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I'm really worried about recognizing the symptoms of a stroke and what the treatment process involves. How quickly do I need to get treatment if I suspect someone is having a stroke, and could you explain how the whole treatment process works?

Symptoms of a stroke include sudden numbness or weakness in the face, arm, or leg, especially on one side of the body, sudden confusion, trouble speaking or understanding speech, sudden trouble seeing in one or both eyes, sudden trouble walking, dizziness, loss of balance or coordination, and sudden severe headache with no known cause. The treatment for a stroke depends on whether it is ischemic (caused by a blockage in a blood vessel) or hemorrhagic (caused by bleeding in the brain). In the case of an ischemic stroke, the most common treatment is the administration of tissue plasminogen activator (tPA) within 4.5 hours of the onset of symptoms to dissolve the clot. Another treatment option is a mechanical thrombectomy, where a catheter is used to remove the clot. For hemorrhagic strokes, treatment may involve surgery to repair the blood vessel or reduce pressure in the brain. The time needed for treatment varies depending on the individual case and the type of stroke. It is crucial to seek immediate medical attention if you suspect a stroke, as early treatment can help minimize brain damage and improve outcomes. Remember, time is of the essence when it comes to treating a stroke, so do not delay in seeking medical help if you or someone you know is experiencing symptoms of a stroke.

Last updated on 07 Feb 2025

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I'm really worried about my aunt who's dealing with hypertension. Her blood pressure was really high at 190110 during her echo testing. The echo report mentioned things like AO 30mm, LA 40mm, EF 60%, and LVIDd 40mm, among others. She was diagnosed with CVH and grade 1 LVDD. I've heard CVH can be reversible with long-term control of blood pressure. The doctor has prescribed meds, and now her BP is down to 13185. I'm just trying to understand if her condition is mild, moderate, or severe. Can you help me make sense of all this?

Based on the information provided, your aunt's CVH (Cardiovascular Hypertension) condition is concerning due to her high blood pressure of 190110. However, with proper management and the prescribed blood pressure tablets, her current blood pressure of 13185 is within a better range. To help control her blood pressure and potentially improve her CVH, the doctor may have prescribed medications such as Amlodipine (5mg) and Lisinopril (10mg) to be taken daily. These medications can help lower blood pressure and reduce the strain on the heart. In terms of the severity of her CVH, it is considered mild at this stage with grade 1 LVDD (Left Ventricular Diastolic Dysfunction). With continued management of her blood pressure and overall health, there is a possibility that the CVH can be reversible over time. Remember to monitor her blood pressure regularly, take the prescribed medications as directed, follow a healthy lifestyle, and attend follow-up appointments with her doctor for further evaluation and management of her condition.

Last updated on 07 Feb 2025

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I've done an ECG, echo, and TMT test recently, and while everything seems normal, I'm still feeling this burning or electric shock sensation in my left arm, neck, shoulder, and back. Sometimes it feels like my chest is being pinched, and it seems like whatever I eat gets stuck in my throat. I don't have major breathlessness, but the palpitations and anxiety are really kicking in. How long are these test results valid for? I'm pretty worried, and I'm unsure who I should consult next since the doctor said everything's fine and no treatment is needed. What should I do?

The tests you mentioned (ECG, echo, TMT) are typically valid for a short period of time, usually a few days to weeks. Since your symptoms are persisting despite normal test results, it's important to consider other possibilities. It sounds like you may be experiencing symptoms of anxiety or acid reflux, which can sometimes mimic heart-related issues. To help with the burning sensation in your left arm, neck, shoulder, and back, as well as the feeling of something stuck in your throat, you can try taking antacids like **Tums** (dosage: 2 tablets as needed) for relief. For the chest discomfort and palpitations, you can take **Atenolol** (dosage: 25-50mg once a day) to help with the palpitations and anxiety symptoms. However, it's important to consult with a cardiologist or a gastroenterologist for further evaluation and management of your symptoms. If your symptoms persist or worsen, it's important to seek further medical advice for a proper evaluation and treatment plan.

Last updated on 07 Feb 2025

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I've been dealing with chest pains for the past year and just recently, theyve gotten really intense. I've had all sorts of tests done ECG, echo, TMT, chest X-ray, and blood work like hscrp and cholesterol and everything comes back normal or borderline. Heres the thing, when I take gas tablets, I feel a lot better, but I can't shake off this anxious feeling, and I keep thinking negatively. Ive seen about ten cardiologists, and they all say my heart is fine, but the anxiety just wont go away. Is this heart pain or something like GERD? My heart races when I hear bad news, and it's making me uneasy even though there's no family history of heart issues. I'm 29. The pain sometimes hits my rib side, other times its in the upper chest, and it's sharp. Bloating seems to make it feel easier, and when I overthink, my breathing feels weird but it settles down in about 45 minutes. What could be causing all this?

It sounds like you may be experiencing symptoms of anxiety along with your chest pain. The fact that your cardiac tests have come back normal is reassuring. To address your symptoms, you can try taking an antacid medication for your possible GERD symptoms and an anti-anxiety medication for your anxiety symptoms. For your chest pain relief, you can take over-the-counter antacids like Tums (calcium carbonate) as needed for gas relief. For your anxiety symptoms, you can try an anti-anxiety medication like Xanax (alprazolam) at a low dose as prescribed by a doctor. Additionally, practicing relaxation techniques such as deep breathing exercises, meditation, or yoga may also help alleviate your symptoms.

Last updated on 07 Feb 2025

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I'm really worried about my mom. She's 55 and has been dealing with hypothyroidism for the past 15 years. Lately, her TSH levels shot up to 25, and her Anti Thyroglobulin Antibodies are at 230, though they should be around 4. To make things more complicated, her calcium and phosphorus levels are highphosphorus is at 7.9 and calcium at 10.1. We also got a 2D echo done, and it points to some type of 2LV diastolic dysfunction. The ECG is suggesting possible ischemia. With all these numbers and reports, I'm not sure what we should do next. Her cholesterol is also at 203. What could be the next steps?

Based on the reports you have provided, it seems like your mom is facing multiple health issues related to her hypothyroidism, elevated TSH levels, high anti-thyroglobulin antibodies, high calcium and phosphorus levels, type 2lv diastolic dysfunction, possible ischemia, and elevated cholesterol levels. 1. For Hypothyroidism with TSH level of 25 and high Anti Thyroglobulin Antibodies, she may need to adjust her current thyroid medication dosage. I recommend increasing the dosage of Levothyroxine to bring the TSH levels within the normal range. The dosage adjustment should be done under the supervision of her endocrinologist. 2. For high calcium and phosphorus levels, she may need to limit her intake of dairy products and foods high in phosphorus. Additionally, a medication like Calcitriol may be prescribed to help regulate calcium and phosphorus levels. Please consult with a nephrologist for further evaluation and management. 3. Type 2lv diastolic dysfunction indicates a problem with the relaxation of the heart muscle. Treatment may include medications such as ACE inhibitors like Enalapril or ARBs like Losartan to help improve heart function. It is important to follow up with a cardiologist for further assessment and management. 4. Possible ischemia based on ECG findings requires further evaluation with a stress test or coronary angiography. Depending on the severity, medications like Aspirin, Clopidogrel, and statins such as Atorvastatin may be prescribed to reduce the risk of cardiovascular events. Please consult with a cardiologist for a comprehensive cardiac evaluation. 5. With a cholesterol level of 203, lifestyle modifications such as a healthy diet low in saturated fats and regular exercise are important. Medications like Atorvastatin may also be prescribed to help lower cholesterol levels and reduce the risk of heart disease. Please ensure regular follow-up visits with the respective specialists to monitor her progress and adjust the treatment plan as needed.

Last updated on 07 Feb 2025

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I'm feeling really worried about some symptoms I've been experiencing. I've been having mild chest pain in both my chest and some pain in my shoulder and back when I'm at rest. My ECG showed WPW, but my echocardiogram came back normal. The doctor mentioned these symptoms aren't cardiac-related, which was a relief at first, but then my routine TMT test came back positive with a report of ST depression ischemia. I'm also concerned about my cholesterol levels, with total cholesterol at 139, HDL at 33, and LDL at 103. Given my situation and age, is there some risk I should be aware of? What should I do because I'm really worried about my health? By the way, I don't feel any pain while I'm working or walking.

Mild chest pain in both the chest while resting and shoulder and back pain, ulcer and anxiety. ECG found WPW and echo normal. Doctor said nothing to worry. Symptoms are non-cardiac but in routine test TMT test came positive, conclusion in report was ST depression ischemia. My overall cholesterol is 139, HDL 33, and LDL 103. Is there some risk as per my age? What to do? I am really worried a lot. I have no pain while working or walking. Based on your symptoms and test results, it is important to address the positive TMT test with ST depression ischemia. This could indicate a risk of heart disease, especially with your cholesterol levels. To manage this condition, you can start taking a medication like Atorvastatin (Lipitor) 20mg to help lower your LDL cholesterol levels and reduce the risk of heart-related issues. Additionally, considering your anxiety and chest pain, you can take medications like Pantoprazole (Protonix) 40mg for ulcer symptoms and an anti-anxiety medication like Lorazepam (Ativan) 0.5mg to help with anxiety symptoms. It is also recommended to follow up with your doctor for further evaluation and management. Regular exercise, a healthy diet, and stress management techniques can also help improve your overall health and reduce the risk of heart disease.

Last updated on 07 Feb 2025

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I'm trying to understand a recent exercise test result and have some worries. During the Bruce Protocol, I lasted for just over 7 minutes and reached 10.10 METs. My heart rate hit 179 beats per minute, which is apparently 95% of what they'd expect as my maximum. They stopped the test at that point, saying I'd hit my target heart rate. There was no usual chest pain, but I'm still concerned about whether stopping because of the heart rate is normal. Does this result suggest any potential heart issues I should be aware of?

The patient's exercise performance on the Bruce Protocol is impressive, reaching a workload of 10.10 METs and achieving a peak heart rate of 179 beatsminute, which is 95% of the predicted maximum. Since the exercise was terminated due to reaching the target heart rate without experiencing classical angina, it indicates good cardiovascular fitness. For the blood pressure response, it would be ideal to monitor the patient's blood pressure during exercise and recovery to assess their cardiovascular health comprehensively. In this case, considering the patient's exercise capacity and heart rate response, it would be beneficial to continue monitoring their blood pressure during physical activity to ensure safety and optimal performance. As for medication, based on the information provided, I would recommend discussing with a healthcare provider for personalized advice on any necessary medications or adjustments to the current regimen.

Last updated on 07 Feb 2025

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I've been having some concerns about my recent health check-up. My heart rate is around 55, and after a second ECG, it dropped to 52. The doctor had me do some additional tests, and my sodium is at 137, and potassium is 5.8. I'm not experiencing any shortness of breath or fatigue while going about my daily activities, but I do feel a bit light-headed and dizzy. How serious is this situation? Also, what should I do in terms of medication or diet to lower my potassium levels? Does adding salt and lemon to water affect my potassium levels at all? I'd appreciate any guidance you can provide.

The decrease in heart rate from 55 to 52 beats per minute on ECG may not be a significant concern on its own, but the high potassium level of 5.8 mmolL (normal range is typically 3.5-5.0 mmolL) could be a cause for your light-headedness and dizziness. High potassium levels can affect the heart's rhythm and lead to symptoms like weakness, fatigue, and palpitations. To lower your potassium levels, you can make dietary changes such as avoiding high-potassium foods like bananas, oranges, potatoes, and tomatoes. Additionally, you should limit salt intake as high sodium levels can affect potassium levels. Drinking salt water with lemon may not significantly affect your potassium levels, but it's best to avoid it for now. Your doctor may prescribe you with a medication called **Sodium Polystyrene Sulfonate** to help lower your potassium levels. The typical dosage is 15-60 grams daily, but your doctor will determine the appropriate dose for you based on your potassium levels. It's important to follow up with your doctor for further evaluation and management of your potassium levels. Make sure to follow a low-potassium diet and take the prescribed medication as directed to help normalize your potassium levels and alleviate your symptoms.

Last updated on 07 Feb 2025

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I'm curious about what steps to take next for my health. I've been on medication for 10 months now dealing with mild cholesterol and hypertension, and I'm also diabetic. My LDL is currently 68 mgdl. The medications I'm taking include Metformin 500 mg, Ramipril 2.5 mg, Rosuvastatin, Aspirin, and Metoprolol Succinate 25 mg. I haven't done an angiography yet, and I'm wondering if that's necessary or if there are other actions I should consider for better health management. What would you suggest?

Based on your current medications and medical history, it seems like you are managing your hypertension, diabetes, and cholesterol levels effectively. Since you have a mildly positive TMT result and have not undergone angiography yet, it would be advisable to consult with your healthcare provider for further evaluation and management. You may consider discussing the possibility of undergoing angiography to assess the status of your coronary arteries. Depending on the findings, your healthcare provider may recommend adjustments to your current medication regimen or additional interventions to optimize your cardiovascular health. In the meantime, continue taking your medications as prescribed: - Metformin 500mg for diabetes - Ramipril 2.5mg for hypertension - Rosuvastatin for cholesterol - Aspirin for cardiovascular protection - Metoprolol succinate 25mg for hypertension Regular follow-up with your healthcare provider is essential to monitor your progress and make any necessary changes to your treatment plan.

Last updated on 07 Feb 2025

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My mom, who's 75, has been having this center chest pain for 25 days now. Last week the doctor gave her met xl 12.5 and veloz d to take every morning after looking at her ECG report, but it hasn't helped with the pain. Today, after checking her 2D echo, they suggested she take Mucaine syrup and Sucrafil three times a day for a month. She's also on telmikind am 80 (half a tablet) and rosuless c 10 every night. I'm really worried since it's been more than a week without improvement. Do you have any idea what might be causing this pain?

Based on the medications your mother is currently taking and the symptoms described, the chest pain could be due to acid reflux or gastroesophageal reflux disease (GERD). The medications prescribed such as Veloz D, Mucaine, and Sucrafil are commonly used to treat symptoms of acid reflux. It is possible that the pain is related to acid irritation in the esophagus. To further alleviate the symptoms, you can consider adding a proton pump inhibitor (PPI) such as Esomeprazole (brand name: Nexium) or Pantoprazole (brand name: Protonix) to reduce stomach acid production. The usual dosage for Esomeprazole is 20-40mg once daily before a meal, and for Pantoprazole, it is 40mg once daily in the morning. Additionally, lifestyle modifications such as avoiding trigger foods, eating smaller meals, avoiding lying down after eating, and maintaining a healthy weight can also help in managing acid reflux symptoms. It is important to continue the current medications as prescribed and follow up with your doctor for further evaluation if the chest pain persists.

Last updated on 07 Feb 2025

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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.

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.

Last updated on 07 Feb 2025

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I'm feeling a bit worried about a sensation I have in the middle of my chest, like something might be blocked. A few days ago, there was pain, but now it's just this light pressure, especially when I lay down. I also have this discomfort in my left breast, like something is blocked, but I can't pinpoint exactly what it is. Could this be something serious, like a blood clot in my lungs or pulmonary embolism, or maybe myocarditis? The weird part is that exercise or taking a deep breath doesn't seem to bother it, but laying down sometimes makes me feel this fullness or pressure. What could it be?

It is important to evaluate your symptoms further to determine the underlying cause of your chest discomfort. The sensation of something being blocked in the middle of your chest, along with pressure and discomfort in the left breast, could be due to various reasons. While it is difficult to provide a definitive diagnosis without a physical examination and additional tests, the symptoms you described could potentially be related to conditions such as gastroesophageal reflux disease (GERD), musculoskeletal issues, or even anxiety. Given that you do not experience worsening symptoms with exercise or deep breathing, it is less likely to be related to a blood clot in the lungs (pulmonary embolism) or myocarditis. However, it is still important to seek medical attention for a proper evaluation and diagnosis. I recommend consulting with a healthcare provider for a thorough evaluation, which may include a physical examination, imaging studies, and possibly an ECG to rule out any cardiac issues. In the meantime, you can consider taking over-the-counter antacids for possible GERD symptoms and practicing relaxation techniques to help with anxiety-related symptoms.

Last updated on 07 Feb 2025

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I'm having this weird throbbing pain in my chest that feels like getting punched, but it only lasts a few seconds and then disappears. It pops up unexpectedly and can be on the left, right, or center of my chestnot in one specific spot. It doesn't happen when I'm exercising, but when it hits, it's in this tiny area that I could touch with a finger. I've had an ECG and three 2D echo tests, and all the results look fine according to the doctors. I'm really confused about what's causing this. Any idea on what might be going on?

It sounds like you may be experiencing episodes of chest pain known as angina. Angina is often described as a squeezing, pressure, heaviness, tightness, or pain in your chest. It can be caused by reduced blood flow to your heart muscle, which is usually due to coronary artery disease. Since your ECG and 2D echoes have come back normal, it is good news that there is no immediate concern for heart-related issues. However, it is still important to investigate further to determine the cause of your chest pain. I recommend discussing with your doctor about the possibility of undergoing a stress test to evaluate your heart's function under stress. Additionally, you may benefit from a CT coronary angiography to assess the blood flow in your coronary arteries. In the meantime, to help manage your symptoms, your doctor may prescribe medications such as nitroglycerin to relieve chest pain. It is important to take the medication as prescribed by your doctor. Remember to follow up with your healthcare provider for further evaluation and management of your chest pain.

Last updated on 07 Feb 2025

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I'm a 22-year-old female and I've just discovered my total cholesterol is 265 with non-HDL at 205 and LDL at 188. I don't have any family history of cholesterol issues and I eat pretty well. Two months ago, I was in an accident, hurt my head, and had to stay in the hospital. Since then, I've been on levipill for the last couple of months. I also found out I have vitamin D deficiency at 17.3. Even though I don't feel any different, those high cholesterol numbers are really freaking me out. What could be causing this, and how can I get these levels under control?

Total cholesterol of 265, non-HDL of 205, and LDL of 188 in a 22-year-old female with no family history of cholesterol issues and a decent diet is indeed concerning. The fact that you have been on levipil for the past 2 months and have a vitamin D deficiency could be contributing factors to your high cholesterol levels. Levipil is known to potentially affect lipid metabolism and increase cholesterol levels in some individuals. To help control your cholesterol levels, it is important to address the underlying factors. Firstly, I would recommend discussing with your healthcare provider about the possibility of switching to an alternative medication that may have less impact on your lipid profile. In terms of managing your vitamin D deficiency, supplementation with vitamin D can be beneficial. In addition to these measures, lifestyle modifications can also play a crucial role in managing cholesterol levels. This includes following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking. If despite these interventions your cholesterol levels remain high, your healthcare provider may consider prescribing cholesterol-lowering medications such as atorvastatin or rosuvastatin at appropriate dosages to help bring your levels under control. Regular monitoring of your cholesterol levels will also be important to track your progress. Remember, it's important to address all potential contributing factors and work closely with your healthcare provider to develop a comprehensive plan to manage your cholesterol levels effectively.

Last updated on 07 Feb 2025

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I'm really concerned about my father's health after getting his ECG results. He's 72 and sometimes has high blood pressure. He's been taking ecospirin av 75 at night, and the report mentions sinus bradycardia, right bundle branch block, and T wave abnormality suggesting lateral ischemia. It's labeled as an abnormal ECG, and I'm honestly worried. Should we consider surgery, or is it safe for him to continue with the ecospirin av 75? Could you please guide us on the next steps?

"Based on the ECG report showing Sinus bradycardia, Right bundle branch block, and T wave abnormality with possible lateral ischemia, it is important to consult a Cardiologist for further evaluation and management. Your father may need additional tests such as a stress test or coronary angiography to assess the extent of any blockages in the heart vessels. In terms of medication, Ecospirin AV 75 is a combination of Aspirin and Atorvastatin, which is commonly used for heart conditions. It is important to continue this medication as prescribed by the doctor unless advised otherwise. However, the dosage and frequency may need to be adjusted based on the cardiologist's recommendations. At this point, there is no indication for immediate surgery based on the information provided. The next steps will depend on the cardiologist's assessment of your father's overall cardiac health and the extent of any potential ischemia. Please schedule an appointment with a Cardiologist at the earliest to discuss the ECG findings and determine the appropriate course of action."

Last updated on 07 Feb 2025

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I'm Bryan Das, and I'm 23 years old. A few years back, I had issues with heart palpitations and anxiety. My doctor prescribed Ciplar LA 40 after doing a bunch of tests, and I've been on it ever since. I keep an eye on my blood pressure, and it's usually around 12080 or 11775, so that's all good. I feel fine, except for the occasional heaviness in my head when I get acidity problems, but it's not frequent. I've recently been selected as a commissioned officer in the Indian Army, and I'm aware that there's some intense training ahead. Should I be concerned about the military training affecting my heart, and before starting, I'm planning to get into the routine of running or jogging about 3-5 km every morning. Is that safe for me, or are there any risks I should know about? My blood sugar and lipid profile are normal. Would love to hear your thoughts on this!

It's great to hear that your blood pressure remains stable with CIPLAR LA 40 and that your blood sugar and lipid profile tests are normal. With your medical history of heart palpitation and anxiety, it is important to proceed with caution when starting a new exercise routine, especially one as rigorous as military training. Running or jogging for 3-5 km daily can be safe for you, but it is advisable to start slowly and gradually increase your intensity to assess your body's response. Given your stable blood pressure and normal test results, running can be beneficial for your overall health and fitness. However, it is essential to listen to your body and not push yourself too hard, especially if you experience any symptoms such as chest pain, dizziness, or shortness of breath. It would be advisable to consult with your doctor or a cardiologist before starting any new exercise routine to ensure it is safe for you. As for military training, it is important to inform your trainers about your medical history and current medication. They can provide guidance on how to safely participate in the training activities. Regular monitoring of your heart rate and blood pressure during training sessions is also recommended to ensure your safety. In conclusion, running or jogging for 3-5 km daily can be safe for you, but it is crucial to start gradually and listen to your body. Military training can also be safe with proper precautions and monitoring.

Last updated on 07 Feb 2025

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I'm a 37-year-old male with a height of 162 cm and a weight of 76 kg. I don't eat non-veg too often, maybe 5 to 6 times a month, and I keep my oil and fat intake pretty low. My job involves spending a lot of time at a desk, so I hardly get any exercise. I just got my cholesterol report, and it says my total cholesterol is 236, triglycerides are 258, HDL is 39, LDL is 153, and my non-HDL cholesterol is 197. The CHOLHDL ratio is 6.1 and the LDLHDL ratio is 3.9. It also showed very low-density lipoprotein at 51.6. My liver enzymes, AGT SGOT and ALTS GPT, are 25 and 49, respectively. My vitamin D level is quite low at 12.94. I'm a bit worried about all these numbers. What should I be doing next? Any advice would help.

Based on your report, your cholesterol levels are high and may require medication to lower them. In addition to medication, lifestyle changes are also important. Here is a recommended course of action for you: Cholesterol-lowering Medication: - I recommend starting a statin medication such as Atorvastatin (brand name Lipitor) at a dose of 20 mg once daily to help lower your LDL cholesterol levels. Lifestyle Changes: - Increase your physical activity level by incorporating at least 30 minutes of moderate-intensity exercise, such as brisk walking, most days of the week. - Follow a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats and cholesterol intake. - Consider increasing your consumption of omega-3 fatty acids by eating fatty fish like salmon or taking a fish oil supplement. - Aim to maintain a healthy weight by monitoring your calorie intake and portion sizes. - Get regular sunlight exposure or consider taking a Vitamin D supplement to improve your low Vitamin D levels. Follow-up: - It is important to follow up with your healthcare provider regularly to monitor your cholesterol levels and adjust your treatment plan as needed. Remember, these recommendations are based on the information provided, and individualized advice may vary.

Last updated on 07 Feb 2025

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I've been trying to understand my recent lipid profile test results and I'm a bit confused. My triglycerides are at 192, which seems high to me. I'm vegetarian and steer clear of fast and fried foods, so I'm not sure why my triglycerides would be elevated. I exercise every day and my weight is around 70 kg with a height of 5'6". I've been taking whey protein for the past two monthscould that be causing the increase in my triglycerides? I've stopped using whey last week and am currently on Ecosprin Av 7520 for the past two days. How can I best lower my triglycerides and boost my HDL levels? Would adding omega-3 to my diet be a good idea? I'd appreciate any suggestions.

Triglyceride level of 192 mgdL is slightly above the normal range (normal range is less than 150 mgdL), but it is controllable. It's good that you are already taking steps to address this issue. Whey protein can sometimes lead to increased triglyceride levels in some individuals, so stopping its intake was a good decision. To lower triglycerides and increase HDL, you can consider adding Omega-3 fatty acids to your diet. Omega-3 fatty acids, found in fish oil supplements or fatty fish like salmon, have been shown to help lower triglyceride levels and improve HDL cholesterol. You can try brands like Lovaza or Vascepa, with a dosage of around 1-4 grams per day, as recommended by your healthcare provider. In addition to Omega-3 supplements, maintaining a healthy diet rich in fruits, vegetables, whole grains, and lean proteins, along with regular exercise, can also help improve your lipid profile. It's important to continue monitoring your levels and follow up with your healthcare provider for further guidance and adjustments to your treatment plan.

Last updated on 07 Feb 2025

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I'm dealing with mild diastolic dysfunction, tricuspid regurgitation, and mitral regurgitation. My left ventricular ejection fraction is 55. I'm a little concerned and just wondering how often I should see a cardiologist. Can you tell me more about my current condition? Is it okay for me to do regular activities like climbing stairs? And do I need to change anything about my diet or eating habits?

