Question 1

I'm a 43-year-old guy, and I've been dealing with some chest pain, so I had an echocardiogram done. They found grade 1 diastolic dysfunction. My blood pressure's been a bit off too; usually, the systolic pressure is between 120 and 126, but the diastolic is always around 90 to 96. I've also been taking Roseday 10mg for a few months since my LDL cholesterol was slightly above the borderline. I'm really curious if I should be on any medication for my blood pressure and if I should be concerned about this diastolic dysfunction thing. Does it get worse over time?

Accepted Answer

Consider medication for high diastolic BP, especially since its consistently elevated.
Continue your current medication (Roseday) for cholesterol management, but ensure your BP is addressed as well.
Be proactive about lifestyle changes, such as diet, exercise, and stress management.
Regularly monitor your heart function and consult your cardiologist for any necessary adjustments.

Question 2

I'm really worried because ever since I had COVID, my pulse rate has been around 100 and I've been experiencing palpitations. My doctor suggested I get an echocardiogram done, and I've attached the report here. Can you tell me if everything looks normal? I'm particularly concerned about the mention of trivial tricuspid regurgitationdoes that need treatment?

Accepted Answer

Trivial TR is a normal finding in healthy heart. Your echo is normal. Post covid palpitations are also seen in many patients. However if the symptoms are severe enough, you may need some medication.

Question 3

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest X-ray came back normal, and I don't have any blood pressure or other health issues. What could be going on?

Accepted Answer

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, *always consult your doctor before switching medications*.

_Augmentin 625 Duo vs. Azithral 500_

Both are effective antibiotics, but:

1. *Augmentin 625 Duo*: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. *Azithral 500*: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

- You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
- Your tonsillitis is caused by a macrolide-sensitive bacterium

However, *your doctor should determine the best course of treatment* based on your medical history, allergy status, and the severity of your symptoms.

I'm really worried about my mom. Shes got low blood pressure at 11060 and her pulse rate is high at 94. Shes feeling dizzy and hasnt been able to sleep well. What should we do about this? Any advice would be really appreciated.

Normal. if u get symptoms like vcough,breathing difficulty, tremors,seizures immediately physician opinion is advised to the patient.

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