Question 1

I've been noticing something strangewhen I'm lying in bed, I can actually feel my heartbeat, and while my heart rate seems normal, my body feels like it's shaking a bit with each beat. I got my echocardiogram results, and it shows a myxomatous mitral valve with mild MR, with measurements of LV ID at 5.7 cm and 3.8 cm, IVSd at 0.8 cm, LVPWd at 0.8 cm, and an EF of 60%. The doctor mentioned my left ventricle is slightly enlarged but not dangerous. But here's the thingwhen I stand up quickly from lying down, I get really dizzy. Could you explain what might be going on and what I should do about it?

Accepted Answer

When you suddenly stand from a lying position and feel dizzy, it could be due to a drop in blood pressure known as orthostatic hypotension. To help alleviate this symptom, you can try increasing your fluid and salt intake, wearing compression stockings, and slowly transitioning from lying to standing positions. Additionally, you may benefit from medications such as Fludrocortisone to help increase blood volume and improve blood pressure regulation. It is important to discuss these options with your doctor to determine the best course of action based on your individual health needs.

Question 2

I've been playing badminton for quite a long time, about 34 years actually, and I've never had any issues before. But lately, I've noticed that when I wake up early in the morning, I experience some sort of pain on my left-hand side. Do you have any ...

Accepted Answer

It is possible that you are experiencing muscle strain or inflammation in your left hand due to repetitive use during badminton. I recommend taking a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (e.g. Advil) at a dose of 400mg every 4-6 hours as needed for pain. Additionally, you can apply a topical analgesic cream like diclofenac (e.g. Voltaren) to the affected area. Make sure to rest your hand and avoid activities that worsen the pain. If the pain persists, consult a physiotherapist for further evaluation and management.

Question 3

Can an angiogram lead to cardiac instability? What might happen to other parts of the body if the heart becomes unstable? Could it cause things like clumping of the intestines, severe stomach pain, or nausea? Just trying to understand the possible ef...

Accepted Answer

Angiogram is a diagnostic procedure that involves injecting a contrast dye into the blood vessels to visualize the heart's blood flow. While rare, there is a small risk of cardiac instability during an angiogram, which may include irregular heartbeats or changes in blood pressure.  Cardiac instability can lead to decreased blood flow to other organs, potentially causing symptoms such as dizziness, shortness of breath, and chest pain. In severe cases, it can result in organ damage or failure. Will it cause clumping of intestine, severe stomach pain, nausea, etc.? Cardiac instability itself is unlikely to cause clumping of the intestine, severe stomach pain, or nausea. However, if there are complications during or after the angiogram procedure, such as a reaction to the contrast dye or a blood clot formation, it may indirectly affect the gastrointestinal system and lead to symptoms like abdominal pain or nausea. If you experience any unusual symptoms after an angiogram, it is important to seek medical attention promptly.

Question 4

Hey, I came across a service called chc healthwatch that offers portable echocardiograms you can do at home. Are these tests just as reliable and accurate as the ones performed in a lab? I'm a bit hesitant to go to a lab right now because of the covi...

Accepted Answer

"Hi, portable echocardiograms done at home can be reliable and valid for assessing heart function. One commonly used portable echocardiogram device is the Philips Lumify, which provides high-quality images and can be used by healthcare professionals for accurate diagnosis. However, it is important to ensure that the healthcare provider performing the test is trained and experienced in using the device to obtain accurate results. The convenience of at-home testing can be beneficial, especially during the current covid situation. It is recommended to discuss the option of portable echocardiogram with your healthcare provider to determine if it is suitable for your specific medical needs."

Question 5

I'm 25 and recently had a pre-employment medical check-up where they did an ECG. The person doing the test said it was abnormal, but after doing it again, they mentioned it's not a big deal. I've never had any health issues or needed to see a doctor ...

Accepted Answer

Having an abnormal ECG at a young age like 25 can be concerning, but it doesn't always indicate a serious problem. It's important to follow up with a healthcare professional for further evaluation. In the meantime, you can consider taking low-dose aspirin (75-100mg) daily to help reduce the risk of any potential cardiovascular issues.

Question 6

I'm really worried about my loved one who's dealing with advanced chronic obstructive pulmonary disease and now also has acute congestive heart failure. His wheezing cough seems to be getting worse and he can't get any sleep because of it. Right now,...

Accepted Answer

To help control his wheezing cough, I recommend adding a long-acting bronchodilator such as Formoterol (brand name: Foracort) to his treatment regimen. The recommended dosage would be 1-2 inhalations twice daily. Additionally, a corticosteroid inhaler like Fluticasone (brand name: Flohale) can be added to reduce airway inflammation. The usual dosage would be 2 inhalations twice daily. These medications can help improve his symptoms and quality of life.

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Related Questions

I've been playing badminton for quite a long time, about 34 years actually, and I've never had any issues before. But lately, I've noticed that when I wake up early in the morning, I experience some sort of pain on my left-hand side. Do you have any ...

Can an angiogram lead to cardiac instability? What might happen to other parts of the body if the heart becomes unstable? Could it cause things like clumping of the intestines, severe stomach pain, or nausea? Just trying to understand the possible ef...

Hey, I came across a service called chc healthwatch that offers portable echocardiograms you can do at home. Are these tests just as reliable and accurate as the ones performed in a lab? I'm a bit hesitant to go to a lab right now because of the covi...

I'm 25 and recently had a pre-employment medical check-up where they did an ECG. The person doing the test said it was abnormal, but after doing it again, they mentioned it's not a big deal. I've never had any health issues or needed to see a doctor ...

I'm really worried about my loved one who's dealing with advanced chronic obstructive pulmonary disease and now also has acute congestive heart failure. His wheezing cough seems to be getting worse and he can't get any sleep because of it. Right now,...

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