Question 1

I'm really worried about my grandma. She's 87 and has no history of diabetes, high blood pressure, or heart disease; but she recently had a silent heart attack. She started complaining of breathlessness a few days later, and tests showed a weakened heart. They treated the pulmonary edema with lasix, and her pulse saturation seems stable now. Should we consider going for angioplasty?

Accepted Answer

Rabies Risk from Indian Bats

_Rabies Transmission_

1. _Yes, Indian bats can transmit rabies_: Like any other mammal, bats can carry and transmit the rabies virus through bites or scratches.
2. _Risk is low but present_: While the risk of contracting rabies from a bat is relatively low, it's essential to take precautions.

_Post-Exposure Prophylaxis (PEP)_

1. _PEP is recommended_: If you've been bitten, scratched, or exposed to bat saliva, seek medical attention immediately.
2. _PEP includes_: Immediate washing of the wound, administration of rabies immunoglobulin, and a series of rabies vaccinations.

_Precautions Around Bats_

1. _Avoid direct contact_: Never touch or handle bats, even if they appear healthy.
2. _Wear protective gear_: If you need to handle bats, wear gloves, a mask, and protective eyewear.
3. _Seal entry points_: Prevent bats from entering your home by sealing all entry points.

_Managing Fear and Anxiety_

1. _Education is key_: Learning about bats and rabies can help alleviate fears.
2. _Seek professional help_: If your fear is impacting daily life, consider consulting a mental health professional.

Stay safe and informed!

Question 2

I've been experiencing a rapid heartbeat and palpitations with no specific timing. Sometimes it feels like my heart is sinking. I've had an ECG and TMT, and both came back normal. I also have hypothyroidism, and my doctor thinks it might be due to anxiety. I'm wondering if I should get any other tests to rule out heart disease. What do you think?

Accepted Answer

Based on your symptoms and the normal ECG and TMT results, it is likely that your palpitations and fast heart rate are indeed related to anxiety, especially given your history of hypothyroidism. However, if you still have concerns about ruling out any underlying heart disease, you may consider getting a Holter monitor test to monitor your heart rhythm continuously for a period of time. This can help detect any irregular heartbeats that may not show up on a standard ECG. Additionally, an echocardiogram may be considered to assess the structure and function of your heart. In the meantime, managing your anxiety through relaxation techniques, regular exercise, and stress-reducing activities can also help alleviate your symptoms.

Question 3

I'm experiencing something strange after starting my TB medication. My heart beats really fast while I'm sleeping and even after I wake up. I don't have shortness of breath, just a persistent headache, and it's really bothering me because it's affecting my sleep. There's no cough either, just this constant headache and rapid heartbeat throughout the day. My blood pressure is around 13070. What could be causing these symptoms?

Accepted Answer

Continue same treatment as advised by the physician.

I've been feeling really worn out and having a hard time sleeping because of my breathing troubles. I recently found out my ejection fraction is at 40. I'm super worried about it and want to know what I can do to feel better and improve my situation. Any advice on how to handle this?

consult cardiologist

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