apollo
  • Female
  • 53 Years
  • 22/01/2025

I'm really anxious about my mom's recent TMT test results. They came back as mildly positive and I'm not sure if that's a good sign or something we should be worried about. Can you help me understand what this might mean for her health?

Doctor 1

Answered by 1 Apollo Doctors

An echo is advised and also caediac markers

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been having a really hard time with my sleep schedule. I tend to crash around 7 or 8 in the evening and can barely stay up past 9 p.m. It's like my body just shuts down after dinner, and I'm struggling to understand why this is happening. On top of that, I'm experiencing some other weird stuff. Whenever I sit down or stand up quickly, my heart starts racing like crazy, and it also happens if I suddenly fall onto the bed. I've heard of postural orthostatic tachycardia syndrome and anxiety symptoms, and I know they can cause things like this, along with heavy sweating and really dry skin. But even after trying anxiety meds, nothing seems to change. What could be going on with me? Any ideas?

It sounds like you may be experiencing symptoms of postural orthostatic tachycardia syndrome (POTS). POTS is a condition characterized by an abnormal increase in heart rate that occurs after sitting up or standing. The symptoms you described, such as racing heart when changing positions, feeling tired in the evening, and sweating, can be associated with POTS. For the symptoms of POTS, you can try increasing your fluid and salt intake, wearing compression stockings, and doing exercises to improve blood flow. Additionally, medications like midodrine or fludrocortisone may be prescribed to help manage your symptoms. It is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been checking my blood pressure over the past few days and my average reading is around 14090. When I checked it a second time, it was showing 13089. Is this something I should be concerned about? Can you give me some advice?

check BP for another 2 days , if more than 14090 mmhg u may require anti hypertensive medications..

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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