Heart, Internal Medicine FAQ - Page 6

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Understanding Vaccine Side Effects: A Case Study on Moderna

Vaccine side effects On July 8, I received the first dose of the Moderna vaccine. On the third day, I experienced some drowsiness but had no other discomfort. However, on August 3, after taking a shower and combing my hair, I suddenly found it difficult to raise both arms, my hea...


Dr. Hong Yuanbin Reply:
Hello, after taking a shower, vasodilation combined with raising both arms can lead to a decrease in the blood return to the heart, causing an increase in heart rate. This is a normal physiological phenomenon and should not be directly related to the vaccine. As for the soreness ...

[Read More] Understanding Vaccine Side Effects: A Case Study on Moderna


Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot

After receiving the vaccine Hello, doctor. I recently received my second dose of the Moderna vaccine, and it's been five days. I've been experiencing pain in my arm when making larger movements (like shaking, running, or jumping), but it doesn't hurt much when I&#x...


Dr. Hong Yuanbin Reply:
Hello, based on your description, these are indeed possible phenomena after vaccination. It is not necessarily required to seek medical attention immediately unless the symptoms become more pronounced or if you experience fever, chest pain, severe shortness of breath, or other co...

[Read More] Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot


Understanding Dizziness After Masturbation: Causes and Solutions

Males may experience dizziness after masturbation? I am a male student, and I have had a habit of masturbation since middle school, although I am not sure when it started. I have noticed that after masturbating, my thinking becomes very sluggish, my memory worsens, and I often fe...


Dr. Li Jian Reply:
Hello: Currently, there is no research indicating that masturbation affects memory. However, based on your personal experience, you mentioned a temporary change in memory. If there is a long-term decline in memory, it may be due to structural changes in the brain, but short-term ...

[Read More] Understanding Dizziness After Masturbation: Causes and Solutions


Understanding Non-Rheumatic Mitral Valve Insufficiency: Symptoms and Insights

What is non-rheumatic mitral valve insufficiency? Due to experiencing left-sided chest pain for a period of time without improvement, I visited a cardiologist. At that time, I mentioned that the pain was localized to a specific point, and the doctor indicated that it was likely n...


Dr. Hong Yuanbin Reply:
In the past, when medical knowledge was not as advanced, mitral valve insufficiency was often caused by bacterial infections, particularly streptococcal infections. This type of infection is referred to as "rheumatic mitral valve insufficiency." Other causes that are no...

[Read More] Understanding Non-Rheumatic Mitral Valve Insufficiency: Symptoms and Insights


Is Moderna Vaccine Safe for Elderly with Diabetes and Heart Issues?

Elderly individuals receiving the Moderna vaccine? Hello, doctor. I would like to inquire about my grandmother (70 years old) who has severe diabetes and respiratory diseases (currently requiring the use of an oxygen machine), and has a stent in her heart. Is she suitable for rec...


Dr. Hong Yuanbin Reply:
Hello, the side effects of pericarditis mainly occur in young people and the elderly. Currently, there are no reported cases worldwide. As for your grandmother, it is advisable to have a physician evaluate whether there are any acute conditions, such as acute respiratory infectio...

[Read More] Is Moderna Vaccine Safe for Elderly with Diabetes and Heart Issues?


Understanding Heart Discomfort During Dialysis: Causes and Solutions

Discomfort in the heart during dialysis? Dear Dr. Wu, I have a family member, a 30-year-old female, who has been undergoing dialysis treatment for nearly two years. Recently, she experienced a sudden myocardial infarction and underwent cardiac catheterization and coronary artery...


Dr. Wu Jiyu Reply:
Based on your inquiry, the hemoglobin measurement is approximately 21-25, which is low. After blood transfusion, you may discuss with your physician whether erythropoietin (EPO) or iron supplements are adequate or if there are other bleeding issues (such as gastrointestinal bleed...

[Read More] Understanding Heart Discomfort During Dialysis: Causes and Solutions


Understanding COVID-19 PCR Results and Symptoms: A Patient's Inquiry

Positive result on rapid test for COVID-19 (Continuation Four) Hello Dr. Hong, This week I underwent the fourth PCR screening, and the CT value has decreased again. The report is as follows: SARS-CoV-2 Gene E: 33.06 (previously, the tested item was SARS-CoV-2 Gene RdRp with res...


