Question 1

I'm dealing with high blood pressure, it's around 130180, and right now, I'm taking Stamlo 5. Should I be considering upping the dosage, or is there something else I should be doing?

Accepted Answer

consult general physician for the same

Question 2

I'm having this ongoing pain in my chest, left arm, and shoulder blade, and it's been going on for over six months now. I've had my ECG done a couple of times and it came back normal, but I'm still worried because I have a history of depression and was on medication for about a year and a half. My doctors mentioned it might be related to that. I've also had a few panic attacks in the last six months, and randomly I get chills all over. Just recently, I was doing some physical work when I felt a sharp chest pain radiating to my left arm. The weather was really hot that day, like 42 degrees. The doctors said not to worry, but I'm still concerned about this chest pain that seems to come out of nowhere. I'm also feeling some dull pain in my spine and disc area, and there are signs of cervical issues. Sometimes I feel suffocated or have this heaviness in the back of my head and shoulders. My physical shape isn't great either, and after eating, my left arm feels heavy with chest pain. Could this all be linked somehow or should I get a second opinion?

Accepted Answer

Based on your symptoms and history, it is important to consider the possibility of musculoskeletal issues, anxiety-related chest pain, and gastrointestinal concerns. To address the chest pain and discomfort in your left arm and shoulder blade, you can try taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle tension or spasms. For the dull pain in your spine and disc area, you can take **Ibuprofen** 400mg as needed for pain relief. Additionally, for symptoms of cervical issues, you can use a topical pain relief gel like **Diclofenac** gel applied to the affected area. To manage anxiety and panic attacks, you can consider taking an anti-anxiety medication like **Lorazepam** 0.5mg as needed for acute episodes. It is also important to practice relaxation techniques and seek therapy to address the underlying causes of your anxiety. For gastrointestinal symptoms such as chest pain after eating, you can try an antacid like **Omeprazole** 20mg before meals to help with acid reflux and indigestion. It is also advisable to maintain a healthy diet and avoid trigger foods that worsen your symptoms. Please note that these recommendations are based on the information provided, and it is important to follow up with your healthcare provider for a comprehensive evaluation and management plan.

Question 3

I'm really worried because I had Covid back in November 2020 and even though I got better with home quarantine, I've been having these palpitations. I was on Prolomet XL 12.5 for three months, but it was stopped and I don't have any other health issues. My weight is 85 kg and I'm 5 ft 7 in. Lately, I find myself googling symptoms a lot and after Covid, a few palpitations really made me anxious, and I think I've developed this fear of heart issues.

Between December and April, I had my ECG and 2D ECHO done twice and a 24-hour Holter monitoring, all of which came back normal. But now, for the past couple of days, I've been experiencing a little indigestion. Today, after lunch, I felt a mild pain around my heart, though it disappeared after a few seconds. Could this just be my anxiety, or should I get my heart checked out more thoroughly? Your advice would mean a lot.

Accepted Answer

Based on your history of palpitations post-Covid and your current symptoms of indigestion and mild pain in the heart area, along with normal ECG, 2D ECHO, and 24-hour Holter monitoring results, it is more likely that your symptoms are related to anxiety rather than a cardiac issue. To address your symptoms of anxiety and cardiophobia, I recommend continuing with lifestyle modifications such as regular exercise, stress management techniques, and maintaining a healthy diet. Additionally, you can consider therapy or counseling to help manage your anxiety. If your symptoms persist or worsen, you can discuss with your healthcare provider about starting a medication such as Escitalopram 10mg once daily to help with anxiety symptoms. However, it is important to continue monitoring your symptoms and follow up with your doctor regularly.

consult cardiologist

More Cardiology Health Queries

I'm dealing with high blood pressure, it's around 130180, and right now, I'm taking Stamlo 5. Should I be considering upping the dosage, or is there something else I should be doing?

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