Question 1

I've been having palpitations for a year, so I went for a full body check, and they told me I have mitral valve prolapse which was supposedly causing the palpitations. I was advised to do cardio exercises, and I've been good with that. Recently though, the palpitations have become worse, especially when I lie flat, and it's been keeping me up at night. I'm also feeling anxious at bedtime, but I'm fine otherwise. It's really affecting my sleep and overall quality of life. Do you think I should see a doctor about this?

Accepted Answer

Yes, it is important to seek medical attention for your worsening symptoms. In your case, since you have a history of mitral valve prolapse and severe palpitations affecting your quality of life, it is recommended to consult a cardiologist for further evaluation and management. The doctor may prescribe medications such as Metoprolol (25-50mg) to help control your palpitations and anxiety symptoms. Additionally, they may suggest lifestyle modifications and relaxation techniques to help improve your sleep quality and overall well-being.

Question 2

I've been dealing with high blood pressure for the past two months and have been taking metoprolol 50 mg since the first month. Initially, everything was going well, and my blood pressure was 11070, but lately, over the past week, my diastolic pressure is sticking around 85 to 90. It seems like the meds aren't working as well now. I've increased to 50 mg twice a day. What should I do?

Accepted Answer

Its important to effectively manage your blood pressure, especially if it has started to rise again despite medication. It might be necessary to adjust your treatment plan. Continue monitoring your blood pressure regularly, and consider keeping a log of your readings to discuss with your doctor.

In addition to adjusting your dose of Metoprolol, your healthcare provider might consider adding another antihypertensive medication to your regimen. There are several classes of medications that can be used in combination with beta-blockers, such as ACE inhibitors, calcium channel blockers, or diuretics.

I recommend scheduling an appointment with your healthcare provider to review your current treatment plan and discuss potential adjustments. They can also evaluate for any underlying factors that might be contributing to the increased blood pressure.

Question 3

I'm really concerned about my mom because she's been taking Telmisartan 40 for over a year now. I've noticed she's been feeling fatigued and dizzy, and I'm worried these might be side effects from the medicine. Her blood pressure readings have been normal for a while, so I'm just wondering if it's safe for her to stop taking it?

Accepted Answer

abruptly discontinuing the medication can lead to rebound hypertension; if her blood pressure remains normal, her doctor may consider gradually tapering off the medication or switching to a different treatment, but it's essential to weigh the potential benefits of stopping the medication against the risks of uncontrolled hypertension.

Ecg and chest x -ray is advised to the patient.

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