Question 1

I'm feeling really worried about some symptoms I've been experiencing. I've been having mild chest pain in both my chest and some pain in my shoulder and back when I'm at rest. My ECG showed WPW, but my echocardiogram came back normal. The doctor mentioned these symptoms aren't cardiac-related, which was a relief at first, but then my routine TMT test came back positive with a report of ST depression ischemia. I'm also concerned about my cholesterol levels, with total cholesterol at 139, HDL at 33, and LDL at 103. Given my situation and age, is there some risk I should be aware of? What should I do because I'm really worried about my health? By the way, I don't feel any pain while I'm working or walking.

Accepted Answer

Mild chest pain in both the chest while resting and shoulder and back pain, ulcer and anxiety. ECG found WPW and echo normal. Doctor said nothing to worry. Symptoms are non-cardiac but in routine test TMT test came positive, conclusion in report was ST depression ischemia. My overall cholesterol is 139, HDL 33, and LDL 103. Is there some risk as per my age? What to do? I am really worried a lot. I have no pain while working or walking. Based on your symptoms and test results, it is important to address the positive TMT test with ST depression ischemia. This could indicate a risk of heart disease, especially with your cholesterol levels. To manage this condition, you can start taking a medication like Atorvastatin (Lipitor) 20mg to help lower your LDL cholesterol levels and reduce the risk of heart-related issues. Additionally, considering your anxiety and chest pain, you can take medications like Pantoprazole (Protonix) 40mg for ulcer symptoms and an anti-anxiety medication like Lorazepam (Ativan) 0.5mg to help with anxiety symptoms. It is also recommended to follow up with your doctor for further evaluation and management. Regular exercise, a healthy diet, and stress management techniques can also help improve your overall health and reduce the risk of heart disease.

Question 2

I've been experiencing some weird symptoms lately that have me feeling pretty uneasy. I'm 23 and for a few months now, I've noticed some strong palpitations in my chest. It's especially strange because they often happen around noon, and I've even felt my whole body shake with my heartbeat when I'm trying to sleep. I've already had an ECG and ECHO done, and everything seemed normal. My mobile app is showing a fast heart rate around noon, too. On top of all this, I've been dealing with gas problems and quite a bit of anxiety. What do you think could be going on?

Accepted Answer

It sounds like you may be experiencing palpitations and tremors due to anxiety and gas problems. To help with your symptoms, I recommend the following: - For palpitations and fast heart rate, you can take Propranolol 20mg twice daily to help regulate your heart rate and reduce palpitations. - For anxiety, you can try taking Alprazolam 0.25mg as needed to help manage your anxiety symptoms. - For gas problems, you can take Simethicone 125mg after meals to help relieve gas and bloating. Make sure to follow the recommended dosages and consult with your doctor before starting any new medication. It's also important to practice stress-reducing techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms.

Question 3

I'm worried that my anxiety might be causing my blood pressure to increase. Its been six months, and while I dont feel as anxious now, I still feel a strong pulse all overchest, fingers, head, neck, legs, everywhere. Its really affecting my life! Ive tried everythingeating better, exercising, meditatingand nothing helps. My blood pressure and pulse are still the same. I even tried magnesium, but no change. I'm really scared about the side effects of anxiety and blood pressure meds. If this is anxiety, how long will it take to go away? What should I do?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety that are affecting your blood pressure and pulse. To help manage these symptoms, you can try taking Propranolol (Inderal) at a low dose of 10-20mg once or twice daily. Propranolol is a beta-blocker that can help reduce the physical symptoms of anxiety such as a bounding pulse. Additionally, for anxiety relief, you can consider taking Escitalopram (Lexapro) at a dose of 10mg daily. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that can help alleviate anxiety symptoms. It is important to note that the duration for anxiety to be cured varies from person to person. With medication and therapy, many individuals see improvement in their symptoms within a few weeks to a few months. It is recommended to continue with the prescribed treatment plan and follow up with your healthcare provider for monitoring and adjustments as needed.

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