Question 1

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a history of panic attacks that started back in 2015 with a very fast heartbeat, and I was told it might have been due to acid reflux. It happened again in 2019. I'm really scared of traveling, especially late at night during long journeys. I get these terrible thoughts about what if I have an attack and theres no one around to help, like if the train is passing through a jungle. These thoughts just make my heart race even more, and I end up feeling extremely scared. Can you please help me understand what's going on and how I can handle this?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

Question 2

I'm having some trouble with leg pain when I try to climb stairs, even just to the first floor. The pain seems to be worse in my calf muscle and I end up feeling really tired afterward. Is this something I should be worried about? Could it be a sign of a bigger issue, and what might help ease the pain?

Accepted Answer

-It sounds like you might be experiencing muscle fatigue or strain in your calf muscles when climbing stairs. This can happen if the muscles are overworked, especially if you're not used to the activity. Try resting, stretching, and strengthening your cal

Question 3

I'm feeling a bit worried because I've been having a lot of symptoms since I recovered from COVID back in July. I still don't feel completely better. Lately, I've been having chest pain on the left side and near my shoulder blade, and my left hand feels heavy, with some pain in my armpit. There's this weird pressure in the center of my upper chest, but it doesn't hurt. Bending or moving around makes my chest hurt too, but it's sort of bearable. Plus, I often get this numb feeling in my head, like pins and needles, though it doesn't really hurt. Sometimes I get headaches as well. I did an ECG and a 2D echo three months ago and everything was normal, but I'm attaching the latest ECG I just had done today. Can you help me figure out what's going on?

Accepted Answer

Based on your symptoms and history of Covid-19, it is important to consider the possibility of post-Covid complications such as myocarditis or pericarditis. The chest pain, left shoulder blade pain, heaviness in the left hand, and pressure in the upper chest could be indicative of cardiac issues. Since your recent ECG is available, it would be important to review it for any acute changes. I recommend starting a course of aspirin to help with any potential inflammation and to prevent blood clots. Additionally, you can take a proton pump inhibitor like omeprazole to protect your stomach while on aspirin. It is important to follow up with a cardiologist for further evaluation and possible additional tests such as a cardiac MRI. Medication: - Aspirin 75mg once daily - Omeprazole 20mg once daily

I'm a 28-year-old male and I've noticed that for the past 6 months, my resting heart rate has consistently been over 100, sometimes getting up to 120. I'm really wondering if this is something normal or if I should be concerned about it. Is this something I need to get checked out?

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