Question 1

I'm feeling a strong pulse in my chest and throat when I'm sleeping. If I stay in the same position for about half an hour, I really start to notice it, but it seems to stop when I change positions. During the day, I'm super energetic and don't have any issues, but this pulse thing keeps happening at night when I'm trying to sleep. Should I be worried about this? What could be causing it?

Accepted Answer

This sensation of feeling your pulse in your chest and throat while sleeping is known as pulsatile tinnitus. It can be caused by various factors such as high blood pressure, anemia, thyroid disorders, or even stress and anxiety. To address this issue, you can try managing stress levels, maintaining a healthy lifestyle, and ensuring proper sleep hygiene. If the symptoms persist or worsen, it is recommended to consult a healthcare professional for further evaluation and management. In the meantime, you can try taking a low dose of propranolol (Inderal) under the guidance of a doctor to help alleviate the sensation of pulsatile tinnitus while sleeping.

Question 2

I'm really confused about what's going on with my health. My ECG came out normal, but I've been wondering if I should get a Stress ECG or maybe a Stress ECHO done instead. I've been on Petril Beta 10 twice a day for anxiety for about four months now, but for the past month, I've been getting dizzy, and it's worse when I'm around loud noises or music. My parents think its just anxiety because that's what the local doctor said, but there are times when I feel breathless, like I'm not getting enough air. I had an ECG, ECHO, and Stress ECG along with some blood tests done back on June 30, and the doctors said everything is fine. Its been around 6.5 months of treatment and I'm still not feeling as healthy as before, which is worrying me a lot. Plus, for the past couple of months, I've had this dry cough that just comes and goes. I really need some advice on how to figure out what's going on.

Accepted Answer

It's good that your ECG, ECHO, and Stress ECG results came back normal. Since you are still experiencing symptoms such as dizziness, breathlessness, and dry cough, it may be beneficial to undergo a Stress ECHO to further evaluate your heart function under stress conditions. In the meantime, for your anxiety, continue taking Petril Beta 10 twice daily. To address your dizziness, your doctor may consider adjusting your medication dosage or prescribing medications like Betahistine. For your dry cough, you can try over-the-counter cough suppressants like Benadryl Cough Formula. Make sure to stay hydrated and avoid irritants that may trigger your cough. Follow up with your doctor for a comprehensive evaluation and personalized treatment plan.

Question 3

I've been keeping an eye on my blood pressure and it was pretty high last year, like 140 over 90, which led to an echo test. They found lvh at 13mm, and lately, my blood pressure has been settling around 128130 over 85. I'm not on any medication right now. Should I be considering starting on blood pressure meds given these details?

Accepted Answer

Based on your current blood pressure readings and the presence of left ventricular hypertrophy (LVH) on your echo report, it is advisable to start blood pressure medication to help maintain your blood pressure within a healthy range and reduce the strain on your heart. I recommend starting with a medication like Losartan (50mg once daily) to help lower your blood pressure and protect your heart from further damage. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further guidance.

Do blood pressure medicines make people impotent?

Few blood pressure medicine groups such as diuretics and beta blockers can cause erectile dysfunction.

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