Question 1

For the past 4 to 5 days, Ive been dealing with an unusually fast heart rate, even when Im just resting. I havent been exercising for a few months now, and I can really feel my heart pounding throughout my body. It gets worse at night and when I checked, my heart rate was 103 bpm, and sometimes its 95 bpm, but it never goes below 90, even when Im just sitting. Im staying hydrated and I dont feel anxious, but Ive started having this chest pain that feels like when someone presses on a bone. What tests should I consider doing to find out whats going on? This fast heart rate is really becoming unbearable. Any advice?

Accepted Answer

Based on your symptoms of a fast heart rate at rest, palpitations, and chest pain, it is important to consult a healthcare professional for further evaluation. The following tests may be recommended: 1. Electrocardiogram (ECG) to assess the electrical activity of the heart. 2. Holter monitor to continuously record your heart's activity for a period of time. 3. Echocardiogram to evaluate the structure and function of the heart. 4. Blood tests to check for any underlying conditions such as thyroid disorders or electrolyte imbalances. In the meantime, to help manage your symptoms, you can consider taking a beta-blocker medication such as Metoprolol at a starting dose of 25mg once daily, as prescribed by a healthcare professional. Beta-blockers can help lower heart rate and reduce chest pain.

Question 2

I've been having some trouble with my blood pressure readings. My right arm was at 14296, while the left was 12487. Is this something I should be worried about? On top of that, I've been dealing with feelings of depression and constant negative thoughts. My doctor told me I have some gastric issues like LAX CARDIA, EROSIVE ESOPHAGITIS, and ANTRAL EROSIVE GASTROPATHY. I've been on medication for a while, but they don't seem to be helping. Plus, my upper back has been aching, probably because I'm sitting a lot at work. Could you give me some advice on what I should do?

Accepted Answer

Regarding your blood pressure difference between your right and left arms, it is important to monitor this discrepancy and follow up with your healthcare provider. It could indicate underlying vascular issues that need to be addressed. As for your feelings of depression and negative thoughts, it is crucial to seek support from a mental health professional for proper evaluation and management. For your gastric issues including LAX CARDIA EROSIVE ESOPHAGITIS and ANTRAL EROSIVE GASTROPATHY, the medications you have been taking may need adjustment. You can try taking a proton pump inhibitor like Esomeprazole (brand name Nexium) along with a prokinetic agent like Metoclopramide (brand name Reglan) for better control of your symptoms. To manage your upper back pain due to prolonged sitting, you can try over-the-counter pain relievers like Ibuprofen (brand name Advil) for pain and inflammation. Additionally, incorporating regular stretching exercises and maintaining a good posture at work can help alleviate the discomfort. It is important to follow up with your healthcare provider for a comprehensive evaluation and personalized treatment plan tailored to your specific health needs.

Question 3

I'm really concerned because for the last three months, my heart has been skipping beats every half an hour or so. My blood pressure is recorded at 14090. I've seen a cardiologist and had tests like an echo, ECG, and holter done. My doctor has put me on Olmesar 20 for my blood pressure and Ciplar LA 20 mg for 15 days. I'm really worried about the trivial mitral regurgitation and these skipped heartbeats. What should I be expecting or doing about this?

Accepted Answer

Trivial mitral regurgitation is a common condition where a small amount of blood flows backward through the mitral valve with each heartbeat. It usually does not cause any symptoms or require treatment. As for your skipped heartbeats, also known as palpitations, they can be caused by various factors such as stress, caffeine, or certain medications. Your doctor has prescribed Olmesar 20 for your blood pressure and Ciplar LA 20 mg for 15 days to help with your heart rate. Olmesar is a brand name for Olmesartan, which helps lower blood pressure. Ciplar LA is a brand name for Propranolol, which can help regulate your heart rate. It is important to take these medications as prescribed and follow up with your cardiologist for further evaluation and management. If you continue to experience skipped heartbeats or have any concerns, make sure to inform your doctor for further guidance.

Can I still have a heart rate of 125 and it be normal? I just recovered from being ill for two months and I'm feeling really weak. Should I be concerned about this or is it just part of my recovery?

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