Question 1

Every time I smoke weed, I start feeling this pain in my left shoulder and arm. It began in early February, and I've been smoking marijuana since January 2016. I know I have generalized anxiety disorder, and I'm anxious about heart attacks because I heard weed can speed up heart rate. I've been to doctors many times and had several EKGs, Cardiac Enzyme Tests, and even a resting Electrocardiogram. They all said my heart's fine, and so did my cardiologist, though I never mentioned my weed use to them. The pain sometimes happens when I'm not high, but it definitely seems worse when I am. I get really in my head about this stuff when I'm high. Im aware that sudden heart attacks from weed are super rare and that lots of people over 50 use it, but I'd still like some advice on how to feel more at ease. I'm a 17-year-old male, not very active, weighing 240 lbs, and my resting heart rate is between 65 and 80 BPM.

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain exacerbated by your anxiety when using marijuana. Given your history of generalized anxiety disorder and the fact that your shoulder and arm pain worsens when you smoke weed, it's important to address both the physical and psychological aspects of your symptoms. To help alleviate your symptoms and manage your anxiety, I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for your shoulder and arm pain. Additionally, considering your anxiety, you may benefit from therapy or counseling to address your worries and fears related to using marijuana. In terms of your anxiety about heart issues, it's reassuring that your cardiac tests have come back normal. However, it's essential to consider the impact of marijuana on your symptoms. To address your concerns about heart health while using marijuana, you may want to consider reducing or avoiding its use. It's also crucial to focus on maintaining a healthy lifestyle, including regular physical activity and a balanced diet, to support your overall well-being. If your symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management. Remember, taking care of your physical and mental health is essential. If you have any concerns or questions, don't hesitate to reach out for support.

Question 2

My sister's been having mild chest pain for the past couple of days. She got an ECG done, and while the doctor said everything was normal and it's due to acidity, I'm still a bit concerned because the ECG mentioned something about right axis deviation. Is this something we should be worried about? Can you shed some light on this?

Accepted Answer

yes acidity , u can take tab pan d oraly ,before food for 10 days ,avoid spicy foods..

Question 3

I've been dealing with hypertension for the past year and recently found out I have mild LVH. I'm currently taking nebivolol and amlodipine, but my blood pressure still won't go below 13585. I'm only 34, and I'm worried about why these meds aren't working. Is there something else I should consider doing or trying?

Accepted Answer

Managing hypertension with mild LVH (Left Ventricular Hypertrophy) requires a comprehensive approach.

_Current Medications_

1. _Nebivolol_: A beta-blocker that helps lower blood pressure and reduce LVH.
2. _Amlodipine_: A calcium channel blocker that helps relax blood vessels and lower blood pressure.

_Additional Strategies_

1. _Lifestyle Modifications_:
    - Regular aerobic exercise (at least 150 minutesweek)
    - Weight management (aim for a BMI between 18.5 and 24.9)
    - Balanced diet (emphasize fruits, vegetables, whole grains, and lean protein)
    - Stress reduction techniques (meditation, yoga, or deep breathing)
2. _Monitor and Adjust Medications_:
    - Regularly monitor blood pressure and adjust medications as needed.
    - Consider adding a diuretic or an ACE inhibitorARB to enhance blood pressure control.
3. _LVH Monitoring_:
    - Regular echocardiograms to monitor LVH progression
    - Adjust medications and lifestyle modifications accordingly

_Consult a Specialist_

Consider consulting a cardiologist to reassess your treatment plan and provide personalized guidance.

It depends on age But. < or =14090 is ok

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