Question 1

I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Accepted Answer

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

Question 2

I've been experiencing some weird symptoms lately that have me feeling pretty uneasy. I'm 23 and for a few months now, I've noticed some strong palpitations in my chest. It's especially strange because they often happen around noon, and I've even felt my whole body shake with my heartbeat when I'm trying to sleep. I've already had an ECG and ECHO done, and everything seemed normal. My mobile app is showing a fast heart rate around noon, too. On top of all this, I've been dealing with gas problems and quite a bit of anxiety. What do you think could be going on?

Accepted Answer

It sounds like you may be experiencing palpitations and tremors due to anxiety and gas problems. To help with your symptoms, I recommend the following: - For palpitations and fast heart rate, you can take Propranolol 20mg twice daily to help regulate your heart rate and reduce palpitations. - For anxiety, you can try taking Alprazolam 0.25mg as needed to help manage your anxiety symptoms. - For gas problems, you can take Simethicone 125mg after meals to help relieve gas and bloating. Make sure to follow the recommended dosages and consult with your doctor before starting any new medication. It's also important to practice stress-reducing techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms.

Question 3

I've been having this really awful chest pain for about a month now, and it sometimes feels like my heartbeat is a bit off. After doing a bunch of research, I think it might be esophageal spasms. I went to the ER twice, and they said my EKG and heart monitor were fine. My doctor gave me muscle relaxers, which help with the spasms, but I still cant shake this terrible feeling in my chest. My blood pressure seems okay, it's usually around 120 over 86. I keep feeling my pulse all down my chest and arms, and its been really hard to get any sleep. Could there be something else going on that Im missing?

Accepted Answer

That could be GERD avoid late night eating and consume bland diet and maintain healthy lifestyle.

I've been feeling some pain in the middle of my chest, right at the top, for the last couple of months, and it seems to be getting worse every day. I've also been dealing with catarrh for a few years now. Could these be related, and should I be worried about this chest pain getting worse?

do chest xray and ecg also

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