Question 1

I'm concerned because my blood pressure is 140, and I've been experiencing strange sensations in my heart. Sometimes it's like palpitations, and other times it feels as if my heart might stop beating. I've already done an ECG, and it came back normal, so my doctor prescribed me Met XL 25 for my BP. Does a normal ECG mean my heart is okay? Should I be worried about these symptoms, or are they serious? What should I do next?

Accepted Answer

Your BP is 140 and you are experiencing a weird feeling in your heart, sometimes palpitations, and sometimes feeling like your heart will stop beating. You have done an ECG which came out normal. Your doctor has prescribed Met XL 25 for your BP. ECG being normal indicates that your heart is functioning normally. However, your symptoms of palpitations and strange feelings in the heart should not be ignored. Considering your symptoms and BP level, it is important to follow up with your doctor. In addition to Met XL 25 for BP, you can also take a beta-blocker like Atenolol 25mg to help with palpitations and irregular heartbeats. It is important to monitor your BP regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and managing stress to improve your heart health.

Question 2

I'm having some pain that I'm worried about. It's mostly on my left elbow, both upper and sometimes the inner part, and I also feel pain just below my left ear on the jaw. Besides that, I get this discomfort below my left chest and it usually happens when Ive got gas. I've had an ECG done back in August and everything came out normal, but I'm still concerned. The pain kind of comes and goes without any chest pressure or breathing issues. Could this be heart-related? Sometimes the pain hits my back too. My blood pressure is 127 over 79 and my total cholesterol level is 264. Do these symptoms sound like I should be worried about my heart?

Accepted Answer

Based on the symptoms you have described, such as pain in the left elbow, left jaw, below the left chest, and sometimes in the back, which worsen when you have gas, along with normal ECG results and absence of chest pressure or breathing problems, it is less likely to be cardiac-related. The pain you are experiencing may be musculoskeletal or related to gastrointestinal issues. For the pain in your left elbow and jaw, you can take over-the-counter pain relievers like acetaminophen. For gas relief, you can try simethicone-based antacids. Additionally, for high cholesterol levels, you may consider starting a statin medication like atorvastatin at a low dose. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms. Remember to maintain a healthy lifestyle with regular exercise and a balanced diet to help manage your cholesterol levels.

Question 3

My grandfather has been diagnosed with a sclerotic aortic valve and also has COPD. I'm really concerned about his health. Could you suggest any treatments or tests that we should consider? I'm just worried about how these conditions might affect him and would appreciate some advice on what steps we should take.

Accepted Answer

For sclerotic aortic valve, the treatment usually involves managing symptoms and monitoring the condition. Medications such as ACE inhibitors, beta blockers, or diuretics may be prescribed to manage symptoms. In severe cases, aortic valve replacement surgery may be necessary. For COPD, treatment may include bronchodilators, inhaled corticosteroids, oxygen therapy, and pulmonary rehabilitation. It is important to avoid smoking and minimize exposure to lung irritants. Tests that may be recommended for further evaluation include echocardiogram to assess the aortic valve function, pulmonary function tests to evaluate lung function, and chest X-ray or CT scan to assess the lungs. Regular follow-up with a cardiologist and pulmonologist is essential to monitor the conditions and adjust treatment as needed.

I'm a bit puzzled because my ECG is coming back normal, but I'm still feeling pain in my left arm and shoulder. Last Tuesday, my blood pressure was at 160, and now it's around 11064. Can you help me figure out what's going on?

it should be normal

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