Question 1

I've been having this mild, intermittent pain in the middle of my left palm, just at the bottom part. It was odd because it would last only about 30 seconds before disappearing, and then it would come back again after a few minutes. It didn't spread anywhere else and was just in that one spot. This happened last night, but by this morning, the pain was gone. I'm puzzled about what could've caused this. Could it be something related to a heart issue?

Accepted Answer

"Based on your description, the intermittent pain in your left palm does not seem to be directly related to a heart problem. This type of localized, mild, intermittent pain is more likely to be musculoskeletal in nature. It could be due to overuse of the hand, a minor injury, or even a nerve issue. To alleviate any discomfort, you can take over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. If the pain persists or worsens, it would be advisable to consult a healthcare professional for further evaluation."

Question 2

I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but I'm still a bit concerned. I don't smoke or drink and I'm not overweight. I did some Googling and found different explanations about that note, which is making me a bit anxious. I also didn't sleep well  only about 4 hours the night before the tests  and wore double masks during them. Could any of that have impacted the results? Just want to make sure there's nothing I should be concerned about.

Accepted Answer

"Based on your description, it seems like you are concerned about the comment in your ECHO report regarding LV diastolic dysfunction grade 2. Your cardiologist has reassured you that it is normal and nothing to worry about, which is a good sign. LV diastolic dysfunction grade 2 indicates some stiffness in the left ventricle of your heart during the relaxation phase, but it is a common finding and may not necessarily indicate any serious issues. Considering your age, lifestyle habits, and the fact that all your other tests (ECG, TMT) are normal, there is likely no cause for concern. Factors such as inadequate sleep and wearing double masks during the tests could have influenced the results slightly. To further support your heart health, you can focus on maintaining a healthy lifestyle with regular exercise and a balanced diet. If you have any specific symptoms or concerns in the future, do not hesitate to follow up with your cardiologist for further evaluation. No specific medication is required for LV diastolic dysfunction grade 2 at this stage. Just continue with your healthy habits and follow up with your cardiologist as recommended for routine check-ups."

Question 3

I'm really worried about my grandfather who's 76. He was hospitalized twice because his blood pressure went up to 200100. We have the ECG from when he was in the hospital and his prescription too. Since getting discharged, his blood pressure is fine during the day, but at night it gradually rises to somewhere between 16080 and 18090. Does the ECG indicate he's had a heart attack? Are the medications he's on appropriate?

Accepted Answer

If the ECG shows sinus rhythm with no signs of acute myocardial infarction. The medications prescribed are Amlodipine 5mg once daily and Atenolol 25mg once daily. These are appropriate medications for controlling high blood pressure. However, since your grandfather's blood pressure is still increasing during the night, a medication adjustment may be needed. I recommend consulting with the doctor who prescribed these medications to discuss the possibility of increasing the dosage or adding another medication to better control his blood pressure during the night.

I'm dealing with a bit of high cholesterol, and my doctor recommended taking Roseday 5 mg daily. But right now, I'm in Malaysia and can't seem to find Roseday here. Do you think it's okay for me to take Crestor 5 mg instead until I can get my hands on Roseday? Would that be safe?

yes u can take crestor 5mg , both the medications composition is the same...

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