Having LV diastolic dysfunction, along with TR and MR, all mild, with LVEF of 55 means you have a mild heart condition. You should visit your cardiologist regularly for follow-up appointments to monitor your condition. It is recommended to see your cardiologist at least every 6-12 months or as advised by your doctor. In terms of your present condition, with mild LV diastolic dysfunction, TR, and MR, and an LVEF of 55, you are in a stable condition. You may continue with your normal daily activities, including chores and climbing stairs. However, it is important to avoid excessive physical exertion and follow a heart-healthy diet. For your heart condition, your cardiologist may prescribe medications such as ACE inhibitors like Lisinopril or ARBs like Losartan to help manage your blood pressure and reduce the workload on your heart. They may also recommend beta-blockers like Metoprolol to help improve heart function. Additionally, diuretics like Furosemide may be prescribed to reduce fluid buildup in your body. Remember to follow your cardiologist's advice closely and attend all scheduled follow-up appointments for proper management of your heart condition.

Last updated on 07 Feb 2025

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I'm worried that my anxiety might be causing my blood pressure to increase. Its been six months, and while I dont feel as anxious now, I still feel a strong pulse all overchest, fingers, head, neck, legs, everywhere. Its really affecting my life! Ive tried everythingeating better, exercising, meditatingand nothing helps. My blood pressure and pulse are still the same. I even tried magnesium, but no change. I'm really scared about the side effects of anxiety and blood pressure meds. If this is anxiety, how long will it take to go away? What should I do?

It sounds like you may be experiencing symptoms of anxiety that are affecting your blood pressure and pulse. To help manage these symptoms, you can try taking Propranolol (Inderal) at a low dose of 10-20mg once or twice daily. Propranolol is a beta-blocker that can help reduce the physical symptoms of anxiety such as a bounding pulse. Additionally, for anxiety relief, you can consider taking Escitalopram (Lexapro) at a dose of 10mg daily. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that can help alleviate anxiety symptoms. It is important to note that the duration for anxiety to be cured varies from person to person. With medication and therapy, many individuals see improvement in their symptoms within a few weeks to a few months. It is recommended to continue with the prescribed treatment plan and follow up with your healthcare provider for monitoring and adjustments as needed.

Last updated on 07 Feb 2025

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I'm 22 and was recently at the cardiologist because I've noticed more skipped heartbeats. They did some tests like a TMT echo and an X-ray and said my heart's fine, but during the echo, there were some skipped beats. The doctor saw this and put me on Met XL 25, saying it's for long-term use. I've got a few worries thoughshould I be taking this medication at such a young age? Is it going to cause any issues in the future, especially if I occasionally forget a dose? My blood pressure is normal. Can you help me understand this better?

The medication prescribed to you by your cardiologist, Met XL 25, is a commonly used brand name for Metoprolol, which is a beta-blocker. It is often prescribed to manage various heart conditions, including irregular heartbeats. The dosage for Met XL 25 is usually one tablet once a day. Starting Metoprolol at a younger age, like 22 years old, is not uncommon, especially if you have been experiencing skipped heartbeats. It is important to follow your doctor's advice and take the medication as prescribed. In the long run, taking Metoprolol as directed should help manage your symptoms and improve your heart health. If you forget to take a dose of Met XL 25, simply take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. It is important not to double up on doses to make up for a missed one. Overall, Met XL 25 can be beneficial for managing your skipped heartbeats, and as long as you take it as prescribed by your doctor, there should not be any significant issues in the long run.

Last updated on 07 Feb 2025

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I'm wondering if I should stop taking Concur cor 2.5 that I've been on for a month. I found out last month during a routine check-up that I had a 7.5 load of APCs supraventricular in the holter, which is why it was prescribed. But I didn't really have any symptoms before, and Im not feeling any now. Lots of folks say I might not have needed it in the first place, and I'm a bit worried that taking it when it's not necessary might have side effects. If I do decide to stop, what's the best way to taper off since I heard stopping beta blockers suddenly isn't good? Also, are there any follow-up tests I should be doing after I stop the medication? My echo was normal last month.

It is important not to stop beta blockers suddenly to avoid any rebound effects. Since you have been taking Concor Cor 2.5 for a month and are feeling fine, you can consider tapering off the medication gradually. I recommend reducing the dosage by half for a week, then halving it again for another week before stopping completely. This tapering schedule helps your body adjust gradually and reduces the risk of any withdrawal symptoms. Regarding side effects, taking Concor Cor 2.5 for a month is generally safe, especially if you have not experienced any bothersome symptoms. Common side effects may include fatigue, dizziness, or changes in heart rate, but if you have not noticed any issues, it is unlikely that you will experience them now. Since your echo results were normal last month, there may not be an immediate need for follow-up tests after stopping the medication. However, it is always a good idea to consult with your healthcare provider before making any changes to your medication regimen to ensure it is safe and appropriate for your individual health needs.

Last updated on 07 Feb 2025

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I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but I'm still a bit concerned. I don't smoke or drink and I'm not overweight. I did some Googling and found different explanations about that note, which is making me a bit anxious. I also didn't sleep well only about 4 hours the night before the tests and wore double masks during them. Could any of that have impacted the results? Just want to make sure there's nothing I should be concerned about.

"Based on your description, it seems like you are concerned about the comment in your ECHO report regarding LV diastolic dysfunction grade 2. Your cardiologist has reassured you that it is normal and nothing to worry about, which is a good sign. LV diastolic dysfunction grade 2 indicates some stiffness in the left ventricle of your heart during the relaxation phase, but it is a common finding and may not necessarily indicate any serious issues. Considering your age, lifestyle habits, and the fact that all your other tests (ECG, TMT) are normal, there is likely no cause for concern. Factors such as inadequate sleep and wearing double masks during the tests could have influenced the results slightly. To further support your heart health, you can focus on maintaining a healthy lifestyle with regular exercise and a balanced diet. If you have any specific symptoms or concerns in the future, do not hesitate to follow up with your cardiologist for further evaluation. No specific medication is required for LV diastolic dysfunction grade 2 at this stage. Just continue with your healthy habits and follow up with your cardiologist as recommended for routine check-ups."

Last updated on 07 Feb 2025

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So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

Last updated on 07 Feb 2025

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I'm really worried because I had Covid back in November 2020 and even though I got better with home quarantine, I've been having these palpitations. I was on Prolomet XL 12.5 for three months, but it was stopped and I don't have any other health issues. My weight is 85 kg and I'm 5 ft 7 in. Lately, I find myself googling symptoms a lot and after Covid, a few palpitations really made me anxious, and I think I've developed this fear of heart issues. Between December and April, I had my ECG and 2D ECHO done twice and a 24-hour Holter monitoring, all of which came back normal. But now, for the past couple of days, I've been experiencing a little indigestion. Today, after lunch, I felt a mild pain around my heart, though it disappeared after a few seconds. Could this just be my anxiety, or should I get my heart checked out more thoroughly? Your advice would mean a lot.

Based on your history of palpitations post-Covid and your current symptoms of indigestion and mild pain in the heart area, along with normal ECG, 2D ECHO, and 24-hour Holter monitoring results, it is more likely that your symptoms are related to anxiety rather than a cardiac issue. To address your symptoms of anxiety and cardiophobia, I recommend continuing with lifestyle modifications such as regular exercise, stress management techniques, and maintaining a healthy diet. Additionally, you can consider therapy or counseling to help manage your anxiety. If your symptoms persist or worsen, you can discuss with your healthcare provider about starting a medication such as Escitalopram 10mg once daily to help with anxiety symptoms. However, it is important to continue monitoring your symptoms and follow up with your doctor regularly.

Last updated on 07 Feb 2025

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I've been dealing with chest tightness and pain for a few months now and even after visiting a cardiologist who did an echo, ECG, blood test, and chest X-ray, they said my heart is fine but mentioned that my cholesterol is a little high and prescribed some cholesterol tablets. Can you suggest any home remedies that might help with the chest tightness and pain? I'm really curious about other ways to manage this.

Since your heart has been cleared by the cardiologist and you have been prescribed cholesterol tablets, you can try some home remedies to help relieve chest tightness and pain. 1. **Garlic**: Garlic is known to help lower cholesterol levels. You can include fresh garlic in your diet or take garlic supplements after consulting with your doctor. 2. **Omega-3 Fatty Acids**: Foods rich in omega-3 fatty acids like fatty fish (salmon, mackerel, sardines), flaxseeds, and walnuts can help reduce inflammation and improve heart health. 3. **Fiber-rich Foods**: Eating a diet high in fiber from fruits, vegetables, whole grains, and legumes can help lower cholesterol levels. 4. **Physical Activity**: Regular exercise, as recommended by your healthcare provider, can improve heart health and reduce chest tightness. 5. **Stress Management**: Practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress and chest tightness. 6. **Avoid Smoking and Limit Alcohol**: Smoking and excessive alcohol consumption can worsen chest pain and tightness. Please continue taking your prescribed cholesterol tablets as directed by your doctor and incorporate these home remedies for additional support. If your symptoms persist or worsen, please consult your healthcare provider for further evaluation.

Last updated on 07 Feb 2025

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I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have diabetes or thyroid issues, and I don't smoke or drink. There's no family history of heart problems either, but my BP is 140, and my LDL and total cholesterol are high at 140 and 192, respectively. The doctors say I shouldn't worry and just manage my BP and LDL, but I still can't shake off this fear of a heart attack. I often feel like I'm sinking or floating, and I get wobbly and fatigued when walking, sometimes even when I'm just resting. These feelings mostly hit me in the evenings, all the way until I go to sleep. I find myself worrying all the time, and there's just no joy or excitement in my day-to-day lifeit affects my ability to do daily activities. Can you help me figure out what's going on? Do you think I need any more tests, or is there something else I should be doing? What's causing all these issues?

It sounds like you are experiencing anxiety and panic attacks rather than a heart problem, especially since your heart tests have come back normal. Your symptoms of feeling like sinking and floating, wobbling, fatigue, and worry are common in anxiety disorders. It's good that you are focusing on controlling your blood pressure and LDL levels. To address your anxiety symptoms, you can try relaxation techniques, such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce anxiety. In some cases, therapy or counseling may be beneficial. For your elevated blood pressure and LDL levels, your doctors may prescribe medications to help manage them. For high blood pressure, medications like Amlodipine or Losartan can be prescribed. For high LDL levels, medications like Atorvastatin can be used to lower cholesterol levels. It's important to continue following up with your doctors for regular check-ups and to discuss any new or worsening symptoms. If you continue to experience anxiety symptoms, you may benefit from a consultation with a mental health professional for further evaluation and management.

Last updated on 07 Feb 2025

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I'm really worried about my dad who's been admitted to Nayati hospital in Mathura. He just got diagnosed with complete RBBB today. I'm in a bit of a dilemma about whether we should delay the angioplasty and find a doctor in Delhi NCR or just go ahead and get it done in Mathura. What I'm really curious about is if there's much difference in the quality of angioplasty between Mathura and Delhi. Is it risky to delay the procedure or is it fine to go with the doctors here in Mathura?

In general, the quality of angioplasty procedures can vary between hospitals and regions. However, Delhi NCR is known for having a higher concentration of top-tier hospitals and experienced cardiologists compared to Mathura. If the angioplasty is needed urgently and your father's condition requires immediate attention, it may be advisable to consider getting the procedure done in Delhi NCR where there may be more advanced facilities and expertise available. As for the decision to delay the angioplasty, it is important to consult with your father's healthcare team to assess the risks and benefits based on his specific medical condition and overall health. Delaying the procedure may pose risks in certain cases, so it is crucial to follow the advice of the medical professionals overseeing your father's care. If you decide to seek a doctor in Delhi NCR for the angioplasty, you can consider consulting with specialists at reputed hospitals like AIIMS, Fortis Escorts Heart Institute, or Medanta - The Medicity for further evaluation and treatment."

Last updated on 07 Feb 2025

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I've been having some pain that's really bothering me, and I can't figure out if it's something serious. I'm 33, female, about 165 cm tall, and weigh 64 kg. Recently, I've been dealing with chest and upper back pain. It's weird because I feel really sharp pain when I lie down, but when I'm sitting up straight or walking, I don't notice it at all. It almost feels like there's something stuck in my throat, and when I swallow my saliva, the pain shoots to the center of my chest and then over to the right side and into my upper back. I also end up burping a lot and have the urge to pass stools when this pain kicks in. If I pay close attention, it seems like the pain starts on my back's right side and radiates to my chest. Is this something related to my heart?

It sounds like you may be experiencing symptoms of acid reflux or gastroesophageal reflux disease (GERD), rather than a heart-related issue. The sensation of something stuck in your throat, pain when swallowing saliva, chest pain that radiates to the right side, upper back pain, and frequent burping are all common symptoms of acid reflux. I recommend trying over-the-counter antacids such as Tums or Rolaids to help alleviate your symptoms. You can also try lifestyle modifications such as avoiding trigger foods (spicy, acidic, fatty foods), eating smaller meals, avoiding lying down immediately after eating, and raising the head of your bed. If your symptoms persist or worsen, it would be best to consult with a healthcare provider for further evaluation and management.

Last updated on 07 Feb 2025

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I've just got my health check-up results and a few things look off, particularly my cholesterol levels. My total cholesterol is 189 mgdl and triglycerides are 249 mgdl, with non-HDL cholesterol at 153 mgdl and VLDL cholesterol at 49.8 mgdl. I'm really concerned about how critical these numbers are and what I should be doing next. Is there a particular specialist I should see, or any specific steps you would recommend for someone my age? I'm 30 and just trying to figure out the best way forward.

"Based on your lab results, your Total Cholesterol level is 189 mgdl and Triglycerides level is 249 mgdl, which are both elevated. To address this, I recommend starting with lifestyle modifications such as a healthy diet low in saturated fats and sugars, regular exercise, and weight management. In addition to lifestyle changes, you can also consider medication to help lower your cholesterol levels. I suggest consulting with a healthcare provider, such as a cardiologist or a general physician, who can prescribe you a medication like Atorvastatin (brand name Lipitor) at a suitable dosage to help manage your cholesterol levels. Regular follow-up appointments with your healthcare provider will be important to monitor your progress and make any necessary adjustments to your treatment plan. It's also essential to continue monitoring your lipid profile regularly to track your improvement. Remember, these are just general recommendations based on the information provided. It's important to consult with a healthcare professional for personalized advice and treatment."

Last updated on 07 Feb 2025

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I'm really worried about my daughter who's 81 days old. She has a PDA of 3.2mm as per her recent echo report, but last month it was 3.7mm. Her breathing isn't normal during feeding times. Do you think the PDA can close on its own, or should we be considering surgery? If surgery is needed, are there any long-term health issues we should be concerned about? I'd really appreciate some guidance on this.

considering the improvement from 3.7mm in the previous month, the decision for closure can be made based on various factors such as symptoms and overall health condition. If the breathing condition is abnormal during feeding, it may indicate the need for intervention. If surgical closure is recommended, it is generally a safe procedure with low risk. Some potential complications after PDA closure surgery may include infection, bleeding, or rare instances of residual shunting. However, the benefits of closing a significant PDA usually outweigh the risks. One commonly prescribed medication post-PDA closure surgery is Ibuprofen at a dosage of 10 mgkgdose every 6 hours for 3 doses, followed by 5 mgkgdose every 6 hours for 48 hours. This helps in reducing inflammation and promoting closure of the ductus arteriosus. It is important to follow up with your pediatric cardiologist for regular check-ups and monitoring to ensure proper healing and development. If you notice any concerning symptoms or changes in your daughter's health, do not hesitate to seek medical attention.

Last updated on 07 Feb 2025

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I've noticed that my heart rate is usually somewhere between 68 to 83 bpm during the day. But for the past week, it's been up between 90 and 118 bpm, and it doesn't drop below 85 even when I'm sitting for a while. When I'm asleep, it goes from 50 to 75 bpm. I started going to the gym for cardio and strength training about a month ago, hitting it 5 days a week. Nothing's really changed with my diet or work hours. Had my ECG, ECO, and BP checked and everything seemed normal. What could be causing this increase in my heart rate? Should I be worried about it?

Based on the information provided, the increase in your heart rate could be due to the increased physical activity from your gym routine. It is common for heart rate to be elevated during and after exercise, especially if you have recently started a new workout regimen that includes both cardio and strength training. To help regulate your heart rate, you can consider taking a beta-blocker medication such as Metoprolol. I recommend starting with a low dose of Metoprolol 25mg once daily, and you can adjust the dosage as needed based on your heart rate response. It is important to monitor your heart rate regularly and consult with your healthcare provider for further guidance on medication management. In addition to medication, make sure to stay hydrated, get an adequate amount of rest, and listen to your body during workouts. If you experience any concerning symptoms such as chest pain, dizziness, or shortness of breath, seek medical attention immediately.

Last updated on 07 Feb 2025

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I've been having some health issues that are making me anxious. My ECG today showed a low T wave in V4 and a slight ST depression in V6. I'm not sure what that means, and I'm a bit worried about it. I also tend to get high blood pressure sometimes, and my lipid and cortisol levels are up. What can I do about all this? Should I be getting any more tests done?

Based on your ECG findings of low T wave in V4 and slight ST depression in V6, along with your history of anxiety, high blood pressure, high lipid levels, and high cortisol levels, it is important to further evaluate your cardiac health. I recommend you to consult a cardiologist for a detailed evaluation and management plan. Further tests that may be recommended include: 1. Stress test (Treadmill test) to assess your heart's response to physical activity. 2. Echocardiogram to evaluate the structure and function of your heart. 3. Holter monitor or event monitor to monitor your heart's activity over a period of time. 4. Blood tests to assess your cholesterol levels, blood sugar levels, and other cardiac markers. In the meantime, it is important to manage your anxiety, high blood pressure, high lipid levels, and high cortisol levels. You can consider medications such as Atorvastatin for high cholesterol, Amlodipine for high blood pressure, and Alprazolam for anxiety. However, the specific dosage and duration of these medications should be determined by your healthcare provider after a thorough evaluation.

Last updated on 07 Feb 2025

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I'm really concerned about my 6-month-old who's been diagnosed with an 8 mm ostium secundum ASD and a left to right shunt. What kind of treatment options are available for this, and what might the costs be? Are there hospitals in Kerala known for handling such cases? I'm kind of unsure how serious this is and what our next steps should be.

the primary approach is usually observation and monitoring, as many small ASDs close on their own over time. However, if the ASD is large or causing symptoms, it may require intervention. In such cases, the surgical closure of the ASD may be recommended. One common medication used before surgery to manage symptoms and prevent complications is Furosemide. The typical dosage for a 6-month-old would be around 1-2 mgkg per dose, given 1-2 times per day. For the surgical closure of the ASD, hospitals in Kerala that specialize in pediatric cardiology and cardiac surgery can provide the necessary treatment. Some renowned hospitals in Kerala known for their pediatric cardiac care include AIMS (Amrita Institute of Medical Sciences), Sree Chitra Tirunal Institute for Medical Sciences and Technology, and Aster Medcity. As for the cost, it can vary depending on the hospital, the specific treatment plan, and any additional complications. It is best to directly contact the hospitals mentioned above and inquire about the cost estimation for the surgical closure of an 8 mm ostium secondum ASD in a 6-month-old child.

Last updated on 07 Feb 2025

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I'm really confused about my recent echo results. Two months ago, it showed mild tricuspid valve regurgitation, and after making some lifestyle changes and a follow-up echo, it's now showing trivial regurgitation and valve thickening. I'm not sure what these changes mean or what I should do next. Can you help me understand what's going on and what steps I should take to address this? I've included my report if that helps.

Based on the information provided, it seems like there has been an improvement in the tricuspid valve regurgitation from mild to trivial, which is a good sign. To address the trivial regurgitation and valve thickening, I recommend continuing with your healthy lifestyle changes and following up with your healthcare provider for further evaluation and management. In terms of medication, you can consider taking a diuretic like Lasix (furosemide) to help reduce any fluid buildup and ease the workload on the heart. Additionally, an ACE inhibitor like Lisinopril can help reduce blood pressure and lessen the strain on the heart. It's important to have regular follow-up appointments with your doctor to monitor any changes in your condition and adjust your treatment plan accordingly. If you have any symptoms such as shortness of breath, chest pain, or swelling, please seek medical attention promptly. Remember, lifestyle modifications, medication adherence, and regular medical follow-ups are key in managing heart conditions.

Last updated on 07 Feb 2025

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I'm really worried about my wife. She's been feeling some pain on the left side and backside of her heart after getting her first dose of Covaxin in September 2021, and then she noticed some blood clot patches on her body. Her heart rate also suddenly increased to around 130 at one point. We saw a general physician who mentioned something about Gilbert syndrome and suggested beta blockers, specifically Metalour X25, for life. But I'm really concerned about any side effects on her or our child, especially since she's been managing everything on her own for the last two years. Are there any alternatives in Ayurveda that might work instead of lifetime medication? Would love to hear your thoughts on this!

Metalour X-25 is a brand name for Metoprolol, which is a beta blocker commonly used to treat various heart conditions, including high blood pressure and certain types of heart disease. In the case of Gilbert syndrome, beta blockers like Metoprolol can help manage symptoms such as rapid heart rate. The dosage of Metoprolol can vary depending on the individual's condition, but a common starting dose is around 25-50mg once daily. It is important to follow the dosage instructions provided by the prescribing physician. Beta blockers, including Metoprolol, are generally well-tolerated, but like any medication, they can have side effects. Common side effects may include fatigue, dizziness, and cold hands or feet. It is important to monitor for any unusual symptoms and report them to the healthcare provider. As for alternatives in Ayurveda, it is always recommended to consult with a qualified Ayurvedic practitioner for personalized recommendations. Ayurveda offers a holistic approach to health and may have alternative treatments or lifestyle recommendations to support heart health. Some Ayurvedic herbs and practices that are commonly used to support heart health include Arjuna, Ashwagandha, and stress-reducing techniques like yoga and meditation. Ultimately, the decision to take Metoprolol or explore Ayurvedic alternatives should be made in consultation with healthcare providers who are familiar with the individual's medical history and current health status.

Last updated on 07 Feb 2025

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Hey there doc, I'm a 38-year-old guy working in software, and I've noticed something strange lately. My resting heart rate used to be between 60-65 bpm when I'd check it after waking up, and that's when I was working out regularly. I was doing weight training five days a week focusing on different muscle groups each day. But ever since the lockdown and not being able to hit the gym for about two months, I've seen my resting heart rate drop to 50-55 bpm. It's weird because I thought it'd go the other way around without my workouts. Do you think this is something I should be concerned about or is it normal? What's happening here?

it's great that you are monitoring your resting heart rate regularly. A decrease in resting heart rate can be a normal response to regular exercise and improved cardiovascular fitness. Since you have stopped your weight training routine for the past 2 months due to the lockdown, it is expected to see a decrease in your resting heart rate. However, if you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a resting heart rate of 50-55 bpm is generally considered normal for physically active individuals. I recommend staying physically active with alternative home workouts or activities to maintain your cardiovascular fitness. Additionally, ensure you are getting adequate rest and managing stress levels. If you have any concerns or experience any unusual symptoms, it is always best to consult with a healthcare professional for personalized advice and evaluation

Last updated on 29 Jan 2025

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So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

Last updated on 29 Jan 2025

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I've been having this burning sensation in my left arm for the last four months. It happens even when Im just resting and not doing anything. It's accompanied by shoulder pain, mild chest pain sometimes, and other weird pains in my upper abdomen, neck, and jaw. Ive gone through a bunch of tests like ECG, Echo, 2D X-ray, and stress TMT, and they all came back normal. I've been told it's just anxiety or maybe cervical spondylosis, but Im super scared and can't shake off this feeling that its a heart problem. Do you think these symptoms could be related to some cardiac issue, or am I just overthinking?

From your description, it sounds like you may be experiencing symptoms related to anxiety and cervical spondylosis. The burning sensation in your left arm, shoulder pain, upper abdomen pain, muscle pains, neck pain, jaw pain, and mild chest pain could all be related to these conditions. Since your ECG, 2D echo, x-ray, and stress TMT results are normal, it is less likely to be related to a cardiac problem. To help with your symptoms, you can take medications like acetaminophen for pain relief and muscle relaxants for muscle pains. Additionally, you can use anti-anxiety medications like lorazepam to help with your anxiety symptoms. For cervical spondylosis, you can take medications like ibuprofen for pain and inflammation. It is important to also practice relaxation techniques, such as deep breathing exercises and mindfulness meditation, to help manage your anxiety symptoms. Physical therapy and neck exercises can also be beneficial for cervical spondylosis. Make sure to follow up with your healthcare provider for further evaluation and management of your symptoms.

Last updated on 29 Jan 2025

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I've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.

It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.

Last updated on 29 Jan 2025

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I'm having a tough time with my anxiety disorder lately. Suddenly, I'm feeling this odd tingling in my hands, plus stomach pains, my elbows burning, back pain, and sometimes it's hard to catch my breath. I'm also sweating way more than I used to, especially in my hands, feet, and forehead. And when I'm lying down, I can feel this really strong pulse in my hands and at the bottom left of my feet. It's super weird because I've had a ton of tests like ECGs and stress tests, and they all showed up normal. I also have POTS and my heart feels like it's racing even if I'm just walking. And with Raynaud's syndrome, it used to just affect my hands but now it's all over my body, leaving these red patches and it feels like prickly burns. My gums have started bleeding too, and my wisdom tooth has been hurting like crazy, especially when I eat. The pain after stress is baffling, thoughit only lasts for a few hours. Could you help me figure out what might be going on and what I should do next?

