Question 1

I'm a 28-year-old guy dealing with costochondritis and whenever I visit the doctor, my heart rate skyrockets and my blood pressure goes up, but when I'm back home, everything seems to settle down to normal. I'm really anxious about this. Could you help me understand what's happening and any suggestions on what I could do?

Accepted Answer

Your symptoms suggest white coat hypertension and anxiety, common in people with costochondritis; to manage anxiety, consider relaxation techniques like deep breathing, progressive muscle relaxation, or meditation, and for white coat hypertension, ask your doctor about ambulatory blood pressure monitoring or home blood pressure tracking to get accurate readings and alleviate anxiety-related spikes.

Question 2

My mom was diagnosed with chest pain on December 7, 2018. She's in the hospital, and the doctor did an angiography and is suggesting a bypass. I'm really worried and just want to know if the bypass is absolutely necessary and how long we can safely delay it. She's had blood pressure for about 10 years and diabetes for the last 4 years. Could you please advise?

Accepted Answer

"Hi Nirav, based on the information provided, if your mother has been diagnosed with chest pain and the doctor has recommended bypass surgery after performing Angiography, it is likely that the bypass surgery is necessary to improve blood flow to the heart. Given her history of high blood pressure and diabetes, it is important to follow the doctor's recommendation in a timely manner to prevent any further complications. I would recommend discussing any concerns or questions about the timing of the bypass surgery with the treating physician to determine the best course of action. In the meantime, it is important for your mother to continue taking her prescribed medications for blood pressure and diabetes as directed. For chest pain relief, she can take medications like Aspirin and Nitroglycerin as prescribed by the doctor. It is important to follow the doctor's advice regarding the dosage and frequency of these medications. Regular follow-up appointments with the doctor are also essential to monitor her condition and make any necessary adjustments to her treatment plan. If you have any further questions or concerns, feel free to ask. Take care."

Question 3

I've been dealing with palpitations since 2009, and although I've had some treatment, they haven't completely stoppedjust reduced in frequency. The doctor advised me to take Rivotril when they start, since they never seem to stop on their own. I'm worried about why they persist and if there's something else I could try? Could there be long-term effects if I'm taking Rivotril for so long? Any advice would be appreciated.

Accepted Answer

Since you have been experiencing palpitations since 2009 and have been advised to take rivotril when they occur, I recommend discussing with your doctor about trying beta-blockers such as Metoprolol at a low dose to help manage the palpitations more effectively. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted based on your response. Beta-blockers are commonly used to reduce the frequency and severity of palpitations by regulating the heart rate and rhythm.

after completion of treatment and cure

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