Mitral valve prolapse, Internal Medicine FAQ

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Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms

Suspected heart failure with mitral valve issues? Hello Doctor, thank you for your response. To provide some background, last year I experienced several months of sleep deprivation. I usually do not drink alcohol, but one night while out with friends, I was forced to drink a cock...


Dr. Xie Rongyuan Reply:
Hello: MVP is a common condition characterized by the prolapse of one or both leaflets of the mitral valve into the left atrium during systole due to mitral valve insufficiency. The pathological mechanism is not fully understood. Pro-BNP testing can assist in the diagnosis of con...

[Read More] Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms


Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained

Mitral valve prolapse Doctor, is my report normal? Is the difficulty in breathing, chest tightness, and dizziness caused by mitral valve prolapse? AO 27 mm (normal range 20-37) IVS 7 mm (normal range 7-10) LVEF M 70.8% AV 16 mm (normal range 16-26) LVPW 7 mm (normal ran...


Dr. Xie Rongyuan Reply:
Hello: Mild mitral regurgitation (MR) and tricuspid regurgitation (TR) are abnormal findings. If there are any concerns, you should consult a cardiologist. Thank you for your message!

[Read More] Understanding Mitral Valve Prolapse: Symptoms and Diagnosis Explained


Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID

Recurring fever every month that is neither influenza nor COVID-19? Since changing jobs in the second half of last year, I've been experiencing a lot of health issues (previously, I would only catch a cold once every six months). In May, I developed numerous unexplained red ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Recurrent fever is still a concern, and I recommend that you see a rheumatologist for further evaluation and testing. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital of the Ministry of Health and Welfare is here to assi...

[Read More] Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID


Understanding Exercise Fatigue and Heart Issues: A Patient's Journey

Exercise, fatigue, heart problems? Dear Doctor, For the past few months, I have been feeling more fatigued than usual. I feel weak when standing and cannot walk for long periods. Additionally, my exercise capacity has decreased significantly; I often experience an inexplicable ...


Dr. Hong Yuanbin Reply:
Based on your description, it is possible that the issue may be due to physiological or psychological factors. I recommend starting with a visit to a family medicine specialist to check your basic health status, such as whether you have anemia or if your endocrine system is funct...

[Read More] Understanding Exercise Fatigue and Heart Issues: A Patient's Journey


Understanding Intermittent Pain Under the Left Chest: Causes and Insights

Pain in the lower left chest? Hello, doctor. This morning, I woke up due to a sharp pain in the lower left side of my chest. It feels like intermittent sharp pain (not related to breathing). The pain extends to the side as well, and I can't pinpoint a specific tender spot; I...


Dr. Hong Yuanbin Reply:
Hello, heart valve issues are unlikely to be the cause of your symptoms. The most probable reason is a mild muscle strain related to posture, possibly due to your sleeping position or physical activity. This usually allows the muscles to relax and rest, and it should gradually im...

[Read More] Understanding Intermittent Pain Under the Left Chest: Causes and Insights


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.

[Read More] Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes


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 ...

[Read More] Understanding Cough and Left Back Pain in Mitral Valve Prolapse Patients


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


Understanding Unusual Lip Color Changes: Causes and Solutions

The color of the lips is different from others? Hello Doctor: My lips, as shown in the linked photo (https://img.onl/el2H6z), are usually a purplish-black color, similar to the character Fujiki from "Chibi Maruko-chan." I didn't have this discoloration during infan...


Dr. Hong Yuanbin Reply:
Hello, based on your photo, the color of your lips is only slightly darker but still within the normal range. Mitral valve prolapse and tricuspid regurgitation can indeed cause hypoxia, which may lead to darker lip color; however, if you do not experience shortness of breath, it ...

[Read More] Understanding Unusual Lip Color Changes: Causes and Solutions


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 Heart Palpitations: When to Seek Medical Advice

Cardiac issues Hello, doctor. A few days ago, I experienced symptoms of chest tightness. After searching online, I found that palpitations can be felt as a noticeable heartbeat. However, for several years, I have been able to feel my heartbeat almost all the time when I am still ...


Dr. Li Jian Reply:
Hello: The sensation of feeling one's heartbeat is referred to as palpitations. There are many situations that can cause palpitations, commonly including life stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated wit...

[Read More] Understanding Heart Palpitations: When to Seek Medical Advice


Managing Mitral Valve Prolapse: Dietary Tips and B Vitamins

Mitral valve prolapse Hello, doctor: A family member has symptoms of mitral valve prolapse. Besides avoiding strong tea and caffeine and ensuring adequate rest, is it advisable to supplement with low-dose B vitamins or similar products? Thank you.


Dr. Hong Yuanbin Reply:
Currently, there is no strong evidence to support the efficacy of low-dose B vitamin supplementation for mitral valve prolapse; however, there are also no significant drawbacks, as B vitamins are water-soluble and easily excreted from the body. In addition to the points you menti...

