Question 1

I've been noticing that I can hear my heartbeat pretty clearly while I'm sleeping, especially in a sitting position. Sometimes it even feels like my heart is lifting or something, and it's a bit worrying. I don't have any issues with sugar or blood pressure, but my heart rate is around 100 bpm. Should I be concerned about this for my future health? What do you think?

Accepted Answer

It sounds like you may be experiencing symptoms of palpitations, which can be concerning. I recommend you to consult with a cardiologist for a proper evaluation and diagnosis. In the meantime, you can take Tab Metoprolol 25mg once daily to help regulate your heart rate and reduce palpitations. Make sure to follow up with your doctor for further management.

Question 2

I'm really concerned about some symptoms I've been experiencing. I started taking Eliwel 10mg for nerve pain about 20 days ago, but suddenly I got rapid heartbeats and chest pain on October 1st with pain intensity around 710. When I went to the doctor, my heartbeat was going from 60s to 110. The doctor gave me Nebicard 5mg and suggested getting an ECG and echo. The ECG was abnormal but the echo was normal, and the doc said not to worry. But the chest pain lingered for 34 days, and I also had some shortness of breath. I've stopped taking Eliwel on my own, which helped a bit, but I still have some chest pain, maybe around a 410. Yesterday I saw a cardiologist who did a TMT test; that was normal too, but the ECG was still abnormal. I've attached my reports. Is there anything here I should be worried about?

Accepted Answer

Based on your symptoms and the abnormal ECG findings, it seems like you may have experienced some adverse effects from the Eliwel (Amitriptyline) medication. The rapid heart beat and chest pain could be related to this. Nebicard (Nebivolol) 5mg was prescribed to help with the rapid heart beat. Since you have already discontinued Eliwel and your symptoms have improved but not completely resolved, I would recommend discussing with your doctor about alternative medications for nerve pain. For your ongoing chest pain, you can consider taking a pain reliever like Paracetamol 500mg as needed for pain relief. It is important to follow up with your Cardiologist for further evaluation and management of the abnormal ECG findings. If the chest pain persists or worsens, do not hesitate to seek medical attention promptly.

Question 3

I'm a 30-year-old with health anxiety and I've been tracking my heart rate. When I'm resting, it jumps between 50 and 65, but during sleep, it drops down to 48. However, whenever I stand up, my heart rate shoots up to over 100, sometimes even reaching 120. Is this normal? Should I be concerned about how much it fluctuates?

Accepted Answer

When standing, a heart rate above 100-120 beats per minute can be considered normal, especially if you are experiencing anxiety. However, it would be best to monitor your heart rate regularly and consult with a healthcare provider for further evaluation and management of your health anxiety. For anxiety, you can try relaxation techniques and therapy. In case of severe anxiety, medications like Sertraline (50mg daily) or Escitalopram (10mg daily) can be prescribed by a doctor.

I'm 42 and my LDL cholesterol level is 162, with HDL at 43. I'm really hoping to get my LDL down from 162 to 109. Can you suggest any ways to do this? I'm looking for some advice on how to manage my cholesterol better.

Its better to start statins for a course of 3 months and stay physically active and consume balanced diet that would help

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