apollo
  • Female
  • 24 Years
  • 22/01/2025

I'm 25, and I've been dealing with this on-and-off pain in my left arm for about 15-20 days now. It was sharp and shooting at first, so I thought it might be gastritis, but now the pain's more dull and constant. Lately, for about a week, I've been feeling breathless sometimes, and there's some nausea too. I get tired pretty quick and now there's this annoying discomfort in my upper back. Should I be looking into any specific tests or is there something else I should be considering?

Doctor 1

Answered by 1 Apollo Doctors

MRI of the left arm and ortho opinion is advised

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit worried about my recent 2D echo results. It mentions incomplete RBBB and Grade 1 LV diastolic dysfunction. Everything else seems normal, like the cardiac chamber dimensions and valve functions, with no wall motion abnormalities and a good LVEF of 60. Should I be concerned about these findings, and what do they mean for my heart health? Is there anything specific I need to look out for or any lifestyle changes I should consider?

Based on the findings from your 2D echo, you have incomplete right bundle branch block (RBBB) and Grade 1 left ventricular (LV) diastolic dysfunction. The report indicates that your cardiac chamber dimensions are normal, with no wall motion abnormalities present at rest. Your LV systolic function is good, with a left ventricular ejection fraction (LVEF) of 60%. However, there is evidence of Grade 1 LV diastolic dysfunction. The cardiac valves, including the mitral, aortic, tricuspid, and pulmonary valves, are all normal. Additionally, there are no issues with the septae (IASIVS), clotvegetation, or pericardial effusion. The great arteries (aortapulmonary artery) are also normal. Based on these findings, no specific medication is typically prescribed for incomplete RBBB or Grade 1 LV diastolic dysfunction. However, it is important to continue monitoring your heart health regularly with follow-up appointments and lifestyle modifications as recommended by your healthcare provider.

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I'm really struggling to manage my high blood pressure and I'm feeling worried about the side effects I'm experiencing. Right now, I'm taking Amlopres AT 25 in the morning and plain Amlodipine 2.5 in the evening, but I just don't feel fresh and there's this persistent pain in my ankle. I did try switching to Metaprolol, but it only made my BP and heart rate go up. I also attempted using Telmesartan with Amlodipine, which controlled my BP, but then my heart rate increased. I'm feeling stuck and a bit lost about what to do next. My lipid profile is under control with cholesterol at 150 and triglycerides at 76, and my fasting blood sugar is 106. Could you suggest a better medication plan or any other advice?

Take Temsan AM for 15 days , and check BP after 15 days

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I've been dealing with high blood pressure and tachycardia since 2012 and it's been pretty frustrating. I've done all sorts of tests and nothing seems to be working out. It's especially annoying with the tachycardia because whenever I start on medication, it works for a bit, then just stops being effective after a while. Right now, I'm taking a mix of meds including metoprolol 150mg (50mg three times a day), ntp 25mg, prazosin 5mg, diltiazem 90 Sr, cilnidipine 10mg, and losartan 50mg among others. This whole situation is starting to feel a bit hopeless. I'm curious if there's anything else I should be trying, or if there's some reason these meds lose effectiveness so quickly. Any insight you could give would be really appreciated.

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.