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?
Understanding Muscle Pain Near the Armpit: When to Seek Medical Advice
Muscles near the axilla (armpit) Hello Doctor, today I felt a sudden soreness in the muscles under my right armpit or near my chest. When I poke it, it feels like there's something in the muscle or tissue, and it hurts a bit when I press on the bone area. I'm not sure i...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the most likely issue is a strain. The pain from a strain typically worsens with elevated use of the affected hand. As for the pneumothorax you mentioned, it usually presents with asthma-like symptoms and more severe breathing difficulties. Cance...[Read More] Understanding Muscle Pain Near the Armpit: When to Seek Medical Advice
Understanding Breathing Sensations and Muscle Pain After Exercise
Please ask your question? Hello doctor, today my boyfriend noticed that I haven't been exercising much besides walking, and he's worried that staying at home due to the pandemic might affect my health. He taught me how to do push-ups, and after struggling to complete ju...
Dr. Hong Yuanbin Reply:
Hello, some young males can indeed experience spontaneous pneumothorax, but it typically presents with significant shortness of breath and chest pain. Based on your description, it does not seem to be pneumonia or pneumothorax, but rather a muscle strain caused by sudden intense ...[Read More] Understanding Breathing Sensations and Muscle Pain After Exercise
Understanding Chronic Joint and Muscle Pain: Causes and Treatment Options
Muscle and joint pain? Hello Dr. Tseng, I have been experiencing increasing fatigue upon waking up every day for the past few years (average sleep time from 12:30 AM to 6:30 AM). During sleep, I often experience pain in my shoulders, elbows, and finger joints, as well as swelling...
Dr. Zeng Guosen Reply:
Hello, it is abnormal to experience pain in the shoulder, elbow, and finger joints while sleeping, and even to wake up due to joint pain during sleep. Blood tests for rheumatoid arthritis factors and uric acid levels have returned normal, but other rheumatic diseases cannot be ru...[Read More] Understanding Chronic Joint and Muscle Pain: Causes and Treatment Options
Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions
Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...
Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...[Read More] Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions
Understanding Chronic Pain: From Lymphadenitis to Muscle Discomfort
Chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain? Hello Dr. Liao: I am a 40-year-old mother, and I have been troubled by pain for the past few months (some of this pain actually started several years ago), but it has worsened recen...
Dr. Liao Zhongxin Reply:
Dear readers, regarding the issues of "chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain," I suggest the following: 1. Being a homemaker is a demanding job that often goes unnoticed or unappreciated by family members. It...[Read More] Understanding Chronic Pain: From Lymphadenitis to Muscle Discomfort
Understanding Pneumothorax: Symptoms, Causes, and Relation to Asthma
Please provide the content you would like me to translate? Hello, Dr. Hong. Based on my observations of my body, I don't think it's muscle pain because it feels very tight and painful, extending to my back, and it's quite uncomfortable. Sometimes I feel short of br...
Dr. Hong Yuanbin Reply:
Hello, pneumothorax refers to the partial rupture of a lung lobe, causing air to leak into the pleural cavity. It typically presents with sudden, severe pain followed by persistent shortness of breath that does not improve with rest. Small pneumothoraces may resolve on their own,...[Read More] Understanding Pneumothorax: Symptoms, Causes, and Relation to Asthma
Understanding Symptoms: Anxiety vs. Physical Health Concerns
I'm sorry, but the content you provided is not sufficient for Hello, doctor regarding the infection issue from case 108042. I am a resident of Chiayi City who asked a question a few days ago. I have been experiencing a sensation of throat tightness (some discomfort) and occa...
Dr. Hong Yuanbin Reply:
Based on the symptoms you described, they do not appear to be consistent with a true rabies infection. It is advisable to relax and manage stress appropriately. If the same symptoms persist, you may seek assistance from a psychiatrist or psychologist. Wishing you a speedy recover...[Read More] Understanding Symptoms: Anxiety vs. Physical Health Concerns
Understanding Pain in Vasculitis: Insights for Lupus Patients
Vasculitis pain sensation Dear Dr. Tseng, I am a patient with systemic lupus erythematosus, and I have vasculitis in my fingers and toes. Initially, the vasculitis on my fingers appeared red and slightly raised, and it was usually not painful, only causing a tingling sensation w...
Dr. Zeng Guosen Reply:
Hello, it is possible that vasculitis is causing your sensory abnormalities. Whether to adjust your medication should be determined after a follow-up visit with your physician. Thank you for your question.[Read More] Understanding Pain in Vasculitis: Insights for Lupus Patients
Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Polyarthritis 1. I have an ASLO index of 247 (or 274?). Is this caused by genetics or an infection? My family has a history of almost all hereditary diseases, including lupus erythematosus, ankylosing spondylitis, gout, rheumatoid arthritis, kidney stones, kidney disease, stroke,...
Dr. Gao Jiankai Reply:
Hello Ms. Yang, I hope this message finds you well. Your questions are somewhat complex, and since I haven't actually seen you, many of my thoughts are merely speculation. It is best for you to discuss these matters with a physician who has examined you in person. Here are m...[Read More] Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Understanding High ANA Titers: Is 1:160 Considered Significant?
Re: High Titer ANA Hello, Doctor Gao. Thank you very much for your response. I still have some difficulties in interpreting the text. In your previous reply, you mentioned that normal individuals can also test positive for ANA. Does this mean that a titer of 1:160 is required to ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Indeed, we consider an ANA titer of 160 or higher (inclusive) to be significant, at least in my opinion. As for your current symptoms, it would be better to discuss them with your rheumatologist, as the diagnosis of Systemic Lupus Erythematosus...[Read More] Understanding High ANA Titers: Is 1:160 Considered Significant?
