Question 1

I'm feeling pretty nervous lately, and I'm not sure why. About a week ago, I went to a gastro specialist because I was really bloated. I noticed the bloating happens whenever I have dairy products, which is still an issue now. I've attached my blood test results, and they show that my LDL and NON-HDL levels are high. Could you give me some advice on what steps I should take?

Accepted Answer

From your blood test results showing high LDL and NON HDL levels, along with your symptoms of bloating and nervousness, it is important to address your cholesterol levels and digestive issues. To lower your LDL and NON HDL levels, I recommend starting a medication called Atorvastatin. Additionally, since you are experiencing bloating with dairy products, you can try taking a lactase enzyme supplement like Lactaid before consuming dairy to help with digestion. It is also advisable to follow a low-cholesterol diet and engage in regular physical activity to improve your overall health. Make sure to follow up with your healthcare provider for further evaluation and monitoring of your cholesterol levels.

Question 2

I had a heart attack a couple of months ago and I'm 47. They put in a stent and I've been doing okay. I walk about 5km every morning without any issues. Is it safe for me to start using a treadmill or go for some cycling now? Also, what should my pul...

Accepted Answer

It's great that you are staying active after your heart attack. With a stent in place and your regular walking routine, you can gradually incorporate treadmill and cycling into your exercise regimen. When using the treadmill, aim to keep your heart rate within a safe range. For your age, a target heart rate during exercise is typically around 50-85% of your maximum heart rate. To calculate this, subtract your age from 220. So, for you, (220-47) = 173 beats per minute (bpm) is your estimated maximum heart rate. During treadmill exercise, aim to keep your heart rate between 85-147 bpm to ensure you are exercising safely. As for cycling, it is also a great cardiovascular exercise. Start slowly and gradually increase the intensity as tolerated. Pay attention to how your body responds and adjust accordingly. Remember to listen to your body, and if you experience any chest pain, dizziness, or unusual symptoms, stop exercising and seek medical attention.

Question 3

Hey, I'm a 23-year-old and lately, I've been noticing these pulses on the inner part of my foot. It's been a few days now, and I can't figure out whether it's normal or if it's linked to stress or something else. Should I be worried about this? Are t...

Accepted Answer

1) Feeling pulses in the inner area of your foot can sometimes be normal, especially if you are young and physically active. However, if this sensation is persistent or accompanied by other symptoms such as pain, swelling, or discoloration, it may be a sign of an underlying issue. I recommend consulting with a healthcare provider for a proper evaluation. 2) If you are concerned, your healthcare provider may recommend tests such as a Doppler ultrasound to assess blood flow in the foot, or a nerve conduction study to evaluate nerve function. These tests can help determine the cause of the pulsations and rule out any potential underlying conditions.

Question 4

I've been having this non-cardiac pain on the left side of my chest for years now. I've done various tests like X-rays, ECG, blood tests, and PFT, and they all came back normal. The doctors tell me it's nothing to worry about and suggest I just need ...

Accepted Answer

It sounds like you may be experiencing musculoskeletal chest pain, especially since all your tests have come back normal. This type of pain can be caused by inflammation in the muscles or joints in the chest wall. To help relieve your symptoms, you can try taking over-the-counter pain relievers such as acetaminophen. Additionally, you can apply a warm compress to the painful area and practice relaxation techniques to help manage any stress or anxiety that may be contributing to your symptoms. If the pain persists, you can also try using a topical pain relief gel containing diclofenac, applying it to the affected area up to 3-4 times a day. Remember to follow the recommended dosage instructions on the product packaging.

Question 5

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a feve...

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

Question 6

I'm a bit concerned after reading my eco report, and I need some clarity on a few things. It mentions "normal cardiac chamber" but then there's "concentric LVH grade lLVDD." What does that mean exactly? Also, it says "trivial MR" and "trivial AR"are ...

Accepted Answer

Based on the eco report provided, the findings indicate normal cardiac chambers with concentric left ventricular hypertrophy (LVH) and grade 1 left ventricular diastolic dysfunction (LVDD). There is trivial mitral regurgitation (MR) and trivial aortic regurgitation (AR) present. There are no regional wall motion abnormalities (RWMA) noted. The biventricular and diastolic functions are normal with a left ventricular ejection fraction (LVEF) of 60%. There are no intracardiac clots, vegetations (VEG), or pulmonary embolism (PE) observed. The interatrial septum (IAS) and interventricular septum (IVS) are intact. Based on the findings, no specific treatment is required at this point. Regular follow-up with your healthcare provider is recommended to monitor any changes in your cardiac health.

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Related Questions

I had a heart attack a couple of months ago and I'm 47. They put in a stent and I've been doing okay. I walk about 5km every morning without any issues. Is it safe for me to start using a treadmill or go for some cycling now? Also, what should my pul...

Hey, I'm a 23-year-old and lately, I've been noticing these pulses on the inner part of my foot. It's been a few days now, and I can't figure out whether it's normal or if it's linked to stress or something else. Should I be worried about this? Are t...

I've been having this non-cardiac pain on the left side of my chest for years now. I've done various tests like X-rays, ECG, blood tests, and PFT, and they all came back normal. The doctors tell me it's nothing to worry about and suggest I just need ...

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a feve...

I'm a bit concerned after reading my eco report, and I need some clarity on a few things. It mentions "normal cardiac chamber" but then there's "concentric LVH grade lLVDD." What does that mean exactly? Also, it says "trivial MR" and "trivial AR"are ...

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