Question 1

I'm really worried about my dadhe's 61 and had some vomiting because of an acidic problem a couple of days ago, and now he's feeling chest tightness. We got his ECG done, and there was some abnormality, plus the echo cardiograph mentioned grade 1 diastolic dysfunction. His blood pressure's normal at 11872. Do you think he needs to start medicines for cholesterol or something to prevent heart failure?

Accepted Answer

yes for cholestrol patient needs medication. Grade 1 dystolic dysfunction is normal in echo.

Question 2

I'm feeling really anxious because I've had this mild chest pain between my right breast and the center of my chest for the last 15 days. It happens when I twist my shoulder to the right. I started taking Pantoprazole 40 and Myospaz Forte as recommended by a local doctor three days ago, but the pain is still there. What should I do now?

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain in your chest area. In addition to the medications you are already taking, you can try taking a nonsteroidal anti-inflammatory drug (NSAID) such as Ibuprofen 400mg every 6-8 hours as needed for pain relief and inflammation. Additionally, applying a warm compress to the painful area and practicing gentle stretching exercises for the chest and shoulder muscles may also help alleviate the discomfort. Make sure to avoid any activities that worsen the pain and try to maintain good posture. If the pain persists or worsens, it is important to follow up with your local doctor for further evaluation and possibly imaging studies to rule out any other underlying causes of your chest pain.

Question 3

My brother is 18 and we've discovered that he has high blood pressure readings around 14070 or sometimes 15070. We've done a bunch of tests like ECG, EKG, ultrasound, renal Doppler, TSH, echo, and urine metanephrine serum tests, and they all came back normal. The doctor mentioned something about essential hypertension and started him on amlong 2.5mg. But since that didn't help, his dose was bumped up to 5mg. I just got a BP monitor, and his readings were 13078 in the morning and 14770 in the evening. I'm seriously concerned because he's so young and is managing to exercise regularly with a healthy BMI. What could be causing this, and how can we help lower his BP?

Accepted Answer

It's good that your brother has been proactive in monitoring his blood pressure and leading a healthy lifestyle. Despite these measures, essential hypertension can sometimes be challenging to control. Since the morning blood pressure reading is within a normal range, it's important to continue monitoring at different times of the day. In cases where blood pressure remains elevated, the dosage of the medication may need to be adjusted further. I recommend discussing with the doctor about potentially increasing the dose of Amlong to 7.5mg or exploring other medication options such as Telma (Telmisartan) 40mg. Additionally, lifestyle modifications such as reducing salt intake, maintaining a healthy diet, regular exercise, and stress management techniques can also help in managing blood pressure levels. Regular follow-ups with the doctor for monitoring and adjustments are essential in managing hypertension effectively."

I'm experiencing all the symptoms that feel like angina. I've had chest pain, shortness of breath when walking, pain in my left arm, and jaw pain. I already did an ECG and an echocardiogram, and they came back normal. Should I have more tests done?

Visit your Physician for appropriate management

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