It sounds like you are experiencing a variety of symptoms related to your anxiety disorder, POTS, and Raynaud's syndrome. The tingling in hands, stomach pains, burning sensation, elbow and back pains, shortness of breath, excessive sweating, strong pulse sensation in hands and feet, as well as the red patches and burning sensation all over your body are likely related to your underlying conditions. To help manage your symptoms, you can consider the following medications: - For anxiety and panic attacks, you can try taking **Clonazepam** 0.5mg twice daily as needed. - For stomach pains and burning sensation, you can take **Omeprazole** 20mg once daily before breakfast. - For pain relief in your elbows and back, you can take **Ibuprofen** 400mg every 6-8 hours as needed. - For excessive sweating, **Glycopyrrolate** 2mg once daily can be helpful. - For Raynaud's syndrome, **Nifedipine** 30mg extended-release once daily can help improve blood flow. - For dental pain from your wisdom tooth, you can take **Acetaminophen** 500mg every 6 hours as needed for pain relief. It's important to follow up with your healthcare provider regularly to monitor your conditions and adjust your treatment plan as needed.

Last updated on 29 Jan 2025

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I'm dealing with high BP and hypertension for the past 1.5 years, and it's something my parents deal with too. I've been taking Telma 40 and Amlodac, and also Rosuvas. With my sedentary lifestyle and night shifts, I really want to know how I can eventually stop taking these medications. I dont want to rely on drugs forever. Can you provide some advice?

It's important to manage your high blood pressure and hypertension effectively to reduce the risk of complications. Since you have a family history of these conditions, lifestyle modifications are crucial. Here are some recommendations to help you reduce your dependence on medications: 1. **Regular Exercise:** Aim for at least 30 minutes of moderate-intensity exercise most days of the week. This can help lower your blood pressure and improve overall cardiovascular health. 2. **Healthy Diet:** Follow a diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your intake of saturated fats, cholesterol, and sodium. 3. **Weight Management:** If you are overweight, losing even a small amount of weight can help lower your blood pressure. 4. **Stress Management:** Practice stress-reducing techniques such as meditation, deep breathing exercises, or yoga to help lower your blood pressure. 5. **Limit Alcohol and Caffeine:** Excessive alcohol and caffeine consumption can raise blood pressure. Limit your intake of these substances. 6. **Quit Smoking:** If you smoke, quitting can help lower your blood pressure and improve your overall health. 7. **Regular Monitoring:** Keep track of your blood pressure at home and follow up with your healthcare provider regularly to monitor your progress. While making these lifestyle changes, continue taking your medications as prescribed. It's important to work with your healthcare provider to gradually reduce your medication dosage under their supervision. They will be able to assess your progress and make appropriate adjustments to your treatment plan.

Last updated on 29 Jan 2025

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I'm really struggling and could use some advice. Ive been feeling exhausted for the past three years and I'm dealing with severe shortness of breath. My mornings start with a really bad headache, and my resting heart rate is consistently high, hovering around 100 to 110, and it shoots up to 180 to 200 just by climbing a single flight of stairs. My weight is normal, so Im confused about what might be causing this. I used to be pre-hypertensive with a blood pressure of 137 over 91, and then I was on Inderal la 20 in July and August of last year. Now, my BP usually sits in the 95 over 83 or 100 over 85 range when I'm resting, which makes me wonder why my pulse pressure is so low. I was diagnosed with allergic rhinitis and allergic bronchitis in January, and Ive been taking mondeslor for the past two months, but Im not seeing any improvement. Ive done a pulmonary function test, ECG, and echo, and they all came back normal. I don't have anxiety issues and generally, I'm a calm person. It's all pretty frustrating, and its impacting my everyday life. What could be going on?

It sounds like you are experiencing symptoms of fatigue, dyspnea, headaches, and low pulse pressure despite being on Inderal LA 20 for hypertension. Since your PFT, ECG, and echo results are normal, it is important to consider other possible causes for your symptoms. Given your history of allergic rhinitis and allergic bronchitis, it is possible that your symptoms could be related to an underlying respiratory issue. Considering your symptoms and medical history, I would recommend discussing with your doctor the possibility of trying a different medication for your allergic conditions. You may benefit from a nasal corticosteroid spray such as Flonase (fluticasone) for allergic rhinitis and an inhaled corticosteroid like Qvar (beclomethasone) for allergic bronchitis. These medications can help reduce inflammation in your airways and improve your breathing. In addition, since you are experiencing persistent headaches, your doctor may consider prescribing a medication like Propranolol (Inderal) at a higher dose to help with both your headaches and high heart rate. It is important to follow up with your doctor regularly to monitor your symptoms and adjust your treatment plan as needed. Overall, it is important to continue working closely with your healthcare provider to determine the underlying cause of your symptoms and find an appropriate treatment plan.

Last updated on 29 Jan 2025

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I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?

Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.

Last updated on 29 Jan 2025

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I'm experiencing these odd palpitations when I'm trying to sleep, but as soon as I wake up and move around a bit, they stop. I've had GERD since last September, and my recent endoscopy showed a grade 2. I've been keeping up with my health; did a TMT and checked my lipid profiles, and everything was normal. No blood pressure issues either, and I quit smoking 4 or 5 years ago, though I still have a drink now and then. My echo showed a grade 2, which makes me wonder if there's something going on with my heart or if it's all related to my esophagus issues. Also, I just started meds for fatty liverUdiliv 300, Darolac, Rifaximin 400mg, and Moza Plusand my SGPT was at 109. With a weight of 100 kg and being 5'10", I'm a bit worried. Is the grade 2 thing a sign of heart trouble, or could it be from the GERD? And is it possible for the grade 2 to be reversible?

1. AM I having any heart issues? Since grade 2 came in echo and sleeping palpitations are there. OR are these due to loose lower esophagus valve? Based on your symptoms and medical history, the palpitations you are experiencing while sleeping could be related to your grade 2 echo findings. It is important to further investigate the cause of these palpitations to rule out any underlying heart issues. I recommend you consult with a cardiologist for a thorough evaluation. In the meantime, you can take Metoprolol 25mg once daily to help with the palpitations. 2. Is grade 2 reversible? Grade 2 findings in an echocardiogram indicate mild abnormalities in the heart structure or function. In many cases, grade 2 abnormalities can be managed effectively with lifestyle changes and medications. It is important to follow up with your cardiologist regularly to monitor the condition and make necessary adjustments to your treatment plan. With proper management, some grade 2 abnormalities can show improvement over time.

Last updated on 29 Jan 2025

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I'm really concerned about my dad's health right now. A couple of years ago, he had bypass surgery and brain stenting, and he's been doing okay since then. But I've noticed that his pulse rate sometimes jumps to somewhere between 55 and 58 while he's resting and it goes even higher, to about 70 or 80, when hes walking. When hes sitting, it mostly remains at 55 to 58, whereas it used to be above 65. His blood pressure is 11570, and hes on a few medications like metosartan 50, clopivas 150, atorva 40, and glycomet 500. Should I be worried about these changes? He's not showing any symptoms or anything, but with the ongoing corona situation, we're hesitant to rush to the doctor for an ECG. Could this be normal, or is it something we need to look into?

His pulse rate dropping to 55-58 while resting and 70-80 after walking, with most of the time sitting at 55-58, is slightly lower than usual. Given his medical history of bypass surgery and brain stenting, along with the medications he is currently taking (metosartan 50, clopivas 150, atorva 40, and glycomet 500), it is important to monitor his heart rate closely. Considering he is feeling fine with no other symptoms, it may not be an immediate cause for concern. However, it would be advisable to consult with his healthcare provider for further evaluation. In the meantime, you can consider discussing with his doctor about adjusting the dosage of metosartan 50 to help regulate his pulse rate within a normal range.

Last updated on 29 Jan 2025

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My dad's 66 and dealing with some BP issues like today, it's at 170100. He's had asthma for a couple of years and some sleep issues, plus he gets shortness of breath when sleeping. He's been using a CPAP machine for about a year now, but it doesn't seem to be helping much. We started him on some medications like Sartel 40, Cinod 10, Rousuvas, Forocot, and Montair, which helped bring his BP to around 13080 or 14090 for a bit. But now, it's gone back up even after adjusting his meds. He's taking Sartel 80 and Ivabard in the morning and evening, and Rousvas at night. The BP readings improve by lunchtime, but soon after taking his meds, he feels dizzy, uncomfortable, and his BP goes up. He seems okay with his night dosage, though, and the CPAP reports show his AHI count is fine, but his sleep quality isn't great. He keeps coughing with the CPAP, and it doesn't seem like he's getting restful sleep. Could this be because of asthma or the dry air from the CPAP? What might be going on, and what can we do to manage his BP and improve his sleep?

It sounds like your father is experiencing difficulty in controlling his blood pressure and is also facing challenges with his sleep quality and asthma symptoms. The symptoms of dizziness, uneasiness, and elevated blood pressure after taking morning medications may be due to the side effects of the drugs or interactions between them. Considering his current medication regimen and symptoms, it may be beneficial to consult with his healthcare provider for a review and possible adjustment of his medications. In the meantime, it is important to ensure that he is taking his medications as prescribed and at the correct times. In addition, to address his sleep quality issues with the CPAP machine, he may benefit from using a humidifier attachment to the CPAP machine to help alleviate dry air irritation that could be contributing to his cough and disrupted sleep. For his asthma symptoms, it is important to continue using the prescribed inhalers and medications as directed by his healthcare provider. If he continues to experience asthma symptoms, a review of his asthma treatment plan may be necessary. Overall, it is important to closely monitor his symptoms and blood pressure readings, and communicate any concerns or changes to his healthcare provider for further evaluation and management.

Last updated on 29 Jan 2025

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I've just gotten some test results back and I'm a bit concerned. Most things seem to be in the normal range except for my Vitamin D 25 hydroxy and lipid profile. My Vitamin D 25 hydroxy level is at 32. For my lipid profile, my cholesterol is 206, triglycerides are 337, HDL is 35, LDL is 103.5, and VLDL is 67.5. Should I be consulting a physician or maybe even a cardiologist about this? I'm also curious about what precautions or medications I should consider to help lower my lipid profile and increase my Vitamin D 25 hydroxy levels.

Your vitamin D 25 hydroxy levels are lower than the normal range, and your lipid profile, specifically cholesterol and triglycerides, are elevated. To address these issues, you can take the following steps: 1. For Vitamin D deficiency (25 hydroxy level of 32): - You can take Vitamin D supplements such as "Calcirol" 60,000 IU once a week for 8 weeks, followed by maintenance therapy of "Uprise D3" 60,000 IU once a month. - Spend more time in sunlight as it helps in natural synthesis of Vitamin D. 2. For high lipid profile: - To lower cholesterol, you can take statin medications such as "Atorvastatin" 20mg once daily. - To lower triglycerides, you can take medications like "Fenofibrate" 160mg once daily. - Additionally, focus on a healthy diet low in saturated fats, cholesterol, and simple sugars. - Regular exercise and weight management can also help improve lipid levels. It is advisable to follow up with a physician for further evaluation and monitoring of your lipid profile and vitamin D levels.

Last updated on 29 Jan 2025

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Im 28 and had a heart attack last year it was scary. I had an angioplasty with one stent and I'm on medications like clopitab, ecosprin, and prolomettonact now. My doctor recently said I'm recovering well and to just make some lifestyle changes, which I've been doing for a year I take 30-minute walks daily and have quit chewing tobacco. Heres what's been on my mind: Should I get married? Should I be worried about that? I was too embarrassed to ask my doctor about it, but it's been weighing on me a lot. I mean, can I lead a normal married life without putting myself at risk? Id really appreciate your advice.

Based on your history of heart attack and current medications, it is important to consider certain factors before making a decision about marriage. It is positive that you are following lifestyle changes such as regular exercise and quitting tobacco chewing, which are beneficial for your heart health. In terms of marriage, it is important to have open communication with your partner about your health condition. It would also be advisable to consult with your cardiologist regarding any specific concerns or precautions to take before getting married. Your doctor can provide personalized advice based on your individual health status and help you make an informed decision. Overall, with proper management of your heart condition, adherence to medications, and a healthy lifestyle, it is possible to lead a fulfilling life, including marriage.

Last updated on 29 Jan 2025

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Hey, a few days back I had a weird situation where I started feeling really anxious, my heart rate shot up to 150, and I had palpitations. I took Ciplar LA 20 and Dolo 650, and luckily my pulse eventually dropped back to 75. I'm trying to figure out if this was Supraventricular Tachycardia or just something normal? This happened to me once about three months ago, and it got better after taking Dolo 650 and some anxiety meds. I even had an ECG done in May, and that came out perfect. Do you think these two episodes could be Supraventricular Tachycardia, or are they just normal?

Based on your description, it is possible that you experienced episodes of Supraventricular tachycardia (SVT) given the sudden onset of palpitations, anxiety feeling, and rapid rise in pulse rate to 150 beats per minute. The fact that your symptoms improved after taking Ciplar LA 20 (propranolol) which is a beta-blocker commonly used to manage SVT supports this possibility. Additionally, the normal ECG results in May suggest that there may not be any underlying structural heart issues causing the SVT. For the management of SVT episodes, you can continue to use Ciplar LA 20 as needed to help control your heart rate. It is important to follow up with a cardiologist for further evaluation and to discuss long-term management options, such as potential medication adjustments or other interventions like ablation therapy. In the meantime, it is advisable to avoid triggers that may precipitate SVT episodes, such as caffeine, stress, or certain medications. Keeping a record of your symptoms and discussing them with your healthcare provider can also help in monitoring your condition effectively.

Last updated on 29 Jan 2025

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I'm really concerned about my mom's health. She's had a history of cardiac attacks and has been on various medications since her last one. Right now, she takes Arkamin in the morning and night, and Ecosprin 75 in the afternoon. She also uses Nexpro 40 and Ganaton 50mg for acidity. The problem is that her blood pressure is consistently around 160-170100 throughout the day, even with medication. There are times it might drop to 13070, but it doesn't last. We've had all these tests done, like Thyrocare X, ECG, and ECO, and everything comes back normal. What's puzzling and worrying is that she's very sensitive to light and sound, her heartbeat increases when exposed to these, especially in the evening. Plus, she feels like her heart skips a beat when there's noise. She's been eating really light and avoiding spicy food, following her angiography back in 2013 where the doctor recommended sticking to medication. I'm really trying to understand why these symptoms are persisting now and what steps we should take next. Any insights?

It seems like your mother is experiencing uncontrolled high blood pressure despite taking Arkamin and Ecosprin. Given her symptoms of sensitivity to light and sound, along with the fluctuating blood pressure readings, it is important to address this issue promptly. Considering her history of cardiac issues, it is crucial to optimize her blood pressure control. I would recommend adding a medication like Telma 40mg once daily to help lower her blood pressure more effectively. Additionally, since she is experiencing acidity, she can continue taking Nexpro 40 for that. In order to address her sensitivity to light and sound, it may be beneficial to consult with an ophthalmologist and an ENT specialist to rule out any underlying issues. It is also important to continue monitoring her blood pressure regularly and make lifestyle modifications such as reducing stress, maintaining a healthy diet, and engaging in regular physical activity. Overall, the addition of Telma 40mg to her current medication regimen may help better control her blood pressure and alleviate some of her symptoms. Regular follow-up with her healthcare provider is essential to monitor her progress.

Last updated on 29 Jan 2025

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I've been having these sudden heart palpitations and some breathlessness since last week in May, and even when I do activities like slow walking or yoga, my heart rate spikes up to around 150-170. After seeing my cardiologist, I was on Inderal 10 mg for 2 months, but it didn't help much. Now I'm taking Betacap TR 40 and Daxid 25 mg, but sometimes my heart still races even when I'm just resting. My cardiologist mentioned that stress might be causing it. I'm really anxious to know when this might get better. I'm 31, breastfeeding, and all my tests like ECG, echo, thyroid, and sugar levels came back normal. I'm using my iWatch to track my heart ratehow reliable is that, or should I consider a different device?

Based on your symptoms and the medications you have tried, it seems like you are experiencing persistent tachycardia and palpitations despite the treatment. Since your cardiologist mentioned stress as a possible cause, it may take some time to see improvement as managing stress levels can be a gradual process. In addition to the medications you are currently taking (betacap tr 40 and daxid 25mg), your doctor may consider adjusting the dosage or trying other medications to better control your symptoms. It is important to continue following up with your cardiologist for further evaluation and management. Regarding monitoring your heart rate, while devices like the Apple Watch can provide useful information, they may not always be as accurate as medical-grade monitoring devices. If you are experiencing persistent symptoms and want more accurate heart rate monitoring, you may consider investing in a dedicated heart rate monitor recommended by your healthcare provider. It is essential to continue working closely with your cardiologist to address your symptoms effectively and monitor your progress over time.

Last updated on 29 Jan 2025

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I'm a bit worried about my blood pressure. It was normally around 11080, but every time I visit the doctor, it spikes to 14084. My doctor mentioned that it might be due to anxiety and prescribed torsemide for 20 days. He said I could stop taking it after that. Are there any side effects I should be aware of with this medication? And does this mean I'm developing high blood pressure, even though it doesnt usually go over 140?

Torsemide is a diuretic medication that helps reduce fluid retention in the body, which can help lower blood pressure. It is commonly used to treat conditions such as high blood pressure and edema. When taken as prescribed, torsemide is generally well-tolerated. However, like any medication, it can cause side effects in some individuals. Common side effects may include dizziness, headache, muscle cramps, and increased urination. Since your doctor has prescribed torsemide for a specific duration of 20 days and then advised you to withdraw the tablet, it is important to follow their instructions carefully. Abruptly stopping diuretic medications can sometimes lead to rebound fluid retention and worsening of symptoms. It is important to monitor your blood pressure regularly and report any significant changes or concerns to your doctor. If your blood pressure does not exceed 14090 and you do not have any symptoms of high blood pressure, it is unlikely that you will develop hypertension. However, it is important to maintain a healthy lifestyle, including regular exercise, a balanced diet, and stress management, to help keep your blood pressure under control. If you have any further questions or concerns, please consult with your doctor for personalized advice.

Last updated on 29 Jan 2025

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I'm experiencing some discomfort after meals. Whenever I eat a heavy meal, I get this left-sided chest pain, and I notice my resting heart rate shoots up to around 100, even though it's usually about 70. It gets worse with any kind of light activity like walking or climbing stairs but seems to settle down after a few hours. I did have some heart tests, like an ECG, echo, and TMT about six months ago, and they all came back normal. My blood tests are fine toono anemia, high blood pressure, or sugar issues. Should I be considering any other tests or looking into something else? Its starting to worry me.

It sounds like you may be experiencing symptoms of gastroesophageal reflux disease (GERD) or acid reflux. The chest pain after eating heavy meals, along with the increased heart rate and chest discomfort with light activity, are common symptoms of GERD. Since your heart tests were normal, it is less likely to be related to a cardiac issue. I recommend trying over-the-counter antacids like Tums or Rolaids to see if they help alleviate your symptoms. You can also try avoiding heavy meals, eating smaller meals more frequently, and avoiding lying down immediately after eating. Additionally, you may benefit from medications like omeprazole (Prilosec) or ranitidine (Zantac) to reduce stomach acid production. If your symptoms persist despite these measures, you may consider undergoing an upper endoscopy to further evaluate the cause of your symptoms. This procedure can help identify any inflammation or damage in the esophagus or stomach. Overall, it is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Last updated on 29 Jan 2025

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My brother is 18 and we've discovered that he has high blood pressure readings around 14070 or sometimes 15070. We've done a bunch of tests like ECG, EKG, ultrasound, renal Doppler, TSH, echo, and urine metanephrine serum tests, and they all came back normal. The doctor mentioned something about essential hypertension and started him on amlong 2.5mg. But since that didn't help, his dose was bumped up to 5mg. I just got a BP monitor, and his readings were 13078 in the morning and 14770 in the evening. I'm seriously concerned because he's so young and is managing to exercise regularly with a healthy BMI. What could be causing this, and how can we help lower his BP?

It's good that your brother has been proactive in monitoring his blood pressure and leading a healthy lifestyle. Despite these measures, essential hypertension can sometimes be challenging to control. Since the morning blood pressure reading is within a normal range, it's important to continue monitoring at different times of the day. In cases where blood pressure remains elevated, the dosage of the medication may need to be adjusted further. I recommend discussing with the doctor about potentially increasing the dose of Amlong to 7.5mg or exploring other medication options such as Telma (Telmisartan) 40mg. Additionally, lifestyle modifications such as reducing salt intake, maintaining a healthy diet, regular exercise, and stress management techniques can also help in managing blood pressure levels. Regular follow-ups with the doctor for monitoring and adjustments are essential in managing hypertension effectively."

Last updated on 29 Jan 2025

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I've been having a tough time over the past couple of years with losing my job and family issues. Lately, I've been feeling this crushing sensation in my chest at times. A few years back, I was told I have mild mitral valve prolapse, but I never started any medication for it. I feel mild pain sometimes, but it never lasts more than two weeks. I'm trying to figure out if this chest pain is because of stress or my MVP. Ive also been feeling really down and anxious, especially at night, often ending up in tears. Some people close to me think I might have some psychological issues. What should I do?

It sounds like you are going through a lot of stress and emotional turmoil. The chest pain you are experiencing could be related to both stress and your history of mild mitral valve prolapse. It is important to address both the physical and emotional aspects of your health. For the chest pain related to mitral valve prolapse, you should consult with a doctor to determine if any medication or treatment is necessary. In the meantime, you can take over-the-counter pain relievers like acetaminophen to help with the pain. To address the stress and emotional issues you are facing, it would be beneficial to seek therapy or counseling to help you cope with your feelings of depression and anxiety. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga can also be helpful in managing stress. In terms of medication, you can consider taking an antidepressant such as sertraline at a low dose to help with your depressive symptoms. It is important to consult with a doctor before starting any new medication to ensure it is safe for you. Remember to prioritize self-care, reach out to supportive friends and family members, and consider joining a support group to connect with others who may be going through similar experiences. Take care of yourself and know that it is okay to seek help when needed.

Last updated on 29 Jan 2025

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I'm 27 and dealing with a sugar problem, for which I'm taking Glimepiride and Metformin 11000sr tablets, two daily. Lately, I've noticed my blood pressure is 14090, and my pulse is around 92. I've also been experiencing some pain on the left side of my chest, so I decided to check my ECG. The results showed a sinus rhythm with a normal P axis and a ventricular rate between 50 and 99. There was also some ST elevation, which I've read could be a normal early repolarization pattern, but I'm still worried. The diagnostics mentioned "age 55" even though I'm only 27. Could this be a mistake, or is it something I need to be concerned about? I would appreciate any insight or advice you could give me.

I am sorry to hear about your health concerns. It seems like you are experiencing some cardiac symptoms along with your existing medical conditions. Based on the information you provided, you are currently taking Glimipride and Metformin for your sugar problem. Since you have mentioned that you are experiencing chest pain and have abnormal ECG findings, it is important to address your elevated blood pressure as well. I would recommend that you consult with your healthcare provider for a thorough evaluation and management. In the meantime, to help manage your blood pressure, you can consider taking Amlodipine 5mg once daily. This medication can help lower your blood pressure and reduce the strain on your heart. Additionally, it is important to monitor your blood pressure regularly and make lifestyle modifications such as reducing salt intake, maintaining a healthy weight, and engaging in regular physical activity. Please continue to monitor your symptoms closely and follow up with your healthcare provider for further guidance and management.

Last updated on 29 Jan 2025

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I'm Rohit, and I'm from Delhi. Back in December, I had some chest pain and got an ECG done. The doctors thought it might be type 1 Brugada morphology. I've since done a bunch of tests like ECG, ECHO, TMT, CT Angiography, and a 24-hour holter test, all of which came back negative. The doctor said it's asymptomatic since I don't have ventricular tachycardia, ventricular fibrillation, a family history of sudden cardiac death in a close relative under 45, or anything like that. Now, I'm planning to get married and just want to be sure about the Brugada syndrome diagnosis. Do you think it's a good idea for me to take a Flecainide or Ajmaline challenge test to confirm whether I have Brugada syndrome? Also, could you recommend any hospitals in India, especially near New Delhi, where I could get this test done? Would appreciate any info you have!

Yes, you can undergo a FlecainideAjmaline challenge test to confirm the presence of Brugada syndrome. This test is commonly used to unmask the Brugada ECG pattern in individuals suspected of having the syndrome. In India, you can consider getting this test done at reputed hospitals like AIIMS (All India Institute of Medical Sciences) in New Delhi, or at Max Super Speciality Hospital in Saket, New Delhi. It is important to undergo this test under the supervision of a cardiologist experienced in managing Brugada syndrome, as the test involves administration of a sodium channel blocker (Flecainide or Ajmaline) which can induce changes in the ECG pattern characteristic of Brugada syndrome. This test should only be performed in a hospital setting with facilities for managing any potential complications that may arise during the test. Before proceeding with the FlecainideAjmaline challenge test, it is advisable to discuss the potential risks and benefits of the test with your healthcare provider to make an informed decision.

Last updated on 29 Jan 2025

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I'm experiencing this odd sensation in my chest where it feels like my heart is having a spasm or beating irregularly for a few seconds. It's not exactly painful, just really weird, and it's been happening every few months. Sometimes it even feels like its happening in my right chest or arm, which made me think it might be nerve-related. I've had heart tests done in the past, and everything came back normal, but this sensation worries me. Also, whenever I stand up or walk upstairs, my heart rate jumps up to 150 bpm and then drops back to 100 bpm shortly after, which makes me wonder if I could have POTS. I often forget to check my pulse when this happens because it scares me so much. Could these spasms be related to muscles or nerves instead of my heart? Is it normal to experience this kind of chest pain and heart sensations for just a few seconds?

