Question 1

I'm noticing that my heart rate goes up whenever I eat eggs or meat, and it's a bit worrying because I've already consulted a cardiologist who said I don't have any heart problems. What could be causing this?

Accepted Answer

Increased heart rate after consuming certain foods like eggs or meat could be due to food sensitivities or allergies. In some cases, certain food additives or preservatives can also trigger such a response. To help manage this, you can try taking an antihistamine like Cetirizine (brand name Zyrtec) at a dose of 10mg before consuming these foods. Additionally, you can also try avoiding these trigger foods to see if your symptoms improve.

Question 2

I'm wondering if taking L Montus FX and Medral 4mg for a long time to manage my dust allergy is actually safe. Are there any serious side effects I should be worried about if I continue using them? It's been a while, and I'm a bit concerned about the long-term effects on my health. Can you advise if it's okay or if I should consider any alternatives?

Accepted Answer

_Hypothyroidism Management: Next Steps_

Your TSH level of 14.33 indicates hypothyroidism. Consult an endocrinologist or a primary care physician for proper management.

_Initial Steps:_

1. *Thyroid hormone replacement therapy*: Your doctor will likely prescribe synthetic thyroid hormones (e.g., levothyroxine) to replace the deficient hormones.
2. *Initial dosage*: A typical starting dose is 25-50 mcg of levothyroxine, which may be adjusted based on your response.
3. *Regular TSH monitoring*: Schedule follow-up appointments every 6-8 weeks to monitor your TSH levels and adjust the dosage as needed.

_Lifestyle Modifications:_

1. *Dietary changes*: Ensure adequate iodine intake through foods like seafood, dairy, or iodized salt.
2. *Selenium-rich foods*: Include selenium-rich foods like Brazil nuts, fish, or turkey in your diet.
3. *Regular exercise*: Engage in moderate-intensity exercise, like brisk walking, to help manage hypothyroidism.

By working closely with your healthcare provider and making lifestyle modifications, you can effectively manage your hypothyroidism and achieve a normal TSH level.

Question 3

I'm a 28-year-old woman and for the last couple of months, I've been having some trouble with my breathing off and on. My ECG came back normal, but my RBCs were a bit low at 9.8. I saw a doctor and they gave me antiallergic meds, but they haven't really helped. I'm thinking it might be something to do with allergies because the issue started around wheat harvesting season. There's no wheezing or any sleep discomfort, but it does feel like my deep breaths get interrupted. Can allergies last this long? I'm not having any fever or throat pain, and my tonsils seem fine. Could this breathing trouble be linked to PNS? How can I find out if allergies are the real cause? This is the only health problem I'm dealing with right now.

Accepted Answer

yes PNS can cause, do spirometry, chest x ray ,allergy testing ,blood tests

Patient is advised absolute eosinophil count ,x-ray chest pa view.

More Allergist and Clinical Immunologist Health Queries

I'm noticing that my heart rate goes up whenever I eat eggs or meat, and it's a bit worrying because I've already consulted a cardiologist who said I don't have any heart problems. What could be causing this?

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