Navigating Endocrine Issues: Finding the Right Specialist for Your Health
Endocrine issues Hello, Doctor: Our family has a history of diabetes and thyroid nodules, but I seem to be the unluckiest one. After undergoing thyroid cancer surgery, I have been taking thyroid hormone (levothyroxine), which causes my heart rate to be consistently between 110 an...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you described, it is indeed necessary to conduct a detailed examination of the thyroid. I recommend visiting the endocrinology department at a major hospital. You can refer to the outpatient schedule to find a physician who specializes in thyroid dis...[Read More] Navigating Endocrine Issues: Finding the Right Specialist for Your Health
Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Thyroid fine-needle aspiration biopsy? Hello Dr. Lin, My mother (70 years old) has been diagnosed with hyperthyroidism and has been advised to undergo a fine needle aspiration biopsy of the thyroid (and neck mass). The consent form mentions that anticoagulant use is a contraindi...
Dr. Lin Jianliang Reply:
Generally, a thyroid ultrasound is performed first, followed by a fine needle aspiration biopsy of the thyroid. It is recommended to inform the physician performing the biopsy beforehand.[Read More] Thyroid Fine Needle Aspiration: What to Know Before Your Procedure
Understanding Muscle Pain: Is It Stress or Something More Serious?
Muscle pain sensation Hello, I would like to ask the doctor about experiencing sudden pain in the right side of my back and a bit under the right breast, which feels like muscle or bone pain, especially when I take a deep breath. This occurs sometimes when I am nervous or afterwa...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have a strain in the muscles or joints of your right arm, possibly due to recent activities such as unusual exercise or lifting heavy objects. I recommend doing some warm-up exercises or applying heat to alleviate the discomfort....[Read More] Understanding Muscle Pain: Is It Stress or Something More Serious?
Understanding Post-Masturbation Symptoms: Pain and Heart Rate Changes
Symptoms after masturbation Hello, after masturbating last night, I woke up this morning feeling some soreness under my left shoulder and a bit near my tailbone in my back. I would like to know if this is related to masturbation or if it could be a heart or kidney issue, or if it...
Dr. Hong Yuanbin Reply:
Hello, 1. The soreness you mentioned is likely not related to the heart or kidneys, but rather due to masturbation or poor sleeping posture, or excessive exertion leading to muscle soreness. Appropriate heat application and allowing the muscles to rest should help with recovery...[Read More] Understanding Post-Masturbation Symptoms: Pain and Heart Rate Changes
Understanding Blood Pressure Readings and Antibiotic Ointment Safety
Blood pressure and ointments? Hello Dr. Hong, I hope you are well. I am currently studying in the United States with my family and would like to ask you two questions. I have recently developed a habit of measuring my blood pressure at home using a blood pressure monitor. My read...
Dr. Hong Yuanbin Reply:
Hello, 1. Normal systolic/diastolic blood pressure is approximately 100-140/60-90 mmHg. Your measured values are within the normal range, so there is no need to worry. 2. Antibiotic ointment should not deteriorate overnight if left uncovered, so it should be fine to continue ...[Read More] Understanding Blood Pressure Readings and Antibiotic Ointment Safety
Understanding Chest Discomfort: Muscle Pain or Heart Concerns?
Discomfort in the muscles near the chest? Hello Doctor: In the past few days, I have occasionally felt pain in the area about 3-4 fingers wide above the left nipple or near the midpoint between the nipple and the armpit when I move my arm. I'm not sure if it's muscle pa...
Dr. Hong Yuanbin Reply:
Hello, the area you are referring to is likely where the cartilage or pleura is prone to inflammation. The deep breathing or chest expansion you mentioned can trigger pain, suggesting it could be pleuritis or costochondritis. It is possible that you previously experienced a cold,...[Read More] Understanding Chest Discomfort: Muscle Pain or Heart Concerns?
Managing Cholesterol and Wound Care: Your Health Questions Answered
Two questions? Hello Doctor, I received my health check results today as school is starting. The only red flags were a heart rate of 92 and a cholesterol level of 219. I would like to ask if there are any methods to lower cholesterol. I feel that my weight is not high, but this c...
Dr. Hong Yuanbin Reply:
Hello, regarding your health check-up, a heart rate of 92 is still within the normal physiological range, and a liver enzyme level of 37 is also within normal limits, so there is no need to worry. The only thing you should consider is your cholesterol level of 219; it is recommen...[Read More] Managing Cholesterol and Wound Care: Your Health Questions Answered
Understanding Intermittent Chest Pain: Causes and Concerns
Intermittent chest tightness and pain? Hello doctor, I have been experiencing occasional chest discomfort and pain. I recalled that about a year ago, I fell forward while skateboarding, and my chest hit the ground hard. It was very painful at the time, but it eventually got bette...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the X-ray did not reveal any specific issues, and the pain increases with exertion. This suggests that it may be caused by a muscle injury. I recommend using some oral or topical anti-inflammatory medications, which should help improve your condi...[Read More] Understanding Intermittent Chest Pain: Causes and Concerns
Can Chest Pain from Muscle Injury Heal on Its Own?
Excluding heart and lung issues, the chest muscle is injured? Hello Doctor, I am the inquirer with ID 161912. Thank you very much for your response. I would like to ask if, after ruling out heart and lung issues, the sensation of chest tightness and pain is indeed caused by a mus...
Dr. Hong Yuanbin Reply:
Hello, your condition does seem more like a muscle strain. Typically, it's advisable to rest the injured area and consider using topical analgesic ointments. If the pain persists, you may want to consult an orthopedic specialist or a family medicine physician. If a Western m...[Read More] Can Chest Pain from Muscle Injury Heal on Its Own?
