Question 1

I'm a bit worried about the change in meds. Initially, after just taking Telma AM 40, there was swelling in the feet, and the doc switched to TELMA 40 which was alright for a while, but then my blood pressure got high again. Now they've got me on TELMIKIND 40 H S and NUMLO5 for the past 8 days. But after taking them, I start feeling really weak and lethargic just a few hours later. Is this normal side effect or should I be concerned about this change?

Accepted Answer

That could be imbalance between electrolytes once check his electrolytes and visit Physician for proper evaluationa and appropriate management

Question 2

I'm feeling really anxious because my heartbeat keeps increasing suddenly, and I get this chest pain. I had an echo test, and it came back normal. I also did Holter monitoring, which showed my maximum heart rate was 141, the minimum was 59, and the average was 80. What could be going on with me, and what should I do next?

Accepted Answer

Your symptoms of increased heartbeat, ghabrahat (anxiety), and chest pain could be due to anxiety or a heart condition. Since your echo and halter monitoring results are normal, it is less likely to be a serious heart issue. To manage your symptoms, you can try taking a beta-blocker medication like Metoprolol (brand name: Lopressor) at a low dose of 25mg once daily. This can help control your heart rate and reduce the feelings of palpitations and chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises, yoga, or meditation can also help alleviate anxiety symptoms. It is important to stay hydrated, get regular exercise, and maintain a healthy diet to support your overall heart health. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 3

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?

Accepted Answer

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.

I recently had a TMT and an ECG done, and the ECG is attached for reference. The TMT report mentioned no ischemia, but I'm still getting some random chest pains, especially when I'm lost in thought. I've been given an antacid for it. How long is the TMT result considered valid?

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