Question 1

I'm really worried about this ongoing pain I've been having. I've had pain in my left chest, shoulder, arm, and leg for about 56 months now. I got all the tests done like ECG, 2D echo, and a chest X-ray, and they were all fine, but that was 34 months ago. However, they did find a vitamin D deficiency, and there was something about my cervical spine in the X-ray. Now, for the past 34 days, I've been experiencing pain in my left jaw too. Should I be concerned that this is related to my heart or do you think there's something else I need to look into? What would be your advice on what to do next?

Accepted Answer

Given your symptoms and previous tests, it is important to consider the possibility of angina or heart-related chest pain. Since you are experiencing left jaw pain along with other symptoms, it is advisable to consult a cardiologist for further evaluation. In the meantime, you can take a low dose of aspirin (75-100mg) as a precautionary measure. Additionally, continue to address your vitamin D deficiency with supplements and follow up on your cervical issue with appropriate treatment.

Question 2

Hey there doc, I'm a 38-year-old guy working in software, and I've noticed something strange lately. My resting heart rate used to be between 60-65 bpm when I'd check it after waking up, and that's when I was working out regularly. I was doing weight training five days a week focusing on different muscle groups each day. But ever since the lockdown and not being able to hit the gym for about two months, I've seen my resting heart rate drop to 50-55 bpm. It's weird because I thought it'd go the other way around without my workouts. Do you think this is something I should be concerned about or is it normal? What's happening here?

Accepted Answer

it's great that you are monitoring your resting heart rate regularly. A decrease in resting heart rate can be a normal response to regular exercise and improved cardiovascular fitness. Since you have stopped your weight training routine for the past 2 months due to the lockdown, it is expected to see a decrease in your resting heart rate. However, if you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a resting heart rate of 50-55 bpm is generally considered normal for physically active individuals. I recommend staying physically active with alternative home workouts or activities to maintain your cardiovascular fitness. Additionally, ensure you are getting adequate rest and managing stress levels. If you have any concerns or experience any unusual symptoms, it is always best to consult with a healthcare professional for personalized advice and evaluation

Question 3

I'm really worried about my father. He's 65 and has been dealing with diabetes for about 7 years now. Usually, his normal blood pressure is around 11075, but today I checked and it was 17080. His pulse rate is 90 and his oxygen saturation is 98. Does this seem normal or should I be concerned about these numbers? What should I do next?

Accepted Answer

Given your symptoms, I recommend consulting an:

1. *ENT (Ear, Nose, and Throat) Specialist*: As dizziness can be related to inner ear issues, such as benign paroxysmal positional vertigo (BPPV).
2. *Neurologist*: To rule out any underlying neurological conditions that might be causing your dizziness.
3. *General Physician*: If you're unsure about which specialist to consult, start with a general physician who can evaluate your overall health and refer you to a specialist if needed.

Before consulting a doctor:

1. *Keep a symptom journal*: Track when the dizziness occurs, how long it lasts, and any triggers you notice.
2. *Monitor your blood pressure*: Ensure your blood pressure is within a healthy range.
3. *Stay hydrated*: Drink plenty of water throughout the day.

During the consultation:

1. *Share your medical history*: Inform your doctor about your previous experience with dizziness 3 years ago.
2. *Describe your symptoms*: Provide detailed information about your dizziness, including when it occurs, how long it lasts, and any triggers you've noticed.

I've already had my echo about three weeks ago because I was having chest pain. I'm still worried and wondering how many days I should wait before going for another test. Could you help me out with this?

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