Question 1

I've been having this burning sensation on the left side of my chest, and today I noticed there's some swelling under my ribs. It's really worrying me since I remember 2 years ago, I went through a bunch of heart checkups, and everything was fine. The doctor back then said it was because of my poor lifestyle. But now, I'm not sure what's causing this pain again. Could you suggest what might be going on and which specialist I should see?

Accepted Answer

no need to worry follow your doctors advice

Question 2

Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Accepted Answer

Neck Pain and Burping Symptoms

_Possible Causes_

1. _Gastroesophageal reflux disease (GERD)_: Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus.
2. _Dysphagia_: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms.
3. _Musculoskeletal issues_: Neck pain might be related to muscle strain or poor posture.

_Recommendations_

1. _Antacids or acid reducers_: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms.
2. _Dietary changes_: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating.
3. _Physical therapy_: Gentle neck stretches and exercises may help relieve musculoskeletal tension.
4. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions.

_When to Seek Immediate Attention_

1. _Severe symptoms_: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.

Question 3

I'm noticing my heart rate hits around 100 to 120 during the day but drops to 80 to 90 while I'm asleep. I had an ECG done, and it showed sinus tachycardia, but the echo and thyroid results came back normal. What should I do next?

Accepted Answer

Given your heart rate of 100-120 during the day and 80-90 at night, along with an ECG showing sinus tachycardia and normal echo and thyroid reports, its important to explore other potential causes. The next steps could include:

1. Holter Monitor: Wearing a Holter monitor for 24-48 hours can provide detailed information on your heart rate and rhythm throughout the day and night.
2. Electrolyte Levels: Blood tests to check for electrolyte imbalances that may affect heart rate.
3. Lifestyle Factors: Evaluate and address lifestyle factors such as caffeine intake, stress, anxiety, and physical activity levels, which can all influence heart rate.
4. Autonomic Function Tests: Assess autonomic nervous system function to rule out conditions like POTS (postural orthostatic tachycardia syndrome).

Consult with your healthcare provider to discuss these options and determine the appropriate next steps for further evaluation and management.

More Cardiology Health Queries

I'm noticing my heart rate hits around 100 to 120 during the day but drops to 80 to 90 while I'm asleep. I had an ECG done, and it showed sinus tachycardia, but the echo and thyroid results came back normal. What should I do next?

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