Question 1

So, my diastolic pressure is usually in the 85 to 95 range, though it mostly stays below 90, and my systolic is around 115 to 130. I've had an ECG done, and my lipid profile and urine checkup came back fine. But I'm still wondering why my diastolic is sometimes high. I've noticed a light burning sensation on the left side of my chest whenever my blood pressure goes up. Can you help me figure out what's going on and what I should do about this?

Accepted Answer

Period started: April 12th
2. Unprotected sex: April 16th (Day 5 of period)
3. Emergency contraceptive pill (ECP): April 18th (within 72 hours)
4. Bleeding: May 3rd (not as heavy as regular period, lasted 4-5 days)
5. Current date: May 20th (no period yet)

Considering your situation:

- The bleeding on May 3rd was likely withdrawal bleeding caused by the ECP.
- Since you haven't gotten your period yet, there is a small chance of pregnancy.

Next steps:

1. Take a pregnancy test: Wait a few more days and take a home pregnancy test (HPT) or visit a healthcare provider for a blood test.
2. Consult a healthcare provider: Discuss your situation with a healthcare provider to determine the best course of action.

Question 2

I'm a 47-year-old guy who's been taking Losartan for my high blood pressure for the past three years. It used to keep things stable, but for the last couple of weeks, my blood pressure has been running high. Do you think this medication is still the right choice for me? Should I consider adjusting the dose or maybe switching to a different medication? I'm quite concerned about these changes and want to make sure I'm managing my hypertension effectively.

Accepted Answer

Considering that your blood pressure has been on the higher side despite being on Losartan for 3 years, it may be necessary to reassess your treatment plan. Losartan is a common medication for hypertension, but sometimes a change in medication or dosage adjustment may be needed for better blood pressure control. I recommend consulting your healthcare provider to discuss the possibility of increasing the dosage of Losartan or adding another medication such as Amlodipine to better manage your blood pressure. It's important to monitor your blood pressure regularly and make any necessary adjustments under the guidance of your healthcare provider.

Question 3

I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

Accepted Answer

Continuous bleeding 3 months post-delivery is not normal. This condition is known as postpartum hemorrhage (PPH) or prolonged lochia.

_Possible Causes_

1. _Hormonal imbalance_: Changes in estrogen and progesterone levels can cause irregular bleeding.
2. _Uterine atony_: The uterus may not have contracted properly after delivery, leading to excessive bleeding.
3. _Retained placental tissue_: Small pieces of placenta may still be present in the uterus, causing bleeding.
4. _Infection_: Uterine infection or endometritis can cause prolonged bleeding.

_Remedies and Solutions_

1. _Consult your doctor_: Schedule an appointment with your obstetrician to rule out any underlying conditions.
2. _Ultrasound scan_: Your doctor may recommend an ultrasound scan to check for retained placental tissue or other abnormalities.
3. _Hormonal treatment_: Your doctor may prescribe hormonal medications to help regulate your menstrual cycle and reduce bleeding.
4. _Antibiotics_: If an infection is suspected, your doctor may prescribe antibiotics to treat it.

_When to Seek Immediate Medical Attention_

1. _Heavy bleeding_: If you experience heavy bleeding, soaking more than 2-3 pads or tampons per hour.
2. _Severe abdominal pain_: If you experience severe abdominal pain, cramping, or tenderness.
3. _Fever_: If you have a fever above 100.4F (38C).
4. _Dizziness or fainting_: If you experience dizziness, lightheadedness, or fainting.

normal

More Cardiology Health Queries

I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

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