apollo
  • Male
  • 35 Years
  • 22/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

do chest xray and ecg also

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been dealing with high bp since 2017 and have been taking medscinod and nebicard. Everything was stable until I gained around 10kgs after getting married, and now my bp is often spiking to 140150 and 9095. I've started incorporating some physical activity and diet control into my routine. Do you think I should consider changing my medications along with these lifestyle changes?

visit dermatologist for evaluation and appropriate management

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I'm a bit confused about how often someone should get a 2D Echo and ECG if they're feeling perfectly fine. Should it be done once a year or more? And what if someone starts showing symptoms; how does that change things? Would love to get a bit more clarity on this.

For a healthy person without any symptoms, it is generally recommended to do a 2D Echo and ECG once every 1-2 years for routine screening. However, if you are experiencing symptoms such as chest pain, palpitations, shortness of breath, or dizziness, it is important to consult with a healthcare provider for further evaluation and appropriate testing frequency.

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I've been having some concerns about my recent health check-up. My heart rate is around 55, and after a second ECG, it dropped to 52. The doctor had me do some additional tests, and my sodium is at 137, and potassium is 5.8. I'm not experiencing any shortness of breath or fatigue while going about my daily activities, but I do feel a bit light-headed and dizzy. How serious is this situation? Also, what should I do in terms of medication or diet to lower my potassium levels? Does adding salt and lemon to water affect my potassium levels at all? I'd appreciate any guidance you can provide.

The decrease in heart rate from 55 to 52 beats per minute on ECG may not be a significant concern on its own, but the high potassium level of 5.8 mmolL (normal range is typically 3.5-5.0 mmolL) could be a cause for your light-headedness and dizziness. High potassium levels can affect the heart's rhythm and lead to symptoms like weakness, fatigue, and palpitations. To lower your potassium levels, you can make dietary changes such as avoiding high-potassium foods like bananas, oranges, potatoes, and tomatoes. Additionally, you should limit salt intake as high sodium levels can affect potassium levels. Drinking salt water with lemon may not significantly affect your potassium levels, but it's best to avoid it for now. Your doctor may prescribe you with a medication called **Sodium Polystyrene Sulfonate** to help lower your potassium levels. The typical dosage is 15-60 grams daily, but your doctor will determine the appropriate dose for you based on your potassium levels. It's important to follow up with your doctor for further evaluation and management of your potassium levels. Make sure to follow a low-potassium diet and take the prescribed medication as directed to help normalize your potassium levels and alleviate your symptoms.

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