Question 1

I've been feeling something a bit strange lately  whenever I lie down, especially on my side or stomach, I can actually feel my heart beating. And when I press my ear to the pillow, I can hear it clearly in my ears. Ive already had an ECG, echo, and thyroid tests, and everything came back normal. My blood pressure and heartbeat are normal too. I dont have any other symptoms, so Im wondering what this could be or if it's something I should be worried about. What should I do next?

Accepted Answer

u don't worry nothing will happen

Question 2

I've just gotten some test results back and I'm a bit concerned. Most things seem to be in the normal range except for my Vitamin D 25 hydroxy and lipid profile. My Vitamin D 25 hydroxy level is at 32. For my lipid profile, my cholesterol is 206, triglycerides are 337, HDL is 35, LDL is 103.5, and VLDL is 67.5. Should I be consulting a physician or maybe even a cardiologist about this? I'm also curious about what precautions or medications I should consider to help lower my lipid profile and increase my Vitamin D 25 hydroxy levels.

Accepted Answer

Your vitamin D 25 hydroxy levels are lower than the normal range, and your lipid profile, specifically cholesterol and triglycerides, are elevated. To address these issues, you can take the following steps: 1. For Vitamin D deficiency (25 hydroxy level of 32): - You can take Vitamin D supplements such as "Calcirol" 60,000 IU once a week for 8 weeks, followed by maintenance therapy of "Uprise D3" 60,000 IU once a month. - Spend more time in sunlight as it helps in natural synthesis of Vitamin D. 2. For high lipid profile: - To lower cholesterol, you can take statin medications such as "Atorvastatin" 20mg once daily. - To lower triglycerides, you can take medications like "Fenofibrate" 160mg once daily. - Additionally, focus on a healthy diet low in saturated fats, cholesterol, and simple sugars. - Regular exercise and weight management can also help improve lipid levels. It is advisable to follow up with a physician for further evaluation and monitoring of your lipid profile and vitamin D levels.

Question 3

I'm having some trouble with breathlessness and occasional chest pain. I got an ECG, and it came back normal, but a 2D echo showed mild concentric LVH with reduced diastolic compliance, grade 1. Everything else seemed fine. My hemoglobin is at 6.7, blood pressure at 16090, and pulse at 105. Cholesterol levels are total 149, triglycerides 94, HDL 55, and LDL 100. I also have some gastric issues, and the breathlessness feels better after I burp. Do you think this is something I should be worried about, or is it okay?

Accepted Answer

Given your symptoms of breathlessness and chest pain, the mild concentric LVH with reduced diastolic compliance noted in your 2D echo, high blood pressure of 16090, and significantly low hemoglobin level of 6.7, there are multiple areas needing attention. While your ECG and cholesterol levels are normal, the combination of LVH, hypertension, and anemia requires medical management. Addressing your anemia is crucial, as it can contribute to your breathlessness and fatigue. Managing your blood pressure through medication adjustments and lifestyle changes is also important. Since your breathlessness is relieved by burping, addressing any gastrointestinal issues such as acid reflux is necessary. Follow up with your cardiologist for ongoing monitoring and management of the LVH and reduced diastolic compliance.

ECHO report is normal

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