Question 1

I'm trying to make sense of my blood report, and I'm a bit worried. It showed 60mmhr ESR and 45 lymphocytes. I learned a bit about ESR, but I'm not sure what steps I should take next. I've also been dealing with sinusitis, headaches at the back of my head, shoulder pain, and occasional dizziness that makes walking tough. My urine test came out normal, but I'm unsure what other tests I should consider. Could you help guide me on what to do next?

Accepted Answer

Consult a specialist, such as an ENT doctor, rheumatologist, or immunologist, to discuss your elevated ESR (60mmhr) and lymphocytes (45%) levels, and symptoms like sinusitis, headache, shoulder pain, giddiness, and difficulty walking, and they may recommend further tests, such as CRP, ANA, RF, vitamin B12, and MRI or CT scans, to rule out underlying conditions like infections, autoimmune disorders, or neurological issues, and develop a personalized treatment plan.

Question 2

I'm a bit concerned about my test results. My mean platelet volume is showing 14.6, but my platelet count is within the normal range at 157, and my WBC is also normal. Could you help me understand what this all means?

Accepted Answer

High mean platelet volume is nothing to worry about.. It happens in micronutrient deficiency easily corrected

Question 3

I'm really worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told s...

Accepted Answer

Given the information that your mother's TMT (treadmill test) result is strongly positive and she has had chest pain along with an abnormal ECG, it suggests a significant likelihood of coronary artery disease (CAD). An angiogram (CAG - coronary angiography) is the next appropriate step as it will provide a detailed view of the coronary arteries to identify the presence, location, and severity of any blockages. This test is crucial for determining the best treatment plan, which may involve medications, angioplasty, or coronary artery bypass grafting (CABG) depending on the findings. Please follow your cardiologist's recommendations and proceed with the angiogram for a definitive diagnosis and treatment plan.

Question 4

Hey, I'm reaching out because my dad, who's 57, is dealing with some serious mitral regurgitation and his LVEF is just 30. The doctors here have mentioned a MITRACLIP surgery as a possible solution. Could you tell me where in India we can get this su...

Accepted Answer

"Hi, for mitral regurgitation with low LVEF, MITRACLIP surgery is a good option. In India, you can consider getting the MITRACLIP surgery done at hospitals like Apollo Hospitals, Fortis Hospitals, or Medanta - The Medicity. These hospitals have experienced cardiac surgeons who can perform the procedure successfully. It is important to consult with the cardiologist and surgeon at the chosen hospital to discuss the procedure in detail and plan for the surgery. The dosage and specific brand of medications post-surgery will be prescribed by the treating doctor based on your father's condition."

Question 5

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and ...

Accepted Answer

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

Question 6

I'm having some health anxiety these past few months, especially about my heart, like cardiophobia, I guess. Because of this, I've been experiencing pain in my left hand, from my arm down to my fingers. I'm really worried and can't help but wonder, i...

Accepted Answer

Health anxiety, or cardiophobia, can indeed cause physical symptoms like pain in the left arm, as anxiety can manifest with muscle tension and heightened sensitivity to bodily sensations. Since you have had normal cardiac tests and evaluations, it's likely that anxiety is contributing to your symptoms. It's important to address your anxiety through appropriate methods such as cognitive-behavioral therapy (CBT), relaxation techniques, regular exercise, and possibly medication if recommended by a healthcare provider. Consulting with a mental health professional can provide you with tools to manage your anxiety and reduce the physical symptoms you're experiencing.

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Related Questions

I'm a bit concerned about my test results. My mean platelet volume is showing 14.6, but my platelet count is within the normal range at 157, and my WBC is also normal. Could you help me understand what this all means?

I'm really worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told s...

Hey, I'm reaching out because my dad, who's 57, is dealing with some serious mitral regurgitation and his LVEF is just 30. The doctors here have mentioned a MITRACLIP surgery as a possible solution. Could you tell me where in India we can get this su...

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and ...

I'm having some health anxiety these past few months, especially about my heart, like cardiophobia, I guess. Because of this, I've been experiencing pain in my left hand, from my arm down to my fingers. I'm really worried and can't help but wonder, i...

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