- 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?
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:
- Gastroesophageal reflux disease (GERD): Stomach acid can cause bleeding in the esophagus or stomach.
- Peptic ulcers: Open sores in the stomach or duodenum can bleed.
- Gastritis: Inflammation of the stomach lining can lead to bleeding.
- Esophageal varices: Enlarged veins in the esophagus can bleed.
- Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause bleeding.
- 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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View allI'm really concerned about heart attacks and wanted to get some clarity on it. Could you explain how a heart attack actually happens and what steps one can take to recover from it or prevent it from happening in the first place? I'm just trying to understand more for peace of mind.
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I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?
"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."
Answered by 1 Apollo Doctors
I'm really concerned because my blood pressure has shot up to 14492 since it got colder. I'm already on Ivabrad for my heart rate, but I've used Prolomet XL 12.5 in the past as a beta blocker for blood pressure. Can I start taking Prolomet XL 12.5 again while I'm on Ivabrad 5 mg?
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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.