Understanding Proteinuria in Teenagers: Causes and Concerns
Dear Doctor, why do I easily have proteinuria? Hello, I am a 17-year-old male. I have been experiencing proteinuria (+~++) for about a year. During this time, I have visited three major hospitals for diagnosis. I have undergone blood tests to assess kidney function and a 24-hour ...
Dr. Huang Yaoxuan Reply:
Hello, I am a nephrologist who relies on "tests (blood and urine tests, X-rays)" and "machines (dialysis machines)" to make a living... This is purely a joke (any resemblance is coincidental), but it does highlight the concerns of nephrologists and patients wi...[Read More] Understanding Proteinuria in Teenagers: Causes and Concerns
Understanding Lipitor's Effects on Blood Sugar and Hypertension Management
excuse me? 1. Does taking Lipitor cause an increase in blood sugar levels and glycated hemoglobin? 2. I am a patient with hypertension and my levels have been normal; should I proactively discuss the possibility of changing medications with my doctor? 3. Is this related to menopa...
Dr. Chen Qingbin Reply:
Hello SPP: Lipitor is a lipid-lowering medication. The main side effects include muscle pain and liver function abnormalities. If you have any issues while taking the medication, you can consult your physician to discuss whether to switch medications or discontinue use.[Read More] Understanding Lipitor's Effects on Blood Sugar and Hypertension Management
Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?
Generalized muscle soreness? Recently, I have been experiencing muscle soreness throughout my body, even without engaging in any intense exercise. When I wake up the next day, I sometimes feel muscle soreness while walking. My shoulders and latissimus dorsi feel particularly sore...
Dr. Zeng Guosen Reply:
Dear online friend, The symptoms of polymyositis primarily manifest as muscle weakness, and it is rare for them to present as generalized muscle soreness. Generalized muscle soreness can have many potential causes, including infections, rheumatic diseases, medication side effec...[Read More] Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?
Understanding Your Symptoms: Muscle Pain, Diarrhea, and Coughing
Please consult a doctor for clarification..? I started exercising last week, and after two days, I had to pause due to muscle soreness. The soreness is mainly in the outer part of my upper arms, which hurts significantly when I bend or extend them to a certain degree. I also feel...
Dr. Yang Zhongwei Reply:
1. After exercise, there may be a significant accumulation of lactic acid, which can cause soreness the following day. Please drink plenty of water and rest; you should recover quickly. 2. Your other symptoms resemble those of upper respiratory and gastrointestinal infections. If...[Read More] Understanding Your Symptoms: Muscle Pain, Diarrhea, and Coughing
Understanding Sudden Upper Body Pain: Causes and Concerns
Pain If there are sudden sharp pains in the upper body, what could be the cause?
Dr. Chen Junwei Reply:
Hello, there are many causes of upper body pain, including pleuritic pain, muscle pain, neuropathic pain, and muscle spasms. It is essential to understand the location, frequency, duration, related factors before and after the onset of pain, and alleviating factors to make a diff...[Read More] Understanding Sudden Upper Body Pain: Causes and Concerns
Long-Term Medication: Risks, Kidney Health, and Dietary Tips
The medication I am taking? Hello: Thank you for your clarification. I would like to ask the following questions: 1. What is the reason that long-term medication use may lead to dialysis? 2. I am currently taking PROZAC and ZOPICLONE, both of which are medications that need to ...
Dr. Wang Weijie Reply:
1. Long-term medication use may lead to dialysis; what are the reasons for this? The mechanisms by which drugs can impair kidney function include several factors. First, medications can alter the pressure of glomerular perfusion, such as certain antihypertensive drugs or non-ster...[Read More] Long-Term Medication: Risks, Kidney Health, and Dietary Tips
Understanding Post-Injection Complications: A Case Study
After receiving the injection? On February 1st, around 11 AM, I accompanied a friend to a pediatric clinic for a consultation. Her symptoms included muscle pain, headache, and neck stiffness. The doctor diagnosed her with what seemed to be influenza and administered an anti-infla...
Dr. Wang Fangli Reply:
The information you provided is insufficient for making a diagnosis or assessment. The hospital that provided your emergency care should have the most comprehensive data. If you have concerns about the treatment from the first clinic, it is advisable to consult with a physician a...[Read More] Understanding Post-Injection Complications: A Case Study
Understanding Muscle Pain: Is a Long-Standing Lump the Cause?
Muscle soreness Dear Dr. Tseng, My mother has been experiencing leg soreness for the past three months, making it difficult for her to walk. Her blood biochemical tests have all returned normal results. Recently, while I was massaging her, I discovered a lump on the outer side o...
Dr. Zeng Guosen Reply:
Hello: The soreness is partly due to musculoskeletal issues and partly due to nerve and vascular circulation problems. A swelling in the right leg should not cause symptoms in both legs. I recommend that you visit the outpatient clinic for further examination. Sincerely, Dr. Tsen...[Read More] Understanding Muscle Pain: Is a Long-Standing Lump the Cause?
Understanding Chronic Lower Back Pain: Kidney Issues or Circulation Problems?
Frequent lower back pain? Hello: One day, I suddenly experienced severe pain in my right lower back, which radiated down to my leg, making it difficult for me to stand up. I have undergone physical therapy, but there has been no improvement, and I am worried that there might be a...
Dr. Wang Weijie Reply:
Hello, if you are concerned about kidney disease, it is advisable to visit a hospital for a blood test to check kidney function, specifically BUN and creatinine levels, which are indicators of renal function. In outpatient settings, common causes of lower back pain in young women...[Read More] Understanding Chronic Lower Back Pain: Kidney Issues or Circulation Problems?