- female
- 35 Years
- 22/01/2025
I've been having some weird symptoms lately. A few days ago, I woke up with this chest pain and it kinda hurt when I breathed. My inhaler helped a bit, but then yesterday, my blood pressure reading at the dentist was 15074, which is way higher than my usual 120-127 for the systolic part. I'm trying to figure out if I should just make an appointment with my GP or if it's serious enough to hit up urgent care or the ER. What do you think?
Answered by 1 Apollo Doctors
sometimes blood pressure increases because of pain also. repeat your blood pressure,and monitor it
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?
Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.
Answered by 1 Apollo Doctors
I'm trying to help my uncle who has angina and usually takes nicorandil, but he's now in the US. We're a bit worried about finding the right alternative medication here. Could you suggest what might work best for him in the States?
In the USA, a suitable alternative medication for angina that works similarly to nicorandil is Isosorbide Mononitrate. The recommended dosage for Isosorbide Mononitrate for angina is usually starting at 10 mg once daily, and can be increased to 20 mg once daily if needed. It is important to consult with a healthcare provider to determine the appropriate dosage and frequency for your uncle's specific condition.
Answered by 1 Apollo Doctors
I'm feeling some discomfort in my chest and pain in my left hand, and I'm not sure what it might mean. I've been dealing with diabetes, thyroid issues, and something called spondylitis. My ECG had some signs, and my TMT came back as mildly positive. What steps should I follow next?
get a 2d echo done and vidit cardiologist for appropriate management
Answered by 1 Apollo Doctors
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