Question 1

I've noticed that my heart rate is usually somewhere between 68 to 83 bpm during the day. But for the past week, it's been up between 90 and 118 bpm, and it doesn't drop below 85 even when I'm sitting for a while. When I'm asleep, it goes from 50 to 75 bpm. I started going to the gym for cardio and strength training about a month ago, hitting it 5 days a week. Nothing's really changed with my diet or work hours. Had my ECG, ECO, and BP checked and everything seemed normal. What could be causing this increase in my heart rate? Should I be worried about it?

Accepted Answer

Based on the information provided, the increase in your heart rate could be due to the increased physical activity from your gym routine. It is common for heart rate to be elevated during and after exercise, especially if you have recently started a new workout regimen that includes both cardio and strength training. To help regulate your heart rate, you can consider taking a beta-blocker medication such as Metoprolol. I recommend starting with a low dose of Metoprolol 25mg once daily, and you can adjust the dosage as needed based on your heart rate response. It is important to monitor your heart rate regularly and consult with your healthcare provider for further guidance on medication management. In addition to medication, make sure to stay hydrated, get an adequate amount of rest, and listen to your body during workouts. If you experience any concerning symptoms such as chest pain, dizziness, or shortness of breath, seek medical attention immediately.

Question 2

I'm experiencing some discomfort after meals. Whenever I eat a heavy meal, I get this left-sided chest pain, and I notice my resting heart rate shoots up to around 100, even though it's usually about 70. It gets worse with any kind of light activity like walking or climbing stairs but seems to settle down after a few hours. I did have some heart tests, like an ECG, echo, and TMT about six months ago, and they all came back normal. My blood tests are fine toono anemia, high blood pressure, or sugar issues. Should I be considering any other tests or looking into something else? Its starting to worry me.

Accepted Answer

It sounds like you may be experiencing symptoms of gastroesophageal reflux disease (GERD) or acid reflux. The chest pain after eating heavy meals, along with the increased heart rate and chest discomfort with light activity, are common symptoms of GERD. Since your heart tests were normal, it is less likely to be related to a cardiac issue. I recommend trying over-the-counter antacids like Tums or Rolaids to see if they help alleviate your symptoms. You can also try avoiding heavy meals, eating smaller meals more frequently, and avoiding lying down immediately after eating. Additionally, you may benefit from medications like omeprazole (Prilosec) or ranitidine (Zantac) to reduce stomach acid production. If your symptoms persist despite these measures, you may consider undergoing an upper endoscopy to further evaluate the cause of your symptoms. This procedure can help identify any inflammation or damage in the esophagus or stomach. Overall, it is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 3

I'm experiencing this kind of strong pounding pulse throughout my body. It's not really fast, just really strong. I can even see it in my neck when I look in the mirror and I feel it in my fingers and hands when I touch something. I also notice a visible pulse in my stomach and when I'm lying down, my head kind of bobs up and down with my pulse. Right now, even as I'm sitting in bed with my laptop, the pulse is shaking my laptop. This began shortly after I had some issues with anxiety and possible heart problems, but I've been to the hospital multiple times and they've ruled out any heart issues. It often gets triggered after heavy meals and this has been happening for about a year now. What could be causing this?

Accepted Answer

A really strong, pounding pulse all over your body, even visible in the neck and stomach, can be a concerning symptom. Since heart issues have been ruled out, this may be related to anxiety. To help manage this symptom, you can try taking Propranolol (Inderal) 10-20mg as needed to help reduce the pounding pulse and physical symptoms of anxiety. It is important to consult with your doctor before starting any new medication.

I've got my ECG results, and it mentions left axis deviation and early repolarization. I'm 21 and male, and I'm really confused about what this means for my health. Should I be worried about being medically unfit? What should I do next?

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