- Female
- 23 Years
- 07/02/2025
I'm feeling a strong pulse in my chest and throat when I'm sleeping. If I stay in the same position for about half an hour, I really start to notice it, but it seems to stop when I change positions. During the day, I'm super energetic and don't have any issues, but this pulse thing keeps happening at night when I'm trying to sleep. Should I be worried about this? What could be causing it?
Answered by 1 Apollo Doctors
This sensation of feeling your pulse in your chest and throat while sleeping is known as pulsatile tinnitus. It can be caused by various factors such as high blood pressure, anemia, thyroid disorders, or even stress and anxiety. To address this issue, you can try managing stress levels, maintaining a healthy lifestyle, and ensuring proper sleep hygiene. If the symptoms persist or worsen, it is recommended to consult a healthcare professional for further evaluation and management. In the meantime, you can try taking a low dose of propranolol (Inderal) under the guidance of a doctor to help alleviate the sensation of pulsatile tinnitus while sleeping.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
1
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View allI've been taking propranolol 10mg for my anxiety whenever needed, and it's been a big help. But lately, I've had to take it every day for about a week, and now I'm experiencing this sharp, stabbing pain in the center of my chest that goes to my back. I'm not sure if it's just anxiety or something more serious. I'm a healthy 26-year-old guy, and my resting heart rate is between 52 and 56 bpm, but sometimes it drops into the 40s. I do have a history of gastroparesis. Do you think this chest pain could be an issue related to the medication or something else going on?
The symptoms you are experiencing could be related to the propranolol medication. Chest pain is a known side effect of propranolol, especially in individuals with a history of heart conditions. Given your symptoms and medical history, it is important to consult your healthcare provider as soon as possible to evaluate the chest pain and determine the appropriate course of action. In the meantime, it is advisable to avoid sudden discontinuation of propranolol as it can lead to withdrawal symptoms. If the chest pain is severe or persistent, seek immediate medical attention.
Answered by 1 Apollo Doctors
I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?
The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.
Answered by 1 Apollo Doctors
I'm curious about when to take Ecosprin AV75. I've heard it might be better to take it at night before bed, but can it be taken in the morning as well? Is there a significant difference, or does one time work better than the other? I'd love some guidance on this.
it is necessary to take the tablet at bedtime only.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.