Question 1

I've been noticing these splinter hemorrhages under my fingernails again, and it's making me worried. I had endocarditis when I was 16 and needed antibiotics through a pic line and heart surgery for mitral valve repair when I turned 18. I'm 23 now and these hemorrhages keep showing up just like before. I'm really concerned it could be related to my past condition. What do you think I should do?

Accepted Answer

It sounds like you may be experiencing recurrent splinter hemorrhages, which can be a concerning sign given your history of endocarditis and heart surgery. To address this issue, I recommend consulting with your healthcare provider to evaluate the possibility of endocarditis recurrence or any other underlying causes. In the meantime, you can consider taking antibiotics such as Amoxicillin 500mg twice daily for a week to prevent any potential infection from worsening. Additionally, maintaining good nail hygiene and avoiding trauma to the nails can help prevent further splinter hemorrhages.

Question 2

I'm a bit concerned about some of my recent health numbers and would love some insight. My creatinine level came back at 0.66, my HbA1c is 6.3, and my triglycerides are at 208. Also, my LDL is 100.40. On top of that, I'm dealing with blood pressure issues. Can you help me understand what these numbers mean for my overall health and if there's anything specific I should be doing or watching out for?

Accepted Answer

Your creatinine level is within normal range. Your HbA1c level is slightly elevated, indicating borderline diabetes control. Your triglyceride level is high, and your LDL cholesterol level is also elevated. For your blood pressure problems, you can start taking a combination medication like Telmisartan 40mg + Amlodipine 5mg once daily to help control your blood pressure. Additionally, you can take Atorvastatin 20mg at night to help lower your LDL cholesterol level. It is also important to make lifestyle changes such as following a healthy diet, exercising regularly, and avoiding smoking and excessive alcohol consumption to improve your overall health.

Question 3

I'm feeling really anxious because my heartbeat keeps increasing suddenly, and I get this chest pain. I had an echo test, and it came back normal. I also did Holter monitoring, which showed my maximum heart rate was 141, the minimum was 59, and the average was 80. What could be going on with me, and what should I do next?

Accepted Answer

Your symptoms of increased heartbeat, ghabrahat (anxiety), and chest pain could be due to anxiety or a heart condition. Since your echo and halter monitoring results are normal, it is less likely to be a serious heart issue. To manage your symptoms, you can try taking a beta-blocker medication like Metoprolol (brand name: Lopressor) at a low dose of 25mg once daily. This can help control your heart rate and reduce the feelings of palpitations and chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises, yoga, or meditation can also help alleviate anxiety symptoms. It is important to stay hydrated, get regular exercise, and maintain a healthy diet to support your overall heart health. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

I'm trying to figure out if my ECG looks normal or if I should see someone about it. Could you help me understand what's going on with the T waves in leads II, III, aVF, V3, V4, V5, and V6? I'm feeling really anxious about this.

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