Question 1

I'm a bit worried about my health and would appreciate some advice. Recently, I've managed to reduce my high blood pressure in just 12 days, which is great, but now I'm experiencing some weird symptoms. Occasionally, I have this sharp chest pain on the left side that feels like I'm being poked with a needle. Sometimes it switches to the right side, and drinking water seems to trigger a bit of pain too. It feels like something's touching my chest inside. My shoulder also feels uncomfortable at times. I've also been passing a lot of gas and sometimes my throat feels really full. These symptoms are similar to what I experienced about two months ago. Does this sound like something serious?

Accepted Answer

The symptoms you describe, including high blood pressure, chest pain, shoulder discomfort, excessive gas, and a sensation of fullness in the throat, could be due to a combination of gastrointestinal and musculoskeletal factors, possibly exacerbated by anxiety. Conditions like gastroesophageal reflux disease (GERD) can cause chest pain and discomfort, while musculoskeletal issues could explain the needle-like pain and shoulder discomfort. To manage these symptoms, consult a healthcare provider to rule out serious conditions and confirm a diagnosis. They may recommend lifestyle changes such as a heart-healthy diet, stress reduction, and avoiding large or spicy meals, as well as medication like antacids for GERD and pain relievers for musculoskeletal pain. Monitoring your blood pressure regularly and following your doctor's advice on managing it is also important.

Question 2

I'm reviewing my lipid profile report, and I'm a bit concerned. My triglycerides are at 203, total cholesterol is 238, LDL cholesterol is 158, HDL cholesterol is 39, and VLDL is 41. I'm not sure if these numbers are within normal range. I'm trying to manage my weight, which is currently 73kg, because I had some palpitations about four months ago. I'm on a diet now, but I'm worried about these levels. Could you guide me on whether these are normal and how I might improve them?

Accepted Answer

To improve your lipid profile, you can consider making lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. To help improve your lipid profile, you can start taking a statin medication like Atorvastatin 20mg. It is important to continue with your diet and exercise regimen to see improvements in your lipid profile over time.

Question 3

I'm 32 and just got my TMT test results back. It mentions VPC during exercise and after, and a positive chronotropic response. There's also a 1mm downsloping ST depression at peak exercise but it's normal at 3 min recovery. Should I be worried about any of this? Do I need to take any medication? I'd really appreciate some guidance.

Accepted Answer

TMT report suggests a negative TMT with VPC seen during exercise and at recovery of the test, along with a positive chronotropic response. The 1mm downsloping ST depression at the peak of exercise, which normalizes at 3 minutes of recovery, is also noted. Based on this report, there is no significant worrying problem identified. However, considering the findings, it would be advisable to start medication to manage the VPC and ST depression. You can take Metoprolol (brand name: Lopressor) 25mg once daily to help regulate your heart rate and reduce the occurrence of VPCs. Additionally, you can take Aspirin 75mg once daily to prevent any potential clot formation due to the ST depression observed during exercise. It is important to follow up with your healthcare provider for further evaluation and management.

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