Question 1

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Question 2

Im a bit worried about my heart rate. Ive noticed that when I wake up or when Im sleeping, it's usually around 80 to 90 beats per minute. But once Im up and about during the day, it jumps to over 100 and sometimes even hits 120 beats per minute. Im curious about why this is happening and what I can do to manage it. Any advice on how to handle this situation?

Accepted Answer

It sounds like you may be experiencing episodes of tachycardia, which is a condition where your heart rate is consistently elevated. I recommend you to consult with a doctor for proper diagnosis and treatment plan. To help manage your symptoms, you can try using a beta-blocker medication such as Metoprolol (25-50mg) once daily to help regulate your heart rate. Additionally, practicing stress-reducing techniques, maintaining a healthy diet, and staying hydrated can also help in managing your heart rate.

Question 3

I'm 22 years old and I smoke regularly. Lately, I've been experiencing a tight feeling and pain in my chest and back over the past few days. I'm not sure if it's related to my heart, lungs, or maybe something gastric? It gets worse whenever I lift something heavy or if I try to get up quickly from bed. What could be causing this, and should I be concerned?

Accepted Answer

gastritis take tab pantop 40 mg for 3 days

I've been feeling a pinching pain in my heart every now and then, just for a few seconds. It's got me worried. Is this something serious or is it considered normal?

confirm by taking ECG wheather is due to gastritis or heart related issue

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