Question 1

I'm really worried about my father. He's 65 and has been dealing with diabetes for about 7 years now. Usually, his normal blood pressure is around 11075, but today I checked and it was 17080. His pulse rate is 90 and his oxygen saturation is 98. Does this seem normal or should I be concerned about these numbers? What should I do next?

Accepted Answer

Given your symptoms, I recommend consulting an:

1. *ENT (Ear, Nose, and Throat) Specialist*: As dizziness can be related to inner ear issues, such as benign paroxysmal positional vertigo (BPPV).
2. *Neurologist*: To rule out any underlying neurological conditions that might be causing your dizziness.
3. *General Physician*: If you're unsure about which specialist to consult, start with a general physician who can evaluate your overall health and refer you to a specialist if needed.

Before consulting a doctor:

1. *Keep a symptom journal*: Track when the dizziness occurs, how long it lasts, and any triggers you notice.
2. *Monitor your blood pressure*: Ensure your blood pressure is within a healthy range.
3. *Stay hydrated*: Drink plenty of water throughout the day.

During the consultation:

1. *Share your medical history*: Inform your doctor about your previous experience with dizziness 3 years ago.
2. *Describe your symptoms*: Provide detailed information about your dizziness, including when it occurs, how long it lasts, and any triggers you've noticed.

Question 2

I'm experiencing some chest pain right in the center, and it's been going on for about 3 days now. I'm having a tough time breathing when I move or lie down, especially on my left side, but it's not as bad when I sit or lie on my back. I'm also feeling kind of gassy in my stomach and it's making me really confused. I've tried taking 3 ranitidine pills already, but there's still no improvement. Could this be something serious? Can you help figure out what's going on?

Accepted Answer

Probable diagnosis is Gerd, patient is advised pan d ,orally.once daily for 14 days before food..Avoid spicy foods.

Question 3

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?

Accepted Answer

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.

I'm 25 and just got my 2D echo mvp report. It says mvp grade I trivial MR and normal LV function. Should I be concerned about anything here? What exactly does this mean for my heart health, and do I need to take any action or follow-ups?

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