Question 1

I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?

Accepted Answer

It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.

Question 2

I've been dealing with these palpitations for the past three years. I've gone through all the heart-related tests like ECG and 2Decho, and everything seems to be normal. I recovered from jaundice about five years ago, and I don't smoke or drink or have insomnia. But every time I eat or lie down comfortably, I start feeling this sensation in my throat and the back of my head. My blood pressure is typically around 12585, and my pulse is usually 100. But after meals, my BP creeps up to 13590, and my pulse hits 120. Doctors have suggested I take propranolol 10mg, but it doesnt seem to help. What could be going on?

Accepted Answer

Considering your symptoms and the ineffectiveness of propranolol, you may benefit from a calcium channel blocker such as Verapamil. I recommend taking Verapamil 120mg twice daily to help control your palpitations and regulate your heart rate. Additionally, practicing stress-reducing techniques and maintaining a healthy lifestyle can also help manage your symptoms.

Question 3

I've been dealing with this nose bleeding issue for years, but after I started taking clopilet, it just seemed to get worse. At first, I was on the 150mg dose with my other meds like ecospirin, but when the bleeding got out of hand, I reduced to 75mg, and still no improvement. I even saw an ENT specialist who gave me a calcium supplement for a bit, but I'm still bleeding. Could the clopilet be causing this, and what else can I do to manage it? I'm kind of stuck here and really need some advice.

Accepted Answer

The nose bleeding may be due to the antiplatelet medication Clopilet. Since the bleeding continued even after reducing the dosage, it is important to address this issue. I would recommend discussing with your doctor about switching to an alternative antiplatelet medication such as Brilinta (Ticagrelor) or Plavix (Clopidogrel) to see if the nose bleeding improves. Additionally, continue taking Ecospirin as prescribed. If the bleeding persists, further evaluation may be needed to determine the underlying cause of the nose bleeds.

I'm feeling a pulse in the right side of my neck, especially noticeable when I'm lying down. Is this something I should be worried about? Could it be a sign of something serious? Just want to know if there's anything suspicious going on.

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

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