Question 1

I've been noticing this feeling of palpitations or a flickering sensation in my chest about two or three times a day, and it lasts between 5 to 10 seconds. I had some tests done, like an ECG, an echo, and a TMT, and they all came back normal. Should I be worried about this, or is this something that can happen even if those tests are alright? Is there anything else I should consider or do?

Accepted Answer

Experiencing palpitations or flickering in the chest for brief periods, despite normal ECG, echo, and TMT results, is often benign and can be related to factors such as stress, caffeine intake, anxiety, or hormonal fluctuations. While these sensations can be unsettling, they are usually not a cause for concern if cardiac tests are normal. To manage these symptoms, consider reducing caffeine and alcohol intake, practicing stress-relief techniques such as mindfulness or yoga, and ensuring adequate hydration and sleep. If the palpitations persist or worsen, consult your healthcare provider for further evaluation and to discuss additional monitoring, such as a Holter monitor, to capture intermittent episodes.

Question 2

My mom's having some trouble with hypertension. Her systolic measurement sometimes hits 123, and the diastolic is around 95 and even reaches 98 occasionally. I'm really concerned about why her blood pressure isn't considered normal or stable, especially when it sometimes goes up to 140 over 102. What could be causing these fluctuations?

Accepted Answer

Your mother might be showing early signs of developing systemic hypertension. Regular monitoring of her blood pressure will confirm the diagnosis, and she can be consequently started on a anti-hypertensive regimen of medication. Lifestyle modifications with dietary changes may be necessary for maintaining a healthy blood pressure. It is best to consult a physician who will monitor her progress over a long period of time.

Question 3

I'm really worried about my dad. He just had angioplasty with stents put in last month, and now he's dealing with a heavy cold, runny nose, and watery eyes that wont quit. He's already on a bunch of meds for his coronary disease, so I'm hesitant about what to give him for relief. Do you think cetrizine is okay to help with the runny nose, or is there anything else you'd recommend that won't mess with his existing meds?

Accepted Answer

For treating the cold symptoms without interfering with his current medications, you can give your father cetirizine. The recommended dosage for cetirizine is 5-10mg once daily. This antihistamine will help relieve his runny nose and watery eyes without causing significant interactions with his coronary disease medications.

Ecg and x-ray chest is advised to the patient.

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