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

I've been having pain on the left side of my neck and shoulder for the past couple of weeks, and sometimes I feel some chest pain too. I went to the doctor and got an ECG, but it came back normal. I'm not sure what to do next. Should I see a cardiologist or maybe an orthopedic doctor? It's really starting to worry me, and I'd appreciate some advice on the next steps.

Doctor 1

Answered by 1 Apollo Doctors

orthopaedic opinion is required

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've got a pretty long medical history with congenital heart disease, two open-heart surgeries, and a pacemaker implanted because of atrial fibrillation. My thyroid levels are low, and I'm on medications like Cordarone and beta blockers. It's been rough over the last year with this intense pounding sensation over my nose and super high blood pressure that just won't get under control. I've tried all the check-ups I can think of. What could possibly be causing this uncontrollable high blood pressure, and what can I do about it?

Uncontrollable high blood pressure can be challenging to manage, especially with your complex medical history. Since you are already on Cordarone, a Beta Blocker, and thyroid medication, one option to consider adding is an ACE inhibitor like Lisinopril. The recommended dosage for Lisinopril is usually starting at 10 mg once a day, which can be adjusted based on your blood pressure response. Additionally, a diuretic such as Hydrochlorothiazide may also be beneficial in controlling your blood pressure. It is important to monitor your blood pressure regularly and work closely with your healthcare provider to adjust your medications as needed.

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Doctor 1Doctor 2

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I've been feeling some pressure and uneasiness in my heart for the past week, and it usually lasts about an hour. Sometimes it feels a bit better when I cough, but it's only a temporary relief. I'm not experiencing chest pain or getting tired when I work out, which is puzzling. Could this be related to stomach gas or something else? I also got my lipid profile checked, and things seem a bit off with high triglycerides and non-HDL cholesterol. What could be causing these symptoms, and are there any changes I should make to my diet?

Based on your symptoms and lipid profile, the uneasiness and pressure at the heart lasting for about an hour could be related to your high triglyceride levels. The cough providing temporary relief may be due to associated gastric reflux. To address this, you should consider making some dietary changes to improve your lipid profile and overall heart health. I recommend reducing your intake of saturated fats, trans fats, and cholesterol-rich foods. Increase your consumption of fruits, vegetables, whole grains, and lean proteins. Additionally, incorporating foods rich in omega-3 fatty acids like fatty fish, flaxseeds, and walnuts can help lower triglyceride levels. In terms of medication, you may benefit from a prescription medication such as Atorvastatin (brand name Lipitor) to help lower your LDL cholesterol levels and reduce the risk of cardiovascular events. The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust this based on your lipid profile and response to treatment. It is important to follow up with your healthcare provider for further evaluation and management of your lipid profile and heart symptoms. Regular monitoring and adherence to lifestyle modifications and prescribed medications are crucial in managing your condition.

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Doctor 1Doctor 2

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My brother just went through open heart surgery last month, and now he's been battling pneumonia for two weeks. He's been admitted to the ICU due to breathing issues. They did an ECG and discovered his heart function is down to 24. I'm really worried, and I'm wondering if we could take him on an 11-hour flight to the USA to address this situation. What do you think?

severe heart dysfunction, pt needs cardiologist opinion .

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.