Question 1

I'm really worried about my brother. He's been having some chest discomfort and mild pain that sometimes happens on the left side and other times in the center. He gets really nervous, and his heart rate spikes to around 90-98 bpm when this happens, but when he's more relaxed, it goes back down to about 68-72 bpm. He runs on the treadmill for 20 to 30 minutes at least five days a week and doesn't feel any discomfort during that time. Although he has an acidity and GERD problem, he's finished his course of medication and isn't taking any other tablets. His sugar and blood pressure are normal, and chest X-rays came back fine, with an orthopaedic saying it's nothing serious and just suggesting vitamins. He also feels pain at certain points when the chest is pressed. With all these symptoms, I'm wondering if it could be his heart, acidity, muscular, or maybe even a nerve issue. Do you think an angiography would be necessary given his normal reports so far?

Accepted Answer

Since all the reports are normal ,advised a psychiatric opinion for diagnosis of anxiety and other conditions..

Question 2

I'm 33 and my blood pressure can fluctuate - sometimes it's around 13590, other times closer to 13085. I've noticed that my heart rate isn't always consistent; sometimes I can really feel it, and other times not so much. It seems to get worse at night. Should I be worried about this? Is it something risky?

Accepted Answer

Your blood pressure readings are slightly elevated, but not in the high risk range. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and managing stress.

Question 3

I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?

Accepted Answer

Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.

I'm experiencing this weird vibration-like sensation in the upper left side of my chest that's been going on for a couple of days. Initially, I thought it was just acidity, but its been almost 45 days now. Any idea whats causing this and how I can fix it quickly?

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

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