Understanding Lower Rib Pain: Symptoms and When to Seek Medical Help
Sharp pain in the lower middle part of the ribs? Hello doctor, recently I have been experiencing sharp pain in the lower middle part of my ribcage, sometimes accompanied by a burning sensation. Additionally, I have been feeling intermittent burning in my chest for some time. Coul...
Dr. Zeng Guosen Reply:
Hello, along with the burning sensation, you have also been experiencing intermittent heartburn in your chest for some time. Based on your description, it seems like symptoms of heartburn, which may indicate gastroesophageal reflux disease (GERD). I recommend seeing a gastroenter...[Read More] Understanding Lower Rib Pain: Symptoms and When to Seek Medical Help
Understanding Hypothyroidism: Heart Palpitations and Treatment Insights
Hypothyroidism and Palpitations Hello Dr. Lee, I would like to ask you a question. Last year, I underwent an advanced health check-up and was diagnosed with hypothyroidism. I am currently taking one tablet of Eltroxin 50 mcg. I often experience severe palpitations and sometimes h...
Dr. Li Jian Reply:
Palpitations are often a symptom of hyperthyroidism. When taking thyroid hormone, thyroid function should be monitored every three months to determine if it is normal and whether lifelong medication is necessary. Regular blood tests are required to assess this.[Read More] Understanding Hypothyroidism: Heart Palpitations and Treatment Insights
Understanding Mild Chest Pain: Should You Worry About Heart Issues?
Mild discomfort in the chest area? Hello, Doctor Hong. For the past couple of days, I've been experiencing a slight pain near the upper left side of my chest, which seems to be around the bone area when I touch it. Sometimes, when I move my left arm near the back of my armpi...
Dr. Hong Yuanbin Reply:
Hello, 1. The symptoms of arrhythmia typically include palpitations, usually felt near the left anterior chest. These symptoms do not worsen with arm elevation, so your condition is likely not arrhythmia. 2. Based on the symptoms you described, the most probable cause is a st...[Read More] Understanding Mild Chest Pain: Should You Worry About Heart Issues?
Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Shock Prevention How can physicians prevent the occurrence of various types of shock?
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here are the details: Shock can be classified into several types: (1) Cardiogenic shock: The heart is unable to provide sufficient cardiac output, such as in cases of myocardial infarction, arrhythmias, and heart failure. (2) Hypovolemic shock: Flu...[Read More] Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan Reply:
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
Understanding High Thyroid Antibodies: Risks and Implications for Treatment
Thyroid antibody issues? Hello Doctor: I have some questions regarding thyroid antibodies. (1) If all three thyroid antibodies (Anti-THYG, Anti-TSHR, Anti-TPO) are elevated, is it possible for hyperthyroidism to improve and then lead to hypothyroidism? (2) If I undergo radioactiv...
Dr. Li Jian Reply:
1. Some individuals may experience hyperthyroidism in their youth, which can later transition to hypothyroidism in old age. 2. Radioactive iodine treatment and TPO antibodies can both lead to hypothyroidism; therefore, it is essential to regularly monitor thyroid function after...[Read More] Understanding High Thyroid Antibodies: Risks and Implications for Treatment
Understanding Elevated Cortisol Levels: Symptoms, Causes, and Next Steps
Hypercortisolism Hello Doctor, I have been experiencing chest tightness and discomfort for the past few months, and it has been over two months now with daily discomfort. Occasionally, I also feel nauseous, and my energy and spirits are not very good. After undergoing several car...
Dr. Wu Hongjie Reply:
Cortisol levels typically range from 4.3 to 22.5 µg/dL; it is recommended to follow up with an endocrinologist since the adrenal glands are part of the endocrine system. Wishing you good health.[Read More] Understanding Elevated Cortisol Levels: Symptoms, Causes, and Next Steps
Understanding High Adrenaline Levels: Causes and Health Implications
Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...
Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...[Read More] Understanding High Adrenaline Levels: Causes and Health Implications
Three Common Health Concerns to Discuss with Your Doctor
Three questions to ask the doctor? Hello, I have been observing my body recently and have three areas I would like to consult a doctor about. First, I noticed a cord-like structure extending from my scrotum, but my testicles are not evenly positioned in the center. Is this normal...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal for a healthy individual's testicles to vary in size and position; this is completely normal, so there is no need to worry. 2. A pneumothorax typically presents with severe chest pain and shortness of breath. Based on your description, it is unlike...[Read More] Three Common Health Concerns to Discuss with Your Doctor
Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Mild cough and upper abdominal pain? There is a feeling of slight discomfort in the middle of the clavicle, which may lead to occasional mild coughing (about one or two coughs). Aside from in the morning upon waking, there is no production of phlegm or dry cough, and there is no ...
Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, it is important to confirm whether you have ever experienced any injury to the center of your chest. If there has been an injury, it could be the cause. If there has been no injury, the most likely conditions are esophagitis or gastroes...[Read More] Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Impact of Medications on HIV Ag/Ab Combo Test Results: What You Need to Know
HIV Ag/Ab Combo test issues? Hello Dr. Hong, I have a heart stent placed and am currently taking the following six medications: Ticagrelor (Brilinta) and enteric-coated Aspirin (two antiplatelet medications), Valsartan and Amlodipine Besylate (antihypertensive medications), Propr...
Dr. Hong Yuanbin Reply:
Hello, the medications you are currently taking do not have any reported effects on the HIV Ag/Ab Combo test or the general antibody test (Anti-HIV), so they should not have a significant impact on this examination. Thank you for your inquiry.[Read More] Impact of Medications on HIV Ag/Ab Combo Test Results: What You Need to Know