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

I'm really concerned about my mom's health. Her ESR levels are incredibly high, sitting at 155, and she's been struggling with rheumatoid arthritis. Could you help me understand whether this is something we should be worried about and what potential impacts this might have on her condition?

Doctor 1

Answered by 1 Apollo Doctors

Causes of high esr includes infections like t.b, hepatitis, cancer , bacterial ifections, anaemia and arthritis..etc.. other investigations include RA factor and anti ccp tests is advised..

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm having this recurring pain in my left hand that comes and goes. I got an ECG, and it came out normal. I had a full body check-up at the end of September, and everything seemed fine, except they said I had a vitamin D and B12 deficiency and low hemoglobin. I'm also feeling this tightness on my left side of the chest, kind of near the shoulder. I've been dealing with acidity since May till August. With all these symptoms, I'm wondering if this could be related to acidity, or should I be worried about a heart problem? I'm currently taking Ambulax and Serlift once a day. What do you think might be going on here?

It sounds like you may be experiencing musculoskeletal pain or nerve-related pain in your left hand, possibly related to the tightness in your chest near the shoulder. Since your ECG is normal and you have a history of acidity, it is less likely to be a heart problem. The pain could be related to the vitamin deficiencies and low hemoglobin levels. To help with the pain and tightness, you can try taking a pain reliever like Tylenol (acetaminophen) as needed. Additionally, you can apply a topical pain relief cream like Volini gel on the affected area. For your acidity, continue taking Ambulax as prescribed. However, if the symptoms persist or worsen, it is advisable to consult with a doctor for further evaluation and management.

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I'm really worried about my dad. He's been having heart palpitations and his creatinine level is at 2.4. Do you have any advice or suggestions on how we can help him get better?

Heart palpitations can be concerning, especially with a high creatinine level. To help manage heart palpitations, your father can take Metoprolol (brand name: Lopressor) at a dosage of 25-50mg twice a day. It is important to also address the underlying cause of the high creatinine level, which may involve medications like Lisinopril (brand name: Prinivil) at a dosage of 10-20mg once a day to protect the kidneys. Additionally, it is crucial to follow a low-sodium diet and stay hydrated. Regular follow-ups with a healthcare provider are essential to monitor his condition.

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I've been experiencing a rapid heartbeat and palpitations with no specific timing. Sometimes it feels like my heart is sinking. I've had an ECG and TMT, and both came back normal. I also have hypothyroidism, and my doctor thinks it might be due to anxiety. I'm wondering if I should get any other tests to rule out heart disease. What do you think?

Based on your symptoms and the normal ECG and TMT results, it is likely that your palpitations and fast heart rate are indeed related to anxiety, especially given your history of hypothyroidism. However, if you still have concerns about ruling out any underlying heart disease, you may consider getting a Holter monitor test to monitor your heart rhythm continuously for a period of time. This can help detect any irregular heartbeats that may not show up on a standard ECG. Additionally, an echocardiogram may be considered to assess the structure and function of your heart. In the meantime, managing your anxiety through relaxation techniques, regular exercise, and stress-reducing activities can also help alleviate your symptoms.

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