Question 1

I'm really concerned about my recent echocardiogram results. It showed everything as normal except it mentioned mild PAH, trivial TR, Grade 1 diastolic dysfunction, and traces of pericardial effusion. My last master health check-up was normal just two months ago. I'm 41, unmarried, and I weigh 108kg, which puts me in the obese range. I've also been experiencing some issues with deep breathing and saw a pulmonologist who prescribed some medication. I'm really anxious about the mild PAH results. Is this something I should be worried about, and is it possible for mild PAH to be reversed? And what about the other findings? Are they serious? I'm planning to do a TMT soon, but this whole thing is stressing me out quite a bit. Could you please help clarify all this?

Accepted Answer

Mild PAH (Pulmonary Arterial Hypertension) is a condition where there is increased blood pressure in the arteries of the lungs. While mild PAH may not cause immediate concern, it is important to monitor it regularly as it can progress over time. Treatment options for PAH include medications such as Sildenafil or Bosentan to help manage symptoms and improve quality of life. It is important to follow up with your Pulmonologist regularly to monitor the progression of PAH. Trivial TR (Tricuspid Regurgitation) is a common finding in echocardiograms and is often not a cause for concern, especially when it is mild. Grade 1 diastolic dysfunction refers to abnormalities in the relaxation phase of the heart's pumping cycle, which may indicate early signs of heart disease. Traces of pericardial effusion indicate the presence of fluid around the heart, which can have various causes and may need further evaluation. Since you are experiencing deep breathing problems, it is a good idea to follow through with the planned TMT (Treadmill Stress Test) to assess your heart's response to exercise. This test can provide valuable information about your heart's function and help guide further management. Overall, it is important to continue working closely with your healthcare providers, including your Pulmonologist and Cardiologist, to monitor and manage these findings. Regular follow-ups and lifestyle modifications, such as weight loss in the case of obesity, can help improve your overall health and well-being."

Question 2

I'm a 17-year-old guy and for the past three months, I've been having really frequent heart palpitations, like 4 to 5 times a day, sometimes even 6 or 7. It's just that feeling of my heart skipping a beat for a couple of seconds before it goes back to normal. It happens all of a sudden and I'm wondering if this could mean there's some heart disease going on. My resting pulse is 104. Also, I've noticed my hair has started thinning a bit. Could there be some link between the palpitations and things like nutritional deficiencies or low blood count?

Accepted Answer

It is important to investigate the cause of your frequent heart palpitations and elevated resting pulse rate. One possible connection between your symptoms of heart palpitations and hair thinning could be an underlying thyroid issue. I recommend consulting with a healthcare provider for further evaluation and testing. In the meantime, you can consider taking **Propranolol 10mg** for symptomatic relief of palpitations. However, this is not a definitive treatment and a proper diagnosis is necessary.

Question 3

I've been having this chest pain and heaviness, and sometimes it feels like I'm short of breath, especially when I'm walking. I got an ECG and a chest x-ray, and they came back normal. I went to a nearby clinic just a couple of days ago for the same issue. I can't help but think I might have angina, but no doctor has confirmed this. They usually just check my pulse rate and listen to my heartbeat with a stethoscope and tell me everything's fine. Should I be worried about this, or can I trust the tests and what the doctors have said so far? Would love some guidance!

Accepted Answer

Since your symptoms are persisting, it's important to consider other causes of chest pain apart from heart-related issues. One common condition that can cause similar symptoms is acid reflux or GERD. You can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for 2 weeks to see if your symptoms improve. Additionally, you can also take Ranitidine (brand name Zantac) 150mg twice daily for immediate relief of chest pain. However, if your symptoms persist or worsen, it's advisable to consult a gastroenterologist for further evaluation and management.

tab pantop 40 mg for 3 days

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