Question 1

My mom's been having issues with her high BP lately. She was on Telsartan 50 earlier, and then the doctor switched her to Amlip 5 about four months ago. It seemed okay at first, but now her BP is getting out of hand again. I'm really worried and wondering what could be causing this. Could it be that Amlip 5 isn't as effective for her as Telsartan was, or could something else be affecting her BP levels?

Accepted Answer

Dietary Tweaks:*

1. Increase protein intake: Include lean protein sources like chicken, fish, lentils, and legumes.
2. Fiber-rich foods: Add more fruits, vegetables, and whole grains.
3. Healthy fats: Nuts, seeds, avocados, and olive oil.
4. Hydration: Drink plenty of water (at least 8-10 glassesday).
5. Portion control: Eat smaller, frequent meals.

*Non-Exercise Weight Loss Strategies:*

1. Stress reduction: Meditation, deep breathing, or yoga.
2. Sleep optimization: 7-8 hoursnight.
3. Walking breaks: Take short walks during work hours.
4. Desk stretches: Simple exercises at your workstation.
5. Active commuting: Walk or cycle to work, if possible.

Question 2

I'm a 27-year-old female and my heart rate seems unusually high, usually over 100, sometimes even reaching 130 beats per minute, even when I'm resting. All my tests, like Spo2, ESR, vitamin levels, thyroid, lipid, and many more have come back normal, including the NT-proBNP. But I just can't shake off this feeling of worry about my heart. The doctors didn't seem to focus much on the heartbeats, though, and asked me to get an MRI spine for my pain.

I often experience upper back pain, a heavy feeling in my head, shortness of breath, and sometimes pain in my left breast and shoulder blade. It's less when I'm in bed but gets severe when I'm sitting or working. With my heart rate always on the high side at my age, is this something to be concerned about? Also, why did my doctor order an MRI and not more heart-related tests?

Accepted Answer

While your symptoms are concerning, its reassuring that you've had normal cardiac markers and blood work, which likely rules out serious heart conditions. However, continued monitoring and further tests will help you get to the root cause.

Question 3

I'm experiencing this weird needle-like pricking sensation in my right chest and arms, but it only happens at night, and Ive noticed it seems to occur when I drink alcohol. My blood pressure seems to range from 8095 to 120140 in the evening, but its normal in the morning. This has been going on for months now. I had an ECG done and the doctor said my heart seems fine, but he mentioned symptoms of high blood pressure over the past few months. Should I be worried about this, or is there something I could do to help with the symptoms?

Accepted Answer

This sensation in your right chest and arms, especially occurring at night after drinking alcohol, could be related to nerve irritation or inflammation. Given your fluctuating blood pressure readings, it is important to manage your blood pressure effectively to prevent any complications. I recommend you to take a low dose of Amlodipine (brand name: Norvasc) 5mg once daily to help control your blood pressure. Additionally, you can take Acetaminophen (brand name: Tylenol) 500mg for relief from the needle-like sensation in your chest and arms. However, it is important to limit or avoid alcohol consumption as it can exacerbate your symptoms and negatively impact your blood pressure. Please make sure to follow up with your doctor regularly to monitor your blood pressure and adjust your treatment plan as needed.

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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