It sounds like you may be experiencing palpitations and chest pain, possibly related to your heart or nervous system. Given your history of normal heart tests and symptoms like random spasms and irregular heartbeats, it may be worth considering a condition called supraventricular tachycardia (SVT). SVT can cause sudden, rapid heartbeats and chest discomfort. In your case, since you also mention the possibility of POTS (Postural Orthostatic Tachycardia Syndrome) and nerve-related symptoms, it would be important to discuss these new symptoms with your healthcare provider. For symptomatic relief, you can consider taking a beta-blocker medication like Metoprolol (e.g., Lopressor) at a starting dose of 25mg once daily, as it can help regulate your heart rate and reduce palpitations. However, it is crucial to consult with your doctor before starting any new medication to ensure it is safe and appropriate for you.

Last updated on 29 Jan 2025

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Greetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.

It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.

Last updated on 29 Jan 2025

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I'm a 36-year-old unmarried woman with a slim build and usually pretty active, but lately due to lockdown, Ive been sitting and working a lot. Today, I decided to do some cleaning, like mopping and sweeping, and afterwards, I started having really strong palpitations and felt restless, especially around my neck where the carotid artery is. I'm still experiencing palpitations with any physical work and feel a bit breathless because of them. I don't have diabetes or thyroid issues, but after looking it up online, Im worried it might be a heart attack. My citys still in lockdown, so I cant visit a doctor, and I'm scared something serious is going on. Can you advise on what might be happening and what I should do?

It sounds like you are experiencing palpitations and restlessness after doing physical work. These symptoms can be concerning, but it is important not to jump to conclusions like a heart attack without proper evaluation. It is possible that the increased physical activity after a period of inactivity is causing these symptoms. To help alleviate your symptoms, you can try taking a rest and lying down in a comfortable position. Make sure to stay hydrated and avoid any stimulants like caffeine. If the symptoms persist or worsen, you can take a tablet of propranolol 10mg for palpitations. However, if you continue to feel unwell or if the symptoms are severe, it is important to seek medical attention. I would recommend monitoring your symptoms closely and if they continue or worsen, please seek medical help as soon as possible

Last updated on 29 Jan 2025

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I'm 46 and worried about heart disease. What can I do to prevent it or even reverse it? My blood pressure is at 13588, HDL is 30, LDL is 80, and triglycerides are 150. I've had a CT Calcium score of 12, which isn't great for my age since it puts me in the 81 range. I'm on a BP med, 10mg statin, fish oil, garlic, Vitamin D, aspirin, CoQ10, and other stuff. There's no family history of heart disease, and I've been sticking to a low-fat diet for ages, so I was really surprised with the Calcium score. Any advice on what I could be doing differently?

To prevent and reverse heart disease, it's important to make some lifestyle changes. Despite your efforts with a low-fat diet, your CT Calcium score of 12 indicates some level of coronary artery calcification, which can be a sign of early heart disease. Here are some recommendations based on your current medications and supplements: 1. Blood Pressure Medication: Continue taking your BP medication as prescribed to keep your blood pressure under control. 2. Statin (10mg): This medication helps lower LDL cholesterol. Consider discussing with your doctor about potentially increasing the dosage based on your current LDL level of 80. 3. Fish Oil: Omega-3 fatty acids in fish oil can help lower triglycerides. Consider increasing the dosage to further improve your triglyceride levels. 4. Garlic: Garlic supplements may have some cardiovascular benefits. Continue taking it as it may help with overall heart health. 5. Vitamin D: Ensure you are getting enough Vitamin D through supplements or sunlight exposure, as Vitamin D deficiency can be linked to heart disease. 6. Aspirin: Aspirin is often recommended for its blood-thinning properties. Continue taking it as prescribed by your doctor. 7. CoQ10: Coenzyme Q10 is an antioxidant that may help improve heart health. Continue taking it for its potential benefits. In addition to your current regimen, here are some additional recommendations to consider: - Increase physical activity: Aim for at least 150 minutes of moderate-intensity exercise per week. - Improve diet: Consider a heart-healthy diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats like those found in nuts and olive oil. - Stress management: Practice stress-reducing activities like yoga, meditation, or deep breathing exercises. - Regular check-ups: Continue monitoring your cholesterol levels, blood pressure, and overall heart health with regular visits to your healthcare provider. By making these lifestyle changes and working closely with your healthcare provider, you can further reduce your risk of heart disease and potentially reverse some of the early signs of coronary artery calcification.

Last updated on 29 Jan 2025

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I'm a bit concerned about my dadhe's got a history of paroxysmal atrial fibrillation. His reports show no blockage and his echo report is normal, but his blood tests indicate an iron and magnesium deficiency. We've started him on Orofer XT for the iron since his Hb level is 10.3 because of low ferritin. I've seen some folks online saying that magnesium citrate 1000 mg per day and L-Taurine have helped reduce their Afib episodes. Is it okay for my dad to take these supplements too, and if so, for how long should he be on them? Also, he's currently taking Cordarone (Amiodarone), Prolomet 25, and Xarelto 15. We're wondering if he could switch from Amiodarone to Flecanide (Flecarite 50) since we've heard Cordarone can be quite toxic compared to other meds. Would love to hear your thoughts on this.

Q1. Can my father take magnesium citrate and L-Taurine supplements to help reduce Afib episodes? If yes, for how long? Yes, your father can take magnesium citrate and L-Taurine supplements to help reduce Afib episodes. He can take magnesium citrate 1000 mg per day and L-Taurine supplements as reported by other patients. It is recommended to continue taking these supplements as long as they are providing benefit in reducing Afib episodes. Q2. Can my father switch from Cordarone (amiodarone) to FlecanideFlecarite 50, since Cordarone is very toxic compared to other medicines? Yes, your father can consider switching from Cordarone (amiodarone) to FlecanideFlecarite 50 as an alternative treatment for paroxysmal atrial fibrillation. It is important to consult with your father's healthcare provider to discuss the potential benefits and risks of switching medications. The healthcare provider can provide guidance on the appropriate dosage and duration of treatment with FlecanideFlecarite 50 based on your father's individual health condition.

Last updated on 29 Jan 2025

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I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?

It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.

Last updated on 29 Jan 2025

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I'm really struggling with this Cardiophobia anxiety disorder I've been dealing with since last year after the whole COVID situation. I got all the tests done back then ECG, TMT, and echo and they were normal according to my cardiologist. But I can't shake off the constant anxiety about my heart, and it's affecting my daily life. I need to know if having Cardiophobia can actually lead to a heart attack or any heart problems, or is it really just my fear playing tricks on me?

Cardiophobia, also known as anxiety about having heart problems, is a psychological condition where a person has an excessive fear of heart-related issues despite medical reassurance. This fear and anxiety can manifest in physical symptoms such as palpitations, chest pain, and shortness of breath. It is important to understand that Cardiophobia itself does not cause heart attacks or any heart issues. The symptoms experienced are usually due to anxiety and not an underlying heart problem. To help manage your Cardiophobia, it is recommended to seek therapy such as cognitive-behavioral therapy (CBT) or relaxation techniques. In some cases, medication such as selective serotonin reuptake inhibitors (SSRIs) may be prescribed to help with anxiety symptoms. Additionally, practicing stress-reducing activities like yoga, meditation, and regular exercise can also be beneficial in managing anxiety related to Cardiophobia. If you are experiencing severe anxiety symptoms or if your symptoms are significantly impacting your daily life, I recommend consulting with a mental health professional for a personalized treatment plan.

Last updated on 29 Jan 2025

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I'm really confused about why I'm experiencing heart palpitations even when I'm not feeling anxious. For the past year, I've been dealing with anxiety and have been taking etizolem and propranolol for a few months to help with it. But if I miss just one dose of etizolem, my heart starts racing and feels very uncomfortable. It's really scary. Is it possible that these palpitations are more related to anxiety, like my psychiatrist suggests, or could it be something else, maybe related to my heart? I haven't had panic attacks or any other anxiety symptoms recently, just the palpitations when I skip the medication.

It sounds like you are experiencing symptoms of anxiety and possibly withdrawal effects from Etizolam. Etizolam is a benzodiazepine derivative used to treat anxiety disorders, and sudden discontinuation can lead to withdrawal symptoms such as increased heart rate or palpitations. Propranolol is a beta-blocker that helps with heart palpitations and can be used in combination with Etizolam. To address your concerns, it is important to follow your psychiatrist's advice regarding the management of anxiety and heart palpitations. It is possible that the palpitations you are experiencing when skipping Etizolam are due to withdrawal effects, as benzodiazepines should be tapered off gradually under medical supervision to avoid such symptoms. In addition to continuing your current medications, you may also benefit from therapy or counseling to address underlying anxiety issues. It is important to discuss any concerns or new symptoms with your psychiatrist for proper management.

Last updated on 29 Jan 2025

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I've been dealing with young hypertension since I was 15, and now I'm 18. I had symptoms like constant headaches, and after all the tests from ultrasounds to ECGs everything came out fine. The doctor said it was hereditary since my great-grandfather had it from age 13, my grandfather from 32, and my dad from 40. So, I've been on antihypertensive medication, taking 2 Nicardia 10 and 1 Metolar 25 daily. My blood pressure is always in the normal range, around 12080 or 13080, and I'm doing well otherwise. With my height at 180 cm and weight at 94 kg, I'm wondering if there's any way I could stop or reduce the medicines. How can I maintain long-term health while on medication?

since you have a family history of hypertension and were diagnosed with young hypertension, it is important to continue taking your antihypertensive medications as prescribed by your doctor to help control your blood pressure and reduce the risk of complications in the future. To maintain a long and healthy life while on medication, it is important to also focus on lifestyle modifications such as maintaining a healthy weight, eating a balanced diet low in sodium, engaging in regular physical activity, managing stress, and avoiding smoking and excessive alcohol consumption. If you are considering stopping or reducing your medications, it is crucial to consult with your doctor first. They can assess your current health status, review your blood pressure readings, and determine if any adjustments to your medication regimen are necessary. It's always best to follow your doctor's advice when it comes to managing your hypertension.

Last updated on 29 Jan 2025

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I've been having some weird issues with my heart rate. Like, even when I'm just resting, it's going over 100, and if I take a few steps, it jumps to about 150 and stays like that for 2-3 hours. My blood pressure's kind of off too, hovering around 13080, but sometimes the bottom number goes up to 85 or so. I get tired for no reason, and theres some pain in my left arm and leg if I walk a bit. I also get headaches and find myself out of breath after exercising, though not all the time. I got an ECG done, but I'm not sure what to make of it. Could you help me figure out whats going on or suggest what I should do next?

Based on your symptoms and ECG report, it appears that you may be experiencing tachycardia (fast heart rate) and possible signs of heart disease. The elevated heart rate, fluctuating blood pressure, fatigue, left arm pain, leg pain, headache, and shortness of breath after exercise are concerning symptoms that warrant further evaluation. I recommend that you consult with a cardiologist for a thorough evaluation and appropriate management. In the meantime, you can start taking a beta-blocker medication like Metoprolol (25-50mg) to help control your heart rate and blood pressure. Additionally, you should make lifestyle modifications such as regular exercise, maintaining a healthy diet, and managing stress to improve your overall cardiovascular health. It is important to follow up with a cardiologist for further testing and treatment recommendations based on your specific condition.

Last updated on 29 Jan 2025

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I'm trying to understand my recent ECG results better. It mentions LVH and LAE, and the report says it's moderately abnormal. Can you tell me what that means for me? The ECG also showed a normal sinus rhythm and axis, and my heart rate was 80 BPM. Should I be concerned or take any specific actions?

LVH (Left Ventricular Hypertrophy) and LAE (Left Atrial Enlargement) can appear on an ECG due to changes in the electrical activity of the heart caused by the enlargement of the left ventricle and left atrium, respectively. These changes can be detected on an ECG as alterations in the patterns of the electrical signals produced by the heart. In your case, the ECG showing LVH and LAE along with a description of "moderately abnormal ECG" indicates that there are significant changes in the electrical activity of your heart. However, it is positive that the ECG also shows normal sinus rhythm and normal axis, which means that the heart is beating normally and the electrical signals are following the correct pathways. With a heart rate of 80 beats per minute (BPM), it falls within the normal range. To further evaluate the significance of the LVH and LAE seen on the ECG, additional tests such as an echocardiogram may be needed to assess the structure and function of the heart in more detail. In terms of treatment, managing the underlying conditions that may have led to LVH and LAE, such as hypertension or valvular heart disease, is important. Medications like ACE inhibitors or ARBs may be prescribed to help reduce the workload on the heart and control blood pressure. Regular follow-up with a cardiologist is recommended to monitor your heart health and make any necessary adjustments to your treatment plan.

Last updated on 29 Jan 2025

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I'm kind of confused and worried about a few things related to my health and life after my CABG surgery back on December 30, 2013. I've been on tablets like ROSUFIT 10MG and MetXL 12.5 since then and was wondering if it's alright for me to play shuttle every day? Also, I've noticed my desire for intimacy is increasing, but my partner seems a bit drained with it all, which makes me feel pretty low the next morning. Is it safe to be intimate every day? Do you have any advice on how I could make things better with my partner?

1. Can I play shuttle every day after CABG done in 2013 using ROSUFIT 10MG and met-xl 12.5? Yes, you can play shuttle every day after CABG. Just make sure to follow your doctor's advice and take your medications as prescribed, including ROSUFIT 10MG and met-xl 12.5. 2. Sex feelings are increasing day by day but my partner is fed up with me, leading to depression the next morning. What should I do? It's important to communicate openly with your partner about your feelings and concerns. Consider seeking couples therapy or counseling to address any issues in your relationship. Additionally, managing stress and practicing self-care can help improve your mental well-being. 3. Is it safe to have sex every day after CABG? What can I do to satisfy my partner? It is generally safe to have sex after CABG, but it's important to listen to your body and not exert yourself excessively. To improve intimacy with your partner, focus on communication, emotional connection, and exploring new ways to express affection and love. If you have concerns about your sexual health, consider consulting a healthcare provider for personalized advice.

Last updated on 29 Jan 2025

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I'm really worried about my dad's health. He's been diabetic since 2003 and had a CABG in 2008. He's got moderate LVF dysfunction and was in and out of the hospital in 2015 and early 2016 because of pulmonary edema. He's also dealing with hypothyroidism and recently his serum creatine levels increased, so he's on a renal diet and taking a bunch of meds for diabetes, insulin, heart, and thyroid. Lately, since January 2016, he's losing weight and gets short of breath really easily, like after walking just 10-15 meters. His latest blood tests showed low potassium, so the doc gave him a tonic for that. But now he's feeling weak and says he can't taste his food right sometimes. I'm at a loss herehow can we improve his health condition?

Your father's health condition is complex, but based on the symptoms described, it seems like he may be experiencing symptoms of electrolyte imbalance, which could be contributing to his weakness and altered taste sensation. In addition to the tonic for increasing potassium, I would recommend adding a potassium supplement such as Slow-K (Potassium Chloride) to help normalize his serum potassium levels. The usual dosage is 20 mEq to 40 mEq daily, but this should be adjusted based on his specific needs and blood test results. To address his shortness of breath and symptoms of heart failure, his doctor may consider adding or adjusting medications such as Lasix (Furosemide) to help reduce fluid buildup in the lungs and improve breathing. The dosage will depend on his current medication regimen and kidney function. For his thyroid condition, ensuring that he is taking his thyroid medication regularly and having regular follow-ups with his endocrinologist is important to optimize his thyroid hormone levels. Given his history of diabetes, heart issues, and kidney problems, it's crucial for his healthcare team to closely monitor his kidney function and adjust his medications as needed to prevent further complications. Overall, it's important for your father to continue following his renal diet, taking his medications as prescribed, and attending regular follow-up appointments with his healthcare providers to manage his multiple health conditions effectively.

Last updated on 29 Jan 2025

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I'm really concerned about my mother. She had four stents put in her heart last week, around the RCA and PLVLADRI areas, and seemed to be doing okay after the angioplasty. But then she started having atrial fibrillation, and the doctor gave her nordam and an amiodarone injection, which helped for a couple of days. But after we got home, she's been feeling dizzy and seeing black spots. Now she's on amiodarone 200 mg tablets twice a day and some anti-anxiety meds, but her heart rate is still 150 bpm. Is this normal? How common is it to have arrhythmia like this after angioplasty, and how long might it last? I'm worried if this is our new normal, and if there's a chance that atrial fibrillation after angioplasty comes with any risks?

The treatment your mother is receiving is appropriate for atrial fibrillation post-angioplasty. Amiodarone 200mg tablet twice a day is commonly used to control heart rhythm. In addition to that, anti-anxiety medication can help manage symptoms related to anxiety and dizziness. A heart rate of 150 bpm is considered high, and the medications prescribed aim to bring it back to a normal range. Atrial fibrillation can occur after angioplasty, and it is not uncommon. The risk associated with atrial fibrillation post-angioplasty includes an increased risk of stroke and other cardiovascular complications. It is essential to monitor and manage atrial fibrillation to reduce these risks. The duration of atrial fibrillation can vary from person to person. In some cases, it may resolve on its own, while in others, long-term management may be required. Regular follow-up with the doctor is crucial to monitor the heart rhythm and adjust treatment as needed. Overall, the treatment your mother is receiving is appropriate for atrial fibrillation post-angioplasty. It is essential to continue following up with her doctor for further evaluation and management.

Last updated on 29 Jan 2025

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I'm really worried about my heart. I've been having heart palpitations for the past six months, and it's happened six times already. Just a few days ago, I woke up with my heart racing at 159 BPM. I went for an ECG, and the report said Sinus tachycardia with a heart rate of 139. My cardiologist said my ECHO 2d test was normal and prescribed me Cardarone 100mg and Petril Beta 10 for a month. But just two days ago, it happened again - I woke up with a rapid heartbeat of 125 BPM. I went for another ECG, and that one was normal, too. I even did a thyroid profile test, and it came back normal. When I'm trying to sleep, I can hear my heart pounding so loudly, and if I lie on my chest, it feels even worse. It's really uncomfortable. What should I do now? Should I stay on the medicine, or should I go in for more tests?

In your case, since you have already consulted a cardiologist and undergone tests like ECG and 2D ECHO which came out normal, the medications prescribed to you are appropriate for managing your symptoms. You should continue taking TAB Cardarone 100mg and Petril Bata 10 as prescribed by your doctor. TAB Cardarone helps in controlling irregular heartbeats, while Petril Bata helps in reducing anxiety which can sometimes exacerbate palpitations. If you are still experiencing discomfort and palpitations, you may consider discussing with your cardiologist about adjusting the dosage of the medications or exploring other treatment options. Additionally, you may benefit from lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy sleep routine to help manage your symptoms. It is important to follow up with your cardiologist regularly to monitor your condition and make any necessary adjustments to your treatment plan.

Last updated on 29 Jan 2025

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I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying me, and to top it off, I've been getting random pains in my left neck and shoulder, which makes sleeping hard. The cardiologist said my ECG and echo are normal. My cholesterol is fine, but I'm low on vitamin D and B12, so I'm taking supplements. Also just found out my blood sugar is high, so I'm on meds for that too. One doctor mentioned that the medicine might be causing the pain and that it might take weeks for my bp to stabilize. Is that true? Would love some insight into this.

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

Last updated on 29 Jan 2025

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I'm a bit confused about my recent 2D echo test results. My LVEF was 60 last year, but now it's dropped to 56. The cardiologist said that's normal, but I'm doing intense exercise like jogging, so I would've thought it might increase. Should I be worried, or do you think I need any additional tests? I'm 183 cm tall and weigh 83 kg.

In your case, the decrease in LVEF from 60% to 56% may not necessarily be a cause for concern, especially if your cardiologist has deemed it normal. It's important to consider that LVEF can vary slightly between tests due to factors like hydration status, timing of the test, and even the technician performing the test. However, since you are engaging in intense exercise like jogging, it's good to monitor any changes in your heart function. To support your heart health while engaging in intense exercise, you can consider taking Coenzyme Q10 (CoQ10) supplements. CoQ10 can help improve heart function and provide antioxidant support. You can take CoQ10 at a dosage of 100-200mg per day. Additionally, it may be beneficial to include Omega-3 fatty acids in your diet or as a supplement. Omega-3 fatty acids can help reduce inflammation and support overall heart health. Aim for a daily dosage of 1000-2000mg of Omega-3 fatty acids. Remember to stay hydrated during your exercise routine and listen to your body for any signs of overexertion. If you experience any concerning symptoms like chest pain, shortness of breath, or dizziness, consult with your cardiologist for further evaluation.

Last updated on 29 Jan 2025

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I'm trying to understand the results of my recent 2D echo and colour Doppler test. It mentioned things like LEFT VENTRICLE ASH, TRILEAFLETS, and an AORTIC VALVE that's thickened. It also noted some stuff about COLOUR DOPPLER and something called AV GRDT 5mmHg AR GRADE 1. They concluded I have HYPERTENSIVE HEART DISEASE and ASYMMETRICAL SEPTAL HYPERTROPHY among other things. They said I have a NORMAL LV SYSTOLIC FUNCTION with an EF of 64%, but I'm not quite sure what that means. Given this, is my condition something thats curable or can be managed? Would surgery or implants help at all? I don't have diabetes and my heart rate stays around 50-60 bpm consistently. I've been on Zabeta X for nine years, then LODOZ 2.5 for a year, and now CONCOR 2.5 for the last 15 days. Also, I've been taking Restyl 0.5 at bedtime for 9 years. What should I consider doing next?

1. Whether it is curablecontrolled? Based on the diagnosis of hypertensive heart disease, asymmetrical septal hypertrophy, sclerotic aortic valve with mild aortic regurgitation, and left ventricular diastolic dysfunction, these conditions can be managed and controlled with appropriate treatment and lifestyle modifications. While these conditions may not be completely curable, their progression can be slowed down and symptoms can be managed effectively with proper medical management. 2. Whether surgery or implants in any way will be of any help? In your case, since you have normal left ventricular systolic function and no regional wall motion abnormalities at rest, surgery or implants may not be necessary at this point. However, in some cases where there is severe aortic stenosis or regurgitation, surgical interventions such as aortic valve replacement may be considered. It is important to follow up with your cardiologist for further evaluation and to determine if any surgical interventions are needed in the future. 3. Your considered opinion, suggestion, solution? Considering your current medication regimen, it is important to continue taking Concor 2.5 as prescribed by your healthcare provider. Additionally, lifestyle modifications such as maintaining a healthy diet, regular exercise, managing stress, and avoiding smoking can help in managing your condition. Regular follow-up visits with your cardiologist are essential to monitor your heart health and adjust your treatment plan as needed. If you have any concerns or experience any new symptoms, please consult your healthcare provider for further evaluation and management.

Last updated on 29 Jan 2025

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I've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin D and some past hyperthyroid issues, everything looks normal. My thyroid levels are okay now, and the antibody tests came back fine. They say I have panic attack anxiety and hypochondriasis. I mean, all my tests like ECGs, TMT, chest X-ray, ultrasound, and endoscopy are normal, and even my cholesterol levels are fine. Still, I can't shake off this weird feeling, like I'm scared of having a heart attack because of the chest pain. I can run long distances without any problems. Oh, and I should mention that I smoke 2 to 3 cigarettes a day, and I used to drink heavily, but I've quit that. I'm just trying to figure out if this is just anxiety playing tricks on me or if there's something actually wrong with my heart. Any advice?

It sounds like you have been thoroughly evaluated for your left side chest pain and all the tests have come back normal, indicating that there is nothing wrong with your heart. Given your history of panic attacks, anxiety, and hypochondriasis, along with the normal cardiac tests, it is likely that your symptoms are related to anxiety rather than a cardiac issue. To help manage your anxiety and chest pain symptoms, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety. Additionally, you may benefit from a selective serotonin reuptake inhibitor (SSRI) such as sertraline (Zoloft) or escitalopram (Lexapro) for long-term management of anxiety. It is important to continue practicing healthy habits such as quitting smoking completely, maintaining a balanced diet, exercising regularly, and managing stress through relaxation techniques or therapy. If you continue to experience chest pain or anxiety symptoms, it would be advisable to follow up with a mental health professional for further evaluation and management. Remember, it is essential to prioritize your mental health and well-being in addition to physical health.

Last updated on 29 Jan 2025

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Hey, I'm really concerned about my mother-in-law. She had a heart attack yesterday and she's in the hospital being watched by the doctors. They've done an ECG but haven't done angiography or an Echo yet. Is angiography absolutely necessary after a heart attack? If it is, why might the doctors be taking so long to do it? I'm not sure how urgent this procedure isshouldn't it be done quickly after the heart attack? She's stable for now, she can talk, but she's experiencing some pain in her back. I tried asking one of the doctors about the angiography and ended up getting yelled at, which has left me feeling frustrated and worried about what's happening. Is delaying angiography risky? Should we consider moving her to a different hospital?

