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'm experiencing arm pain that started in my left arm, but now it's also in my right arm. I've got this weird center chest pain too. I did an ECG, echo, and some blood tests, including a thyroid test about four days ago, and everything came back normal. The doctor mentioned it might be anxiety because my heart rate was really highlike 130 bpm during the ECG and my blood pressure was 15080. I've had this fear of heart issues for months, and now the symptoms seem to have gotten worse. They gave me Betanol TR 40 to try and help. Sometimes the arm pain gets really bad, but then it goes away and comes back. It feels like pins and needles, maybe like cramps. What could this be?

It sounds like you are experiencing symptoms of anxiety and cardiophobia, which can manifest as arm pain and chest discomfort. The medication prescribed to you, Betanol TR 40, is a brand name for Propranolol. This medication can help with managing symptoms of anxiety and can also help with reducing heart rate and blood pressure. The usual dosage for Propranolol in anxiety is 20-40mg taken 2-3 times a day. It is important to follow your doctor's instructions regarding the dosage and frequency of taking the medication. If you experience worsening symptoms or have any concerns, it is important to follow up with your doctor for further evaluation and management.

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I'm having trouble with a high heart rate. Sometimes it spikes over 100, and if I walk for just 5 minutes, it quickly jumps to around 120-130. Doing even a little bit of exercise can push it to 150. I've already had a 2D echo and TMT, but my doctor said everything looks normal. I'm really confused about what's causing this and wondering if there are other tests that might help diagnose the issue. How can I prevent these spikes from happening?

Given that your 2D echo and TMT results are normal, the elevated heart rate could be due to factors such as anxiety, deconditioning, thyroid issues, or other non-cardiac causes. It might be helpful to check your thyroid function with blood tests like TSH, Free T4, and Free T3, as hyperthyroidism can elevate heart rate. Monitoring for conditions like anemia with a complete blood count (CBC) and checking electrolyte levels might also be beneficial. To manage and prevent a high heart rate, consider stress-reduction techniques like mindfulness or yoga, ensure adequate hydration, and gradually increase your physical activity to improve cardiovascular fitness. Consult your healthcare provider to discuss these potential tests and management strategies further.

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