: What You Need to Know
I am concerned about the risk of infection since the blood collection tube fell on the table? Hello Doctor, I went to the lab today for a blood draw. They said my veins are too small, so they used a thin long needle (like a long thin tube). As the blood was slowly flowing out, th...
Dr. Lin Wufu Reply:
Hello: No, that's not the case! There is pressure within the blood vessels, so blood does not flow backward. The speed at which bacteria move is not fast enough to enter the body during the blood draw, so the scenario you mentioned poses minimal risk.[Read More] Concerns About Infection Risks During Blood Draw: What You Need to Know
Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Discomfort after receiving the BNT vaccine? Hello Dr. Hong, I received my first dose of the BNT vaccine on June 20 at 15:58, and I began experiencing pain under my left clavicle at 16:08. Twelve hours after the first dose, I developed a fever and redness and swelling at the injec...
Dr. Hong Yuanbin Reply:
Hello, muscle and joint pain after vaccination is quite common. However, if you have been experiencing pain for two months and it is getting worse, it may be necessary to consider that it might not be solely caused by the vaccine and that other underlying conditions could be invo...[Read More] Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Can Frequent Ejaculation Cause Rapid Heartbeat and Other Health Issues?
Rapid heartbeat can lead to other diseases? I have been ejaculating while holding a pillow about four to five times a week for several years. One day after ejaculation, my heart started racing extremely fast, to the point where I felt unable to do anything, which was quite fright...
Dr. Xie Rongyuan Reply:
Hello: Excessive excitement can lead to an increased heart rate. If further examination is needed, please visit a hospital for a detailed evaluation. Thank you for your message![Read More] Can Frequent Ejaculation Cause Rapid Heartbeat and Other Health Issues?
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Antinuclear Antibodies and Lupus: A Patient's Guide
Antinuclear antibodies in systemic lupus erythematosus? ANA: Speckled 1:640 HLA-B27: Negative E.S.R: 61 Basophils: 1.0 Eosinophils: 1.0 Hemoglobin (Hb): 11.9 Hematocrit (Hct): 36.1 Lymphocytes: 28.2 Mean Corpuscular Hemoglobin (MCH): 25.3 Mean Corpuscular Hemogl...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your question regarding elevated ANA and ESR levels indicates that it is essential to further investigate the cause of the elevated ANA. Additional tests may be necessary to confirm your diagnosis, and I recommend consulting a rheumatologist for...[Read More] Understanding Antinuclear Antibodies and Lupus: A Patient's Guide
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Vaccine administration? Hello Dr. Hong, I would like to ask about the medication I received after getting vaccinated this morning. The clinic gave me three yellow tablets of Paracetamol, and I have already taken one. However, I suddenly remembered that a few days ago, another doc...
Dr. Hong Yuanbin Reply:
Hello, Paracetamol, commonly known as acetaminophen, has a slightly weaker analgesic effect. However, due to its lower side effects, it can be used first for fever or pain. Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), has a stronger analgesic and antipyretic effect,...[Read More] Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Thyroid issues Hello Doctor, I received the AZ vaccine on August 5th, and about 10 days later, I experienced rapid heartbeat, chest tightness, and some shortness of breath until I sought medical attention on August 19th. My thyroid blood test results were as follows, while other ...
Dr. Lin Jianliang Reply:
Hello: Question 1: The distinction between mild and severe is quite subjective. Based on your values: FT4: 1.86 (reference range 0.59-1.43), it is not significantly above the upper limit. Question 2: Please follow your attending physician's advice; if the doctor has not inst...[Read More] Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options
Understanding Esophageal Injury Recovery: Insights from Gastroenterology
Yesterday's question continued? Thank you, doctor, for your careful response! Today, my family gave me a suspension of Gastroesophageal Reflux Medication to drink, and I feel that the pain has somewhat lessened, but it still persists a little. I plan to see a gastroenterolog...