It is important to understand the reasons behind the delay in performing angiography in your mother-in-law's case. Angiography is typically recommended to assess the extent of blockages in the coronary arteries following a heart attack. While it is an important diagnostic tool, the timing of angiography depends on various factors such as the patient's stability, overall condition, and the presence of any complications. In cases where the patient is stable and there are no urgent indications for immediate angiography, doctors may opt for a conservative approach to allow for stabilization and further assessment. The decision to delay angiography may also be influenced by the availability of resources, the presence of other medical conditions, and the overall clinical judgment of the healthcare team. It is essential to trust the expertise of the medical team caring for your mother-in-law and to have open communication with them regarding any concerns or questions you may have. If you are unsure about the reasons for the delay or if you have specific concerns about the timing of angiography, it is important to discuss these issues with the treating physicians in a respectful and collaborative manner. As for the risk of delaying angiography, while prompt intervention is generally recommended in cases of acute coronary syndrome, a short delay in stable patients may not necessarily lead to adverse outcomes. However, it is crucial to follow the guidance of the medical team and to ensure that appropriate monitoring and management are in place during this period. Moving the patient to another hospital should be considered only after careful evaluation of the reasons for the delay, the expertise of the current healthcare team, and the resources available at the alternative facility. It is important to weigh the potential benefits and risks of transferring the patient and to make an informed decision in consultation with the treating physicians. Overall, it is essential to trust the medical team's judgment, maintain open communication, and work together towards the best possible care for your mother-in-law during this critical time.

Last updated on 29 Jan 2025

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Hey there, so my wife had some trouble breathing last Sunday night. We managed to see a doctor by Tuesday, and after doing an ECG, we found out theres this change called ischemia. The doctor said it's not serious and not to worry, and we even did an echo which turned out normal. But they still prescribed ecosprin tabs, and now I'm a bit confused. Is this something I should be really worried about, or can I take it easy since the doc said it's normal? Could this become a serious issue down the line? Is it one of those things that just come and go, or might it stick around for life? She's only 35, and we have no family history of heart problems, so what's up with this? What should we do to make sure her heart stays healthy?

1. The doctor's assessment that the ischemia shown on the ECG is not serious and normal is reassuring. Ecosprin (Aspirin) is commonly prescribed to prevent blood clots and reduce the risk of heart attack and stroke. It is important to follow the doctor's advice and continue taking the medication as prescribed. 2. As per the current evaluation and prescription of ecosprin, the likelihood of serious issues later should be reduced. However, it is essential to follow up with regular check-ups and adhere to any further recommendations from the doctor. 3. Ischemia can be a temporary or chronic condition depending on the underlying cause. In this case, since the echo was normal and the doctor reassured that everything is okay, it may not necessarily be a lifetime disease. However, ongoing monitoring and lifestyle modifications may be necessary. 4. The presence of ischemia at the age of 35 without a family history of cardiac issues raises the importance of evaluating other risk factors such as smoking, high blood pressure, diabetes, high cholesterol, obesity, and physical inactivity. These factors can contribute to the development of heart conditions at a younger age. 5. Since there is no known cardiac history in the family, it is crucial to focus on lifestyle modifications such as maintaining a healthy diet, regular exercise, avoiding smoking, managing stress, and attending follow-up appointments with the doctor for monitoring. 6. Precautions that can be taken include following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, managing stress levels, avoiding smoking and excessive alcohol consumption,

Last updated on 29 Jan 2025

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So, it's been almost 2 months now since I had COVID, and I've been dealing with some chest pain and this weird pulling sensation in my left hand and neck for the past month. I'm struggling with sleep too. I saw a doctor and had like 5 ECGs, all normal, but the pain's not really going away. It's scaring me a lot. The chest pain has reduced a bit, but now there's this pulling at my elbow and pain in my left shoulder. I had a troponin test which was at 0.04 and my blood sugar's normal too. What could this be? Is it still related to COVID?

It sounds like you are experiencing persistent chest pain, left hand pulling, and neck pain following a COVID infection. Since your ECG results have been normal and your blood tests are also normal, it is important to address your symptoms. The symptoms you are describing could be related to musculoskeletal issues or nerve irritation. To help alleviate your symptoms, you can try taking a muscle relaxant such as **Tizanidine** 2mg twice daily to help with the pulling sensation in your left hand and shoulder pain. Additionally, you can take an over-the-counter pain reliever such as **Ibuprofen** 400mg three times a day after meals to help with the chest pain and neck pain. It is also important to practice relaxation techniques such as deep breathing exercises or meditation to help reduce your fear and anxiety. If your symptoms persist or worsen, please follow up with your MD medicine doctor for further evaluation and management.

Last updated on 29 Jan 2025

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I've been having these random chest pains for the last three months and just did a TMT test today. I couldn't go past 7 minutes, and my heart rate shot up to 190 really fast, so they stopped the test early. The doctor said it's nothing to worry about, but I'm still feeling a bit heavyheaded and stressed. I also have anxiety and my heart rate was already at 114 before the test even started. Does all this sound normal or okay?

It sounds like you experienced some discomfort during the TMT test due to your anxiety and elevated heart rate. Since the doctor mentioned that there is nothing to worry about, it is likely that the symptoms you experienced were related to your anxiety rather than any underlying heart issue. However, it is important to address your anxiety to prevent such symptoms in the future. To help manage your anxiety and heart rate, you can consider taking a beta-blocker medication such as Metoprolol. The usual dosage for anxiety-related tachycardia is 25-100mg once daily. This medication can help lower your heart rate and reduce symptoms of anxiety. Additionally, you may benefit from an anti-anxiety medication such as Alprazolam. The usual dosage for anxiety is 0.25-0.5mg three times daily. This medication can help alleviate feelings of anxiety and reduce physical symptoms such as rapid heart rate. It is important to follow up with your doctor to discuss your symptoms and explore treatment options for your anxiety. Regular exercise, stress management techniques, and therapy can also be beneficial in managing anxiety and improving overall heart health.

Last updated on 29 Jan 2025

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I'm 20 and was diagnosed with hypertension a couple of years back. With the chaos of COVID, my schedule was kind of all over the place, so I ended up taking my blood pressure meds around 2 in the afternoon. Whenever I check, my BP seems to hover around 13080 or 85. Is this considered controlled? Also, is it okay for me to start taking my BP meds after breakfast instead? I've always been under the impression that the effects of these pills only last about 12 hours, and then my BP might rise after that. I'm also undergoing psychiatric treatment and currently on metoprolol and amlodipine since my doctor stopped the telmisartan when COVID hit. Could you help me out here?

Your blood pressure reading of 13080-85 is within the normal range, but it is on the higher side of normal. To further control your blood pressure, you can consider taking your medications in the morning after breakfast. Metoprolol and amlodipine are commonly used to treat hypertension. You can take Metoprolol 50mg once daily in the morning after breakfast and Amlodipine 5mg once daily in the morning after breakfast as well. These medications work effectively to help lower your blood pressure throughout the day. It's important to continue monitoring your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan. Additionally, make sure to adhere to a healthy lifestyle, including a balanced diet, regular exercise, and stress management, to further support your blood pressure control.

Last updated on 29 Jan 2025

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I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.

Last updated on 29 Jan 2025

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I'm a bit confused about my recent heart tests and need some advice. I had a TMT test that was positive a few months ago, and even after showing it to a cardiologist and doing an echo test, which was normal, they still suggested an angiogram because the TMT stayed positive. When comparing the latest TMT results to the previous one, it seemed slightly better but still came back positive. So, I went for a coronary angiogram and found out I have double vessel disease. The plan mentioned possibly needing a PTCA with a stent in the mid LCX RCA. I'm wondering if managing it with medication, diet, meditation, and exercise might be an option, or if the stent is really necessary. I don't have any symptoms like chest pain, hand pain, or dizziness, and my blood pressure and sugar levels have been under control for years. What do you suggest?

Based on your medical history and the findings from your tests, it is important to follow the treatment plan given by your healthcare provider. In addition to the PTCA with stent procedure, it is crucial to adhere to a healthy lifestyle which includes medication, diet, meditation, and exercise to help control your condition. The prescribed medications such as Aspirin, Clopidogrel, Atorvastatin, and Metoprolol will help in managing your condition. It is also essential to follow a heart-healthy diet low in saturated fats and cholesterol, engage in regular physical activity as advised by your healthcare provider, practice stress-reducing techniques like meditation, and maintain a healthy weight. Regular follow-up appointments with your cardiologist are necessary to monitor your condition and make any necessary adjustments to your treatment plan.

Last updated on 29 Jan 2025

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Today I experienced some heat in my chest area, which is unusual for me, and it wasn't during my regular walks or runs either. I've been feeling mild chest pain on and off for the last eight months, but my tests like the echo ECG in April were normal, and my TMT in August came back negative too. I'm pretty active, walking daily and running, and haven't changed my dietno junk or spicy foods. Seeing the cardiologist got me a list of medications like Escitalopram, Gastoflora, and Alprazolam, among others, but I'm curious about this new sensation. Is it something to worry about, or could it be a side effect of the medications?

The heat on the chest area that you are feeling could be due to various reasons, including anxiety or musculoskeletal issues. The medications prescribed to you by the cardiologist are as follows: 1) Escitalopram tablets - 1 tablet in the evening 2) Gastoflora tablet - 1 tablet in the evening 3) Alprazolam tablet - 12 tablet in the morning and 12 tablet in the evening 4) Duloxetine capsule - 1 capsule after breakfast 5) Retizyme capsule - 1 capsule in the morning and 1 capsule in the evening 6) Etoricoxib soft gelatin capsule - 1 capsule in the morning and 1 capsule in the evening 7) Difen Gel ointment These medications suggest that the cardiologist may suspect an underlying anxiety or gastrointestinal issue. It is important to follow the prescribed dosage and schedule as advised by the doctor. If you continue to experience chest pain or any concerning symptoms, please follow up with your cardiologist for further evaluation.

Last updated on 29 Jan 2025

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I'm really worried because I'm having trouble breathing and there's a tightness in my chest, plus my left hand is hurting. I did an HRCT Thorax and it came back normal, but my ECG shows a poor R wave. I'm attaching the report if you could take a look. My doctor prescribed Defza 24, Moxif 400, and Doxt SL 100, but I'm not feeling any better. I also notice this weird sound in my chest whenever I try to cough, even though no cough is actually coming up. Can you help me understand what's going on?

The HRCT thorax showing normal results is a good sign, indicating that there are no major abnormalities in your chest area. However, the ECG showing a poor R wave may indicate some issues with your heart's electrical activity. The symptoms of breathing difficulty, chest tightness, and left hand pain could be related to cardiac issues. The medications prescribed to you are as follows: 1. Defza 24 (Deflazacort) - This is a corticosteroid that helps reduce inflammation in the body. The usual dosage is 24 mg per day. 2. Moxif 400 (Moxifloxacin) - This is an antibiotic that is used to treat bacterial infections. The usual dosage is 400 mg once daily. 3. Doxt SL 100 (Doxycycline) - This is also an antibiotic that is commonly used to treat various bacterial infections. The usual dosage is 100 mg once daily. It is important to continue taking these medications as prescribed by your doctor. However, if you are not feeling better and experiencing chest sounds when trying to cough, it is advisable to follow up with your doctor for further evaluation. It is possible that additional tests or medications may be needed to address your symptoms effectively.

Last updated on 29 Jan 2025

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So, my dad has been having this burning feeling in his feet and they found out its because of a blockage in the artery in his legs. He also has some kidney problems that we didnt know about because hes had high blood pressure for a long time without knowing it. Now theyre suggesting he gets an angiography done for both his leg and chest, and theyve started him on hypertension meds. Hes super active and has been walking for at least 2 hours every day for years without any issues. Do you think going through with the angiography and possibly angioplasty makes sense for someone his age since he doesnt really show any other symptoms?

Considering your father's age and his active lifestyle, it is important to assess the risks and benefits of angiography and angioplasty. These procedures can help in diagnosing and treating blockages in the arteries, which can improve blood flow to the legs and reduce symptoms like burning sensation in the feet. For someone with a history of undiagnosed hypertension and deteriorating kidney function, it is crucial to manage these conditions to prevent further complications. The hypertension medication prescribed will help in controlling blood pressure and protecting the kidneys. In this case, it would be best for your father to follow the advice of his healthcare provider and undergo the recommended angiography. Based on the results of the angiography, further decisions can be made regarding the need for angioplasty or other interventions. It is important to prioritize his cardiovascular health to maintain his active lifestyle and overall well-being. Additionally, it is essential for your father to continue his regular physical activity, like walking, as it is beneficial for his cardiovascular health. Ensuring a healthy lifestyle, including a balanced diet and regular exercise, is key in managing these conditions. If you have any further questions or concerns, feel free to ask.

Last updated on 29 Jan 2025

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I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

Last updated on 29 Jan 2025

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I'm a 56-year-old guy, weighing 83 kg, and after 10 months of taking rosuvastatin, my LDL cholesterol is now 68 mgdL. I'm also dealing with hypertension and diabetes, taking metformin 500 mg and Ramipril 2.5 mg, as well as aspirin and metoprolol succinate 25 mg. I haven't done an angiography yet. Given that I'm on all these medications, what should my next steps be to improve my health?

Based on your medical history and current medications, it is important to address your mildly positive TMT (Treadmill Test) result and the fact that you have not undergone angiography yet. To further improve your cardiovascular health and assess the status of your coronary arteries, it would be advisable to consult with a cardiologist for a more detailed evaluation. The cardiologist may recommend undergoing a coronary angiography to visualize any blockages in your coronary arteries and determine the best course of action. In the meantime, continue with your current medications: - Rosuvastatin for cholesterol management - Aspirin for antiplatelet effects - Metoprolol succinate for blood pressure control - Ramipril for blood pressure control - Metformin for diabetes management Ensure that you are following a healthy lifestyle with regular exercise, a balanced diet, and weight management. It is also essential to monitor your blood pressure, blood sugar levels, and cholesterol levels regularly. If you experience any chest pain, shortness of breath, or other concerning symptoms, seek immediate medical attention. Regular follow-ups with your healthcare provider are crucial for ongoing management and monitoring of your conditions.

Last updated on 29 Jan 2025

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I've been getting these muscle pains that feel just like a heart attack, but every time, it's diagnosed as acidity. This has been happening for six years now. And in the last two years, I've started having panic attacks that again feel like I'm having a heart attack. I've done stress tests and an echo test, and fortunately, they turned out fine. I've also had gastroscopy done twice. What could be causing these symptoms? Could it just be stress or something else? I'm really looking for some guidance on what steps to take next.

It sounds like you may be experiencing musculoskeletal pain that is mimicking heart attack symptoms, along with acidity symptoms and panic attacks. Since your stress test, echo test, and gastroscopy have all come back normal, it is reassuring that there are no major cardiac or gastrointestinal issues. For the muscle pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, you may benefit from muscle relaxants such as Flexeril (cyclobenzaprine) to help with the muscle pain. For acidity symptoms, you can try antacids such as Tums or Rolaids to help with heartburn and indigestion. For panic attacks, you may benefit from anti-anxiety medications such as Xanax (alprazolam) or Ativan (lorazepam) as needed to help manage the symptoms. It is also important to practice stress-reducing techniques such as deep breathing exercises, meditation, and regular exercise to help manage both the muscle pains and panic attacks. If the symptoms persist or worsen, it is important to follow up with your healthcare provider for further evaluation and management.

Last updated on 29 Jan 2025

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I'm being treated for bacterial overgrowth in my intestine, and so far, it's going well. But I'm a bit worried because sometimes I get this dull ache in my upper back, shoulder, and left arm. It's mostly on the left side, though it rarely happens on the right. I also feel pretty gassy. Could this discomfort be because of gas, or do you think I should be more concerned and maybe get an ECG done? I'm 37 and female, if that helps. What do you think?

It is possible that your upper back pain, shoulder pain, and arm pain on the left side could be related to gas or bloating from the bacterial overgrowth in your intestine. Gas can sometimes cause referred pain to other areas of the body, including the back and shoulders. However, given that you are also experiencing arm pain, it is important to consider other possible causes such as musculoskeletal issues or even cardiac concerns. Since you are also feeling gassy, it is reasonable to try over-the-counter gas relief medications such as Simethicone to see if it helps alleviate your symptoms. Additionally, you can consider taking a pain reliever like Acetaminophen for the discomfort. If your symptoms persist or worsen, especially if you experience any chest pain, shortness of breath, or dizziness, it would be prudent to seek medical attention. A doctor can evaluate your symptoms, perform a physical examination, and determine if further investigations such as an ECG are necessary to rule out any cardiac issues.

Last updated on 29 Jan 2025

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I'm really worried about my dad. He's 70 and went through a pretty tough time with his aorta bursting back in January. The doctors did Bentall Surgery, and it seemed like things were getting better, but then he got a mild case of COVID on February 4th. They've been treating him for that and a bit of fluid in his left lung with antibiotics, and there have been improvements according to his chest X-rays. The problem is, he's been having a low-grade fever in the evenings, around 99-100 degrees, since the surgery. It's been more than a month now with this persistent fever. Do you think this is just a post-op thing or maybe related to COVID? I just really need to understand what's going on. It's pretty concerning for us.

In this case, the persistent low-grade fever in the evening could be due to various factors, including post-operative recovery, underlying infection, or inflammatory response. Since your father recently underwent Bentall Surgery and is also recovering from mild COVID-19 infection, it is essential to monitor his symptoms closely. To address the fever, the doctors may consider prescribing antipyretic medications such as Acetaminophen (Tylenol) at a dose of 650mg to 1000mg every 4-6 hours as needed to help reduce the fever and provide comfort. Additionally, if there are signs of ongoing infection, antibiotics such as Amoxicillin-Clavulanate (Augmentin) at an appropriate dose may be considered based on the specific infection and sensitivity. It is crucial to continue following up with the medical team to assess the underlying cause of the fever, monitor his overall condition, and adjust the treatment plan accordingly. Regular communication with the healthcare providers will help in managing his recovery effectively.

Last updated on 29 Jan 2025

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I'm really worried about Hypertrophic Cardiomyopathy. If someone finds out they have it early on, can it be treated even if it can't be completely cured? What kind of problems might the person face, and how does it affect their chances of living a full life?

If Hypertrophic Cardiomyopathy is detected at an early stage, it can be managed effectively to improve symptoms and prevent complications. Medications such as beta blockers (e.g. Metoprolol) or calcium channel blockers (e.g. Verapamil) may be prescribed to help relax the heart muscle and improve blood flow. In some cases, antiarrhythmic medications like Amiodarone may be used to control abnormal heart rhythms. In addition to medications, lifestyle changes such as regular exercise, a heart-healthy diet, and avoiding excessive alcohol intake are important in managing Hypertrophic Cardiomyopathy. In more severe cases, procedures like septal myectomy or alcohol septal ablation may be recommended to relieve symptoms and improve heart function. Patients with Hypertrophic Cardiomyopathy may face issues such as shortness of breath, chest pain, fatigue, dizziness, and an increased risk of abnormal heart rhythms or sudden cardiac arrest. Regular follow-up with a cardiologist is essential to monitor the condition and adjust treatment as needed. With proper management and adherence to treatment, the survival chances for patients with Hypertrophic Cardiomyopathy can be good. However, it is important for patients to stay compliant with their medications, follow a healthy lifestyle, and attend regular medical appointments to optimize their long-term outcomes.

Last updated on 29 Jan 2025

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I've been feeling really uneasy since I had a stent put in about three weeks ago after a heart attack. Even though I'm vegetarian and don't smoke or drink, I still had blockages in my heart arteries. They put a stent in one blockage, but for the others, theyre just relying on medication. Now Ive got this weird heaviness and tightness in my chest, and it feels like something's moving or pinching around my heart sometimes. It's really uncomfortable and I can't focus on much because of it. I'm worried if this is a normal feeling after a stent or if maybe there are more blockages causing this. Could you tell me what might be going on or what I should do about these sensations? I'm in Canada if that helps.

could be due to various reasons, including post-stent surgery effects or potential issues with other blockages in your arteries. Given your recent heart attack and stent placement, it's important to follow up with your healthcare provider for a thorough evaluation. They may need to assess your current symptoms, perform additional tests such as an ECG or echocardiogram, and adjust your medication regimen if necessary. In the meantime, to alleviate your discomfort and improve your symptoms, you can consider taking medications such as: - Aspirin (e.g., Bayer Aspirin) 81mg daily to prevent blood clot formation - Clopidogrel (e.g., Plavix) 75mg daily to prevent blood clots and stent thrombosis - Atorvastatin (e.g., Lipitor) 40-80mg daily to lower cholesterol levels and reduce the risk of further blockages - Ramipril (e.g., Altace) 2.5-10mg daily to manage blood pressure and protect the heart - Metoprolol (e.g., Lopressor) 25-100mg twice daily to control heart rate and blood pressure It's essential to adhere to your prescribed medication regimen, follow a heart-healthy diet, engage in regular physical activity as tolerated, manage stress, and attend cardiac rehabilitation if recommended by your healthcare provider. If your symptoms persist or worsen, seek immediate medical attention or contact your healthcare provider for further guidance. Take care of yourself and prioritize your heart health.

Last updated on 29 Jan 2025

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I've been feeling some pressure and uneasiness in my heart for the past week, and it usually lasts about an hour. Sometimes it feels a bit better when I cough, but it's only a temporary relief. I'm not experiencing chest pain or getting tired when I work out, which is puzzling. Could this be related to stomach gas or something else? I also got my lipid profile checked, and things seem a bit off with high triglycerides and non-HDL cholesterol. What could be causing these symptoms, and are there any changes I should make to my diet?

Based on your symptoms and lipid profile, the uneasiness and pressure at the heart lasting for about an hour could be related to your high triglyceride levels. The cough providing temporary relief may be due to associated gastric reflux. To address this, you should consider making some dietary changes to improve your lipid profile and overall heart health. I recommend reducing your intake of saturated fats, trans fats, and cholesterol-rich foods. Increase your consumption of fruits, vegetables, whole grains, and lean proteins. Additionally, incorporating foods rich in omega-3 fatty acids like fatty fish, flaxseeds, and walnuts can help lower triglyceride levels. In terms of medication, you may benefit from a prescription medication such as Atorvastatin (brand name Lipitor) to help lower your LDL cholesterol levels and reduce the risk of cardiovascular events. The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust this based on your lipid profile and response to treatment. It is important to follow up with your healthcare provider for further evaluation and management of your lipid profile and heart symptoms. Regular monitoring and adherence to lifestyle modifications and prescribed medications are crucial in managing your condition.

Last updated on 29 Jan 2025

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So I've been having this cough for the last couple of days and it's making my heart race and flutter, even when I'm trying to sleep. I got some tests done like an ECG, echo, and chest X-ray back in March. Should I be doing all those tests again? Every time I cough, it feels like my heart is either trying to jump out or like it's getting all tight, and it's really freaking me out. There's also this pain now and then, plus twitching in my feet and neck, and it's making me super anxious about my health. Is Benadryl syrup gonna help with all this? I'm also burping a lot, and my heart feels like it's pounding out of my chest. With all those tests coming back normal before, Im just wondering if I need to repeat them. And while I'm at it, what exactly is the main reason people get heart attacks? It's been like this since February, and I'm feeling really low and freaked out. My blood pressure is usually 11090 and my pulse is often above 100. I'm 25, by the way. Any ideas what's up with all this?

The fluttering and pounding sensation in your heart could be related to the increased pulse rate and coughing. Given your history of normal tests in March, it may be beneficial to consult with a doctor for a thorough evaluation. Benadryl syrup may help with some symptoms, but it is important to address the underlying cause. Considering your symptoms and history, it is advisable to try a combination of medications. You can take Benadryl syrup for cough relief and consider taking a proton pump inhibitor like Omeprazole 20mg for burping. Additionally, you can take Propranolol 10mg for heart palpitations. However, it is crucial to consult with a healthcare professional before starting any new medication. The main reason for a heart attack can be due to various factors such as smoking, high blood pressure, high cholesterol, obesity, lack of physical activity, and stress. It is essential to maintain a healthy lifestyle to reduce the risk of heart attacks, especially at a young age. If your symptoms persist or worsen, please seek medical attention promptly for further evaluation and management.

Last updated on 29 Jan 2025

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I'm feeling really anxious lately and having these weird palpitations. Sometimes my hands and legs go numb too. I had a Holter test and an ECG but they didn't show anything. My doctor prescribed beta blockers, but I'm really worried about what's actually happening with me. Is my heart not healthy? Do I really need to take these meds forever? Are there any other tests I should consider? I'm just looking for some guidance here.

Experiencing palpitation, anxiety, and numbness in hand and leg sometimes can be due to various reasons. Since your doctor has prescribed beta blockers, it indicates that they suspect your symptoms may be related to heart issues such as arrhythmias or high blood pressure. Beta blockers help in controlling heart rate and reducing anxiety. If the Holter test and ECG did not show any abnormalities, it is a good sign that there may not be any serious underlying heart conditions. However, these symptoms can also be caused by other factors such as anxiety disorders, thyroid issues, or even vitamin deficiencies. If you are concerned about taking medications long-term, you can discuss with your doctor about alternative treatment options or lifestyle changes that may help manage your symptoms. It is important to follow your doctor's advice regarding medication use, as they are prescribed based on your specific condition. In addition to the tests you have already done, your doctor may recommend further tests such as a thyroid function test, vitamin B12 levels, or a stress test to rule out other possible causes of your symptoms. It is essential to follow up with your doctor regularly to monitor your symptoms and response to treatment. Remember, every individual is different, and treatment plans may vary based on your specific health condition.

Last updated on 29 Jan 2025

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I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

Last updated on 29 Jan 2025

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I've been having a headache on the right side of the back of my head lately and when I checked my blood pressure it was between 140-160 for systolic and 90-110 for diastolic over the past week. My pulse is around 80-85 and oxygen is at 99. I dont have any other medical issues but I recently moved to a new country and this started after I got here. Could this change in food and location be affecting my blood pressure? Before moving, I was drinking and eating out about three times a week for a couple of months. Could that have caused my blood pressure to spike? Im planning on seeing a cardiologist next week but would appreciate any advice you might have.

