Question 1

I've been having this pain in the heart area of my chest for over three months now, and it happens about twice a week. I haven't been doing any kind of exercise recently. I'm starting to get really worried about it. Could this be something I should be concerned about? What might be causing this, and what should I do?

Accepted Answer

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

Question 2

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a history of panic attacks that started back in 2015 with a very fast heartbeat, and I was told it might have been due to acid reflux. It happened again in 2019. I'm really scared of traveling, especially late at night during long journeys. I get these terrible thoughts about what if I have an attack and theres no one around to help, like if the train is passing through a jungle. These thoughts just make my heart race even more, and I end up feeling extremely scared. Can you please help me understand what's going on and how I can handle this?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

Question 3

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

I'm a bit confused about my recent test results. My echo test came back normal, but my ECG report is considered borderline. Could you help me understand what this means? Should I be concerned or take any specific actions?

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