Dr. Hong Yuanbin Reply:
Hello, 1. This refers to the detection of antigens at different locations of the virus. The CT values of different reagents cannot necessarily be compared with each other. 2. Since these are different reagents, this does not necessarily indicate a relapse. Additionally, during...

[Read More] Understanding COVID-19 PCR Results and Symptoms: A Patient's Inquiry


Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?

Palpitations after receiving the Moderna vaccine? I received the Moderna vaccine this morning. On the same day, I experienced only arm soreness and a mild fever. However, at night, while lying flat, I felt a noticeable heartbeat. I measured my heart rate multiple times, and it ra...


Dr. Hong Yuanbin Reply:
Hello, the discomfort you described is indeed a common side effect of the Moderna vaccine, typically occurring within 48 hours. Most symptoms improve within this timeframe. If you still feel unwell after 48 hours or experience chest pain, it is advisable to seek medical attention...

[Read More] Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?


Can Patients with Sjögren's Syndrome Safely Receive Moderna COVID Vaccine?

Can patients with systemic dryness syndrome receive the Moderna COVID-19 vaccine? Hello, my mother is 74 years old and has Sjögren's syndrome with systemic dryness, rheumatoid arthritis, blepharospasm, arrhythmia, hypertension, chronic heart failure, irritable bowel syndrome...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. Based on the condition of the elderly lady you described, I believe she can receive the Moderna vaccine. However, please pay attention to the medications she is taking; some drugs for rheumatoid arthritis should be temporarily discontinued after...

[Read More] Can Patients with Sjögren's Syndrome Safely Receive Moderna COVID Vaccine?


Managing VPC: Understanding Ventricular Premature Contractions and Anxiety

Ventricular Premature Contractions (VPC) Hello Dr. Hong, thank you for your previous response. You are correct that my VPC (ventricular premature contractions) were discovered through a 24-hour Holter monitor. I have paid out of pocket for this test five times, with occurrences r...


Dr. Hong Yuanbin Reply:
Hello, VPC (ventricular premature contractions) is currently considered a "benign" arrhythmia, meaning it does not pose a life-threatening risk and is unlikely to have long-term adverse effects. However, it may still cause symptoms such as palpitations during episodes. ...

[Read More] Managing VPC: Understanding Ventricular Premature Contractions and Anxiety


Understanding Low Heart Rate: Implications and When to Seek Cardiology Care

Bradycardia Hello, doctor. In my health check report, there is an electrocardiogram (ECG) finding suggestive of myocardial ischemia, and my hemoglobin and mean corpuscular hemoglobin concentration are low. My smartwatch has a heart rate monitoring function, and a normal resting h...


Dr. Hong Yuanbin Reply:
Hello, regarding bradycardia, it should be assessed in conjunction with your symptoms. If you have no discomfort, there may not be a need to address it. A low hemoglobin level and mean corpuscular hemoglobin concentration indicate anemia, and the specific hemoglobin level should ...

[Read More] Understanding Low Heart Rate: Implications and When to Seek Cardiology Care


Understanding Eye Symptoms After Late Nights: What You Need to Know

Questions about issues after staying up late? Hello, Doctor. I would like to ask you two questions. The first one is that when I looked in the mirror while showering this morning, I noticed some red streaks and a slight yellow tint around the edges of my eyes. I'm concerned ...


Dr. Hong Yuanbin Reply:
Hello, based on your photo, your sclera primarily shows blood vessels and is not indicative of jaundice, although it appears slightly cloudy. However, this is not jaundice. Considering the situation you described, it is likely a physiological change caused by staying up late. The...

[Read More] Understanding Eye Symptoms After Late Nights: What You Need to Know


Understanding Chest Tightness in Hyperthyroidism and Heart Valve Issues

Chest tightness issue? Hello, doctor. I am a patient with hyperthyroidism, and my only symptom is a slightly elevated heart rate. I also have a problem with mitral valve insufficiency. Currently, I am controlling my hyperthyroidism with medication, taking two tablets of methimazo...


Dr. Hong Yuanbin Reply:
Hello, based on your description, there could indeed be many causes for your breathing difficulties. It may be necessary to check your blood oxygen levels; if they are abnormal, you should be cautious about potential lung or heart issues. However, since you have already undergone...

