Sleep, Internal Medicine FAQ - Page 34

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Understanding Chest Pressure When Sleeping on the Left Side

Chest compression When I sleep on my left side, I experience a strong feeling of pressure on my heart, which is very uncomfortable. However, when I sleep on my right side, I do not have this issue. I also do not experience this sensation when sitting or standing. This phenomenon ...


Dr. Ke Zhengchang Reply:
Hello THC: It is recommended that you go to the hospital for an electrocardiogram (ECG) and X-ray examination. (Symptoms like these can be related to thoracic or cardiopulmonary issues.)

[Read More] Understanding Chest Pressure When Sleeping on the Left Side


Why Do I Experience Hiccups While Sleeping on My Desk?

Frequent hiccups during sleep? If I often feel a sensation in my throat that resembles the need to burp while sleeping with my head on the table, and after releasing the gas it happens again within a few minutes, I would like to ask the doctor if this is related to my stomach?


Dr. Hong Hongchang Reply:
Hiccups are usually caused by irritation of the phrenic nerve of the diaphragm. Common situations include overeating easily fermentable foods such as milk, legumes, and bread, or gastrointestinal dysfunction. It is recommended to engage in moderate exercise, such as walking, afte...

[Read More] Why Do I Experience Hiccups While Sleeping on My Desk?


Understanding Hepatitis B Carriers: Symptoms and Concerns

Hepatitis B carrier I am a carrier of hepatitis B, but I have never experienced symptoms of hepatitis. I have always felt that my appearance is not very good and I tend to have a lot of heat in my body. In recent years, I have felt increasing pressure in the area near my liver, a...


Dr. Chen Shidian Reply:
Hello: 1. Liver distension and pain may be related to hepatitis, but it could also simply be due to gastrointestinal dyspepsia, and is mostly unrelated to liver cirrhosis. 2. Immunomodulatory agents are not conventional treatment medications, so please use them with caution. 3. G...

[Read More] Understanding Hepatitis B Carriers: Symptoms and Concerns


Understanding Slow Heartbeat and Breathing Difficulties in Middle-Aged Women

Shortness of breath and bradycardia? Your mother is 50 years old and has not yet reached menopause. Her usual blood pressure is 100/60 mmHg. Recently, she has been experiencing a sensation of a slow heartbeat (measured pulse is 72 beats per minute, heart rate is 80 beats per minu...


Dr. Li Huixiong Reply:
Your mother is 50 years old and has not yet experienced menopause, but her menstrual cycle may be irregular. Her blood pressure is acceptable, and her pulse rate is within the normal range, but it's unclear if it is consistent. It is recommended that you take your mother to ...

[Read More] Understanding Slow Heartbeat and Breathing Difficulties in Middle-Aged Women


Unexplained Hyponatremia: Seeking Answers for Persistent Symptoms

Hyponatremia I underwent a series of tests at Linkou Chang Gung Memorial Hospital, but none could identify the underlying issue. I also consulted with a nephrologist, and both my kidneys and renal tubules were found to be normal. My thyroid and pituitary gland are also functionin...


Dr. Zeng Fenyu Reply:
Hello, A-Fu: Your symptoms are not commonly associated with hyponatremia, so it is necessary to further confirm whether they are related to low sodium levels. The simplest way to determine this is to check the serum electrolytes immediately when the symptoms occur. If the sodium ...

[Read More] Unexplained Hyponatremia: Seeking Answers for Persistent Symptoms


Understanding Chest Pain: Causes and When to Seek Help

Chest pain Two days ago, while I was on the bus after school, I suddenly experienced pain in my left chest. I thought that maybe a good night's sleep would help, and when I woke up the next day, it felt a bit better, but there was still some pain. The pain starts whenever I ...


Dr. Ke Zhengchang Reply:
Based on your symptoms, there is a possibility of spontaneous pneumothorax. Please visit the thoracic clinic as soon as possible for a chest X-ray examination.

[Read More] Understanding Chest Pain: Causes and When to Seek Help


Understanding Chronic Neck and Back Pain: When to See a Rheumatologist

Regarding neck and back pain..? I have been experiencing soreness in my left scapula for over a year, which has gradually spread to my neck and entire back. I have difficulty sitting comfortably and cannot sleep at night, leading to an inability to concentrate during the day. I h...


Dr. Ke Zhengchang Reply:
Please visit the Department of Pulmonary Medicine for a chest X-ray (including lung and shoulder X-rays) to determine the cause. Dr. Cheng-Chang Ke, Department of Pulmonary Medicine, Hsinchu Hospital, Ministry of Health and Welfare.

[Read More] Understanding Chronic Neck and Back Pain: When to See a Rheumatologist


Frequent Awakening During Naps: Is It Related to Heart Health?

Waking up frequently during naptime... Could it be related to the heart?! Hello, Dr. Hong: Since my student days and now as a working professional, I have always taken naps in a seated position or by resting my head on the desk. However, I often wake up suddenly, startled. Frequ...


Dr. Hong Hongchang Reply:
Generally speaking, if there are abnormalities in the heart, clinical manifestations often include chest pain, chest tightness, and swelling of the legs. These symptoms are not typically caused by sitting or sleeping positions that compress the heart. They may arise from poor sle...

[Read More] Frequent Awakening During Naps: Is It Related to Heart Health?


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