Question 1

I'm a 37-year-old guy weighing around 60 kg and I've been on enalapril 5 and met xl 12.5 tablets for my hypertension for the last six months. Recently, during a pre-employment medical checkup, I noticed that the RBC count and size in my blood report were highlighted as concerning by the doctor, but they didn't suggest any treatment. My family doctor is back in Kolkata while I'm currently in Oman. What should I do about this? Should I keep taking my meds as usual, or do I need to consider any other treatment or actions?

Accepted Answer

It's important to address the abnormal RBC count and size in your blood report. Since your family physician is not readily available, I recommend consulting with a local physician in Oman to further investigate the cause of the abnormal RBC findings. It's important to determine the underlying reason for this abnormality before making any changes to your current medication regimen. However, in the meantime, you can continue taking enalapril 5 and met xl 12.5 as prescribed for your hypertension. These medications help in managing high blood pressure effectively. Make sure to follow the dosage instructions provided by your healthcare provider.

Question 2

I'm having this ongoing pain in my chest, left arm, and shoulder blade, and it's been going on for over six months now. I've had my ECG done a couple of times and it came back normal, but I'm still worried because I have a history of depression and w...

Accepted Answer

Based on your symptoms and history, it is important to consider the possibility of musculoskeletal issues, anxiety-related chest pain, and gastrointestinal concerns. To address the chest pain and discomfort in your left arm and shoulder blade, you can try taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle tension or spasms. For the dull pain in your spine and disc area, you can take **Ibuprofen** 400mg as needed for pain relief. Additionally, for symptoms of cervical issues, you can use a topical pain relief gel like **Diclofenac** gel applied to the affected area. To manage anxiety and panic attacks, you can consider taking an anti-anxiety medication like **Lorazepam** 0.5mg as needed for acute episodes. It is also important to practice relaxation techniques and seek therapy to address the underlying causes of your anxiety. For gastrointestinal symptoms such as chest pain after eating, you can try an antacid like **Omeprazole** 20mg before meals to help with acid reflux and indigestion. It is also advisable to maintain a healthy diet and avoid trigger foods that worsen your symptoms. Please note that these recommendations are based on the information provided, and it is important to follow up with your healthcare provider for a comprehensive evaluation and management plan.

Question 3

I've been having a pounding heart and sometimes feel dizzy for about a week now. It even happens when I'm just sitting around doing nothing. Any idea what's going on? Should I be worried?

Accepted Answer

These symptoms could be due to a condition called palpitations, which can be caused by various factors such as stress, anxiety, caffeine intake, or underlying heart conditions. To help manage your symptoms, you can try taking a beta-blocker medication such as Metoprolol (25-50mg) once daily to help regulate your heart rate and reduce palpitations. Additionally, it is important to reduce your caffeine intake and practice stress-reducing techniques such as deep breathing or meditation. If your symptoms persist or worsen, please seek further evaluation from a healthcare professional.

Question 4

Is it normal for my heart rate to drop below 50 when I'm in deep sleep? I've noticed my heart rate goes down to around 45 while sleeping, and it's usually around 55 when I'm just resting. Should I be concerned about this?

Accepted Answer

Yes, it is normal for the heart rate to decrease during deep sleep. A heart rate of around 45 during deep sleep and 55 at rest is within the normal range for many adults. There is no need to be concerned about this unless you are experiencing symptoms such as dizziness, fainting, or chest pain.

Question 5

I'm having this chest tightness and it feels like I'm short of breath since last night. I went through EPS treatment back in August last year. Could this be related? Should I be worried about it?

Accepted Answer

ecg and trop t are advised to the patient..

Question 6

My mom's been feeling really heavy in her chest and super tired since like 4 in the morning today. She doesn't have any heart issues, but she does sometimes deal with gastric problems. She also has thyroid. Could this be related to that, or do you th...

Accepted Answer

Based on the symptoms described, it is possible that your mother is experiencing acid reflux or heartburn. I recommend she take an antacid medication such as Tums (calcium carbonate) 500mg to help relieve the symptoms. She can take 2 tablets as needed, but not exceeding 7 tablets in 24 hours. It is also important for her to avoid spicy and acidic foods that can trigger acid reflux. Additionally, given her history of thyroid issues, it is important to ensure that her thyroid levels are well-controlled as thyroid imbalances can sometimes contribute to gastrointestinal symptoms. I recommend she follow up with her healthcare provider to discuss her symptoms and thyroid management.

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Related Questions

I'm having this ongoing pain in my chest, left arm, and shoulder blade, and it's been going on for over six months now. I've had my ECG done a couple of times and it came back normal, but I'm still worried because I have a history of depression and w...

I've been having a pounding heart and sometimes feel dizzy for about a week now. It even happens when I'm just sitting around doing nothing. Any idea what's going on? Should I be worried?

Is it normal for my heart rate to drop below 50 when I'm in deep sleep? I've noticed my heart rate goes down to around 45 while sleeping, and it's usually around 55 when I'm just resting. Should I be concerned about this?

I'm having this chest tightness and it feels like I'm short of breath since last night. I went through EPS treatment back in August last year. Could this be related? Should I be worried about it?

My mom's been feeling really heavy in her chest and super tired since like 4 in the morning today. She doesn't have any heart issues, but she does sometimes deal with gastric problems. She also has thyroid. Could this be related to that, or do you th...

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