Question 1

I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have diabetes or thyroid issues, and I don't smoke or drink. There's no family history of heart problems either, but my BP is 140, and my LDL and total cholesterol are high at 140 and 192, respectively. The doctors say I shouldn't worry and just manage my BP and LDL, but I still can't shake off this fear of a heart attack.

I often feel like I'm sinking or floating, and I get wobbly and fatigued when walking, sometimes even when I'm just resting. These feelings mostly hit me in the evenings, all the way until I go to sleep. I find myself worrying all the time, and there's just no joy or excitement in my day-to-day lifeit affects my ability to do daily activities.

Can you help me figure out what's going on? Do you think I need any more tests, or is there something else I should be doing? What's causing all these issues?

Accepted Answer

It sounds like you are experiencing anxiety and panic attacks rather than a heart problem, especially since your heart tests have come back normal. Your symptoms of feeling like sinking and floating, wobbling, fatigue, and worry are common in anxiety disorders. It's good that you are focusing on controlling your blood pressure and LDL levels. To address your anxiety symptoms, you can try relaxation techniques, such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce anxiety. In some cases, therapy or counseling may be beneficial. For your elevated blood pressure and LDL levels, your doctors may prescribe medications to help manage them. For high blood pressure, medications like Amlodipine or Losartan can be prescribed. For high LDL levels, medications like Atorvastatin can be used to lower cholesterol levels. It's important to continue following up with your doctors for regular check-ups and to discuss any new or worsening symptoms. If you continue to experience anxiety symptoms, you may benefit from a consultation with a mental health professional for further evaluation and management.

Question 2

I'm having this chest pain thats been bothering me for a few weeks now. It's mostly in the center but kinda leans more to the left side. It feels like a dull ache, quite like back pain, but its on the outer wall of the chest. I already had an ECG, and it came back normal, so my doctor thinks it might just be a muscle strain. But how can I really know for sure it's muscle strain and not something more serious?

Accepted Answer

It is muscle sore , take anti inflammatory tablets  like aceclofenaca . You will be fine

Question 3

I'm feeling a bit worried about this uneasy sensation in my chest that comes and goes. I know I tend to have hypertension, although my blood pressure is currently at 12878. I'm already on medication for high blood pressure and high triglyceride levels, but my latest ECG showed something about sinus arrhythmia, even though it mentioned no significant abnormalities. Can you help me understand what this means and if there's something I should be doing?

Accepted Answer

You are experiencing chest discomfort and have a history of hypertension and high triglyceride levels. Your current blood pressure is 12878 and your ECG shows sinus arrhythmia with no significant abnormality. Considering your medical history, it is important to continue with your current medications for high blood pressure and high triglyceride levels. In addition, to address the uneasy feeling in your chest, you can take a medication like Ranitidine (Zantac) 150mg twice daily before meals to help with any potential acid reflux or gastritis symptoms that may be causing your discomfort. Make sure to follow up with your healthcare provider for further evaluation and management.

I'm feeling palpitations in my jaws and neck, and I'm really concerned. Are these palpitations something that comes and goes, or could they be a permanent issue? Is there a treatment or cure for them?

-Palpitations are usually harmless and often pass on their own, triggered by stress, anxiety, or other temporary factors. If they persist or occur frequently, it's important to consult a doctor for proper evaluation and treatment. In most cases, they can

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