apollo
  • Male
  • 74 Years
  • 22/01/2025

I'm really worried about this situation where someone feels tired and uneasy in their chest after walking a short distance. Even though all the medical tests like the blood sugar, ECG, and X-ray came back normal, they still need to rest before they can keep going. What could be causing this, and what should we do next?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like your symptoms could be related to angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Since your check-up results were normal, it's important to continue monitoring your symptoms and follow up with your doctor if they persist or worsen. In the meantime, you can try taking a medication like Aspirin 75mg once daily to help improve blood flow to the heart and reduce the risk of blood clots. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief (0.4mg every 5 minutes, up to 3 doses). Remember to always carry your nitroglycerin with you in case of emergency. If your symptoms continue, further evaluation by a cardiologist may be necessary.

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really struggling and could use some advice. Ive been feeling exhausted for the past three years and I'm dealing with severe shortness of breath. My mornings start with a really bad headache, and my resting heart rate is consistently high, hovering around 100 to 110, and it shoots up to 180 to 200 just by climbing a single flight of stairs. My weight is normal, so Im confused about what might be causing this. I used to be pre-hypertensive with a blood pressure of 137 over 91, and then I was on Inderal la 20 in July and August of last year. Now, my BP usually sits in the 95 over 83 or 100 over 85 range when I'm resting, which makes me wonder why my pulse pressure is so low. I was diagnosed with allergic rhinitis and allergic bronchitis in January, and Ive been taking mondeslor for the past two months, but Im not seeing any improvement. Ive done a pulmonary function test, ECG, and echo, and they all came back normal. I don't have anxiety issues and generally, I'm a calm person. It's all pretty frustrating, and its impacting my everyday life. What could be going on?

It sounds like you are experiencing symptoms of fatigue, dyspnea, headaches, and low pulse pressure despite being on Inderal LA 20 for hypertension. Since your PFT, ECG, and echo results are normal, it is important to consider other possible causes for your symptoms. Given your history of allergic rhinitis and allergic bronchitis, it is possible that your symptoms could be related to an underlying respiratory issue. Considering your symptoms and medical history, I would recommend discussing with your doctor the possibility of trying a different medication for your allergic conditions. You may benefit from a nasal corticosteroid spray such as Flonase (fluticasone) for allergic rhinitis and an inhaled corticosteroid like Qvar (beclomethasone) for allergic bronchitis. These medications can help reduce inflammation in your airways and improve your breathing. In addition, since you are experiencing persistent headaches, your doctor may consider prescribing a medication like Propranolol (Inderal) at a higher dose to help with both your headaches and high heart rate. It is important to follow up with your doctor regularly to monitor your symptoms and adjust your treatment plan as needed. Overall, it is important to continue working closely with your healthcare provider to determine the underlying cause of your symptoms and find an appropriate treatment plan.

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Ecg and chest x-ray pa view is advised to the patient.

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My dad has a heart condition and fluid retention issues. He's on all the right meds and treatments but still gets really low on energy sometimes can't even do his usual daily activities. Is this normal or could there be something specific causing it? Also wondering if surgery might be an option for his condition

A detailed evaluation will help decide the best course of action.

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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.