Question 1

I'm feeling really uneasy because for the past 4 months I've been having these weird jerks and palpitations in my chest that last just a couple of seconds. They come and go without any warning. It's like my heart just stops for a moment, and it's really awkward when it happens, although there's no chest pain. I exercise regularly and all my tests like ECG, 2D ECHO, HOLTER ECG, BP, FBS, and Thyroid profile came back normal. But these feelings haven't stopped and I'm scared. Could these jerks be signs of something serious like a cardiac arrest or any other heart issues? What's causing them and the palpitations? I've even felt some pain around the right side of my chest and I'm worried does this relate to cardiac problems, or is it only the left side that's dangerous?

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

Last updated on 22 Jan 2025

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Accepted Answer

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

Question 2

I'm dealing with mild diastolic dysfunction, tricuspid regurgitation, and mitral regurgitation. My left ventricular ejection fraction is 55. I'm a little concerned and just wondering how often I should see a cardiologist. Can you tell me more about m...

Accepted Answer

Having LV diastolic dysfunction, along with TR and MR, all mild, with LVEF of 55 means you have a mild heart condition. You should visit your cardiologist regularly for follow-up appointments to monitor your condition. It is recommended to see your cardiologist at least every 6-12 months or as advised by your doctor. In terms of your present condition, with mild LV diastolic dysfunction, TR, and MR, and an LVEF of 55, you are in a stable condition. You may continue with your normal daily activities, including chores and climbing stairs. However, it is important to avoid excessive physical exertion and follow a heart-healthy diet. For your heart condition, your cardiologist may prescribe medications such as ACE inhibitors like Lisinopril or ARBs like Losartan to help manage your blood pressure and reduce the workload on your heart. They may also recommend beta-blockers like Metoprolol to help improve heart function. Additionally, diuretics like Furosemide may be prescribed to reduce fluid buildup in your body. Remember to follow your cardiologist's advice closely and attend all scheduled follow-up appointments for proper management of your heart condition.

Question 3

I've been having some health issues since June 10th. Initially, it was mild but seems to have gotten worse. I even got a COVID test done on June 17th, and thankfully it was negative. The main issues are shortness of breath, especially after meals or ...

Accepted Answer

"Based on your symptoms and the medications you have been prescribed, it seems like you may be experiencing acid reflux or gastroesophageal reflux disease (GERD) along with some respiratory symptoms. Since you have already seen a Pulmonologist and undergone tests which did not show anything serious, you may consider consulting a Gastroenterologist for further evaluation and management of your symptoms. Regarding your current medications: 1. Montair Fx (Montelukast + Fexofenadine) - Take it daily for allergies and respiratory symptoms. Dosage: As prescribed by your doctor. 2. Mucotab ET 600mg (Etophylline + Theophylline) - Take three times a day for respiratory symptoms. Dosage: 600mg three times a day. 3. PAN D (Pantoprazole) - Take it twice a day for acid reflux. Dosage: As prescribed by your doctor. 4. Etilaam - Take it once at night for anxiety or sleep issues. Dosage: As prescribed by your doctor. Since you have not seen improvement after 8 days of medication, it would be advisable to follow up with a Gastroenterologist for further evaluation and management. They can provide additional guidance and treatment options for your symptoms."

Question 4

I've been told that my cholesterol is really high at 396 and my triglycerides are at 910. I'm only 37 and I'm pretty worried about what this means for my health. What steps should I take to get these numbers down?

Accepted Answer

You have high cholesterol and high triglycerides at a young age of 37. To help lower your cholesterol and triglyceride levels, you can start by making lifestyle changes such as following a healthy diet low in saturated fats and sugars, exercising regularly, and maintaining a healthy weight. In addition to lifestyle changes, your doctor may prescribe medications to help lower your cholesterol and triglyceride levels. For high cholesterol, medications such as Atorvastatin (brand name Lipitor) at a starting dose of 10-20 mg once daily may be prescribed. For high triglycerides, medications such as Fenofibrate (brand name Tricor) at a starting dose of 145 mg once daily may be recommended. It is important to follow your doctor's recommendations closely and have regular follow-up appointments to monitor your progress and make any necessary adjustments to your treatment plan.

Question 5

I've been dealing with sinus tachycardia, and my doctor suggested I try met xl 12.5 mg. I've been on it for a few days, and while my resting pulse rate has dropped a bit from 100 to 90 bpm, it still jumps to around 105-110 bpm when I'm doing normal a...

Accepted Answer

It is not recommended to adjust the dosage of Met XL without consulting your doctor. Increasing the dose from 12.5mg to 25mg should only be done under the supervision of a healthcare professional. They will assess your condition and determine if a dosage adjustment is necessary. Please consult your doctor for proper evaluation and guidance on the dosage adjustment and duration of treatment

Question 6

I'm curious about how long the TMT test results are valid for. Are they considered accurate or reliable for a specific period, like one month, two months, or maybe six months? I just want to ensure I'm understanding it right.

Accepted Answer

The TMT (Treadmill Test) is a diagnostic test used to evaluate the heart's response to exercise. The validity of a TMT test result depends on various factors such as the individual's medical history, risk factors, and current symptoms. In general, the validity of a TMT test result is not based on a specific time frame like 1 month, 2 months, or 6 months. It is more about the current health status of the individual at the time of the test. If you have concerns about the validity of a previous TMT test result, it is best to consult with your healthcare provider for further evaluation and guidance.

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Related Questions

I'm dealing with mild diastolic dysfunction, tricuspid regurgitation, and mitral regurgitation. My left ventricular ejection fraction is 55. I'm a little concerned and just wondering how often I should see a cardiologist. Can you tell me more about m...

I've been having some health issues since June 10th. Initially, it was mild but seems to have gotten worse. I even got a COVID test done on June 17th, and thankfully it was negative. The main issues are shortness of breath, especially after meals or ...

I've been told that my cholesterol is really high at 396 and my triglycerides are at 910. I'm only 37 and I'm pretty worried about what this means for my health. What steps should I take to get these numbers down?

I've been dealing with sinus tachycardia, and my doctor suggested I try met xl 12.5 mg. I've been on it for a few days, and while my resting pulse rate has dropped a bit from 100 to 90 bpm, it still jumps to around 105-110 bpm when I'm doing normal a...

I'm curious about how long the TMT test results are valid for. Are they considered accurate or reliable for a specific period, like one month, two months, or maybe six months? I just want to ensure I'm understanding it right.

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