apollo
  • Male
  • 49 Years
  • 22/01/2025

I'm a bit worried after seeing my chest x-ray results. It mentions mild bilateral perihilar and basal congestion along with borderline cardiomegaly. Can you explain what this means, and how I might be able to treat it or manage the symptoms?

Doctor 1

Answered by 1 Apollo Doctors

That could be age related changes if you have no symptoms like chest pain,chest discomfort,shortnes of breath,then visit Physician for appropriate management.if not you can ignore it

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a 37-year-old guy and I've been dealing with anxiety for a few years now, which makes my hands sweat and sometimes I get chest pains that last for seconds or minutes. I've been on Gudpress AM 50 for the past six months, but it makes my face feel tight for about six hours after taking it. I stopped taking it two days ago, but my blood pressure has been around 150100 and 14090 in this time. Is there another blood pressure medication I can try? Before Gudpress AM 50, I was taking Cinod 10. Any advice would be great.

It sounds like you are experiencing side effects from Gudpress AM 50 (which contains Telmisartan and Amlodipine) such as tightness on your face. Since you are also dealing with anxiety symptoms and high blood pressure, you can consider switching to a different medication for your blood pressure. I recommend discussing with your doctor about starting a different medication such as Losartan (brand name: Cozaar) at a suitable dosage to help manage your blood pressure without causing unwanted side effects. Losartan is an angiotensin II receptor blocker that can be effective in treating high blood pressure and has a lower risk of causing facial tightness compared to Amlodipine. Remember to consult with your doctor for a proper evaluation and prescription adjustment based on your individual health needs.

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I've been having chest pain on my left side and pain in my left hand for about 5 months now. On top of that, I've been dealing with a headache for the past 10 days, and sometimes I feel dizzy. The doctor had me do a TMT, ECHO, and ECG, but all those tests came out normal. I'm feeling pretty confused because my blood pressure often stays high, roughly around 120-130 over 75-85. I'm really not sure what's going on or what to do next. Any ideas on what could be causing these issues?

From the symptoms you have described, along with your normal TMT, ECHO, and ECG results, it is important to consider other possible causes for your chest pain, left hand pain, headache, and dizziness. Given your elevated blood pressure readings, it is possible that your symptoms could be related to hypertension. I recommend starting with lifestyle modifications such as reducing salt intake, maintaining a healthy weight, regular exercise, and stress management. In addition, you may benefit from medication to help control your blood pressure. I suggest starting with an antihypertensive medication like Losartan 50mg once daily to help lower your blood pressure and potentially alleviate your symptoms. It is important to monitor your blood pressure regularly and follow up with your doctor for further evaluation and management. Remember to also follow a healthy diet, avoid smoking and excessive alcohol consumption, and prioritize regular physical activity to improve your overall cardiovascular health.

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I've been feeling a strange vibration in my chest after running and sometimes while I'm running. Its kind of weird and Im a bit worried. Two years back, my TMT, echo, and ECG came out normal, and I even had a CT angiogram a year ago, which was fine. My Holter monitor results were okay too. What could be causing this sensation, and should I be concerned about something else going on?

It sounds like you may be experiencing palpitations or a sensation of vibration in your chest during or after running. Since your TMT, echo, ECG, CT angiogram, and Holter monitor have been normal in the past, it is less likely to be related to any structural or electrical heart issues. One possible cause could be related to increased sympathetic activity during exercise. It is important to stay hydrated and ensure you are not overexerting yourself during physical activity. If the symptoms persist or worsen, you may consider discussing with your doctor about trying a beta-blocker medication such as Metoprolol (dosage can vary) to help control heart rate and palpitations during exercise.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.