Question 1

I've been dealing with young hypertension since I was 15, and now I'm 18. I had symptoms like constant headaches, and after all the tests  from ultrasounds to ECGs  everything came out fine. The doctor said it was hereditary since my great-grandfather had it from age 13, my grandfather from 32, and my dad from 40. So, I've been on antihypertensive medication, taking 2 Nicardia 10 and 1 Metolar 25 daily. My blood pressure is always in the normal range, around 12080 or 13080, and I'm doing well otherwise. With my height at 180 cm and weight at 94 kg, I'm wondering if there's any way I could stop or reduce the medicines. How can I maintain long-term health while on medication?

Accepted Answer

since you have a family history of hypertension and were diagnosed with young hypertension, it is important to continue taking your antihypertensive medications as prescribed by your doctor to help control your blood pressure and reduce the risk of complications in the future. To maintain a long and healthy life while on medication, it is important to also focus on lifestyle modifications such as maintaining a healthy weight, eating a balanced diet low in sodium, engaging in regular physical activity, managing stress, and avoiding smoking and excessive alcohol consumption. If you are considering stopping or reducing your medications, it is crucial to consult with your doctor first. They can assess your current health status, review your blood pressure readings, and determine if any adjustments to your medication regimen are necessary. It's always best to follow your doctor's advice when it comes to managing your hypertension.

Question 2

So, it's been almost 2 months now since I had COVID, and I've been dealing with some chest pain and this weird pulling sensation in my left hand and neck for the past month. I'm struggling with sleep too. I saw a doctor and had like 5 ECGs, all normal, but the pain's not really going away. It's scaring me a lot. The chest pain has reduced a bit, but now there's this pulling at my elbow and pain in my left shoulder. I had a troponin test which was at 0.04 and my blood sugar's normal too. What could this be? Is it still related to COVID?

Accepted Answer

It sounds like you are experiencing persistent chest pain, left hand pulling, and neck pain following a COVID infection. Since your ECG results have been normal and your blood tests are also normal, it is important to address your symptoms. The symptoms you are describing could be related to musculoskeletal issues or nerve irritation. To help alleviate your symptoms, you can try taking a muscle relaxant such as **Tizanidine** 2mg twice daily to help with the pulling sensation in your left hand and shoulder pain. Additionally, you can take an over-the-counter pain reliever such as **Ibuprofen** 400mg three times a day after meals to help with the chest pain and neck pain. It is also important to practice relaxation techniques such as deep breathing exercises or meditation to help reduce your fear and anxiety. If your symptoms persist or worsen, please follow up with your MD medicine doctor for further evaluation and management.

Question 3

For the past 4 to 5 days, Ive been dealing with an unusually fast heart rate, even when Im just resting. I havent been exercising for a few months now, and I can really feel my heart pounding throughout my body. It gets worse at night and when I checked, my heart rate was 103 bpm, and sometimes its 95 bpm, but it never goes below 90, even when Im just sitting. Im staying hydrated and I dont feel anxious, but Ive started having this chest pain that feels like when someone presses on a bone. What tests should I consider doing to find out whats going on? This fast heart rate is really becoming unbearable. Any advice?

Accepted Answer

Based on your symptoms of a fast heart rate at rest, palpitations, and chest pain, it is important to consult a healthcare professional for further evaluation. The following tests may be recommended: 1. Electrocardiogram (ECG) to assess the electrical activity of the heart. 2. Holter monitor to continuously record your heart's activity for a period of time. 3. Echocardiogram to evaluate the structure and function of the heart. 4. Blood tests to check for any underlying conditions such as thyroid disorders or electrolyte imbalances. In the meantime, to help manage your symptoms, you can consider taking a beta-blocker medication such as Metoprolol at a starting dose of 25mg once daily, as prescribed by a healthcare professional. Beta-blockers can help lower heart rate and reduce chest pain.

I've been having this really hard time breathing and there's this weird feeling in my chest where my heart is. Sometimes, it feels like I'm about to take my last breath, and it's really scary. I have no clue what's causing all this. Could you help me figure out what's going on?

consult cadiologist if all are reports are normal for heart then it can be asthma also so do a spirometry

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