Question 1

I'm dealing with a pretty fast heartbeat most of the time, usually between 100 to 115 beats per minute, and I often feel weak. My oxygen levels are fine, staying between 98 to 100, but I've had anemia since birth due to hereditary spherocytosis. Could you give me some advice on managing this high pulse rate?

Accepted Answer

High pulse rate can be concerning, especially if you have a history of anemia and hereditary spherocytosis. In your case, it is important to address the underlying cause of your high pulse rate. Since your SpO2 levels are normal, the high pulse rate may be due to other factors such as anemia or hereditary spherocytosis. To help lower your pulse rate, you can try taking a beta-blocker medication such as Metoprolol. The usual dosage for Metoprolol is 25-100mg once or twice daily, as prescribed by your doctor. This medication can help slow down your heart rate and reduce the symptoms of weakness that you are experiencing. It is important to consult with your doctor before starting any new medication, as they can provide personalized advice based on your medical history and current condition.

Question 2

I've been having this mild, intermittent pain in the middle of my left palm, just at the bottom part. It was odd because it would last only about 30 seconds before disappearing, and then it would come back again after a few minutes. It didn't spread anywhere else and was just in that one spot. This happened last night, but by this morning, the pain was gone. I'm puzzled about what could've caused this. Could it be something related to a heart issue?

Accepted Answer

"Based on your description, the intermittent pain in your left palm does not seem to be directly related to a heart problem. This type of localized, mild, intermittent pain is more likely to be musculoskeletal in nature. It could be due to overuse of the hand, a minor injury, or even a nerve issue. To alleviate any discomfort, you can take over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. If the pain persists or worsens, it would be advisable to consult a healthcare professional for further evaluation."

Question 3

I'm a bit worried because I've been having chest pain for the last two weeks. I just got my 2D echo report, and it says I have a mild prolapse of the anterior mitral leaflet. I'm not diabetic, I don't smoke, and I don't drink alcohol. Other than that, all the other results in the echo report seem to be normal. Should I be concerned about this? Could you please take a look at my reports and give me some advice?

Accepted Answer

Based on your description and the 2D echo report showing mild mitral valve regurgitation, I recommend starting treatment with a calcium channel blocker such as Amlodipine 5mg once daily to help with the chest pain and manage the mild regurgitation. Additionally, you can take Aspirin 75mg once daily to reduce the risk of any clot formation. It is important to follow up with your cardiologist for further evaluation and management.

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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