Question 1

So, I'm 14 and have been masturbating for about a year now. It feels really good when I do it, but afterwards, I notice that my heartbeat feels louder and sometimes it races. Can you tell me if that's normal or if I should be concerned?

Accepted Answer

It's important to know that changes in heart rate can be influenced by various factors, including anxiety, stress, and physical activity. However, if you're concerned about these symptoms, I recommend consulting with a healthcare professional for a proper evaluation. In the meantime, you can try to practice relaxation techniques such as deep breathing exercises or mindfulness to help manage your symptoms.

Question 2

I've been having chest pains and I'm super worried it might be related to my heart even though all my tests like ECG, echo, TMT, and chest X-ray came back normal. The fear started after the pandemic and now I'm constantly thinking about "what if" something's wrong. I've had heart palpitations about 10-15 times and even small muscle pains make me anxious about having a heart attack. What can I do about this constant fear? Do you think there's a chance I might really have heart issues? My last echo and TMT were 10 months ago and the most recent ECG was 20 days ago, all normal. Would love any advice or insight.

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to your heart health, especially since the COVID-19 pandemic. Despite multiple tests showing normal results, you are still worried about having a heart attack. It is important to address your anxiety and stress levels in order to overcome these persistent fears. One approach to consider is seeking therapy or counseling to help manage your anxiety and fears related to your heart health. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga may also be beneficial in reducing stress and anxiety. In terms of medication, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety or panic attacks. The usual dosage is 0.5-2 mg taken orally 2-3 times a day as needed. It is also important to maintain a healthy lifestyle by eating a balanced diet, engaging in regular physical activity, and getting an adequate amount of sleep. These lifestyle changes can contribute to overall well-being and may help alleviate some of your anxiety symptoms. Remember, it is essential to address your mental health concerns in addition to your physical health. If you continue to experience persistent anxiety and fear despite normal test results, consider consulting with a mental health professional for further evaluation and support.

Question 3

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

My dad was in the hospital, had an angiography, and they put a stent in his heart. Ever since, his heart rate's been all over the place, and he's been vomiting blood after eating or drinking. What's going on? Is this normal after a procedure like this, or should we be really concerned?

cardiologist opinion.

More Cardiology Health Queries

So, I'm 14 and have been masturbating for about a year now. It feels really good when I do it, but afterwards, I notice that my heartbeat feels louder and sometimes it races. Can you tell me if that's normal or if I should be concerned?

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