Question 1

I recently recovered from COVID and it's been about 20 days since my first symptoms with all my reports coming back negative. I'm only dealing with some post-COVID weakness now. I've noticed that when I'm resting, my heartbeat is typically between 60 and 80 bpm, and sitting it's around 75 to 90 bpm. But when I climb stairs, it jumps to about 145 to 150, and while walking, it's around 125 to 130. Is this normal after recovering from COVID because of the weakness I have? I had an ECG and a TMT last month as part of a regular check-up before COVID, and the TMT was normal even when my heartbeat reached 196. Everything was fine back then. Should I be concerned now?

Accepted Answer

Your increased heart rate while climbing stairs (145-150) and walking (125-130) after recovering from COVID-19 can be attributed to post-COVID-19 fatigue, dehydration, and reduced cardiovascular endurance, but given your recent normal ECG and TMT results, it's likely a temporary condition; however, to alleviate concerns, consider consulting your doctor or a cardiologist for a follow-up evaluation, and in the meantime, stay hydrated, gradually increase physical activity, and monitor your heart rate and overall health.

Question 2

I'm concerned about my heart rateit's usually over 100, and I get palpitations a lot. When I'm just lying in bed, my heart rate gets between 110-120, and even just climbing up one flight of stairs sends it up to 160. My thyroid levels are normal, though I do have a thyroid nodule. My haemoglobin is at 9, and my BMI is normal. I also have spondyloarthropathy and hidradenitis suppurativa, so my CRP and ESR levels are high. I've attached an ECG from my Apple Watch that I took during the palpitations. Is such a high heart rate normal?

Accepted Answer

Based on your symptoms and medical history, it seems like you may be experiencing tachycardia, which is an abnormally high heart rate. Given your palpitations, breathlessness, and elevated heart rate even with minimal exertion, it is important to further evaluate the underlying cause. Considering your conditions and symptoms, I recommend you consult a cardiologist for a thorough evaluation. In the meantime, to help manage your symptoms, you can consider taking **Metoprolol** at a starting dose of 25mg once daily. This medication can help lower your heart rate and reduce palpitations. It is crucial to monitor your heart rate regularly and keep a record to share with your healthcare provider for a more accurate assessment and management plan.

Question 3

I'm feeling a lot of pain in the upper muscles of my chest, even though I can breathe normally. It feels like there's pressure on my chest. I recently had a chest X-ray, and the doctor said it was normal. I've got acidity, and I'm not sure if that's what's causing this much pain. It sometimes feels like I might fall over, but my blood pressure and sugar levels are normal. I'm really anxious about my health. I've already taken all the reports; CT scan for my brain was normal, and liver, kidney, and thyroid are also fine. I even checked cardio and took a TMT which came back negative. But both the right and left chest muscles are still hurting. What should I do?

Accepted Answer

tab pantop 40mg for 5 day and continue anxiety treatment

yes u can use it, visit ur physician for apprpropriate managent

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