Question 1

I'm really concerned about some recent blood test results. If my white blood cell count is high, but my lymphocytes are low and the polymorphs are elevated, what could that mean? Should I be worried about any specific condition?

Accepted Answer

Pregnancy,auto-immune diseases,alcohol intake ,nutritional deficiencies.infection, cancer,radiotherapy or chemotherapy..etc..

Question 2

I recently got an ECG done that showed IRBBB, and after that, I had an echocardiogram and TMT, which both turned out normal. Should I be doing these tests every year? And do you know why the IRBBB showed up in my ECG? Is there any treatment I should consider for this?

Accepted Answer

Intermittent Right Bundle Branch Block (IRBBB) is a common finding in electrocardiograms and is usually considered a benign condition, especially if other cardiac tests such as echocardiogram (echo) and exercise stress test (TMT) are normal. It is not typically associated with any symptoms or specific treatment. In your case, since your echo and TMT results were normal, there may not be a need to repeat these tests every year unless your doctor specifically recommends it based on your overall health condition. IRBBB can sometimes be a normal variant or can be associated with underlying heart conditions, so it is important to follow up with your healthcare provider for further evaluation and guidance. If you do not have any symptoms and your other cardiac tests are normal, no specific treatment may be necessary for IRBBB. However, it is important to maintain a healthy lifestyle, including regular exercise, balanced diet, and avoidance of smoking and excessive alcohol consumption to promote overall heart health.

Question 3

I've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin D and some past hyperthyroid issues, everything looks normal. My thyroid levels are okay now, and the antibody tests came back fine. They say I have panic attack anxiety and hypochondriasis. I mean, all my tests like ECGs, TMT, chest X-ray, ultrasound, and endoscopy are normal, and even my cholesterol levels are fine. Still, I can't shake off this weird feeling, like I'm scared of having a heart attack because of the chest pain. I can run long distances without any problems. Oh, and I should mention that I smoke 2 to 3 cigarettes a day, and I used to drink heavily, but I've quit that. I'm just trying to figure out if this is just anxiety playing tricks on me or if there's something actually wrong with my heart. Any advice?

Accepted Answer

It sounds like you have been thoroughly evaluated for your left side chest pain and all the tests have come back normal, indicating that there is nothing wrong with your heart. Given your history of panic attacks, anxiety, and hypochondriasis, along with the normal cardiac tests, it is likely that your symptoms are related to anxiety rather than a cardiac issue. To help manage your anxiety and chest pain symptoms, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety. Additionally, you may benefit from a selective serotonin reuptake inhibitor (SSRI) such as sertraline (Zoloft) or escitalopram (Lexapro) for long-term management of anxiety. It is important to continue practicing healthy habits such as quitting smoking completely, maintaining a balanced diet, exercising regularly, and managing stress through relaxation techniques or therapy. If you continue to experience chest pain or anxiety symptoms, it would be advisable to follow up with a mental health professional for further evaluation and management. Remember, it is essential to prioritize your mental health and well-being in addition to physical health.

U can try exercise and diet control with low dose artorvastatin

More Cardiology Health Queries

I'm really concerned about some recent blood test results. If my white blood cell count is high, but my lymphocytes are low and the polymorphs are elevated, what could that mean? Should I be worried about any specific condition?

I recently got an ECG done that showed IRBBB, and after that, I had an echocardiogram and TMT, which both turned out normal. Should I be doing these tests every year? And do you know why the IRBBB showed up in my ECG? Is there any treatment I should consider for this?

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