Question 1

I'm really worried because after recovering from COVID in May, I've been having chest pain that comes and goes. At first, it eased up but then returned. I had a couple of ECGs; one was normal, but three months later, it showed an irregular heartbeat, although all other tests came back normal. My doctor thinks it might be costochondritis since the pain is really sharp and in the upper rib area. Last night things got intenseI woke up suddenly with really strong palpitations. A doctor I know recommended some medications including Thiospas 4 mg, Tramadol, and Dexa 4 mg for 3 days, to be tapered slowly. I've already taken steroids during my COVID treatment for about 9 days, and I'm really anxious about taking them again. Should I go ahead with this treatment? I need advice quickly.

Accepted Answer

Its understandable to be cautious after taking steroids during COVID. Given that your chest pain and irregular heartbeat are likely due to costochondritis, the suggested medications may help, but steroids like Dexa should only be taken under close medical supervision. It's important to discuss your concerns with your doctor, especially about tapering off steroids safely.

Question 2

I've been dealing with chest tightness and pain for a few months now and even after visiting a cardiologist who did an echo, ECG, blood test, and chest X-ray, they said my heart is fine but mentioned that my cholesterol is a little high and prescribed some cholesterol tablets. Can you suggest any home remedies that might help with the chest tightness and pain? I'm really curious about other ways to manage this.

Accepted Answer

Since your heart has been cleared by the cardiologist and you have been prescribed cholesterol tablets, you can try some home remedies to help relieve chest tightness and pain. 1. **Garlic**: Garlic is known to help lower cholesterol levels. You can include fresh garlic in your diet or take garlic supplements after consulting with your doctor. 2. **Omega-3 Fatty Acids**: Foods rich in omega-3 fatty acids like fatty fish (salmon, mackerel, sardines), flaxseeds, and walnuts can help reduce inflammation and improve heart health. 3. **Fiber-rich Foods**: Eating a diet high in fiber from fruits, vegetables, whole grains, and legumes can help lower cholesterol levels. 4. **Physical Activity**: Regular exercise, as recommended by your healthcare provider, can improve heart health and reduce chest tightness. 5. **Stress Management**: Practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress and chest tightness. 6. **Avoid Smoking and Limit Alcohol**: Smoking and excessive alcohol consumption can worsen chest pain and tightness. Please continue taking your prescribed cholesterol tablets as directed by your doctor and incorporate these home remedies for additional support. If your symptoms persist or worsen, please consult your healthcare provider for further evaluation.

Question 3

I'm a bit worried about a possible heart issue. So, I was working and suddenly got this intense headache. I went to see a doctor, and my ECG was a bit off. The Troponin I test showed 0.15 while my BP was 144. The doctor advised me to rest for 45 days with some meds and said there's no need to worry. After two days, I checked my ECG and BP, and they were both normal. I'm really curious if there's still a risk of any heart stroke or damage. What do you think?

Accepted Answer

A sudden headache and an elevated troponin I level of 0.15 ngmL can be concerning, as troponin is a marker of heart muscle damage. However, since your ECG and blood pressure are now normal and your doctor advised rest and medication, it appears that any immediate risk has been managed. It's important to follow your doctor's advice, take your medication, and rest as prescribed. Additionally, continue to monitor your symptoms and follow up with your healthcare provider for any further evaluation or tests they recommend. If you experience any new or worsening symptoms, such as chest pain, shortness of breath, or another severe headache, seek medical attention immediately.

I'm really concerned about the long-term effects of beta blockers for managing hypertension. I've heard they might raise blood sugar and cholesterol levels. Can you suggest which beta blocker is the safest and has the least side effects?

Visit your Physician for evaluation and appropriate management

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