Question 1

I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

Accepted Answer

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

Question 2

I'm really worried because I've been having this chest pain for the last 40 days. It used to be constant, but now it just comes and goes. I feel this heaviness in my left chest, and then it moves to the right. Sometimes there's this sharp pinch that lasts like two seconds, and I'm also burping a lot when I sit down. I've already done an ECG, which I've attached. Can you give me any advice or suggest any medication?

Accepted Answer

Based on your symptoms and ECG findings, it is important to rule out any cardiac issues. However, considering the description of your pain and symptoms, it could also be related to acid reflux or gastritis. I recommend starting with an antacid medication like **Omeprazole** 20mg once daily before breakfast for at least 2 weeks. Additionally, you can take **Simethicone** for relief from burping. It is important to follow up with your doctor for further evaluation and management.

Question 3

I've been diagnosed with restrictive cardiomyopathy and my doctor has put me on Dytor 5 Plus and Cardace 1.25. He mentioned I need to take these meds for 6 months, but I'm a bit worried about whether it's really safe to be on Dytor 5 Plus for such a long period. Could there be any side effects from taking it for 6 months or maybe longer?

Accepted Answer

No need to worry, follow your doctor advice

I've been checking my heart rate with my phone, and it usually reads between 90-100. I don't smoke, drink, or experience any stress, but sometimes my heart feels a bit heavy, even when I'm just resting. Is this normal? I'm 5.9 tall and weigh 75 kg.

An echo and ecg is advised.

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