Question 1

I'm a 37-year-old male with a height of 162 cm and a weight of 76 kg. I don't eat non-veg too often, maybe 5 to 6 times a month, and I keep my oil and fat intake pretty low. My job involves spending a lot of time at a desk, so I hardly get any exercise. I just got my cholesterol report, and it says my total cholesterol is 236, triglycerides are 258, HDL is 39, LDL is 153, and my non-HDL cholesterol is 197. The CHOLHDL ratio is 6.1 and the LDLHDL ratio is 3.9. It also showed very low-density lipoprotein at 51.6. My liver enzymes, AGT SGOT and ALTS GPT, are 25 and 49, respectively. My vitamin D level is quite low at 12.94. I'm a bit worried about all these numbers. What should I be doing next? Any advice would help.

Accepted Answer

Based on your report, your cholesterol levels are high and may require medication to lower them. In addition to medication, lifestyle changes are also important. Here is a recommended course of action for you: Cholesterol-lowering Medication: - I recommend starting a statin medication such as Atorvastatin (brand name Lipitor) at a dose of 20 mg once daily to help lower your LDL cholesterol levels. Lifestyle Changes: - Increase your physical activity level by incorporating at least 30 minutes of moderate-intensity exercise, such as brisk walking, most days of the week. - Follow a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats and cholesterol intake. - Consider increasing your consumption of omega-3 fatty acids by eating fatty fish like salmon or taking a fish oil supplement. - Aim to maintain a healthy weight by monitoring your calorie intake and portion sizes. - Get regular sunlight exposure or consider taking a Vitamin D supplement to improve your low Vitamin D levels. Follow-up: - It is important to follow up with your healthcare provider regularly to monitor your cholesterol levels and adjust your treatment plan as needed. Remember, these recommendations are based on the information provided, and individualized advice may vary.

Question 2

I'm getting ready for my aviation medical, and I had an ECG done. The report showed ST segment elevation in the anterior, large T waves, and it said "borderline ECG." I'm 20 years old, weigh 82kg, and I'm 176cm tall. Should I be worried about any of these findings? What do they really mean, especially with my age and size?

Accepted Answer

Based on the ECG findings of ST segment elevation (anterior), large T wave, and borderline ECG, along with your age, weight, and height, it is important to further evaluate these findings. These ECG changes could indicate various conditions such as myocardial infarction, myocarditis, pericarditis, or other cardiac issues. I recommend consulting with a cardiologist for a thorough evaluation and appropriate management. In the meantime, it is important to avoid strenuous physical activity and follow a heart-healthy diet. Medications such as aspirin, nitroglycerin, and beta-blockers may be prescribed based on further evaluation by your cardiologist.

Question 3

I'm a bit worried because for the past month I've been having this weird chest pain, mostly on the left side. It's also affecting my left hand, shoulder, and neck. I've already done a TMT, echo, and ECG but the reports all came back normal. I'm really confused about what's going on. Could you help me figure out what this might be?

Accepted Answer

When there is no cardiac issue that could be pleuritis or costochondritis no need to worry take rest and foolow your doctors advice.

do chest x ray

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