[Read More] Understanding Chest Tightness in Hyperthyroidism and Heart Valve Issues


Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help

Shortness of breath lasting for one week + occasional chest pain? On the night of the 7th, I woke up feeling somewhat short of breath for no apparent reason. I hadn't turned on the air conditioning, and it didn't feel like my usual nasal congestion, but it felt very obs...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the main issue is subjective discomfort. I recommend measuring your body temperature and blood oxygen levels. If both are normal, you may consider an outpatient consultation. It could be caused by anemia or hyperthyroidism. However,...

[Read More] Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help


Understanding Symptoms: Numbness, Low Fever, and Heart Issues

Numbness in the cheeks, unexplained fever, and heart rate issues? Around 1 AM on June 2, my family member received a notification from the "Taiwan Social Distancing" app indicating possible contact with a confirmed COVID-19 case. They went to work in the morning, but in...


Dr. Lin Wufu Reply:
Hello! It is common to experience palpitations and other discomforting symptoms during a fever. A single negative test result does not definitively confirm that you are negative for the virus. If you still have the same symptoms after 3-4 days (which is now), it is advisable to c...

[Read More] Understanding Symptoms: Numbness, Low Fever, and Heart Issues


Understanding Foot Edema: Causes, Concerns, and Solutions

Foot edema Hello Doctor, I have been experiencing swelling in my feet for the past six months. Sometimes my feet feel sore before bed or upon waking up. However, I had a blood test in February, and all basic parameters, including liver and kidney functions, were normal. The only ...


Dr. Hong Yuanbin Reply:
Hello, a glomerular filtration rate (GFR) of 91.7 is within the normal physiological range and should not be directly related to edema. Based on your description, it is likely due to poor vascular elasticity, which can lead to inadequate blood circulation and subsequent edema. Va...

[Read More] Understanding Foot Edema: Causes, Concerns, and Solutions


Managing Fever and Central Temperature Regulation After Brain Injury

Fever of unknown origin, central fever? Hello, my father suffered a subarachnoid hemorrhage at the beginning of this year, which led to hydrocephalus. He immediately had an external ventricular drain placed to manage the cerebrospinal fluid. After a cerebral angiogram revealed an...


Dr. Lin Wufu Reply:
Hello! Your father's condition is quite complex, making it difficult to assess based solely on your brief description. The diagnosis of central fever is made only after excluding other infectious causes, and it can be established only when laboratory tests show no obvious si...

[Read More] Managing Fever and Central Temperature Regulation After Brain Injury


Understanding Breathlessness: Insights on Mitral Valve Prolapse and Dizziness

Feeling unable to breathe? Hello Doctor, I have mitral valve prolapse and vertigo. Whenever I am in a car, even with the air conditioning on, I must crack a window open; otherwise, I feel like I can't breathe, start to hyperventilate, feel nauseous, and then get a headache. ...


Dr. Hong Yuanbin Reply:
Hello, regarding the breathing difficulties you mentioned, there could be many potential causes, including issues related to the heart, lungs, or psychological factors. Simply relying on symptom description may not allow for a proper assessment. It is recommended that you visit a...

[Read More] Understanding Breathlessness: Insights on Mitral Valve Prolapse and Dizziness


Understanding Tongue Pain: The Role of B12 Deficiency and Parasites

Tongue pain and issues related to vitamin B12 deficiency and parasitic infections (long text)? Hello Doctor, I mainly want to ask about parasites and gastrointestinal issues. Here are my personal details: At the age of 12, I contracted pneumonia and took antibiotics for a month ...


Dr. Hong Yuanbin Reply:
1. Theoretically, eosinophil levels may rise during a parasitic infection; however, this is not absolute, as many individuals with parasitic infections may have normal test results. 2. Indeed, when testing stool for ova, unless the parasite is shedding eggs at the time of testi...

[Read More] Understanding Tongue Pain: The Role of B12 Deficiency and Parasites


Is Rapid Heartbeat Normal with a Cold? Understanding Symptoms and Risks

Experiencing a rapid heartbeat during a cold? Hello Doctor: I have been feeling unwell these past few days and sought medical attention, where I was diagnosed with a cold. However, after taking the medication, my heart rate has been consistently around 100-110 beats per minute wh...


Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is my response: An increased heart rate may be related to medication or other causes. It is advisable to visit a hospital for an examination to determine the underlying cause. For instance, antihistamines containing pseudoephedrine, which are ...

[Read More] Is Rapid Heartbeat Normal with a Cold? Understanding Symptoms and Risks


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