Dr. Hong Yuanbin Reply:
Currently, it is not possible to definitively determine whether it is gastroesophageal reflux disease (GERD), a gastric ulcer, or simply esophagitis or gastritis. If it is merely inflammation, it usually improves within 1-2 weeks. In the case of GERD or a gastric ulcer, the durat...[Read More] Understanding Esophageal Injury Recovery: Insights from Gastroenterology
Understanding Chest Discomfort: Causes and When to Seek Help
Mild discomfort in the chest? Hello, doctor. About two days ago, I took anti-inflammatory medication and antibiotics at the clinic due to a cold. However, the next day, I started feeling a slight, vague pain in the middle of my chest, which is particularly noticeable around meal ...
Dr. Hong Yuanbin Reply:
Hello, the esophagus is quite long, extending from the throat to the chest. Based on your description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or a gastric ulcer. However, the exact cause can only be determined through an endoscopy. As for ...[Read More] Understanding Chest Discomfort: Causes and When to Seek Help
Antibiotic Use and Fungal Infections: Responsibilities and Concerns
Medication Use / Fungal Infection Thank you, Dr. Lin, for your previous answers regarding my mother's medical care. I have two more questions: 1. If antibiotics can lead to the development of these bacteria, do doctors have a responsibility to limit the use of antibiotics to...
Dr. Lin Wufu Reply:
1. Antibiotics should only be used when necessary, and physicians must evaluate their necessity and potential side effects before administration. For the reasons behind the medical team's decision to use antibiotics, please discuss with the attending physician. 2. In some ...[Read More] Antibiotic Use and Fungal Infections: Responsibilities and Concerns
Understanding Albumin Use and Fungal Infections in Elderly Patients
Medication Use / Fungal Infection 1. Human albumin should be administered in situations such as significant hypoalbuminemia, severe burns, liver cirrhosis with ascites, or conditions requiring volume expansion in critically ill patients. 2. It is not typical for a patient to ha...
Dr. Lin Wufu Reply:
Hello: 1. Common indications include limb edema or pulmonary edema caused by low albumin, or the use of albumin may also be considered in cases of hypotension. 2. It is quite common to culture many bacteria and fungi from urine and sputum after a patient has been hospitalized for...[Read More] Understanding Albumin Use and Fungal Infections in Elderly Patients
Moderna Vaccine Concerns for Patients with Contrast Agent Allergies
Allergic Reactions to Contrast Agents and Issues with the Moderna Vaccine Hello Doctor, I have a history of heart surgery and I am currently on medication for hypertension and hyperlipidemia. I am very concerned about the risk of thrombosis, which is why I chose to receive the Mo...
Dr. Zeng Guosen Reply:
Hello, it is indeed important to be cautious about allergic reactions to contrast agents when considering mRNA vaccines (including Moderna and Pfizer-BioNTech). For the AstraZeneca vaccine, aside from known allergies and related contraindications, it should generally be safe to a...[Read More] Moderna Vaccine Concerns for Patients with Contrast Agent Allergies
Understanding Chest Pain: Causes and When to Seek Help
Chest tightness or pain? I am a high school student. On the afternoon of August 9th, I moved some heavy objects, after which I started experiencing severe pressure and pain in my left shoulder and chest. I immediately stopped all activities, and then I began to have some difficul...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have a shoulder muscle strain. It is recommended to rest the injured area, apply some heat, and consider using topical anti-inflammatory ointments or patches, or taking anti-inflammatory medications such as acetaminophen. If the ...[Read More] Understanding Chest Pain: Causes and When to Seek Help
Understanding Fast Heart Rate: When to Seek Further Metabolic Testing
Tachycardia Hello doctor, I was previously informed that I have a fast heartbeat (for 2-3 years). Recently, I visited a cardiologist, and the test results were normal. The doctor also checked my thyroid and said the values were normal (TSH - 3.120, Free T4 - 1.36, T3 was not test...
Dr. Li Jian Reply:
If thyroid function is normal, there is no need to visit the endocrinology department for an examination.[Read More] Understanding Fast Heart Rate: When to Seek Further Metabolic Testing