Question 1

I've been dealing with palpitations since 2009, and although I've had some treatment, they haven't completely stoppedjust reduced in frequency. The doctor advised me to take Rivotril when they start, since they never seem to stop on their own. I'm worried about why they persist and if there's something else I could try? Could there be long-term effects if I'm taking Rivotril for so long? Any advice would be appreciated.

Accepted Answer

Since you have been experiencing palpitations since 2009 and have been advised to take rivotril when they occur, I recommend discussing with your doctor about trying beta-blockers such as Metoprolol at a low dose to help manage the palpitations more effectively. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted based on your response. Beta-blockers are commonly used to reduce the frequency and severity of palpitations by regulating the heart rate and rhythm.

Question 2

I'm dealing with some pretty persistent pain in my jaw, neck, shoulder, back, and left arm that I've had for the last three months, and the jaw pain just started about a week ago. About 25 days back, I had an ECG, TMT, and troponin blood test, and they all came back normal. Before that, three months ago, I had earlier done an ECG, TMT, and ECHO test, and those were normal too. But the pain hasn't gotten any better, and it's really stressing me out. Can you suggest what I should do next in terms of treatment or any other tests I need to consider?

Accepted Answer

Based on your symptoms and normal test results, it sounds like you may be experiencing musculoskeletal pain and tension. I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for pain relief. Additionally, you can apply a topical pain relief gel containing diclofenac to the affected areas. For muscle relaxation, you can try a muscle relaxant medication such as cyclobenzaprine. It is important to maintain good posture, practice relaxation techniques, and consider physical therapy to help alleviate your symptoms. If the pain persists, further evaluation by a specialist such as a physiotherapist or orthopedic doctor may be necessary.

Question 3

I'm really worried about my dad's recent angiography test results. It showed he has a 100% blockage in two arteries and 95% in a third artery, with just one vein working properly. I'm trying to understand if he should consider bypass surgery or angioplasty. Which option is generally more effective for extending lifespan?

Accepted Answer

For blockages of 100% in two arteries and 95% in the third artery, bypass surgery would be more effective in this case. Bypass surgery involves creating new pathways for blood to flow to the heart muscle, bypassing the blocked arteries. This can help improve blood flow to the heart and relieve symptoms such as chest pain. It is also known to extend lifespan and reduce the risk of future heart attacks compared to angioplasty. The patient should consult with a cardiac surgeon to discuss the best treatment option and further details regarding the bypass surgery procedure and post-operative care.

Probable differential diagnosis include right axis deviation and myocardial infarction.. Ecg and cardiac markers advised and cardiac opinion..

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