Question 1

My mom's been feeling really heavy in her chest and super tired since like 4 in the morning today. She doesn't have any heart issues, but she does sometimes deal with gastric problems. She also has thyroid. Could this be related to that, or do you think it's something else we should be worried about? What should we do next?

Accepted Answer

Based on the symptoms described, it is possible that your mother is experiencing acid reflux or heartburn. I recommend she take an antacid medication such as Tums (calcium carbonate) 500mg to help relieve the symptoms. She can take 2 tablets as needed, but not exceeding 7 tablets in 24 hours. It is also important for her to avoid spicy and acidic foods that can trigger acid reflux. Additionally, given her history of thyroid issues, it is important to ensure that her thyroid levels are well-controlled as thyroid imbalances can sometimes contribute to gastrointestinal symptoms. I recommend she follow up with her healthcare provider to discuss her symptoms and thyroid management.

Question 2

I'm really worried about my dad. He's had a stroke and a bypass in the past, and his heart rate usually hangs around 55 to 60. I've heard about Chymoral AP and Myoril for his lower back pain, but I'm concerned if it's safe for him to take because of his heart condition. Could you please guide me on this?

Accepted Answer

Chymoral AP and Myoril can be risky for your father due to his history of stroke and bypass surgery, as well as his low heart rate. Chymoral AP contains Trypsin, Chymotrypsin, and Paracetamol which can increase the risk of bleeding, especially in patients with a history of stroke. Myoril contains Thiocolchicoside which can cause muscle weakness and dizziness, potentially increasing the risk of falls in someone with a history of stroke. Given his low heart rate, both medications can further lower the heart rate and blood pressure, leading to complications. It is important to consult with his healthcare provider to find a safer alternative for his lower back pain.

Question 3

I'm currently taking 50 mg of metoprolol succinate because I had high blood pressure around a month ago, with readings peaking at 150100. Lately, my 24-hour average blood pressure is about 11070, but every 5 to 6 days it suddenly spikes to 14090. Is this something normal, or should I think about adjusting my dose?

Accepted Answer

It's good to hear that your average blood pressure has improved with the current medication. Occasional spikes in blood pressure can happen despite treatment. In your case, since the spikes occur every 5 to 6 days, it may be worth discussing with your healthcare provider about potentially increasing the dose of metoprolol succinate to better control these spikes. An adjustment in dosage or adding another medication may be considered to maintain more stable blood pressure levels.

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

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