apollo
  • male
  • 45 Years
  • 23/01/2025

Sure, here's a rephrased version of the user's query: I've been having chest pains off and on for a couple of days and got an ECG done. Here's what the results say: Vent rate is 73 bpm, PR interval is 114 ms, QRS duration is 94 ms, QTQTc is 388427 ms, and the PRT axes are 64, 52, and 25. I'm really not sure if these numbers are normal. Should I be taking any special precautions, especially since the pain keeps showing up in different parts of my body at different times?

Doctor 1

Answered by 1 Apollo Doctors

Blood Vomiting and Blood in Stool: Potential Causes

Blood vomiting (hematemesis) and blood in stool (hematochezia) can be symptoms of various conditions. Given your friend's experience, possible causes include:

  1. Gastroesophageal reflux disease (GERD): Stomach acid can cause bleeding in the esophagus or stomach.
  2. Peptic ulcers: Open sores in the stomach or duodenum can bleed.
  3. Gastritis: Inflammation of the stomach lining can lead to bleeding.
  4. Esophageal varices: Enlarged veins in the esophagus can bleed.
  5. Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause bleeding.
  6. Infections: Bacterial or viral infections, such as food poisoning, can cause bleeding.

Urgent Medical Attention Needed

Encourage your friend to seek immediate medical attention to determine the underlying cause and receive proper treatment.

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've just turned 39 and I'm a bit concerned about some results from a pre-employment medical test I took. My blood pressure came out as 110 over 70, which I think is okay but I'm not sure. My total cholesterol is at 225, should I be worried about that? Also, the ECG report mentioned sinus bradycardia and I don't really know what that means. Is this something I should be concerned about?

You have a blood pressure of 11070, total cholesterol of 225, and sinus bradycardia on your ECG report. For your blood pressure of 11070, it falls within the normal range. A total cholesterol level of 225 is slightly above the recommended level of less than 200. You may consider lifestyle changes such as a healthy diet, regular exercise, and possibly medication like atorvastatin to lower your cholesterol levels. Sinus bradycardia is a condition where your heart rate is slower than normal. If you are not experiencing any symptoms such as dizziness, fatigue, or fainting, it may not be a cause for concern. However, if you have symptoms, you may need further evaluation by a cardiologist. Overall, it would be advisable to follow up with your healthcare provider for a more personalized assessment and management plan.

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I'm really worried about my dad's blood pressure. It was high at 160110 before, but after he started taking Metocard XL 25 and Triolmesar 20 for about a month, it's dropped to 8772, measured with a digital Omron monitor. Do you think he should keep taking his current medication or adjust the dose? Also, he's diabetic and taking Glyciphage SR 500 and Tenlimac 20. Plus, he's being treated for prostate issues with Maxvoid 8. Could all these medications be affecting his blood pressure too much? What would be the best course of action?

Given the significant drop in blood pressure from 160110 to 8772, it is important to reassess the medication regimen. In this case, it is advisable to consult with your father's healthcare provider to adjust the dosage or possibly consider discontinuing one of the antihypertensive medications. Lowering the dose of Metocard XL 25 or Triolmesar 20 may be necessary to prevent hypotension, especially considering his current blood pressure readings. Regular monitoring and coordination with his healthcare provider are essential to ensure optimal management of his hypertension while taking into account his diabetes and prostate issues.

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I'm feeling really shaky and I've been having these spells of dizziness, lightheadedness, and nausea. I've been keeping an eye on my blood pressure since around 5pm, and it's been all over the place. It started at 12987 with a pulse of 75, then went to 13994 with a pulse of 89, 13795 with a pulse of 84, 13387 with a pulse of 70, and now it's at 13290 with a pulse of 76. I made sure I was sitting up straight and resting before and during each check. I'm really trying to figure out what's going on with me. Can you help?

Your symptoms of shakiness, dizziness, lightheadedness, and nausea, combined with fluctuating blood pressure readings, may indicate dehydration, anxiety, or an underlying condition such as orthostatic hypotension, hypoglycemia, or autonomic nervous system dysfunction; consider consulting a healthcare professional for a thorough evaluation and potential tests, such as blood work or an ECG, to determine the underlying cause.

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