Based on the information provided, the spike in your blood pressure could be related to various factors such as stress, dietary changes, and lifestyle habits. It is possible that the change in food and location, as well as the previous indulgence in drinking and dining out frequently, may have contributed to the increase in your blood pressure. To help manage your blood pressure, it is important to make some lifestyle modifications. You can start by reducing your salt intake, eating a balanced diet rich in fruits and vegetables, engaging in regular physical activity, and managing stress through relaxation techniques. Additionally, if your cardiologist deems it necessary, they may prescribe medication to help lower your blood pressure. It's good that you have an upcoming appointment with a cardiologist, as they will be able to provide you with a more personalized treatment plan after a thorough evaluation.

Last updated on 29 Jan 2025

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I'm really worried about my baby girl. She's only 2 months old and was born preterm at 35 weeks. The doctors say she has a 6mm VSD, 3mm ASD, and moderate PDA, all left to right shunt. Her weight is 3.5kg right now. We've spoken to 23 pediatric cardiologists and they all recommend surgery, but were confused about the timing. Some say it should be done immediately, others suggest before she turns 6 months, or when she reaches 1 year and weighs about 10kg. Right now, she seems to be okayshe's gaining weight, feeding well, and has no symptoms related to the VSD. We just want to make the right decision for her. When would be the best time for the surgery?

In the case of your daughter with VSD, ASD, and PDA, the decision for surgical correction depends on various factors such as the size of the defects, the presence of symptoms, and the overall health of the baby. Since your daughter is currently asymptomatic and is gaining weight normally, the timing of the surgery can be a bit more flexible. Considering the moderate size of the defects and the left to right shunt, it is generally recommended to wait until the baby is a bit older and bigger before considering surgery. Most pediatric cardiologists suggest performing the surgery before the baby reaches 1 year of age or weighs around 10kg. This allows for the baby to grow and develop, making the surgery safer and potentially reducing the risk of complications. It is important to continue monitoring your daughter closely for any signs of distress or worsening symptoms. Regular follow-ups with the pediatric cardiologist are crucial to track the progress of the defects and determine the optimal timing for the surgical correction.

Last updated on 29 Jan 2025

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I've noticed my resting heart rate has been between 48 to 56 for the past 8 months. Lately, I've been having chest discomfort, leg restlessness, anxiety, and feeling shaky, especially when I'm really hungry and my heart rate drops to 48-50. I've had ECG, echo tests, and more about 6 months and a year ago, and they were all normal, but they did mention sinus arrhythmia with sinus bradycardia. I've also dealt with GERD and vitamin B12 and D deficiencies, but I got treatment for those. I'm just not sure what's going on and why these symptoms are happening now. What should I do?

It sounds like you are experiencing symptoms related to your low resting heart rate and other issues. Since your previous tests have come back normal, it is important to address the symptoms you are currently facing. Based on your description, it is advisable to consult with your healthcare provider for further evaluation and management. In the meantime, you can try taking over-the-counter iron supplements to address any potential iron deficiency related to your symptoms. Additionally, you can consider taking Vitamin D supplements for your known deficiency. To help with your symptoms of chest discomfort, leg restlessness, and body shaking, you can try using a calcium channel blocker like Amlodipine at a low dose. This can help regulate your heart rate and improve blood flow. For your GERD symptoms, you can try using an antacid like Omeprazole to reduce stomach acid and alleviate discomfort. It is important to monitor your symptoms closely and follow up with your healthcare provider for further guidance and management.

Last updated on 29 Jan 2025

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My dad, who's 48, was diagnosed with COVID-19 a month ago but he's feeling fine now, no symptoms or anything. Recently, his blood test showed d-dimer levels at 1440 and LDH at 239. The doctor put him on anti-coagulation medicine. He doesn't have high blood pressure or diabetes. I'm a bit worried and have a few questions: Does a high d-dimer mean he has high cholesterol? Is it safe for him to eat chicken and mutton kheema? What foods should he avoid and what should he include in his diet now?

1) Does high d dimer means high cholesterol? High d-dimer levels do not necessarily indicate high cholesterol. D-dimer is a marker of blood clot formation and breakdown in the body, and elevated levels can be seen in various conditions such as deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. It is not directly related to cholesterol levels. 2) Can he eat chicken and mutton kheema? Yes, your father can eat chicken and mutton kheema. It is important to ensure that the meat is cooked thoroughly to reduce the risk of any foodborne illnesses. Including lean proteins like poultry and lean cuts of meat can be a part of a healthy diet. 3) What to avoid and what to include in diet? It is important for your father to follow a healthy and balanced diet to support his recovery and overall health. He should avoid foods high in saturated fats, trans fats, and cholesterol. Instead, he should focus on consuming a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. It is also important to stay hydrated and limit the intake of processed foods, sugary beverages, and excessive salt. Regular physical activity and maintaining a healthy weight are also important factors in managing overall health.

Last updated on 29 Jan 2025

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I've been having some trouble with my blood pressure readings. My right arm was at 14296, while the left was 12487. Is this something I should be worried about? On top of that, I've been dealing with feelings of depression and constant negative thoughts. My doctor told me I have some gastric issues like LAX CARDIA, EROSIVE ESOPHAGITIS, and ANTRAL EROSIVE GASTROPATHY. I've been on medication for a while, but they don't seem to be helping. Plus, my upper back has been aching, probably because I'm sitting a lot at work. Could you give me some advice on what I should do?

Regarding your blood pressure difference between your right and left arms, it is important to monitor this discrepancy and follow up with your healthcare provider. It could indicate underlying vascular issues that need to be addressed. As for your feelings of depression and negative thoughts, it is crucial to seek support from a mental health professional for proper evaluation and management. For your gastric issues including LAX CARDIA EROSIVE ESOPHAGITIS and ANTRAL EROSIVE GASTROPATHY, the medications you have been taking may need adjustment. You can try taking a proton pump inhibitor like Esomeprazole (brand name Nexium) along with a prokinetic agent like Metoclopramide (brand name Reglan) for better control of your symptoms. To manage your upper back pain due to prolonged sitting, you can try over-the-counter pain relievers like Ibuprofen (brand name Advil) for pain and inflammation. Additionally, incorporating regular stretching exercises and maintaining a good posture at work can help alleviate the discomfort. It is important to follow up with your healthcare provider for a comprehensive evaluation and personalized treatment plan tailored to your specific health needs.

Last updated on 29 Jan 2025

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I was just told I have bradycardia, but my symptoms seem to be getting worse over time. I've been feeling really nauseous and light-headed, and I notice weakness, shortness of breath, painful headaches, and even high blood pressure. I'm curious about how serious my bradycardia is. My pulse usually sits around 45-58, but whenever my blood pressure spikes up to around 14599, my pulse jumps to 85 before it settles back down. Could there be something specific causing all of this? It's been three months, and instead of getting better, it seems to be getting worse. Should I be doing something right away about it?

It sounds like you are experiencing symptoms of bradycardia along with other concerning symptoms such as nausea, lightheadedness, weakness, shortness of breath, headaches, and high blood pressure. The fluctuation in your pulse rate from 45-58 to 85 is also concerning. Bradycardia can be serious, especially when accompanied by these symptoms. One possible cause of your symptoms could be a heart condition affecting the electrical signals that control your heart rate. It is important to seek medical attention immediately given the severity and duration of your symptoms. You should go to the emergency room or seek urgent medical care to have a thorough evaluation, including an ECG to assess your heart rhythm, blood tests, and possibly other cardiac tests. Based on your symptoms and the seriousness of the situation, the healthcare provider may prescribe medications such as Atropine or Epinephrine to increase your heart rate and stabilize your condition. In some cases, a pacemaker may be necessary to regulate your heart rate. It is crucial to address these symptoms promptly to prevent any potential complications. Please seek medical help without delay.

Last updated on 29 Jan 2025

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I've noticed my blood pressure is usually around 10462 during the day, but when I'm resting or sleeping, it drops into the 9050s range. I've been keeping an eye on it for about a month and the pattern seems pretty consistent. I had an echocardiogram earlier this year, and it showed I have a diastolic relaxation abnormality. I'm wondering if this could be causing my low blood pressure? Could it lead to more heart-related complications, or is it normal for blood pressure to drop like this at night? I've been feeling really fatigued and low on energy no matter how much I sleep, and it's a bit worrying. What do you think?

Low blood pressure during rest or sleep can be influenced by various factors, including underlying conditions such as diastolic dysfunction. In your case, the diastolic relaxation abnormality noted in your echocardiography may contribute to the lower blood pressure readings, especially during periods of rest. This can potentially lead to symptoms of fatigue and lack of energy. To address this issue, it is important to manage the underlying diastolic dysfunction. In addition, ensuring an adequate intake of fluids and electrolytes can help stabilize blood pressure. If symptoms persist, medications such as Midodrine or Fludrocortisone may be prescribed to raise blood pressure levels, especially during periods of rest or sleep. However, it is crucial to consult with your healthcare provider for a proper evaluation and personalized treatment plan.

Last updated on 29 Jan 2025

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I've been having some concerns lately, so a few weeks ago, I had breathlessness and noticed my blood pressure was up at 140106. Went to get an ECG and Echo done the ECG showed some mild variations, and the Echo showed mild LVH. That same day, my BP was 150100, so they kept me under observation for about 4 hours and sent me home with a prescription for a 5mg BP medicine for a month. But here's the thingI didn't take the meds because I'm worried about getting dependent on them. I've been checking my BP regularly and it's mostly between 12887 and 13090, though I did have one reading of 13890. Do you think it's okay for me to keep skipping the medicine and just try focusing on lifestyle changes? Am I making a mistake here by not taking it? Would love some advice on this.

Based on your medical history of having mild variations in ECG, mild LVH on Echo report, and elevated blood pressure readings, it is important to follow your doctor's advice regarding medication. Skipping blood pressure medication can increase the risk of complications such as heart disease, stroke, or kidney problems, especially since your blood pressure was previously elevated at 150100. I recommend that you do not skip your medication and continue taking it as prescribed by your doctor. In addition to medication, incorporating lifestyle changes such as maintaining a healthy diet low in sodium, regular exercise, stress management, and avoiding smoking and excessive alcohol consumption can also help in managing your blood pressure. If you have concerns about forming a habit of taking medication, you can discuss this with your doctor to address any fears or doubts you may have. It is important to prioritize your health and follow the treatment plan recommended by your healthcare provider.

Last updated on 29 Jan 2025

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I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?

It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

Last updated on 29 Jan 2025

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I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

Last updated on 29 Jan 2025

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I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?

It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.

Last updated on 29 Jan 2025

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I've been feeling this dull pain near my shoulder or armpit, and I'm starting to worry if it might be cardiac-related. Though, it could just be a muscle strain, like what WebMD is suggesting. I wanted to get some opinions to understand what might be going on. Could it really be something related to the heart, or is it more likely muscular?

Cold Sensation in Left Side Brain and Face _Possible Causes_ 1. _Migraine or tension headache_: Cold sensations can be a symptom of migraines or tension headaches. 2. _Trigeminal nerve issues_: The trigeminal nerve controls facial sensations; issues with this nerve can cause cold sensations. 3. _Sinus pressure or infection_: Sinus issues can cause referred pain or sensations in the face and head. 4. _Dental problems_: Toothaches or abscesses can cause radiating pain or sensations. 5. _Neurological conditions_: Certain conditions like multiple sclerosis, neuropathy, or stroke can cause abnormal sensations. _Recommendations_ 1. _Consult a doctor_: Schedule an appointment with your primary care physician or a neurologist. 2. _Keep a symptom journal_: Record when the cold sensations occur, their duration, and any potential triggers. 3. _Try relaxation techniques_: Stress can exacerbate symptoms; try relaxation techniques like meditation, deep breathing, or yoga. 4. _Maintain good oral hygiene_: Regular dental check-ups and good oral hygiene can help rule out dental causes. _Urgent Medical Attention_ 1. _Sudden severe headache_: If you experience a sudden, severe headache, seek immediate medical attention. 2. _Facial weakness or numbness_: If you experience facial weakness, numbness, or difficulty speaking, seek urgent medical attention.

Last updated on 23 Jan 2025

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I'm really worried about my grandma. She's 87 and has no history of diabetes, high blood pressure, or heart disease; but she recently had a silent heart attack. She started complaining of breathlessness a few days later, and tests showed a weakened heart. They treated the pulmonary edema with lasix, and her pulse saturation seems stable now. Should we consider going for angioplasty?

Rabies Risk from Indian Bats _Rabies Transmission_ 1. _Yes, Indian bats can transmit rabies_: Like any other mammal, bats can carry and transmit the rabies virus through bites or scratches. 2. _Risk is low but present_: While the risk of contracting rabies from a bat is relatively low, it's essential to take precautions. _Post-Exposure Prophylaxis (PEP)_ 1. _PEP is recommended_: If you've been bitten, scratched, or exposed to bat saliva, seek medical attention immediately. 2. _PEP includes_: Immediate washing of the wound, administration of rabies immunoglobulin, and a series of rabies vaccinations. _Precautions Around Bats_ 1. _Avoid direct contact_: Never touch or handle bats, even if they appear healthy. 2. _Wear protective gear_: If you need to handle bats, wear gloves, a mask, and protective eyewear. 3. _Seal entry points_: Prevent bats from entering your home by sealing all entry points. _Managing Fear and Anxiety_ 1. _Education is key_: Learning about bats and rabies can help alleviate fears. 2. _Seek professional help_: If your fear is impacting daily life, consider consulting a mental health professional. Stay safe and informed!

Last updated on 23 Jan 2025

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I'm really concerned about my current situation. I've had mitral heart disease for 7 years now, and I'm about 6 weeks pregnant. My cardiologist mentioned I might need open heart surgery after delivering. Is it safe for me to proceed with the pregnancy given my heart condition? Also, I'm not clear whether the surgery would be a valve replacement or just a repair. Could you help clarify? My recent echo showed severe mitral regurgitation, among other findings. Just trying to understand what this all means for me and my baby.

Post-Lap Appendectomy Pain and Lymphadenopathy _Considerations_ 1. _Post-surgical complications_: Although rare, post-surgical complications like adhesions or hernias can occur. 2. _Lymphadenopathy_: Non-specific lymphadenopathy can be caused by various factors, including infection, inflammation, or malignancy. _Recommended Next Steps_ 1. _Consult your surgeon_: Schedule a follow-up appointment with your surgeon to discuss your symptoms and CT scan results. 2. _Infectious disease workup_: Your doctor may recommend tests to rule out underlying infections, such as blood tests or stool exams. 3. _Imaging follow-up_: A follow-up CT scan or other imaging studies may be necessary to monitor the lymphadenopathy. 4. _Pain management_: Your doctor can help manage your pain with medication or other interventions. _Possible Additional Tests_ 1. _Blood tests_: To check for signs of infection, inflammation, or malignancy. 2. _Stool exams_: To rule out gastrointestinal infections. 3. _Endoscopy or colonoscopy_: To evaluate the gastrointestinal tract. 4. _Biopsy_: To examine the lymph nodes or other tissues.

Last updated on 23 Jan 2025

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Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Neck Pain and Burping Symptoms _Possible Causes_ 1. _Gastroesophageal reflux disease (GERD)_: Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus. 2. _Dysphagia_: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms. 3. _Musculoskeletal issues_: Neck pain might be related to muscle strain or poor posture. _Recommendations_ 1. _Antacids or acid reducers_: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms. 2. _Dietary changes_: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating. 3. _Physical therapy_: Gentle neck stretches and exercises may help relieve musculoskeletal tension. 4. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions. _When to Seek Immediate Attention_ 1. _Severe symptoms_: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.

Last updated on 23 Jan 2025

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I'm a bit concerned about a TMT test I did a couple of days ago. The results came back as a normal stress test, but while reaching a 100 heart rate during the test, I experienced some mild dizziness that lasted for about 2 minutes. It was manageable and got better after I rested. I could walk and move around fine afterward, but I had a mild headache for the rest of the day. The next day, I felt completely okay, and there were no other symptoms. Should I be worried about this, or is it normal for TMT results? Please check my report and advise.

Based on your description and the results of your TMT test showing a normal stress test with no inducible ischemia, it is reassuring that there are no significant cardiac issues detected. The mild and manageable dizziness you experienced towards the end of the test may have been due to the physical exertion during the test, which is not uncommon. It is good to hear that the symptoms resolved after resting and that you were able to walk and move without any difficulty. The mild headache you experienced throughout the day could also be related to the physical stress of the test. It is positive that you felt completely alright the next day and that no other symptoms occurred. I would recommend staying hydrated and getting adequate rest. If you experience similar symptoms during physical exertion in the future, it would be advisable to consult with your healthcare provider for further evaluation. Overall, based on the information provided, there does not appear to be a significant concern, but it is always important to listen to your body and seek medical advice if needed."

Last updated on 22 Jan 2025

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I've been having these heart palpitations for about 4 years now, where my heart just suddenly starts pounding, fluttering, or even racing out of nowhere, even when I'm not doing anything physical. The first time it happened was during a cricket practice right after I started jogging, and since then, it's been an on-and-off thing. It freaks me out whenever it happens, and I'm really worried about what it means for my future. Most of the time, I try not to think about it, and my heartbeat stays normal, but then, bam, it starts racing again when I'm just chilling. This issue made me quit sports, so I turned to yoga, which kind of helps since I'm focusing more on my breathing. The weird thing is, the first time I got an ECG, it showed my heart rate was at 122 beats per minute. The doctor back then just told me to avoid stress, but then my mom passed away, which was super stressful, and it made the palpitations worse. But it's strange because I don't have chest pain or dizziness. What do you make of this? Should I be really worried?

It sounds like you have been dealing with heart palpitations for a while now, which can be quite distressing. Based on your description, it seems like you may be experiencing episodes of supraventricular tachycardia (SVT), which can cause the fluttering, pounding, and racing sensations in your heart. One medication that is commonly used to help control heart palpitations like SVT is Verapamil. The usual dosage for Verapamil in cases of SVT is around 120-240 mg per day, divided into 3-4 doses. Additionally, if you are still experiencing palpitations despite lifestyle changes like yoga, your doctor may consider prescribing you a beta-blocker such as Metoprolol. The typical starting dose for Metoprolol in cases of palpitations is 25-50 mg twice a day. It is important to follow up with your doctor regularly to monitor your condition and adjust your treatment plan as needed. Remember to also continue practicing stress-reducing techniques like yoga to help manage your symptoms.

Last updated on 22 Jan 2025

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I've been having some health issues since June 10th. Initially, it was mild but seems to have gotten worse. I even got a COVID test done on June 17th, and thankfully it was negative. The main issues are shortness of breath, especially after meals or some physical activity, a feeling of choking in the throat just below my neck, constant burping throughout the day, and weakness. Oddly enough, I sleep well and feel alright for about a couple of hours during the day. I saw a Pulmonologist on the 30th, and after doing some tests like Echo, X-ray, and HRCT, the report didnt show anything serious. They prescribed Montair Fx, Mucotab ET 600mg, PAN D, and Etilaam. But it's been 8 days on these meds with no real improvement. Im starting to worry. Could you suggest which type of doctor I should consult next?

"Based on your symptoms and the medications you have been prescribed, it seems like you may be experiencing acid reflux or gastroesophageal reflux disease (GERD) along with some respiratory symptoms. Since you have already seen a Pulmonologist and undergone tests which did not show anything serious, you may consider consulting a Gastroenterologist for further evaluation and management of your symptoms. Regarding your current medications: 1. Montair Fx (Montelukast + Fexofenadine) - Take it daily for allergies and respiratory symptoms. Dosage: As prescribed by your doctor. 2. Mucotab ET 600mg (Etophylline + Theophylline) - Take three times a day for respiratory symptoms. Dosage: 600mg three times a day. 3. PAN D (Pantoprazole) - Take it twice a day for acid reflux. Dosage: As prescribed by your doctor. 4. Etilaam - Take it once at night for anxiety or sleep issues. Dosage: As prescribed by your doctor. Since you have not seen improvement after 8 days of medication, it would be advisable to follow up with a Gastroenterologist for further evaluation and management. They can provide additional guidance and treatment options for your symptoms."

Last updated on 22 Jan 2025

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I've been experiencing something concerning that Id like some input on. So, last week, I had this issue but after taking some medication, it seemed to go away. However, Ive been noticing that whenever I lift weights around 25kg, I get this tight feeling in my chest. Along with that, my heart seems to race really fast. When I used my mobile to check my heart rate, the numbers were all over the place like 104, 96, 87, 45, and 79 which seemed off. At first, I thought maybe the phone sensor was acting up, but it reads other people's heart rates accurately. In the mornings, my heart rate seems stable, usually between 65 and 76, but it gets weird in the afternoon and evening. Ive had an ECG, 2D echo, and blood tests done, and my doctor says everything is normal with my heart. Is it possible for there to be issues even if those tests show normal results? I'd appreciate any insight.

Based on your symptoms, it sounds like you may be experiencing episodes of arrhythmia, which are abnormalities in the heart's rhythm. One common type of arrhythmia is atrial fibrillation, which can cause symptoms like fast or irregular heartbeats. I recommend discussing with your doctor about the possibility of wearing a Holter monitor for 24-48 hours to capture your heart's rhythm during your daily activities. This can help in identifying any intermittent arrhythmias that may not be captured during a standard ECG. In terms of management, if significant arrhythmias are detected, your doctor may prescribe medications such as beta-blockers or anti-arrhythmic drugs to help control your heart rate and rhythm. Lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy weight can also be beneficial. It's important to follow up with your doctor regularly and keep track of your symptoms. If you experience any chest pain, severe shortness of breath, fainting, or dizziness, seek immediate medical attention.

Last updated on 22 Jan 2025

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I'm worried about my family member who's been on a bunch of medications like cidmus 100, cardivas 3.125, nexito 5, clopitab cv 7510, and eptus 25. He's been taking them since February 2020, but lately, he's been really confused and shaky, almost like he can't keep his balance. Could this be because of the nexito 5? And do you think it's okay to stop the anti-agitation medication now? I'm just concerned because if his agitation comes back, can we start the medication again? Would love some guidance on this situation.

The medications your friend is taking include: - Cidmus 100 (Cilnidipine) - dosage not mentioned - Cardivas 3.125 (Carvedilol) - 3.125 mg - Nexito 5 (Escitalopram) - 5 mg - Clopitab CV 7510 (Clopidogrel and Atorvastatin) - 75 mg10 mg - Eptus 25 (Eplerenone) - 25 mg The symptoms of confusion, lack of coordination, and balance issues could be related to the medication Nexito 5 (Escitalopram), which is commonly used to treat anxiety and depression. It is possible that these symptoms are side effects of the medication. It is not recommended to stop any medication without consulting a healthcare professional. If your friend is experiencing agitation, it is important to discuss this with a doctor before making any changes to the medication regimen. They can provide guidance on whether the Nexito 5 can be adjusted or discontinued safely. Please consult with a healthcare provider for a proper evaluation and management of these symptoms.

Last updated on 22 Jan 2025

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I've been feeling really off lately, like yesterday before lunch I was sweating a lot and my whole body felt weak, especially my legs. I tried eating some chocolate and rice but I was still sweating. So I went to the hospital and they said my BP was fine, and my GRBS was 153, about 45 minutes after eating. The ECG said sinus tachycardia, borderline ECG, and short PR interval, but the doctors said everything's normal when they compared it to an old ECG I had. I'm worried because I take Esomac for gastric issues and Cardace for BP, but I've been having mild chest pains almost every day. Ive done tmt echo tests many times and they always come back normal, but Im so anxious about my heart all the time. Now, I get really tired just walking for like 20 minutes. What could be going on?

The ECG from yesterday shows sinus tachycardia, borderline ECG, and a short PR interval. Given your symptoms of sweating, weakness, and fatigue, along with your history of mild chest pain and anxiety about your heart, it is important to continue monitoring your heart health closely. Since your previous ECGs have been normal, it is reassuring that there are no significant changes at this time. Considering your current medications, Esomac 40mg for gastric issues and Cardace H5 for blood pressure, it is essential to continue taking them as prescribed. To address your concerns about tiredness and anxiety, I recommend discussing with your healthcare provider about the possibility of adjusting your medications or exploring other treatment options. In addition, it is crucial to maintain a healthy lifestyle, including regular exercise within your limits, a balanced diet, and stress management techniques. If you experience any worsening symptoms or new concerns, do not hesitate to seek medical attention promptly.

Last updated on 22 Jan 2025

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I've been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to about 125, but the diastolic stays below 70, which I find unsettling. I do experience a bounding pulse in different areas of my body which adds to the stress. I've had health anxiety since the lockdown began, and I've been using homeopathy which has helped, and I'm also trying to keep my diet in check and exercise regularly. What's bugging me is why my diastolic number doesn't return to a typical range even when I'm managing everything else pretty well? When people talk about high blood pressure, I usually hear both systolic and diastolic numbers rise together, but mine seems to have one high and the other low. Could this be more than just anxiety, or is there something unique about my situation?

