apollo
  • male
  • 50 Years
  • 22/01/2025

I've noticed some changes in my recent lab results, and I'm a bit worried. My triglycerides have gone up from 374 in December to 470 mgdl now. My HDL improved from 31 to 42 mgdl, but my LDL dropped from 153 to 78 mgdl and my VLDL jumped from 34 to 94 mgdl. I haven't taken any medicine, just changed my diet and stopped eating out. Should I see a cardiologist or just a regular physician?

Doctor 1

Answered by 1 Apollo Doctors

You should first cut down on oils, butter and fried foods. Daily brisk walk for at least 30mins

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been having this sharp pain at the bottom of my chest and when I talked to a doctor about it, they mentioned it might be due to gas. They advised getting an ECG, which I did, and I've attached the results here. I smoke about 3 to 4 cigarettes a day and have been eating out quite a bit recently because of work travel. I'm 75kgs and 5 feet 7 inches tall. What should I do next?

The sharp pain in the bottom of your chest could be due to gastritis caused by excess gas. Based on your ECG report, there are no significant abnormalities detected. However, smoking and consuming hotel food frequently can exacerbate your symptoms. To alleviate the gas and chest pain, you can take an over-the-counter antacid like **Ranitidine** 150mg twice daily before meals. Additionally, you should try to quit smoking or at least reduce the number of cigarettes per day. It is also advisable to avoid spicy and oily foods, and opt for a more balanced diet with plenty of fruits and vegetables. Regular exercise and maintaining a healthy weight can also help improve your symptoms.

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What is the reason of hypertension?

A diet high in salt, fat, and/or cholesterol. Chronic conditions such as kidney and hormone problems, diabetes, high cholesterol, family history and sedantary lifestyle

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I've been feeling pretty anxious about my heart health lately. A while back, I did an ECG, echo, chest X-ray twice, and a TMT, and it was like 8 months ago. My BP is usually around 150, and my LDL is 138. I got a blood test, and it was normal. I'm on the heavier side but don't smoke or drink and there's no family history of heart issues. Still, I get these short, sharp pains in my left chest, like they disappear in seconds, and sometimes there's this bubbling or vibrating sensation there too. Plus, there are moments when my left chest and bicep feel like they're pounding, just for a few seconds. Recently, when I'm walking, it feels like I'm wobbling or floating, and my legs and hands feel lighter. The doctor said not to worry and just keep my BP and LDL in check, but I'm still worried. What should I do?

"Based on your symptoms and medical history, it is important to focus on controlling your blood pressure and LDL levels to reduce the risk of heart issues. In addition to lifestyle changes such as maintaining a healthy weight, regular exercise, and a balanced diet, you may benefit from medication to manage your blood pressure and cholesterol levels. I recommend starting a medication like Atorvastatin (10mg) to lower your LDL levels and Amlodipine (5mg) to help control your blood pressure. It is important to take these medications as prescribed by your doctor and follow up regularly for monitoring and adjustments if needed."

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.