apollo
  • female
  • 45 Years
  • 07/02/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?

Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.

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