Question 1

I've been feeling some movement on the left side of my chest, and I've already had an ECG and a 2D echo done. The ECG showed sinus tachycardia, probably because I was feeling anxious at that moment, along with right axis deviation and a borderline result. But the 2D echo came back normal. I'm also checking my heart rate often to see if it's palpitations, but it's normal, around 70-80. I'm not sure what's causing these movementscould it be gas or maybe something to do with nerve movements? What do you think?

Accepted Answer

It sounds like you are experiencing some discomfort in your left side chest area. Based on your ECG and 2D echo reports, it is good to know that your heart seems to be functioning normally. The sinus tachycardia with right axis deviation and borderline ECG findings may be related to your anxiety at that moment. Since your heart rate is normal (around 70-80), the movements you are feeling in your chest may not be related to palpitations. It is possible that the discomfort could be due to gas or muscle movements. To help with the discomfort, you can try taking an antacid like **Ranitidine** 150mg for gas relief. Additionally, you can also consider taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle spasms that may be causing the movements in your chest. Make sure to follow the recommended dosage instructions for these medications and if the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation.

Question 2

I'm a 54-year-old guy and I've been told I need a heart pacemaker. So, before I go for it, I want to know all the details. Like, how does this thing actually work? What kind of care do I need after getting one? Is it going to be comfortable to live with? And most importantly, should I be worried about any side effects from having a pacemaker?

Accepted Answer

A pacemaker is a small device that's placed in the chest or abdomen to help control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. You may need a pacemaker if your heart beats too slowly, too quickly, or irregularly. After getting a pacemaker, you should avoid vigorous activities that could damage the device. It's important to attend regular follow-up appointments with your doctor to ensure the pacemaker is working properly. Most people find living with a pacemaker to be comfortable and are able to resume normal activities. However, you should avoid certain activities that can interfere with the pacemaker, such as using certain medical devices or undergoing certain medical procedures. Common side effects of a pacemaker include infection at the site of implantation, bleeding, bruising, or swelling. In rare cases, there may be complications such as a collapsed lung or a punctured blood vessel during the implantation procedure. It's important to discuss any concerns with your healthcare provider.

Question 3

I'm really worried about this constant headache I have, mostly because my blood pressure and sugar are both on the high side. I've done a CT scan and an MRI, but both came back normal. Even my neurologist confirmed everything looks fine. Despite all that, I'm still feeling this awful sense of suffocation. There's no history of any heart problems in my family or anything like that. Do you think I should see a cardiologist about the suffocation issue?

Accepted Answer

In this case, since suffocation is still an issue, it would be advisable to consult with a cardiologist to rule out any cardiac-related causes. The cardiologist may recommend medications such as Amlodipine (5mg) for high blood pressure and Metformin (500mg) for diabetes to help manage your conditions and alleviate symptoms. It's important to follow up with the cardiologist for further evaluation and management of your symptoms.

Ecg and chest x-ray pa view is advised to the patient.

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