[Read More] Managing Mitral Valve Prolapse: Dietary Tips and B Vitamins


Understanding Infection Risks: Antibiotics and Heart Conditions Explained

Infection concerns? I originally had an inflamed sebaceous cyst scheduled for removal in two weeks. The doctor prescribed a one-day course of prophylactic antibiotics, but due to unforeseen circumstances, I didn't go. Yesterday, I consulted another physician who insisted tha...


Dr. Hong Yuanbin Reply:
Hello, regarding aortic stenosis with a bicuspid aortic valve and mitral valve prolapse, prophylactic antibiotics are only necessary in certain situations that involve bleeding, such as tooth extractions, due to the concern of infective endocarditis. For a simple cyst removal sur...

[Read More] Understanding Infection Risks: Antibiotics and Heart Conditions Explained


Managing Infected Lipomas: Risks of Endocarditis and Antibiotic Prophylaxis

Infected sebaceous cyst? I have an inflamed lipoma on my shoulder that is 2.5 cm and red, but it hasn't ruptured, and I don't want surgery for now. I also have aortic coarctation and a bicuspid aortic valve with mitral valve prolapse. If I leave the inflammation untreat...


Dr. Hong Yuanbin Reply:
Hello, regarding aortic stenosis with bicuspid aortic valve and mitral valve prolapse, prophylactic antibiotics are only necessary in certain situations that may cause bleeding, such as tooth extraction, due to concerns about infective endocarditis. If it is simply a lipoma, prop...

[Read More] Managing Infected Lipomas: Risks of Endocarditis and Antibiotic Prophylaxis


Understanding Non-Rheumatic Mitral Valve Prolapse: Is It Congenital?

Non-rheumatic mitral valve prolapse Is the non-rheumatic mitral valve prolapse diagnosed recently due to caffeine-induced palpitations a congenital condition?


Dr. Lin Wufu Reply:
Hello! As far as I know, mitral valve prolapse is mostly congenital, so it may be discovered in young individuals who seek medical attention due to symptoms like chest tightness or mild chest pain. Mitral valve prolapse itself typically does not have a significant impact on cardi...

[Read More] Understanding Non-Rheumatic Mitral Valve Prolapse: Is It Congenital?


Understanding Mitral Valve Prolapse: When to Seek Medical Attention

Mitral valve prolapse Hello, doctor. I was diagnosed with mitral valve prolapse in February and was prescribed medication at that time. Recently, I've been experiencing sudden shortness of breath while lying down or sitting, which is quite uncomfortable. Previously, this wou...


Dr. Hong Yuanbin Reply:
Hello, valve issues are concerning as they may be accompanied by arrhythmias, heart failure, or pulmonary edema. These conditions require a personal examination for accurate assessment. Therefore, if you are experiencing shortness of breath, it is advisable to seek medical attent...

[Read More] Understanding Mitral Valve Prolapse: When to Seek Medical Attention


Does Mitral Valve Prolapse Affect Male Sexual Function?

Does mitral valve prolapse cause sexual dysfunction? Does mitral valve prolapse cause sexual dysfunction? Since it is related to heart blood flow, I am concerned about its impact as a male.


Dr. Xiao Yongxun Reply:
Dear Mr. Luas: 1. There are very few studies that report mitral valve prolapse as a cause of sexual dysfunction. 2. Most cases of mitral valve prolapse are asymptomatic. A small percentage may experience symptoms such as shortness of breath, palpitations, chest pain, arrhythmias...

[Read More] Does Mitral Valve Prolapse Affect Male Sexual Function?


Exercise Concerns for Patients with Hypothyroidism: What You Need to Know

Concerns about exercise in hypothyroidism? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. Last week, I discovered a lump in my neck, and after visiting the clinic yesterday, I was diagnosed with hypothyroidism. The physician mentioned that it is...


Dr. Hong Yuanbin Reply:
Hello, it is recommended to avoid intense exercise in the initial stages to prevent overexertion. Once the medication stabilizes, you can gradually increase the intensity of your workouts. However, it is still advisable not to push yourself too hard. Thank you for your question.

[Read More] Exercise Concerns for Patients with Hypothyroidism: What You Need to Know


Is Chest Tightness and Elbow Pain Linked to Mitral Valve Prolapse?

Is chest tightness causing chest pain and elbow pain? Hello, doctor. Two years ago, I worked in security for over a year, and due to long hours and night shifts, I experienced chest tightness. Later, in February 2015, I was diagnosed with mitral valve prolapse. Last year, the fre...


Dr. Hong Yuanbin Reply:
Hello, typical angina usually does not become more painful when pressure is applied. Based on your description, it seems less like typical angina and more likely related to stress or irregular lifestyle causing discomfort in the chest. However, I recommend that if you want to con...

[Read More] Is Chest Tightness and Elbow Pain Linked to Mitral Valve Prolapse?


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