- male
- 30 Years
- 22/01/2025
I'm experiencing some pinching and squeezing chest pains, and my heart rate seems to jump between 80 and 120 with some palpitations. The pain tends to be worse in the afternoons after I eat, but it also happens in the evenings, especially when I start thinking about stuff, even small thoughts make my heart rate go up but it does slow down after I get myself to calm down. I've done multiple ECGs, TM tests, and echoes, and they've all been normal so far. There is sinus tachycardia, though. I don't smoke or drink, but I'm dealing with a lot of anxiety and worry. My cholesterol is at 240 and my blood pressure is around 13090. My sugar levels are almost normal and I weigh 70 kgs with a 5.5 height. I follow a light veg South rice diet and don't eat meat. What's causing this chest pain and geyser-like hot sensation? It's really unsettling and causing me some social anxiety. I'm not married and I don't really have much of a social life. What should I do?
Answered by 1 Apollo Doctors
patient needs a psychiatric opinion
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
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View allI have high cholesterol and slightly elevated BP but I'm not on any medication for it - my surgery is scheduled for Friday and I'm a bit worried about how this might affect things should I be concerned
normal norhing to worry ok.
Answered by 1 Apollo Doctors
I'm 20 and was diagnosed with hypertension a couple of years back. With the chaos of COVID, my schedule was kind of all over the place, so I ended up taking my blood pressure meds around 2 in the afternoon. Whenever I check, my BP seems to hover around 13080 or 85. Is this considered controlled? Also, is it okay for me to start taking my BP meds after breakfast instead? I've always been under the impression that the effects of these pills only last about 12 hours, and then my BP might rise after that. I'm also undergoing psychiatric treatment and currently on metoprolol and amlodipine since my doctor stopped the telmisartan when COVID hit. Could you help me out here?
Your blood pressure reading of 13080-85 is within the normal range, but it is on the higher side of normal. To further control your blood pressure, you can consider taking your medications in the morning after breakfast. Metoprolol and amlodipine are commonly used to treat hypertension. You can take Metoprolol 50mg once daily in the morning after breakfast and Amlodipine 5mg once daily in the morning after breakfast as well. These medications work effectively to help lower your blood pressure throughout the day. It's important to continue monitoring your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan. Additionally, make sure to adhere to a healthy lifestyle, including a balanced diet, regular exercise, and stress management, to further support your blood pressure control.
Answered by 1 Apollo Doctors
I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it was around 2.5 before. My non-HDL cholesterol is 230.92. With all these numbers going up, am I at risk? What should I do to bring everything back to normal? Also, my triglycerides have improved a bit, now at 182 from 305, but I'm still concerned. Would appreciate some guidance.
Your cholesterol levels indicate that you are at an increased risk for cardiovascular diseases. To help lower your cholesterol levels and reduce your risk, you can make lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. Additionally, medication may be prescribed by your doctor to help manage your cholesterol levels. For your high LDL cholesterol, you can consider taking Atorvastatin (brand name Lipitor) at a dosage recommended by your healthcare provider. This medication helps lower LDL cholesterol levels and reduce the risk of heart disease. To improve your cholesterol ratios and overall lipid profile, you can also discuss with your doctor about taking Fenofibrate (brand name Tricor) at a suitable dosage. Fenofibrate helps lower triglycerides and non-HDL cholesterol levels, which can further reduce your cardiovascular risk. Remember to consult with your healthcare provider for personalized advice and monitoring of your cholesterol levels.
Answered by 1 Apollo Doctors
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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.