Question 1

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest X-ray came back normal, and I don't have any blood pressure or other health issues. What could be going on?

Accepted Answer

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, *always consult your doctor before switching medications*.

_Augmentin 625 Duo vs. Azithral 500_

Both are effective antibiotics, but:

1. *Augmentin 625 Duo*: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. *Azithral 500*: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

- You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
- Your tonsillitis is caused by a macrolide-sensitive bacterium

However, *your doctor should determine the best course of treatment* based on your medical history, allergy status, and the severity of your symptoms.

Question 2

I'm really concerned about this recurring middle chest pain I've been experiencing. I had a coronary angiogram done a while back on March 14, 2014, and everything showed normal coronaries, except for this myocardial bridging of the LAD. Can you help me understand what this means? Is this related to my chest pain, and should I be worried about it? Also, is there a validity period for the angiogram results, or is it something I should get checked again after a certain time?

Accepted Answer

The validity of your coronary angiogram performed on 14.3.14, which showed normal coronary arteries and myocardial bridging of the LAD, can diminish over time due to factors such as the progression of coronary artery disease, changes in symptoms, and continued risk factors like smoking or high blood pressure. Since the angiogram only provides a snapshot in time, it's important to regularly monitor your heart health, especially if you experience new or worsening chest pain. For the most accurate and up-to-date assessment, please consult your cardiologist, who may recommend repeat testing or other diagnostic procedures based on your current condition. Regular follow-ups are crucial to ensure your heart health is effectively managed.

Question 3

I'm a bit worried about my recent ECG analysis. It mentioned things like Normal Sinus Rhythm and Left Ventricular Hypertrophy. It also mentioned Mild STT Abnormality and Undefined Abnormal ECG. Could you help me understand what all these terms mean? Should I be concerned about any of these findings, especially the Undefined Abnormal one? Id appreciate any advice you can give.

Accepted Answer

a echo may be needed, cardiologist opinion ..

An ECG with a PR interval of 102 milliseconds is within the normal range. As for cataract surgery, it is important to assess your overall health condition before proceeding. Please consult with your ophthalmologist to determine if you are a suitable candidate for cataract surgery.

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