apollo
  • Male
  • 23 Years
  • 29/01/2025

I'm experiencing some issues and I'm pretty worried. I've been diagnosed with hypertension and I'm also noticing my hands are trembling quite a bit. Can you tell me what steps I should take or any advice on how to manage these? I would really appreciate your help.

Doctor 1

Answered by 1 Apollo Doctors

For hypertension and hand tremors, you can start by taking Atenolol 25mg once daily for hypertension. Additionally, you can take Propranolol 10mg twice daily for hand tremors. It is important to monitor your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and I'm attaching it here. Now and then, I still get these episodes. While my 2D echo and blood pressure are normal, I've been dealing with random chest pains that last just a secondsometimes on the right and then on the left. My stomach feels upset too, and I get really gassy during these times. I'm confused about what might be causing these ECG changes. Curiously, I never feel chest pain when jogging or exercising, only when I'm at rest. Different doctors have told me different things; some say it's normal, and others think it might be gas. What's really going on here? Should I be worried about these ECG changes?

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

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I'm really worried because I've been on amlogard 5 mg and olmesar 10mg for my blood pressure for the past five months. Now, my gastroenterologist has told me I have an intestine infection and said I should stop the olmesar. They suggested I take a different medication instead, but I'm not sure what I should switch to. Do you have any advice on what could work with the amlogard?

Ramipril 5 mg is the substitute for the medication and be taken,, salt restricted diet and dash diet also advised to the patient..

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I'm really concerned about a blockage in all three arteries. I'm worried but also wondering how much time we might have to safely delay surgery. Can you provide some guidance on this?

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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.