1. Your diastolic blood pressure not returning to normal despite your efforts could be due to a combination of factors, including anxiety and possibly other underlying health conditions. It's great that you are managing your anxiety with homeopathy, but it's essential to monitor your blood pressure regularly and consult with a healthcare professional for further evaluation and management. In terms of medication, you can consider starting with a low dose of a calcium channel blocker like Amlodipine 2.5mg to help lower your diastolic blood pressure. 2. The fluctuation in your blood pressure readings, with systolic going up and diastolic going down, can be attributed to various factors such as stress, anxiety, and even the time of day when you measure your blood pressure. It's not uncommon for individuals to experience variations in their blood pressure readings, especially in response to different stimuli. However, persistent high diastolic blood pressure warrants attention and monitoring. 3. While anxiety may be a significant contributing factor to your elevated blood pressure readings, it's essential to rule out any other underlying medical conditions that could be impacting your diastolic blood pressure. Considering your age and overall fitness level, it's crucial to continue with your healthy lifestyle habits, including regular exercise and a balanced diet. Additionally, incorporating stress-reducing activities such as mindfulness or yoga may further help in managing your anxiety and potentially improving your blood pressure levels. Regular follow-ups with a healthcare provider will be beneficial in monitoring your blood pressure and adjusting your treatment plan as needed.

Last updated on 22 Jan 2025

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I'm having this ongoing pain in my chest, left arm, and shoulder blade, and it's been going on for over six months now. I've had my ECG done a couple of times and it came back normal, but I'm still worried because I have a history of depression and was on medication for about a year and a half. My doctors mentioned it might be related to that. I've also had a few panic attacks in the last six months, and randomly I get chills all over. Just recently, I was doing some physical work when I felt a sharp chest pain radiating to my left arm. The weather was really hot that day, like 42 degrees. The doctors said not to worry, but I'm still concerned about this chest pain that seems to come out of nowhere. I'm also feeling some dull pain in my spine and disc area, and there are signs of cervical issues. Sometimes I feel suffocated or have this heaviness in the back of my head and shoulders. My physical shape isn't great either, and after eating, my left arm feels heavy with chest pain. Could this all be linked somehow or should I get a second opinion?

Based on your symptoms and history, it is important to consider the possibility of musculoskeletal issues, anxiety-related chest pain, and gastrointestinal concerns. To address the chest pain and discomfort in your left arm and shoulder blade, you can try taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle tension or spasms. For the dull pain in your spine and disc area, you can take **Ibuprofen** 400mg as needed for pain relief. Additionally, for symptoms of cervical issues, you can use a topical pain relief gel like **Diclofenac** gel applied to the affected area. To manage anxiety and panic attacks, you can consider taking an anti-anxiety medication like **Lorazepam** 0.5mg as needed for acute episodes. It is also important to practice relaxation techniques and seek therapy to address the underlying causes of your anxiety. For gastrointestinal symptoms such as chest pain after eating, you can try an antacid like **Omeprazole** 20mg before meals to help with acid reflux and indigestion. It is also advisable to maintain a healthy diet and avoid trigger foods that worsen your symptoms. Please note that these recommendations are based on the information provided, and it is important to follow up with your healthcare provider for a comprehensive evaluation and management plan.

Last updated on 22 Jan 2025

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I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

Last updated on 22 Jan 2025

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I'm a bit worried about my heart health after my MI last January 2018. I was hospitalized and prescribed Elaxim, but no surgeries or stent were necessary. For the past year and a half, I've been taking Clavix AS 150 and Tonact 80mg, but recently I've been having a pricking pain in my chest and sometimes muscle cramps. I saw another cardiologist who suggested switching to Remetor CV and Nuroking D3 since my vitamin D and B12 levels are low. Are these new meds going to be effective for me? How does my heart compare to someone with a normal heart now? I also did a TMT a month ago and walked for 14.9 minutes. What should I be careful about? I drink occasionally, like once every 15 days, is that okay? I dont smoke. Also, I get anxious trying to tell apart a stomach pain from a heart pain since I panic every time I feel those chest pains. What should I look out for?

The medications Remetor CV and Nuroking D3 prescribed by your cardiologist are appropriate for your condition, especially considering your low vitamin D and B12 levels. Remetor CV contains a combination of medications to help manage your heart health, and Nuroking D3 will help improve your vitamin D levels. It is essential to follow your doctor's advice and take the shots as recommended to address your nutritional deficiencies. In comparison to a normal person's heart, your heart health may require closer monitoring and specific medications to manage the aftermath of a heart attack. It is crucial to continue taking your prescribed medications, follow a heart-healthy diet, engage in regular physical activity as tolerated, and attend regular follow-up appointments with your cardiologist. Regarding your lifestyle, it is generally safe to consume alcohol occasionally, as long as it is in moderation and does not interfere with your medications or overall health. However, it is advisable to limit alcohol intake and be mindful of any adverse effects it may have on your heart health. To differentiate between gastric pain and heart pain, it is essential to pay attention to the characteristics of the pain. Heart-related chest pain is often described as pressure, tightness, or squeezing sensation that may radiate to the arms, neck, jaw, or back. It is usually triggered by physical exertion or emotional stress and may be accompanied by shortness of breath, sweating, nausea, or lightheadedness. Gastric pain, on the other hand, is typically associated with digestion, may worsen after meals, and can be accompanied by symptoms like bloating, burping, or acid reflux. If you experience chest pain and are unsure of the cause, it is always best to seek medical attention promptly to rule out any serious cardiac issues.

Last updated on 22 Jan 2025

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I'm really curious about something - I've had tons of ECGs, echos, and TMTs over the past year, and while I suspect I might have POTS because my heart rate jumps to 120 bpm when I walk, that's not what I'm most concerned about right now. Today, I'm experiencing these really strong, sharp chest pains. They come and go, happening in one small spot that hurts for 23 seconds and then disappears, or sometimes it's a dull ache lasting 24 seconds and then it's gone. Occasionally, the pain stays for 30 seconds to a minute, which I've found is called Texidor's twinges. The sharp pains are intense, happening in one spot or feeling like multiple wires in my chest wall are hurting for a second, but then they just vanish. Even with the dull pains, they stop after a few seconds, and I've also been coughing for the last few days. Do you think this could be heart-related? Sometimes, stretching makes the pain worse before it eases up. What could be causing this?

It is important to consider the possibility of musculoskeletal chest pain, especially given the description of sharp, localized pains that last for a few seconds and can be triggered or worsened by stretching. The fact that you have been coughing for the last few days also suggests a potential respiratory component to your symptoms. To address the sharp chest pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, using a heating pad on the affected area may help alleviate the discomfort. It is also advisable to practice deep breathing exercises to help relax the chest muscles. If the symptoms persist or worsen, it would be prudent to follow up with your healthcare provider for further evaluation and to rule out any cardiac issues.

Last updated on 22 Jan 2025

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I've been experiencing this really painful, pinching sharp heartache that makes it hard to breathe. It's mostly in the upper part of my left chest and lasts around 2 minutes. It's happened a couple of times even when I was on an empty stomach or just had some warm lemon water. I've had it at night before dinner too. I got some blood tests done, and they said my lymphocytes were high, but sugar was normal. I often feel short of breath while sitting too, and climbing stairs always makes me breathless. This month, its happened like three times. Do you have any ideas about what this could be?

Could be due to a condition called angina. Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. Given your symptoms and the fact that it has occurred multiple times, it is important to consult a healthcare professional for a proper evaluation and diagnosis. However, based on the information provided, you may benefit from taking medications such as Nitroglycerin sublingual tablets for immediate relief during episodes of chest pain. The usual dosage is 0.3 to 0.6 mg sublingually or chewed at the first sign of chest pain. Additionally, you may also be prescribed medications like Aspirin to prevent blood clot formation and reduce the risk of heart attack. The usual dosage is 75-325 mg once daily. It is important to follow up with a healthcare provider for further evaluation and management of your symptoms.

Last updated on 22 Jan 2025

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I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?

"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."

Last updated on 22 Jan 2025

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I'm having some pain that I'm worried about. It's mostly on my left elbow, both upper and sometimes the inner part, and I also feel pain just below my left ear on the jaw. Besides that, I get this discomfort below my left chest and it usually happens when Ive got gas. I've had an ECG done back in August and everything came out normal, but I'm still concerned. The pain kind of comes and goes without any chest pressure or breathing issues. Could this be heart-related? Sometimes the pain hits my back too. My blood pressure is 127 over 79 and my total cholesterol level is 264. Do these symptoms sound like I should be worried about my heart?

Based on the symptoms you have described, such as pain in the left elbow, left jaw, below the left chest, and sometimes in the back, which worsen when you have gas, along with normal ECG results and absence of chest pressure or breathing problems, it is less likely to be cardiac-related. The pain you are experiencing may be musculoskeletal or related to gastrointestinal issues. For the pain in your left elbow and jaw, you can take over-the-counter pain relievers like acetaminophen. For gas relief, you can try simethicone-based antacids. Additionally, for high cholesterol levels, you may consider starting a statin medication like atorvastatin at a low dose. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms. Remember to maintain a healthy lifestyle with regular exercise and a balanced diet to help manage your cholesterol levels.

Last updated on 22 Jan 2025

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I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a history of panic attacks that started back in 2015 with a very fast heartbeat, and I was told it might have been due to acid reflux. It happened again in 2019. I'm really scared of traveling, especially late at night during long journeys. I get these terrible thoughts about what if I have an attack and theres no one around to help, like if the train is passing through a jungle. These thoughts just make my heart race even more, and I end up feeling extremely scared. Can you please help me understand what's going on and how I can handle this?

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

Last updated on 22 Jan 2025

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I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?

Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.

Last updated on 22 Jan 2025

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I'm really worried about my sister's blood test results. Her levels showed 94 instead of being under 20. Plus, her Immuno serology C.R.P is at 9.2 but should be below 6. The total WBC is fine at 11000, and the rest of the results seem normal. Is this something serious? How long might it take for her to get better? Could surgery be necessary? We're hoping for some guidance on what steps to take next. Can you please help?

it appears that your sister may have an elevated ESR (erythrocyte sedimentation rate) of 94, which is higher than the normal range of less than 20. This could indicate inflammation or infection in the body. The C.R.P (C-reactive protein) level of 9.2 is also elevated, suggesting the presence of inflammation. To address this issue, your sister may need to take anti-inflammatory medications such as ibuprofen or naproxen to help reduce the inflammation. In addition, if there is an underlying infection, antibiotics may be necessary. It is important to follow up with a healthcare provider for further evaluation and management. There is no mention of surgery in the information provided, so surgery is not likely to be required to resolve this issue. Recovery time can vary depending on the underlying cause of the elevated ESR and C.R.P levels. It is important for your sister to follow up with her healthcare provider for further testing and treatment as needed. In summary, it is recommended that your sister follow up with a healthcare provider for further evaluation and treatment of the elevated ESR and C.R.P levels. Anti-inflammatory medications and antibiotics may be necessary to address the inflammation or infection. Regular monitoring and follow-up care are important for her recovery."

Last updated on 22 Jan 2025

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I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

Based on the information provided, it seems like the patient may be experiencing some significant ST changes in specific ECG leads without chest pain. In this case, the patient may benefit from medication to help manage their condition. The patient can be prescribed **Aspirin** 75mg daily to help reduce the risk of cardiovascular events. Additionally, **Atorvastatin** 20mg can be prescribed to help lower cholesterol levels and reduce the risk of further cardiac issues. In addition to these medications, **Metoprolol** 25mg can be prescribed to help manage the patient's blood pressure and heart rate, especially in the presence of significant ST changes on ECG. It is important for the patient to follow up with their healthcare provider regularly to monitor their condition and adjust their treatment plan as needed.

Last updated on 22 Jan 2025

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I'm really worried about my wife's health. She's been having this frequent pain in her right eye, and her vision isn't great according to the doctor. Plus, she has pain in her right arm and sometimes her leg. I've noticed that whenever she's stressed out or has been crying, these pains, especially in her eye, head, and arm, seem to get worse. For instance, after my brother-in-law passed away due to COVID, she was very stressed and the pain got severe. Even small things, like me not bringing home vegetables in time, seem to stress her out and increase her pain. On top of that, when she's really stressed, she complains about a headache, breathlessness, and pain in the center of her chest. Her ECG and blood tests came back fine, so I'm unsure about what's causing all this. Could this be psychological, or is there a possibility of an underlying heart condition? Any advice on what steps we should take next?

It sounds like your wife may be experiencing symptoms of stress-induced tension and anxiety, which can manifest as physical pain in various parts of the body. The headaches, eye pain, arm pain, and leg pain that she is experiencing could be related to stress and emotional distress. The fact that these symptoms worsen after stressful events or crying episodes further supports this idea. Additionally, the chest pain and breathlessness she experiences during periods of high stress could be due to anxiety and not necessarily a cardiac issue, especially since her ECG and blood reports came back normal. To help manage her symptoms, I recommend considering a combination of stress-reducing techniques and medications. For stress and anxiety relief, she can try practices such as deep breathing exercises, meditation, yoga, or mindfulness techniques. In terms of medication, she can benefit from an anxiolytic medication like alprazolam (Xanax) to help alleviate acute symptoms of anxiety and stress. For headache relief, she can take acetaminophen (Tylenol) as needed, following the recommended dosage instructions. It's important to address the underlying stress and emotional triggers to prevent the recurrence of these symptoms. Encouraging open communication, seeking support from a therapist or counselor, and practicing self-care activities can also be beneficial for her overall well-being.

Last updated on 22 Jan 2025

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My mom's been diagnosed with heart issues, and we're really concerned. The doctors say all her heart veins are blocked and are recommending open heart surgery. I'm anxious about the safety of this procedure. Could you let me know the pros and cons? My mom's super worried, and we're hoping everything will be okay.

Open heart surgery is a common procedure used to treat various heart conditions, including blocked heart veins. The surgery is generally safe, but like any surgery, it carries some risks. The advantages of open heart surgery include improved blood flow to the heart, reduced symptoms such as chest pain and shortness of breath, and increased overall quality of life. However, there are also some disadvantages, such as the potential for complications during or after surgery, a longer recovery period, and the need for ongoing medical management. In your mother's case, open heart surgery is recommended to address the blocked heart veins and improve her heart function. The surgery will help restore blood flow to the heart muscle, which can prevent further damage and improve her overall heart health. It is natural for your mother to feel worried, but with proper medical care and support, the surgery can greatly benefit her health and well-being. As for the safety of the surgery, it is important to discuss any specific concerns with your mother's healthcare team. They can provide detailed information about the procedure, the potential risks and benefits, and what to expect during the recovery process. It is essential to follow their guidance and recommendations to ensure the best possible outcome for your mother. I wish your mother a successful surgery and a speedy recovery.

Last updated on 22 Jan 2025

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I'm having some trouble with my blood pressure meds. I've been on Tazloc 40 and Nebicard 2.5 once a day, and while they help with my BP and pulse, I'm dealing with nasal blockage, ear infections, and respiratory issues. I tried LN Bloc and Ivabradine like my doctor suggested, and that solved the breathing problems, but my BP and pulse aren't as controlled. Switching to LN Bloc 10 twice a day with Nebicard 2.5 worked for my BP and pulse, but those side effects came back. Now my doctor is suggesting benidipine and ivabradine, and it's getting pretty confusing with all the changes. Is benidipine a good option, or is there something else I should try that won't cause the breathing issues or head congestion?

Benidipine is a calcium channel blocker that can be used to treat high blood pressure. It is generally well-tolerated, but like any medication, it can have side effects. If you are experiencing nasal blockage, ear infection, and respiratory issues with your current medications, it may be worth trying a different class of antihypertensive medication. One option to consider is an angiotensin-converting enzyme (ACE) inhibitor such as Enalapril. ACE inhibitors are known to be effective in treating high blood pressure and have a lower incidence of respiratory side effects compared to some other classes of antihypertensive medications. Another option is an angiotensin II receptor blocker (ARB) such as Losartan. ARBs work in a similar way to ACE inhibitors but may be better tolerated in some individuals. It is important to discuss these options with your doctor to determine the best course of action for your specific situation. They can provide guidance on the appropriate dosage and monitor your response to the new medication.

Last updated on 22 Jan 2025

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I'm really worried about my dad. Hes been having chest pain and finds it hard to breathe when hes walking for a long time, plus hes got this feverish feeling and a cough. The doctor did an ECG and an echo, and while the ECG came back normal and theyve given him something for the pain, which has helped, the echo showed he's got severe pulmonary arterial hypertension. Im not sure what to do next. Should we be talking to a pulmonologist to get to the bottom of this, or is this PAH thing not something to be too worried about?

The presence of severe pulmonary arterial hypertension (PAH) as mentioned in the echo cardiography report is a serious concern that should not be ignored. In this case, it is advisable to consult a pulmonologist for further evaluation and management of the PAH. The pulmonologist may recommend specific medications to help manage the condition and improve your father's symptoms. One common medication used for PAH is Sildenafil (Revatio), which helps to relax the blood vessels in the lungs and improve blood flow. Additionally, it is important to address the ongoing symptoms of troubled breathing, fever feeling, and cough. Your father may benefit from a bronchodilator such as Salbutamol (Ventolin) to help with breathing difficulties, along with an antibiotic if the cough is due to a respiratory infection. Overall, it is essential to follow up with a pulmonologist for a proper diagnosis and treatment plan tailored to your father's specific condition. Regular monitoring and management of PAH are crucial to prevent further complications and improve quality of life.

Last updated on 22 Jan 2025

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I'm really worried about my brother. He had COVID-19 a few months back, and he's still dealing with some tough symptoms like a racing heart rate, tremors, tinnitus, and fatigue. Hes only 30 and was super healthy and fit before all this. His echo was normal a while ago, but the cardiologist did mention arrhythmia back then. Lately, he's been feeling chest pain just from walking or climbing stairs, and his heart rate shoots up to 150-180. It's affecting his daily life a lot post-COVID. We got an NT Pro BNP test done, and it came back at 160. Could this be an early sign of heart failure? Should we look into more tests or anything else?

"Based on the symptoms your brother is experiencing, along with the elevated NT Pro BNP levels, there may be concerns about the possibility of heart failure. It is important to further investigate and monitor his condition. I recommend consulting with a cardiologist for a thorough evaluation. In the meantime, to help manage his symptoms, he can be prescribed with medication such as Carvedilol 6.25mg twice daily to help reduce heart rate and improve heart function. Additionally, he can take Furosemide 20mg once daily to help reduce fluid buildup in the body. These medications can help alleviate his symptoms and improve his quality of life. It is also important for him to follow a low-sodium diet and avoid strenuous activities. Regular follow-ups with the cardiologist are essential to monitor his condition and adjust treatment as needed."

Last updated on 22 Jan 2025

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I'm really concerned about my recent echocardiogram results. It showed everything as normal except it mentioned mild PAH, trivial TR, Grade 1 diastolic dysfunction, and traces of pericardial effusion. My last master health check-up was normal just two months ago. I'm 41, unmarried, and I weigh 108kg, which puts me in the obese range. I've also been experiencing some issues with deep breathing and saw a pulmonologist who prescribed some medication. I'm really anxious about the mild PAH results. Is this something I should be worried about, and is it possible for mild PAH to be reversed? And what about the other findings? Are they serious? I'm planning to do a TMT soon, but this whole thing is stressing me out quite a bit. Could you please help clarify all this?

Mild PAH (Pulmonary Arterial Hypertension) is a condition where there is increased blood pressure in the arteries of the lungs. While mild PAH may not cause immediate concern, it is important to monitor it regularly as it can progress over time. Treatment options for PAH include medications such as Sildenafil or Bosentan to help manage symptoms and improve quality of life. It is important to follow up with your Pulmonologist regularly to monitor the progression of PAH. Trivial TR (Tricuspid Regurgitation) is a common finding in echocardiograms and is often not a cause for concern, especially when it is mild. Grade 1 diastolic dysfunction refers to abnormalities in the relaxation phase of the heart's pumping cycle, which may indicate early signs of heart disease. Traces of pericardial effusion indicate the presence of fluid around the heart, which can have various causes and may need further evaluation. Since you are experiencing deep breathing problems, it is a good idea to follow through with the planned TMT (Treadmill Stress Test) to assess your heart's response to exercise. This test can provide valuable information about your heart's function and help guide further management. Overall, it is important to continue working closely with your healthcare providers, including your Pulmonologist and Cardiologist, to monitor and manage these findings. Regular follow-ups and lifestyle modifications, such as weight loss in the case of obesity, can help improve your overall health and well-being."

Last updated on 22 Jan 2025

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I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Last updated on 22 Jan 2025

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I'm feeling pretty worried after getting my recent full body check-up results. The echo report showed something unusual, and I'm not sure what to make of it. Sometimes I get really anxious, and when I was getting the echo done, my heartbeat was racing at about 110 to 120 beats per minute because I was so scared. Could you take a look at my echo report and tell me what steps I should take next or if everything seems okay? The report mentions Mild MR and TR PASP at 32 mm Hg and LVEF at 65, but everything else seems normal. What should I do?

In your echo report, it mentions that you have mild mitral regurgitation (MR) and tricuspid regurgitation (TR) with a pulmonary artery systolic pressure (PASP) of 32 mmHg. Your left ventricular ejection fraction (LVEF) is 65%, which is within the normal range. Based on the information provided, everything seems to be normal except for the mild MR and TR. Given your symptoms of feeling anxious and experiencing an elevated heart rate during the echo, it is important to address your anxiety. To manage anxiety and potentially reduce the impact on your heart rate, you can consider taking medication such as Propranolol. The usual dosage for anxiety is 20-40mg three to four times daily. It is also advisable to follow up with your healthcare provider to discuss the findings of your echo report and to determine if any further evaluation or treatment is necessary. Regular follow-ups and monitoring may be recommended to ensure your heart health is maintained.

Last updated on 22 Jan 2025

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I'm a 27-year-old male with a family background of heart issues, and I've been struggling with some concerns about my health. I smoke and drink daily and recently got my tests done where my lipid profile showed high LDL, TG, Hscrp, and Lpa levels. I saw a cardiologist four months ago, and after undergoing an ECG and Stress Echo, everything was normal. However, I often have bronchitis, and a few days ago, I caught a cold and have had allergies. Lately, I've been feeling this pressure in the middle of my chest and having trouble breathing, along with dizziness while walking, which has been going on for around 34 days. There's also this dragging sensation on my left front shoulder. I went for another ECG, and it was normal, but there's still pressure in my throat and chest, with palpitations and anxiety. Could this be heart-related, or is something else going on?

It sounds like you may be experiencing symptoms related to your heart health, especially considering your family history of heart problems and your high lipid profile. Given your symptoms of pressure in the middle of the chest, breathing difficulties, dizziness, and dragging sensation on the left front shoulder, it is important to take these symptoms seriously. Considering your risk factors and symptoms, it would be advisable to start taking a medication to manage your high LDL, TG, Hscrp, and Lp(a) levels. I recommend starting with a statin medication like Atorvastatin 20mg once daily to help lower your cholesterol levels and reduce the risk of heart-related issues. Additionally, to help with your symptoms of chest pressure, palpitations, and anxiety, you can take a medication like Metoprolol 25mg twice daily to help manage these symptoms and reduce the workload on your heart. It is important to follow up with your cardiologist for further evaluation and management, as they may consider additional tests or adjustments to your treatment plan based on your current symptoms and risk factors.

Last updated on 22 Jan 2025

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I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and I'm attaching it here. Now and then, I still get these episodes. While my 2D echo and blood pressure are normal, I've been dealing with random chest pains that last just a secondsometimes on the right and then on the left. My stomach feels upset too, and I get really gassy during these times. I'm confused about what might be causing these ECG changes. Curiously, I never feel chest pain when jogging or exercising, only when I'm at rest. Different doctors have told me different things; some say it's normal, and others think it might be gas. What's really going on here? Should I be worried about these ECG changes?

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

Last updated on 22 Jan 2025

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I've been really anxious about something that's been going on with me. I got my first dose of the Covishield vaccine on the 13th of last month. The first couple of days, I had a fever and body pains, which went away pretty quickly. But then on the third day, I started having this sharp chest pain on my lower left side, so I went to a cardiologist. They did an ECG and a 2D echo and said everything looked normal, probably just muscle pain or acid reflux, and gave me some meds like prantoprazole and paracetamolchlorzoxazone, which seemed to help at first. But now, almost two weeks later, the chest pain came back for an hour and went away after I took prantoprazole. Then my left arm started hurting, and that hasnt stopped. I don't have the chest pain anymore, but the arm ache is persistent. I'm worried if this is related to the vaccine or just acid reflux like they said, or if it could be something more serious like myocarditis or pericarditis. I've been Googling a lot and getting more concerned. Can you help? What's really going on with me?

It sounds like you are experiencing some concerning symptoms after receiving your Covishield vaccination. The chest pain, especially if it is sharp and on the lower left side, can be alarming. However, since your cardiologist has already ruled out any cardiac issues based on the ECG and 2D echo, it is reassuring. The recurrence of chest pain and the new symptom of left arm aching could be related to muscle pain or acid reflux, as suggested by your doctor. It is less likely to be myocarditis or pericarditis, especially if the cardiac tests were normal. To help with your symptoms, you can continue taking the medications prescribed by your doctor. In addition, you can try using a muscle relaxant and pain reliever like **Myoril (Thiocolchicoside)** along with **Paracetamol** for the left arm ache. Make sure to follow the recommended dosage for each medication. If the symptoms persist or worsen, it would be advisable to follow up with your doctor for further evaluation. Keep monitoring your symptoms and seek medical attention if you have any new or concerning symptoms.

Last updated on 22 Jan 2025

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I'm on anxiety meds and it's been a year now. Recently, I've started getting really bad panic attacks, and my doctor put me on ciplar la 40 and beta anxit 20 for 4 months. He said if my fear goes away and I start feeling weak, I should drop the dose to ciplar la 20. About a month into taking ciplar la 40, I started feeling weak and couldn't really walk, so I lowered the dose. But now, I don't feel that weakness anymore. The weird thing is, around medicine time, like when I take ciplar at 9 a.m., my body starts acting strange. My pulse is okay when I check it, but my head feels off. Once I take the meds, everything goes back to normal, but this happens every time I take my medicine. Is this normal? I'm really scared.

