Question 1

I'm dealing with high blood pressure, around 12090 most of the time, and I've got hyper acidity too. Whenever I get that acidity feeling, it seems like my BP shoots up, and I also have GERD. A doctor said I have LV hypertrophy but my echo test came back normal. What kind of treatments would you recommend for this?

Accepted Answer

It sounds like your high BP and acidity are connected, as stress from GERD and acidity can worsen hypertension. It's important to manage both with lifestyle changes, like a balanced diet, regular exercise, and medications as prescribed. For better control, consider antacids or PPIs for acidity, and BP medication to manage your levels. Regular follow-ups with your doctor are essential to monitor your heart and BP.

Question 2

I'm just about to hit 30 and have a 2-year-old at home. I recently got a blood test done, and I'm a bit concerned about my cholesterol levels. My total cholesterol is at 208, HDL is 46, non-HDL is 161, and LDL is 138. Do these levels mean I need to start any medication? For context, I weigh 75 kg, I'm 5'6", not diabetic, and my blood pressure usually tends to be on the lower side of normal. Are there specific lifestyle changes I should consider, or is medication the way to go here?

Accepted Answer

Based on your cholesterol levels, it seems like you are at average risk. However, your LDL cholesterol level is slightly elevated at 138 mgdL. To help lower your LDL cholesterol and reduce your risk of heart disease, you may consider taking a statin medication. I recommend discussing with your healthcare provider about starting a statin such as Atorvastatin at a low dose of 10 mg daily. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and weight management can also help improve your cholesterol levels.

Question 3

I'm 23 and don't have any bad habits like alcohol or smoking, but because of my IT job, I'm sitting in front of a laptop a lot. I do eat fast food occasionally. Recently, I've felt a needle-like pain in my right upper chest that only lasts a second, and it has me worried about my heart health. I stress over various things, and I noticed my pulse is usually between 92-100 bpm. This morning it was 97 bpm. Im just wondering if my lack of physical activity might be affecting my heart. Plus, I have some gastric issues too. What do you think might be going on?

Accepted Answer

It's important to address your concerns. The needle-like pain sensation in your right upper chest, occurring briefly, could be related to musculoskeletal issues or even gastric problems. Given your sedentary lifestyle and stress levels, it's advisable to incorporate some physical activity into your routine. To help with your gastric issues, you can try taking Omeprazole 20mg once daily before breakfast for a few weeks. Additionally, for your heart health and to manage stress, you can consider taking Propranolol 20mg twice daily. However, it's crucial to consult a healthcare professional for a proper evaluation and personalized treatment plan.

ecg and cardiac markers are advised to the pt.

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