Question 1

Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Accepted Answer

Neck Pain and Burping Symptoms

_Possible Causes_

1. _Gastroesophageal reflux disease (GERD)_: Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus.
2. _Dysphagia_: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms.
3. _Musculoskeletal issues_: Neck pain might be related to muscle strain or poor posture.

_Recommendations_

1. _Antacids or acid reducers_: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms.
2. _Dietary changes_: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating.
3. _Physical therapy_: Gentle neck stretches and exercises may help relieve musculoskeletal tension.
4. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions.

_When to Seek Immediate Attention_

1. _Severe symptoms_: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.

Question 2

I'm monitoring my blood pressure with an Omron machine, and it reads 100140, but my pulse is normal. I heard that blood pressure can stay high in winter. Should I think about consulting a doctor for this?

Accepted Answer

Seasonal changes can indeed affect blood pressure levels in some individuals. If your blood pressure consistently remains at 140100 mmHg, it is advisable to consult a doctor for further evaluation. You can consider taking antihypertensive medication like Losartan 50mg once daily to help manage your blood pressure. However, it is important to consult a healthcare professional for proper assessment and personalized treatment plan.

Question 3

I've been having chest pain and got a 2D echo, ECG, blood work, and an X-ray done. The doctor said everything looks normal, but I noticed some black marks on the left side of the diaphragm in the X-ray. Could you tell me what these might be? I'm a bit concerned.

Accepted Answer

Diaphragmatic tumour,hernia,birth trauma ,surgical trauma ,thyroid disease and auto-immune disease are some of the causes..A dermatologist opinion is advised.

I'm 30 and lately, I've been experiencing this weird sinking feeling in my chest, almost like a jump-sinking sensation. It just pops up randomly, any time of the day, and can last for a while. It's got me feeling uneasy, and I'm not sure what's going on. Can anyone help me figure this out?

stess,alcohol and lack of sleep ,exercisecould be acute causes of jump in the heart rate ,rythm. Few investigations like ECG ,cardiac markers and echo if symptoms persist for more than 3 weeks is advised

More Cardiology Health Queries

I'm monitoring my blood pressure with an Omron machine, and it reads 100140, but my pulse is normal. I heard that blood pressure can stay high in winter. Should I think about consulting a doctor for this?

I've been having chest pain and got a 2D echo, ECG, blood work, and an X-ray done. The doctor said everything looks normal, but I noticed some black marks on the left side of the diaphragm in the X-ray. Could you tell me what these might be? I'm a bit concerned.

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