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 been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to about 125, but the diastolic stays below 70, which I find unsettling. I do experience a bounding pulse in different areas of my body which adds to the stress. I've had health anxiety since the lockdown began, and I've been using homeopathy which has helped, and I'm also trying to keep my diet in check and exercise regularly. What's bugging me is why my diastolic number doesn't return to a typical range even when I'm managing everything else pretty well? When people talk about high blood pressure, I usually hear both systolic and diastolic numbers rise together, but mine seems to have one high and the other low. Could this be more than just anxiety, or is there something unique about my situation?

1. Your diastolic blood pressure not returning to normal despite your efforts could be due to a combination of factors, including anxiety and possibly other underlying health conditions. It's great that you are managing your anxiety with homeopathy, but it's essential to monitor your blood pressure regularly and consult with a healthcare professional for further evaluation and management. In terms of medication, you can consider starting with a low dose of a calcium channel blocker like Amlodipine 2.5mg to help lower your diastolic blood pressure. 2. The fluctuation in your blood pressure readings, with systolic going up and diastolic going down, can be attributed to various factors such as stress, anxiety, and even the time of day when you measure your blood pressure. It's not uncommon for individuals to experience variations in their blood pressure readings, especially in response to different stimuli. However, persistent high diastolic blood pressure warrants attention and monitoring. 3. While anxiety may be a significant contributing factor to your elevated blood pressure readings, it's essential to rule out any other underlying medical conditions that could be impacting your diastolic blood pressure. Considering your age and overall fitness level, it's crucial to continue with your healthy lifestyle habits, including regular exercise and a balanced diet. Additionally, incorporating stress-reducing activities such as mindfulness or yoga may further help in managing your anxiety and potentially improving your blood pressure levels. Regular follow-ups with a healthcare provider will be beneficial in monitoring your blood pressure and adjusting your treatment plan as needed.

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