Question 1

Ive been having trouble with my breathing, and my pulse rate is pretty high. My doctor mentioned something about sinus tachycardia and gave me propranolol to take. After using it for a couple of days, I've started to notice swelling in my fingers. What kind of tests or investigations do you think I should consider? And should I be worried about this swelling? Any advice would be really helpful.

Accepted Answer

Sinus tachycardia is a condition where the heart beats faster than normal. Since you are experiencing swelling on your fingers after taking propranolol, it is important to consult your doctor for a possible alternative medication. In terms of investigations, you may consider getting an ECG (Electrocardiogram) to monitor your heart's electrical activity and rule out any other underlying heart conditions. Additionally, a blood test to check electrolyte levels and thyroid function may be recommended. It is important to discuss these options with your healthcare provider for proper evaluation and management.

Question 2

I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Accepted Answer

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

Question 3

I've been wondering if you could help me figure out what's going on because I've been feeling strange lately. Around 12 April, I tested positive for COVID, but luckily, it was mild, and the only real issue was losing my sense of smell, which came back after about 10 days. But for the past 8-10 days, I've been experiencing this weird sensation all over my bodyalmost like heart palpitations, though I'm not entirely sure if that's what it is. It's like I can feel my heartbeat in my stomach, neck, and just about everywhere in my body, like my whole body is pumping. It tends to disappear when I'm doing something else, but comes roaring back when I'm trying to relax. If I focus on it too much, my heart really starts pounding before eventually calming down. It's really unsettling and sometimes makes me feel anxious and on edge. Do you have any idea what might be causing this or what I should do about it?

Accepted Answer

It sounds like you may be experiencing palpitations and anxiety following your COVID-19 infection. To help with your symptoms, you can try taking Propranolol 20mg twice a day. This medication can help reduce palpitations and anxiety by slowing down your heart rate. Additionally, practicing relaxation techniques such as deep breathing exercises or mindfulness meditation may also be beneficial in managing your symptoms. If your symptoms persist or worsen, please consult your healthcare provider for further evaluation and management.

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