Question 1

I'm really worried about some recent health reports I've got. My TSH levels were high at 10.3, so my doctor increased my thyroid medication from 100mg to 125mg. Then after about 25 days, my TSH dropped to 0.70, and I was advised to cut down the medication to 75mg. I'm also confused because my TMT test came back positive for inducible myocardial ischemia, but my ECG and echocardiography were normal. The doctor is now suggesting I go for an angiogram. I'm really anxious about whether these thyroid level changes could be affecting my TMT results. Should I be rushing into getting the angiogram, and is there a real chance of having heart issues even though the ECG and echo were normal? Any advice would be really appreciated.

Accepted Answer

Yes  its is due to fluctating tsh levels. U may repeat angio after 6 months.

Question 2

I've been having this burning sensation in my left arm for the last four months. It happens even when Im just resting and not doing anything. It's accompanied by shoulder pain, mild chest pain sometimes, and other weird pains in my upper abdomen, neck, and jaw. Ive gone through a bunch of tests like ECG, Echo, 2D X-ray, and stress TMT, and they all came back normal. I've been told it's just anxiety or maybe cervical spondylosis, but Im super scared and can't shake off this feeling that its a heart problem. Do you think these symptoms could be related to some cardiac issue, or am I just overthinking?

Accepted Answer

From your description, it sounds like you may be experiencing symptoms related to anxiety and cervical spondylosis. The burning sensation in your left arm, shoulder pain, upper abdomen pain, muscle pains, neck pain, jaw pain, and mild chest pain could all be related to these conditions. Since your ECG, 2D echo, x-ray, and stress TMT results are normal, it is less likely to be related to a cardiac problem. To help with your symptoms, you can take medications like acetaminophen for pain relief and muscle relaxants for muscle pains. Additionally, you can use anti-anxiety medications like lorazepam to help with your anxiety symptoms. For cervical spondylosis, you can take medications like ibuprofen for pain and inflammation. It is important to also practice relaxation techniques, such as deep breathing exercises and mindfulness meditation, to help manage your anxiety symptoms. Physical therapy and neck exercises can also be beneficial for cervical spondylosis. Make sure to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 3

I'm experiencing something strange over the last couple of days. My pulse rhythm seems normal, but I've been having this weird fluttering sensation in my neck, kind of a vague feeling. It usually happens after I eat. I'm curious if this is something I should be concerned about. What could be causing this?

Accepted Answer

The symptoms you are describing, such as fluttering in the neck and a vague feeling, could be related to acid reflux or gastroesophageal reflux disease (GERD) causing esophageal spasms. I recommend trying over-the-counter antacids like Tums or Rolaids to see if it helps with the symptoms. Additionally, you can try avoiding spicy and acidic foods, eating smaller meals, and not lying down immediately after eating. If the symptoms persist or worsen, it is advisable to consult a healthcare professional for further evaluation and management.

I'm experiencing moments when my pulse rate shoots up to 200 or more, and it lasts for about 4 to 5 hours. Can you help me understand why this is happening?

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