The symptoms you are describing could be related to the medication. Ciplar la 40 is a brand name for propranolol, which is a beta-blocker used to treat anxiety and panic attacks. The sensation you are feeling in your head around the time you take the medication may be a side effect of the drug. Since you mentioned feeling weak and unable to walk when you were on the higher dose of ciplar la 40, it was appropriate for you to decrease the dose as per your doctor's instructions. If you are now feeling better with the lower dose of ciplar la 20, that is a positive sign. However, if you continue to experience unusual sensations or if you are concerned about any symptoms, it is important to discuss this with your doctor. They may be able to provide further guidance or adjust your medication regimen if needed.

Last updated on 22 Jan 2025

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I'm really worried about my cholesterol levels. Last year, in May, my cholesterol was at 254 with LDL at 180 and triglycerides at 180. A doctor suggested statins, but after getting a second opinion, many said I'm too young for that and should try diet control first, which I did for a bit. Unfortunately, I couldn't keep up with it and slipped back into unhealthy eating because of personal issues. It's been 8 months now, and the doctors wanted me to reduce my cholesterol within 3 months. I'm scared about whether I've caused any irreversible damage, like clogged arteries, which might have shortened my life. Even though I'm trying to get back on track now, I just can't shake off the fear. Is there still hope for me to control this situation?

Having high cholesterol levels, especially with elevated LDL and triglycerides, can increase your risk of developing atherosclerosis (clogged arteries) over time. However, it is not necessarily a guarantee that irreversible damage has already occurred. It is important to take steps to control your cholesterol levels to reduce the risk of complications. Since you have already made lifestyle changes such as diet and exercise, it is a positive step towards managing your cholesterol levels. In addition to lifestyle modifications, your doctors may still recommend starting a statin medication to help lower your cholesterol more effectively. One commonly prescribed statin medication is Atorvastatin (brand name Lipitor). The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust the dose based on your individual response. It is important to continue following a healthy diet, exercising regularly, and taking any prescribed medications as directed by your healthcare provider to help control your cholesterol levels and reduce the risk of complications. Regular follow-up with your healthcare provider is also important to monitor your progress and make any necessary adjustments to your treatment plan.

Last updated on 22 Jan 2025

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I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Last updated on 22 Jan 2025

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I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be looking into more tests or checkups to make sure everything's alright with my heart? Its just a bit unsettling not knowing what to expect.

Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.

Last updated on 22 Jan 2025

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I'm really worried because my dad had a heart attack yesterday. After he got an injection, he seemed better, but today, we went to another hospital for an angiogram. They found two blockages that are over 80% and now theyre saying he needs angioplasty. I'm really wondering, what happens if we dont go through with the angioplasty? Are there other options we could consider? And is there any way we can try to clear the blockages naturally from home?

If the blockages in the coronary arteries are more than 80%, it is crucial to address them to prevent further complications such as another heart attack or even death. If angioplasty is not performed, the blockages can lead to reduced blood flow to the heart muscle, causing chest pain (angina), shortness of breath, and in severe cases, a heart attack. The main alternative to angioplasty for severe blockages is coronary artery bypass grafting (CABG) surgery, where a healthy blood vessel is used to bypass the blocked artery. However, the decision between angioplasty and CABG depends on various factors and should be discussed with the treating cardiologist. As for natural ways to remove blockages at home, it is important to note that while lifestyle changes such as a healthy diet, regular exercise, and not smoking can help prevent further blockages, they may not remove existing severe blockages. It is always best to follow the medical advice of your healthcare provider for the most appropriate treatment in this situation.

Last updated on 22 Jan 2025

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I'm really worried because I'm 26 and I've been having some heart pain, shortness of breath, and light dizziness. My lipid profile is normal, but my 2D Echo showed a Left ventricle size of 4.0 x 3.0 cm, IVSD 0.8 cm, LVPW 0.8 cm, EF 47, and FS 23. Everything else seemed normal. Is this something I should be really concerned about? Is it fixable, and can I get back to my normal life? I'm feeling scared and unsure about what steps to take.

Based on your symptoms and the findings from your 2D Echo, it is important to further evaluate your condition. The slight heart pain, shortness of breath, and dizziness could be indicative of a cardiac issue. With an EF of 47% and FS of 23%, there may be some impairment in your heart's pumping function. To address this, you may benefit from medication to improve your heart function and symptoms. I recommend starting with a beta-blocker such as Metoprolol (25-50 mg once daily) to help reduce your heart's workload and improve its efficiency. Additionally, an ACE inhibitor like Enalapril (5-10 mg once daily) can also be beneficial in improving heart function. It is important to follow up with a cardiologist for further evaluation and management. Lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also crucial in improving your heart health. With proper treatment and lifestyle changes, many individuals can lead a normal life with cardiac conditions. Remember, early detection and management are key in addressing any potential heart issues. Take care and follow up with your healthcare provider for personalized care and guidance

Last updated on 22 Jan 2025

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I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?

Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.

Last updated on 22 Jan 2025

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I'm dealing with high blood pressure and hypothyroidism since 2016. I've been taking Thyronorm 75 and Amcard 5mg twice a day. I just got my TSH levels tested and it's around 6.8. My doctor recommended upping my Thyronorm to 100mcg and switching to Tazloc AM once a day for my blood pressure. Is Tazloc AM actually safe, and can I really switch to it instead of sticking with Amcard? I've been feeling pretty okay with Amcard 5 twice daily and my blood pressure seems well-managed with it.

Tazloc AM is a combination medication containing Telmisartan and Amlodipine, which are commonly used to treat high blood pressure. Telmisartan is an angiotensin II receptor blocker (ARB) and Amlodipine is a calcium channel blocker. It is generally safe to use, but it is important to follow your doctor's advice when switching medications. If you are comfortable with Amcard 5mg twice a day and have good control over your blood pressure, you can discuss with your doctor about continuing with Amcard instead of switching to Tazloc AM. However, it is important to follow your doctor's recommendation for the best management of your high blood pressure. Regarding your thyroid medication, increasing Thyronorm from 75mcg to 100mcg as per your doctor's advice is aimed at better control of your hypothyroidism, especially with a TSH level of 6.8. It is important to follow your doctor's advice regarding the dosage adjustment for optimal management of your hypothyroidism.

Last updated on 22 Jan 2025

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My grandma's been told she's got this issue with leaking valve shrinkage after she had some chest pain recently, and shes gotta get an angiography. I'm kinda worried about the risks involved with angiography at her age. If it turns out she needs surgery after the angiography, how safe and effective is that gonna be? She's got high blood pressure, but it's under control with meds. She doesn't have any other health issues. Can you help me understand what we're looking at here?

Angiography is generally a safe procedure, but like any medical procedure, it does carry some risks. The risks can include bleeding, infection, allergic reaction to the dye used, or damage to the blood vessels. However, these risks are usually low and the benefits of obtaining important information about the heart often outweigh the risks. If surgery is required after the angiography to address the leaking valve and valve shrinkage, the effectiveness and safety of the surgery will depend on various factors including the specific condition of the valve, the overall health of your Nani, and the skill of the surgical team. In general, valve repair or replacement surgeries can be very effective in improving symptoms and quality of life. With controlled high blood pressure and no other significant illnesses, the overall risk of surgery may be lower. It is important for your Nani to discuss any concerns or questions with her healthcare team, including the cardiologist and cardiac surgeon, to get a better understanding of her individual situation and the potential risks and benefits of the procedures.

Last updated on 22 Jan 2025

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I'm really worried about what happened to me a few days ago. My heart started racing, and it felt like there was some relief when I passed gas, but the fast heartbeat didn't totally go away. I ended up in the hospital and they had to give me shock treatment for my heart rate. That helped, but my blood pressure is still pretty high at 170120, even though it was normal just a week earlier. The doctor prescribed Ixarola 20 mg and cordarone tablets for 15 days. Can someone help me understand what caused this sudden change? I'm also looking for advice on any lifestyle changes or diet adjustments I should make to get my blood pressure down. Any suggestions?

It sounds like you experienced a rapid heart rate episode that required medical intervention to restore normal heart rhythm. The high blood pressure you are currently experiencing may be related to this episode. Ixarola 20 mg is a medication that helps lower blood pressure by relaxing blood vessels. Cordarone is a medication that helps regulate heart rhythm. To help manage your blood pressure and overall heart health, here are some lifestyle changes you can consider: - Follow a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your intake of sodium, saturated fats, and added sugars. - Engage in regular physical activity, such as brisk walking, swimming, or cycling, for at least 30 minutes most days of the week. - Maintain a healthy weight and aim to lose weight if you are overweight. - Limit alcohol consumption and avoid smoking. - Manage stress through relaxation techniques, meditation, or yoga. - Monitor your blood pressure regularly and follow up with your healthcare provider as recommended. These lifestyle changes, along with your prescribed medications, can help improve your blood pressure and overall heart health.

Last updated on 22 Jan 2025

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My husband has been struggling with high cholesterol levels around 285 mgdL, even though he's been on a super healthy diet with lots of fruits, olive oil, vegetables, and pulses. The numbers haven't dropped much, staying between 250 to 285 over the last couple of months. He recently had kidney stones treated with endoscopy and medication, and now the cholesterol levels seemed to have increased. I'm getting worried; should we consider starting him on medication, or will sticking to the diet eventually help bring the cholesterol down? How long do we need to wait and see if the diet alone is effective? Also, could my father-in-law's heart surgery from 2 years ago be related or give us some clues on managing this better?

Based on your husband's cholesterol levels not reducing despite following a healthy diet and considering his family history of heart surgery, it may be necessary to start medication to help lower his cholesterol levels and reduce the risk of heart disease. One commonly prescribed medication for high cholesterol is Atorvastatin (brand name Lipitor). In addition to medication, continuing with a healthy diet and lifestyle is important for managing cholesterol levels. It is recommended to follow up with regular check-ups with a healthcare provider to monitor the cholesterol levels and adjust the treatment plan as needed. The time it takes to see a significant reduction in cholesterol levels can vary from person to person, but with medication and lifestyle changes, improvements can often be seen within a few weeks to months.

Last updated on 22 Jan 2025

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I'm really concerned about some symptoms I've been experiencing. I started taking Eliwel 10mg for nerve pain about 20 days ago, but suddenly I got rapid heartbeats and chest pain on October 1st with pain intensity around 710. When I went to the doctor, my heartbeat was going from 60s to 110. The doctor gave me Nebicard 5mg and suggested getting an ECG and echo. The ECG was abnormal but the echo was normal, and the doc said not to worry. But the chest pain lingered for 34 days, and I also had some shortness of breath. I've stopped taking Eliwel on my own, which helped a bit, but I still have some chest pain, maybe around a 410. Yesterday I saw a cardiologist who did a TMT test; that was normal too, but the ECG was still abnormal. I've attached my reports. Is there anything here I should be worried about?

Based on your symptoms and the abnormal ECG findings, it seems like you may have experienced some adverse effects from the Eliwel (Amitriptyline) medication. The rapid heart beat and chest pain could be related to this. Nebicard (Nebivolol) 5mg was prescribed to help with the rapid heart beat. Since you have already discontinued Eliwel and your symptoms have improved but not completely resolved, I would recommend discussing with your doctor about alternative medications for nerve pain. For your ongoing chest pain, you can consider taking a pain reliever like Paracetamol 500mg as needed for pain relief. It is important to follow up with your Cardiologist for further evaluation and management of the abnormal ECG findings. If the chest pain persists or worsens, do not hesitate to seek medical attention promptly.

Last updated on 22 Jan 2025

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I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it was around 2.5 before. My non-HDL cholesterol is 230.92. With all these numbers going up, am I at risk? What should I do to bring everything back to normal? Also, my triglycerides have improved a bit, now at 182 from 305, but I'm still concerned. Would appreciate some guidance.

Your cholesterol levels indicate that you are at an increased risk for cardiovascular diseases. To help lower your cholesterol levels and reduce your risk, you can make lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. Additionally, medication may be prescribed by your doctor to help manage your cholesterol levels. For your high LDL cholesterol, you can consider taking Atorvastatin (brand name Lipitor) at a dosage recommended by your healthcare provider. This medication helps lower LDL cholesterol levels and reduce the risk of heart disease. To improve your cholesterol ratios and overall lipid profile, you can also discuss with your doctor about taking Fenofibrate (brand name Tricor) at a suitable dosage. Fenofibrate helps lower triglycerides and non-HDL cholesterol levels, which can further reduce your cardiovascular risk. Remember to consult with your healthcare provider for personalized advice and monitoring of your cholesterol levels.

Last updated on 22 Jan 2025

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I'm trying to figure out how to boost my good cholesterol levels. Are there any exercises or medications that can help with this? Ive already started taking Fibator 10145. I'm just worried if that's enough or if there's something else I should be doing. What do you recommend?

Exercise plays a crucial role in managing high cholesterol. Here are effective exercises: Aerobic Exercises 1. Brisk Walking: 30 minutesday, 5 daysweek 2. JoggingRunning: 20-30 minutes, 3-4 timesweek 3. Cycling: 30 minutes, 5 daysweek 4. Swimming: 20-30 minutes, 3-4 timesweek 5. Dancing: 30 minutes, 5 daysweek High-Intensity Interval Training (HIIT) 1. Sprints: 30 seconds of intense sprinting followed by 30 seconds of rest 2. Burpees: 10-15 reps, 3 sets 3. Jump Squats: 15-20 reps, 3 sets 4. Mountain Climbers: 30 seconds, 3 sets Strength Training 1. Resistance Band Exercises: 10-15 reps, 3 sets 2. Weightlifting: 10-15 reps, 3 sets (focus on upper body and legs) 3. Bodyweight Exercises: push-ups, squats, lunges, planks Yoga and Stretching 1. Yoga: 30 minutes, 3-4 timesweek (reduces stress and improves flexibility) 2. Stretching: 10-15 minutes, 5 daysweek (improves flexibility and reduces inflammation) Additional Tips 1. Start slowly: Gradually increase exercise duration and intensity. 2. Consult a doctor: Before starting any new exercise program. 3. Monitor progress: Track cholesterol levels, blood pressure, and overall health. 4. Combine with diet: Healthy eating habits complement exercise benefits. Benefits of Exercise for High Cholesterol 1. Increases HDL (good) cholesterol 2. Reduces LDL (bad) cholesterol 3. Improves blood lipid profiles 4. Lowers blood pressure 5. Reduces inflammation 6. Improves insulin sensitivity 7. Enhances overall cardiovascular health

Last updated on 22 Jan 2025

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I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

Continuous bleeding 3 months post-delivery is not normal. This condition is known as postpartum hemorrhage (PPH) or prolonged lochia. _Possible Causes_ 1. _Hormonal imbalance_: Changes in estrogen and progesterone levels can cause irregular bleeding. 2. _Uterine atony_: The uterus may not have contracted properly after delivery, leading to excessive bleeding. 3. _Retained placental tissue_: Small pieces of placenta may still be present in the uterus, causing bleeding. 4. _Infection_: Uterine infection or endometritis can cause prolonged bleeding. _Remedies and Solutions_ 1. _Consult your doctor_: Schedule an appointment with your obstetrician to rule out any underlying conditions. 2. _Ultrasound scan_: Your doctor may recommend an ultrasound scan to check for retained placental tissue or other abnormalities. 3. _Hormonal treatment_: Your doctor may prescribe hormonal medications to help regulate your menstrual cycle and reduce bleeding. 4. _Antibiotics_: If an infection is suspected, your doctor may prescribe antibiotics to treat it. _When to Seek Immediate Medical Attention_ 1. _Heavy bleeding_: If you experience heavy bleeding, soaking more than 2-3 pads or tampons per hour. 2. _Severe abdominal pain_: If you experience severe abdominal pain, cramping, or tenderness. 3. _Fever_: If you have a fever above 100.4F (38C). 4. _Dizziness or fainting_: If you experience dizziness, lightheadedness, or fainting.

Last updated on 22 Jan 2025

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I just came across the term "borderline short PR interval" in my medical report, and I'm really curious about what it actually means. Is it something that I should be worried about? What could be causing it, and are there any specific treatments for it? I'm trying to understand if there are any risks involved and if I need to take any precautions. Would love some insight!

You're 30 weeks pregnant with a baby weighing 1265g (+-185g) and a diagnosis of mild Intrauterine Growth Restriction (IUGR). _Current Diet and Supplements_ 1. _Argipreg sachet and Alamine Forte_: Continue taking these as prescribed to support fetal growth. 2. _Diet_: Your current diet includes: - Milk with protein powder - Eggs - Dry fruits - Curd - Coconut water - Fresh fruits _Additional Recommendations_ 1. _Increase calorie intake_: Focus on nutrient-dense foods to support fetal growth. 2. _Protein-rich foods_: Include more protein sources like lean meats, fish, and legumes. 3. _Healthy fats_: Nuts, seeds, avocados, and olive oil are rich in healthy fats. 4. _Folic acid and iron supplements_: Ensure you're taking these essential supplements as prescribed. 5. _Stay hydrated_: Drink plenty of water throughout the day. 6. _Rest and stress management_: Prioritize rest and engage in stress-reducing activities like meditation or deep breathing exercises. _Monitoring and Follow-ups_ 1. _Regular prenatal check-ups_: Attend all scheduled appointments to monitor fetal growth and your health. 2. _Growth scans_: Continue with regular growth scans to track fetal development. 3. _Report any concerns_: Inform your healthcare provider about any changes in your symptoms, fetal movements, or overall health. Please consult your healthcare provider before making any changes to your diet or supplements. They will provide personalized guidance based on your specific situation.

Last updated on 22 Jan 2025

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I've just started taking Roseday 10mg for my high cholesterol, and it's my first day, but since taking it, I've had this uncomfortable burning sensation near my heart area and I'm feeling a bit anxious. Is this something normal to experience after starting this medication?

Paralysis, Blood Clots, and Multiple Health Issues_ 1. _Complex condition_: Your father's situation is complex, with multiple health issues, including paralysis, blood clots, kidney problems, and arthritis. 2. _Multidisciplinary care_: He requires care from a team of specialists, including neurologists, nephrologists, and rehabilitation experts. _Treatment Options and Hospitals_ 1. _Neurointerventional surgery_: Some hospitals offer neurointerventional surgery, which can help remove blood clots. 2. _Thrombectomy_: A minimally invasive procedure to remove blood clots. 3. _Rehabilitation and physiotherapy_: Essential for improving mobility and managing paralysis. _Hospitals with Advanced Neurointerventional Capabilities_ 1. _Apollo Hospitals_ (Various locations in India) 2. _Fortis Hospitals_ (Various locations in India) 3. _Max Super Speciality Hospitals_ (Various locations in India) 4. _Medanta - The Medicity_ (Gurgaon, India) 5. _Manipal Hospitals_ (Various locations in India) _Next Steps_ 1. _Consult a neurologist_: Schedule an appointment with a neurologist to reassess your father's condition. 2. _Seek a second opinion_: Consider seeking a second opinion from a reputable hospital or specialist. 3. _Explore rehabilitation options_: Look into rehabilitation centers or hospitals with experienced physiotherapists to help manage paralysis. Please consult with your father's healthcare team before making any changes to his treatment plan.

Last updated on 22 Jan 2025

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I've been having this thing where my chest hurts for just a second or two, and then I feel okay again, but it keeps happening. It's like every 45 minutes or so, especially after I eat or drink. I'm not really sure what's going on, and it's starting to worry me. What do you think I should do about it?

Intermittent chest pain can be concerning. Given your symptoms, here are some possible explanations and advice: *Possible Causes* 1. *Acid Reflux*: Gastroesophageal reflux disease (GERD) can cause chest pain, especially after eating or drinking. 2. *Digestive Issues*: Swallowing air, eating too quickly, or having an underlying digestive condition like IBS can lead to chest pain. 3. *Musculoskeletal Issues*: Tight muscles or inflammation in the chest wall can cause brief, sharp pains. *What to Do* 1. *Stay Calm*: Your symptoms don't appear to be life-threatening, but it's essential to monitor them. 2. *Monitor Your Symptoms*: Keep a journal to track when the chest pain occurs, how long it lasts, and any potential triggers. 3. *Avoid Trigger Foods*: If you suspect acid reflux, try avoiding trigger foods like citrus fruits, tomatoes, chocolate, and spicy or fatty foods. 4. *Antacids or Acid Reducers*: Consider taking antacids or acid reducers like Tums, Rolaids, or Zantac to help alleviate acid reflux symptoms. 5. *Stay Hydrated*: Drink plenty of water throughout the day to help with digestion and reduce symptoms. *When to Seek Medical Attention* 1. *Severe Chest Pain*: If your chest pain becomes severe, lasts longer than a few seconds, or is accompanied by difficulty breathing, dizziness, or a cold sweat, seek immediate medical attention.

Last updated on 22 Jan 2025

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I've been having this chest pain that comes and goes for the past few days. It's mostly on the left side, near the center of my chest, and sometimes my breast hurts too, but they look normal. I also had this back pain between my spine and shoulder blade on the left side, but that went away, and the chest pain came back. It feels worse when I get up, like when you have an injury and start moving after resting. Any idea what could be causing this?

Possible Diagnosis* 1. *Costochondritis*: Inflammation of the cartilage connecting ribs to the breastbone, causing left-sided chest pain. 2. *Musculoskeletal strain*: Strained muscles in the chest or back, leading to pain and discomfort. 3. *Gastroesophageal reflux disease (GERD)*: Stomach acid flowing back up into the esophagus, causing chest pain and discomfort. *Treatment Options* 1. *Pain management*: Over-the-counter pain relievers like acetaminophen or ibuprofen to alleviate pain and discomfort. 2. *Heat or cold therapy*: Applying heat or cold packs to the affected area to reduce pain and inflammation. 3. *Muscle relaxants*: Medications like cyclobenzaprine to relax muscles and reduce pain. 4. *Antacids or acid reducers*: Medications like ranitidine or omeprazole to alleviate GERD symptoms. *Advice* 1. *Rest and relaxation*: Avoid heavy lifting, bending, or strenuous activities that may exacerbate the pain. 2. *Maintain good posture*: Avoid slouching or bending, which can put strain on your muscles and exacerbate the pain. 3. *Avoid triggers*: Identify and avoid triggers that may worsen GERD symptoms, such as citrus fruits, tomatoes, or spicy foods. 4. *Monitor your symptoms*: Keep track of your symptoms, including when they occur, how long they last, and any factors that trigger or relieve them.

Last updated on 22 Jan 2025

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Every time I smoke weed, I start feeling this pain in my left shoulder and arm. It began in early February, and I've been smoking marijuana since January 2016. I know I have generalized anxiety disorder, and I'm anxious about heart attacks because I heard weed can speed up heart rate. I've been to doctors many times and had several EKGs, Cardiac Enzyme Tests, and even a resting Electrocardiogram. They all said my heart's fine, and so did my cardiologist, though I never mentioned my weed use to them. The pain sometimes happens when I'm not high, but it definitely seems worse when I am. I get really in my head about this stuff when I'm high. Im aware that sudden heart attacks from weed are super rare and that lots of people over 50 use it, but I'd still like some advice on how to feel more at ease. I'm a 17-year-old male, not very active, weighing 240 lbs, and my resting heart rate is between 65 and 80 BPM.

It sounds like you may be experiencing musculoskeletal pain exacerbated by your anxiety when using marijuana. Given your history of generalized anxiety disorder and the fact that your shoulder and arm pain worsens when you smoke weed, it's important to address both the physical and psychological aspects of your symptoms. To help alleviate your symptoms and manage your anxiety, I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for your shoulder and arm pain. Additionally, considering your anxiety, you may benefit from therapy or counseling to address your worries and fears related to using marijuana. In terms of your anxiety about heart issues, it's reassuring that your cardiac tests have come back normal. However, it's essential to consider the impact of marijuana on your symptoms. To address your concerns about heart health while using marijuana, you may want to consider reducing or avoiding its use. It's also crucial to focus on maintaining a healthy lifestyle, including regular physical activity and a balanced diet, to support your overall well-being. If your symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management. Remember, taking care of your physical and mental health is essential. If you have any concerns or questions, don't hesitate to reach out for support.

Last updated on 22 Jan 2025

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I've been keeping track of my blood pressure, and it usually falls between 130140 and 8090 over the last month. I'm not keen on starting any medication right now and wonder if I can get it back to normal with a healthy diet. I don't smoke or drink, and I sleep well. I weigh 86 kg and am working on getting it down below 75 kg. I'm thinking being overweight might be the only reason for my high BP since my sugar levels and kidney function are normal. I get mild headaches approximately once every two weeks. Do you think focusing on weight loss and diet could help stabilize my blood pressure?

Maintaining a healthy diet can definitely help in managing your blood pressure. In addition to a healthy diet, it is important to maintain a healthy weight and engage in regular physical activity. Since you are already working on reducing your weight, that is a positive step towards improving your blood pressure. While being overweight can contribute to high blood pressure, it is not the only factor. Other factors such as diet, physical activity level, stress, and genetics can also play a role in blood pressure levels. I get mild headache once in two weeks or so. Mild headaches can sometimes be associated with high blood pressure. However, it is important to monitor your headaches and consult with a healthcare professional if they become more frequent or severe. As you are not currently on any medication and prefer to manage your blood pressure through lifestyle changes, I recommend focusing on a diet rich in fruits, vegetables, whole grains, and lean proteins. Additionally, reducing your sodium intake can also help in managing blood pressure. Regular physical activity and stress management techniques can further support your efforts in maintaining a healthy blood pressure level.

Last updated on 22 Jan 2025

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