Question 1

I'm really concerned about some pain I've been experiencing. It started about four months ago with chest pain and pain in my left arm. I went to a doctor who said it might be gastric issues, but I was worried so I saw a cardiologist. They did a chest X-ray, a TMT, and an echo 2D, and everything came back negative. My relative, who's a doctor, suggested it might be muscle pain or cervical spondylosis, but I still have this persistent pain in my left arm along with a burning sensation. I've read about anxiety causing these kinds of symptoms, but the pain is also in my neck, jaw, left arm, shoulder, and chest. I'm really hoping for some clarification on what might be going on. What could be causing these symptoms, and what should I do next?

Accepted Answer

Visit your Physician for evaluation and appropriate management

Question 2

I've been noticing my heart feels like it's pounding pretty hard, especially after eating. Before meals, my blood pressure seems normal, but once I've had something to eat, it shoots up to around 130. Could this be linked to any vitamin deficiencies ...

Accepted Answer

The symptoms you are experiencing may be related to a condition called postprandial hypotension, which is a sudden drop in blood pressure after eating. To help manage this, you can try increasing your fluid and salt intake, eating smaller meals more frequently, and avoiding high-carb or high-sugar foods. Additionally, you may benefit from taking medications like Midodrine to help stabilize your blood pressure. However, it is important to consult with your healthcare provider for a proper diagnosis and treatment plan.

Question 3

I'm really concerned about some health issues I'm experiencing. My recent CT scan indicated pulmonary artery hypertension at 30 MM, and they recommended a 2D Echo, which thankfully came back normal. But I still have some symptoms like shortness of br...

Accepted Answer

Based on your symptoms and test results, it is important to address the Pulmonary artery Hypertension, syncope, fatigue, and elevated eosinophils. The birth control pills for PCOS may also be contributing to your symptoms. Here is a suggested plan: 1. Pulmonary artery Hypertension with 30 MM: - Start treatment with a medication like Sildenafil (Revatio) to help reduce pulmonary artery pressure. The usual dose is 20 mg three times a day. - Follow up with a cardiologist for further evaluation and management. 2. Syncope and unsteadiness: - Consider a referral to a neurologist for evaluation of your symptoms. - In the meantime, increase your fluid and salt intake to help with orthostatic symptoms. 3. Elevated eosinophils and inflammation markers: - Given your elevated eosinophils and CRP, further evaluation for underlying inflammatory conditions may be needed. - Consider a trial of corticosteroids like Prednisone to help reduce inflammation. The usual starting dose is 20-40 mg per day. 4. Fatty Liver: - Follow a healthy diet low in saturated fats and sugars. - Consider a liver support supplement like Ursodeoxycholic acid (UDCA) to improve liver function. 5. PCOS and birth control pills: - Birth control pills can sometimes worsen conditions like pulmonary hypertension. Consider alternative methods of contraception. - Consult with an endocrinologist for a review of your PCOS management and potential adjustments to your treatment plan. It is important to follow up with your healthcare provider for further evaluation and management. Regular monitoring of your symptoms and test results is crucial in determining the effectiveness of the treatment plan.

Question 4

I'm having breathing problems and it's been going on for a week now. I even went for an ECG and it came back normal. I've dealt with gastritis before and was on meds for it. Could this gastritis be causing my shortness of breath?

Accepted Answer

Yes, gastritis and other gastrointestinal issues like acid reflux can sometimes cause or contribute to shortness of breath. This happens due to the proximity of the stomach to the diaphragm, which can become irritated and lead to feelings of chest discomfort or shortness of breath. Since your ECG is normal, its less likely that your symptoms are heart-related. However, its important to manage your gastritis effectively and monitor your symptoms. If your breathing problems persist or worsen, consult your healthcare provider for further evaluation to rule out other potential causes and ensure you receive appropriate treatment.

Question 5

I'm really curious and a bit worried about how long someone with RHD can live when they're on penicillin treatment. I started taking Penidure injections when I was just 10 years old and I'm still on them. I was wondering if it's okay to switch to Pen...

Accepted Answer

RHD patients can survive with treatment with penicillin for a long time, often throughout their lifetime to prevent complications such as rheumatic fever. - The duration of penicillin treatment varies depending on the individual's condition, but it is commonly recommended to be taken continuously to prevent recurrent infections. - Penidure injection is a common form of penicillin used for RHD treatment. As a substitute, Pentides tablets can be taken. The usual dosage of Pentides tablets for RHD treatment is 300 mg once a month. - RHD patients may face complications after marriage if they do not continue with their penicillin prophylaxis, as the risk of recurrent rheumatic fever increases with inadequate treatment. Regular follow-ups with a healthcare provider are important to monitor the condition and adjust treatment as needed.

Question 6

I've been dealing with anxiety disorder since the pandemic, and I'm 32 now. I don't have a family history of high blood pressure, but because of anxiety, my readings were 14090 and 13080. The doctor put me on medication almost a year ago, and now my ...

Accepted Answer

It's great to hear that you have been able to reduce your weight and that your blood pressure has improved with Revelol 25 (Metoprolol). It's important to continue taking your blood pressure medication as prescribed by your doctor, even if your blood pressure readings have improved. High blood pressure can be managed with lifestyle changes like weight loss, but sometimes medication is still necessary for long-term control. It's best to follow your doctor's advice regarding the duration of treatment with Revelol 25 to effectively manage your blood pressure and prevent any complications associated with hypertension.

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Related Questions

I've been noticing my heart feels like it's pounding pretty hard, especially after eating. Before meals, my blood pressure seems normal, but once I've had something to eat, it shoots up to around 130. Could this be linked to any vitamin deficiencies ...

I'm really concerned about some health issues I'm experiencing. My recent CT scan indicated pulmonary artery hypertension at 30 MM, and they recommended a 2D Echo, which thankfully came back normal. But I still have some symptoms like shortness of br...

I'm having breathing problems and it's been going on for a week now. I even went for an ECG and it came back normal. I've dealt with gastritis before and was on meds for it. Could this gastritis be causing my shortness of breath?

I'm really curious and a bit worried about how long someone with RHD can live when they're on penicillin treatment. I started taking Penidure injections when I was just 10 years old and I'm still on them. I was wondering if it's okay to switch to Pen...

I've been dealing with anxiety disorder since the pandemic, and I'm 32 now. I don't have a family history of high blood pressure, but because of anxiety, my readings were 14090 and 13080. The doctor put me on medication almost a year ago, and now my ...

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