Question 1

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 2

I'm experiencing palpitations when I'm sitting and even while trying to sleep, and it's really starting to scare me. Is it possible for someone to sense their own arrhythmia, or should I be worried about something else?

Accepted Answer

Yes, patients can sometimes sense arrhythmias themselves, especially when they experience symptoms like palpitations. In your case, since you are feeling palpitations while sitting and sleeping, it is important to consult a doctor for further evaluation. In the meantime, you can try taking a low dose of beta-blockers like Metoprolol (25-50mg) to help control your palpitations.

Question 3

I've been having this weird feeling where my heart skips a beat, and it's making me uneasy. I recently saw a cardiologist, and he checked my echo test report and said everything looked fine. The sensation goes away when I sleep and feels okay in the morning, but it suddenly starts again when I'm lying down. Could you help me figure out what's going on or what I should do about it?

Accepted Answer

mostly no need to fear since echo is normal consult psychiatist if it stil persists

Why do I feel nervous and anxious all the time? My heart's always thumping really hard, and I can actually feel it when I touch my chest. It's making me really uneasy. What could be causing this?

See a specialist for accurate diagnosis and targeted treatment.

More Cardiology Health Queries

I'm experiencing palpitations when I'm sitting and even while trying to sleep, and it's really starting to scare me. Is it possible for someone to sense their own arrhythmia, or should I be worried about something else?

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