Question 1

I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back normal, which was a relief. But just a few days ago, the chest pain came back and the ECG now shows a T wave abnormality, possibly anterior ischemia. I'm really worried about what this could mean. Is this something I should be seriously concerned about, and what do you think my next steps should be?

Accepted Answer

Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.

Question 2

I had an angioplasty on February 14th, and they did it through my right arm. It's still hurting, and I can't stretch it properly. I've taken painkillers, but the pain just wont go away. What can I do about this?

Accepted Answer

Its common to experience pain and discomfort in the arm after an angioplasty, especially if the procedure was done through the arm. I recommend following up with your doctor to ensure there are no complications. In the meantime, gentle stretching and using a warm compress might help ease the pain.

Question 3

I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

Accepted Answer

Continuous bleeding 3 months post-delivery is not normal. This condition is known as postpartum hemorrhage (PPH) or prolonged lochia.

_Possible Causes_

1. _Hormonal imbalance_: Changes in estrogen and progesterone levels can cause irregular bleeding.
2. _Uterine atony_: The uterus may not have contracted properly after delivery, leading to excessive bleeding.
3. _Retained placental tissue_: Small pieces of placenta may still be present in the uterus, causing bleeding.
4. _Infection_: Uterine infection or endometritis can cause prolonged bleeding.

_Remedies and Solutions_

1. _Consult your doctor_: Schedule an appointment with your obstetrician to rule out any underlying conditions.
2. _Ultrasound scan_: Your doctor may recommend an ultrasound scan to check for retained placental tissue or other abnormalities.
3. _Hormonal treatment_: Your doctor may prescribe hormonal medications to help regulate your menstrual cycle and reduce bleeding.
4. _Antibiotics_: If an infection is suspected, your doctor may prescribe antibiotics to treat it.

_When to Seek Immediate Medical Attention_

1. _Heavy bleeding_: If you experience heavy bleeding, soaking more than 2-3 pads or tampons per hour.
2. _Severe abdominal pain_: If you experience severe abdominal pain, cramping, or tenderness.
3. _Fever_: If you have a fever above 100.4F (38C).
4. _Dizziness or fainting_: If you experience dizziness, lightheadedness, or fainting.

Ent opinion.

More Cardiology Health Queries

I had an angioplasty on February 14th, and they did it through my right arm. It's still hurting, and I can't stretch it properly. I've taken painkillers, but the pain just wont go away. What can I do about this?

I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

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