Question 1

I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?

Accepted Answer

It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

Question 2

I'm really concerned because my dad had an angioplasty a few days ago, and they put in a stent. Since then, he's been having a really bad dry cough at night. The doctor gave us some medicine, but it doesnt seem to be making any difference. I'm worried this might affect his stent or his heart. Could this cough be connected to the procedure or the medication? What should we do next?

Accepted Answer

There are many possible explanations
What drugs is the patient currently on.  An ACE inhibitor can cause dry cough
Also what about his heart function sometimes CHF can also cause cough  consult cardiologist

Question 3

I'm really into sports and focus on my diet, but I've been wondering about something. Does eating high carbs actually increase VLDL cholesterol levels? And if so, what kind of carbs are more responsible for this hike? I've been sticking to complex carbs like brown rice, whole grains, and legumes. Just want to make sure I'm on the right track. Can you shed some light on this?

Accepted Answer

High carbohydrate intake, especially simple carbohydrates, can lead to an increase in VLDL cholesterol levels. Simple carbohydrates, such as those found in sugary foods and drinks, can raise VLDL levels more significantly compared to complex carbohydrates. Complex carbohydrates like brown rice, whole grains, and legumes are a better choice as they have a lower impact on VLDL cholesterol levels. To help lower VLDL cholesterol, you can continue consuming complex carbs like brown rice, whole grains, and legumes in your diet.

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

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