Question 1

I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

Accepted Answer

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

Question 2

My dad, who's 69, had some pretty serious chest pain last week. An ECG showed something wasn't right and his angiography results mentioned artery blockages at 90%, 80%, and 70%. He's now on medication, but I'm really concerned. What does this all mean for his health, and are there other treatments we should consider to address these blockages?

Accepted Answer

It sounds like your father is experiencing significant heart issues with the reported artery blockages. To help manage the condition and prevent further complications, it is crucial for him to continue with the prescribed medications. One common medication that is often used in such cases is Atorvastatin, which helps lower cholesterol levels and reduce the risk of heart-related events. Additionally, medications like Aspirin can be beneficial in preventing blood clots and improving blood flow through the blocked arteries. It is important for your father to follow the dosage instructions provided by his healthcare provider and attend regular follow-up appointments to monitor his progress. In some cases, additional interventions such as angioplasty or bypass surgery may be recommended. Regular exercise, a healthy diet, and lifestyle modifications are also essential in managing his condition.

Question 3

I've been having some anxiety and left arm pain for a few days now. My hand just suddenly becomes weak, and theres also this annoying pain in my left shoulder and neck area. The weird thing is, I'm not sure if it's something muscular or maybe related to my glands. It kinda all started after I got my COVID vaccine on May 13th. The arm pain from the shot lasted for about 23 days, and this whole issue kicked off right after. I went ahead and got an ECG done just in case, but it came back normal. Now I'm worried if this could be heart-related since I know my HDL level is low. Have you heard of this happening to anyone else after the vaccine, or do you think it might be something else?

Accepted Answer

The symptoms you are experiencing, such as anxiety, left arm pain, weakness in the hand, and pain in the left shoulder and neck area, could be related to musculoskeletal issues rather than a heart problem, especially since your ECG was normal. The arm pain you experienced after the Covid vaccine could also be a contributing factor. To address the anxiety, you can try relaxation techniques and stress management strategies. For the musculoskeletal pain, you can take over-the-counter pain relievers such as acetaminophen. Additionally, a muscle relaxant like Cyclobenzaprine can help with muscle spasms and pain. If the symptoms persist, you may need to consult a doctor for further evaluation and management.

sometimes blood pressure increases because of pain also. repeat your blood pressure,and monitor it

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