- male
- 55 Years
- 22/01/2025
I'm really worried about my dad who's 55 and has diabetes and high blood pressure. He went for a cardiac check-up about 10 days ago. The ECG came back abnormal but the 2D echo was normal, and the TMT report was positive. They started him on clopitab 75mg along with his regular meds for BP and diabetes, and now they've advised an angiogram. But here's the thing, he has no chest pain or symptoms, and he walks daily. I'm wondering if a CT angio might be a better option since it uses barium dye, and if the calcium score is negative, wed know theres less risk for a cardiac arrest. Could you give me some advice on this?
Answered by 1 Apollo Doctors
Follow advice of your cardiologist
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?
Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm experiencing a really high heart rate, like around 111 to 115, and I'm also dealing with dry eyes and a loss of appetite. Could these be connected to my fast heartbeat? What might be causing all this? Would love some guidance.
A high heart rate, dry eyes, and loss of appetite can be related to various medical conditions. One possible reason for your symptoms could be hyperthyroidism, which is an overactive thyroid gland. In this case, I would recommend you to consult with a doctor for proper diagnosis and treatment plan. In the meantime, you can take Propranolol (Inderal) 10mg twice a day to help lower your heart rate.
Answered by 1 Apollo Doctors
I'm worried about my blood pressure and want to make sure I'm using the right type of salt. Is rock salt a good option for someone with high blood pressure? And how much salt should I really be consuming each day to stay healthy?
For people with high blood pressure, it is recommended to use iodized salt with reduced sodium content. Rock salt, also known as Himalayan pink salt, is not recommended for individuals with high blood pressure due to its high sodium content. The recommended daily intake of salt for adults is about 5 grams, which is approximately one teaspoon. It is important to monitor your salt intake to help manage high blood pressure.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.