Question 1

I've been dealing with high blood pressure around 175110 and usually manage it with Amlopress AT, but lately, Ive had to take Calcigard 5mg and Lasix 40mg to try and control it. It seems to help for a bit, but then my pressure goes right back up after a few hours. What could be causing this, and is there something else I should be doing or considering? My pulse is around 63 if thats important.

Accepted Answer

. It seems like your blood pressure is not well controlled with the current medication. I would recommend discussing with your doctor about adjusting your treatment plan. In addition to your current medications, you may benefit from adding a different class of antihypertensive medication such as an ACE inhibitor or a beta-blocker. For example, you can consider adding a medication like Concor 5mg (beta-blocker) or Ramipril 5mg (ACE inhibitor) to help better control your blood pressure. It's important to follow up with your doctor for further evaluation and management.

Question 2

I've been feeling this sharp pain on the left side of my chest, and it's got me worried. It seems to flare up whenever I climb stairs or if I try to sleep on my left side. Does this sound like anything serious? Should I be concerned about it, or is t...

Accepted Answer

Based on your symptoms, it is possible that you may be experiencing musculoskeletal pain or even a cardiac issue. However, it is important to rule out any serious conditions such as a heart attack. I recommend you to take an immediate ECG test and consult a cardiologist. In the meantime, you can take Acetaminophen 500mg for pain relief.

Question 3

I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine inc...

Accepted Answer

Chronic chest pain lasting several months with normal cardiac tests such as ECG, 2D Echo, and TMT, along with normal lipid profile and thyroid tests, suggests that the pain might not be heart-related. Since you can perform activities like brisk walking and running without pain, its less likely to be ischemic heart disease. Possible causes of your chest pain could include musculoskeletal issues (like costochondritis or muscle strain), gastrointestinal problems (such as GERD or gastritis), or anxiety-related symptoms. Given the persistence of your symptoms, it might be beneficial to consult with a gastroenterologist or consider a musculoskeletal evaluation. Additionally, managing stress and anxiety with practices like mindfulness or therapy can also help. Please follow up with your healthcare provider to explore these potential causes further.

Question 4

I'm really confused about my TMT report. It says the test is negative, but one doctor mentioned it might actually be positive. The cardiologist did an echo test too, and that turned out normal. He said there's nothing to worry about, but I'm still co...

Accepted Answer

If the report mentions TMT negative, it indicates a normal result where no significant changes were observed during the test. Since your cardiologist also conducted an echo test which came back normal and reassured you that there is nothing to worry about, it is unlikely that there is a cause for concern regarding your TMT results. It is important to follow your cardiologist's advice and continue with any recommended follow-up appointments or tests. If you have any further concerns, please consult with your cardiologist for personalized advice.

Question 5

I'm concerned because I've noticed my triglycerides are really high at 603, but my total cholesterol, LDL, and HDL are in the normal range. I'm a bit worried about this and I'm wondering what medication I should consider taking for the high triglycer...

Accepted Answer

High triglyceride levels, like a reading of 603 mgdL, significantly increase the risk of cardiovascular conditions and pancreatitis. While high triglycerides themselves typically do not cause an elevated heart rate, they can indicate underlying metabolic issues that might contribute to overall cardiovascular stress. It's essential to address these elevated levels promptly.

Your healthcare provider may prescribe medications such as fibrates (e.g., fenofibrate), omega-3 fatty acids, or statins to lower triglycerides. Additionally, lifestyle changes are crucial, including adopting a low-fat, low-sugar diet, regular physical activity, weight management, and reducing alcohol intake.

Given your elevated heart rate (100-116 bpm), it's also important to have this evaluated, as it could be related to various factors such as anxiety, thyroid issues, or other underlying conditions. Please consult with your healthcare provider for a comprehensive evaluation and personalized treatment plan.

Question 6

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be l...

Accepted Answer

Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.

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I've been feeling this sharp pain on the left side of my chest, and it's got me worried. It seems to flare up whenever I climb stairs or if I try to sleep on my left side. Does this sound like anything serious? Should I be concerned about it, or is t...

I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine inc...

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