Question 1

I've been having some pretty bad gastric issues lately. There's a lot of gas, and my blood pressure is up at 180100. It's been going on for the last 24 hours, and my ECG came back abnormal. I'm also experiencing severe pain in my epigastric area. What could be going on with me? What should I do next?

Accepted Answer

Given your symptoms of severe epigastric pain, high blood pressure (180100 mmHg), and an abnormal ECG, it is important to seek immediate medical attention. These symptoms could indicate a serious condition such as a cardiac event or severe gastrointestinal issue like a peptic ulcer or acute pancreatitis. Go to the nearest emergency room or contact your healthcare provider as soon as possible for a thorough evaluation and appropriate treatment.

Question 2

I'm having this weird pinching chest pain right after I fall asleep. I got two ECGs, one in January and another in February, to check it out, and both were normal. I also did a TMT in February, and that came back negative too. I've tried taking anti-...

Accepted Answer

It sounds like you may be experiencing acid reflux or gastroesophageal reflux disease (GERD) causing your chest pain. In this case, you can try taking a proton pump inhibitor (PPI) like omeprazole 20mg once daily before breakfast for at least 2 weeks. Additionally, you can take an antacid like Gaviscon after meals and at bedtime for immediate relief. Make sure to avoid spicy and fatty foods, eat smaller meals, and avoid lying down right after eating. If symptoms persist, you may need further evaluation by a gastroenterologist.

Question 3

I've been dealing with hypertension for the past year and recently found out I have mild LVH. I'm currently taking nebivolol and amlodipine, but my blood pressure still won't go below 13585. I'm only 34, and I'm worried about why these meds aren't wo...

Accepted Answer

Managing hypertension with mild LVH (Left Ventricular Hypertrophy) requires a comprehensive approach.

_Current Medications_

1. _Nebivolol_: A beta-blocker that helps lower blood pressure and reduce LVH.
2. _Amlodipine_: A calcium channel blocker that helps relax blood vessels and lower blood pressure.

_Additional Strategies_

1. _Lifestyle Modifications_:
    - Regular aerobic exercise (at least 150 minutesweek)
    - Weight management (aim for a BMI between 18.5 and 24.9)
    - Balanced diet (emphasize fruits, vegetables, whole grains, and lean protein)
    - Stress reduction techniques (meditation, yoga, or deep breathing)
2. _Monitor and Adjust Medications_:
    - Regularly monitor blood pressure and adjust medications as needed.
    - Consider adding a diuretic or an ACE inhibitorARB to enhance blood pressure control.
3. _LVH Monitoring_:
    - Regular echocardiograms to monitor LVH progression
    - Adjust medications and lifestyle modifications accordingly

_Consult a Specialist_

Consider consulting a cardiologist to reassess your treatment plan and provide personalized guidance.

Question 4

I've had a CT angiogram done two years ago, and it came out normal. But now I've been told I need to repeat the test because my lipid profile is high. I attached my reports from two years ago, and they were the same back then. I'm feeling really worr...

Accepted Answer

if your CT angiogram from 2 years ago was normal and your lipid profile is high now, it may be necessary to repeat the CT angiogram to assess for any changes in your cardiovascular health. In the meantime, you can start taking Atorvastatin 20mg once daily to help lower your cholesterol levels and reduce the risk of cardiovascular events.

Question 5

I'm having trouble getting my Telpres LN 40 prescription for my blood pressure because my doctor is unreachable and the local pharmacy doesn't have it. Could you recommend a good alternative? I'm a bit worried about not having my medication.

Accepted Answer

refer  to cardiologist

Question 6

I've recently recovered from COVID, and I've noticed my pulse rate is usually between 55-59, but sometimes it jumps to around 60. Is this something I should be worried about? I've been on Ecosprin for the past five years after having an angiogram. Ju...

Accepted Answer

A pulse rate between 60-100 beats per minute is generally considered normal. A pulse rate of 55-60 may be on the lower side, but it can still be considered normal for some individuals, especially those who are physically fit. Since you have a history of taking Ecosprin after an angiogram, it's important to note that Ecosprin (aspirin) can sometimes lower the heart rate. If you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a pulse rate of 55-60 may not be concerning. However, it's always a good idea to consult with your healthcare provider for personalized advice and monitoring.

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Related Questions

I'm having this weird pinching chest pain right after I fall asleep. I got two ECGs, one in January and another in February, to check it out, and both were normal. I also did a TMT in February, and that came back negative too. I've tried taking anti-...

I've been dealing with hypertension for the past year and recently found out I have mild LVH. I'm currently taking nebivolol and amlodipine, but my blood pressure still won't go below 13585. I'm only 34, and I'm worried about why these meds aren't wo...

I've had a CT angiogram done two years ago, and it came out normal. But now I've been told I need to repeat the test because my lipid profile is high. I attached my reports from two years ago, and they were the same back then. I'm feeling really worr...

I'm having trouble getting my Telpres LN 40 prescription for my blood pressure because my doctor is unreachable and the local pharmacy doesn't have it. Could you recommend a good alternative? I'm a bit worried about not having my medication.

I've recently recovered from COVID, and I've noticed my pulse rate is usually between 55-59, but sometimes it jumps to around 60. Is this something I should be worried about? I've been on Ecosprin for the past five years after having an angiogram. Ju...

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