Question 1

How do I know if my chest pain is serious?

Accepted Answer

Any chest pain needs physical examination by a doctor and tests to know the cause. On a general note, if chest pain is associated with heart burn, abdominal bloating, belching then it may be due to gastritis which may be managed at home. If chest pain is sudden, radiating to left arm/ shoulder and is associated with sweating, breathing issue then it may be due to a cardiac condition which needs immediate hospital visit. Sometimes, atypical presentation like a person who had mild chest pain with vomiting was tested and found to be having a heart attack on ECG. Hence, every chest pain need a doctor's consultation.

Question 2

I'm really puzzled about my friend's sudden passing. He was perfectly fine until about 10:30 in the morning, but out of nowhere, he had a severe cardiac arrest and died by 10:50. In the 48 days leading up to his death, he rarely ate food from home. I can't help but wonder if there might be anything like a slow poison that could have affected him. Could you shed some light on what might have happened?

Accepted Answer

While I understand your concern about potential poisoning given the changes in his eating habits, sudden cardiac arrest can happen without warning even in people who appear healthy. The period of irregular eating could be related to various factors like stress, depression, or underlying health issues. If you have serious concerns about the circumstances, I would encourage you to share them with the relevant authorities and discuss with his family about requesting an autopsy if one hasn't been performed. Most importantly, please make sure you're getting support during this difficult time - losing someone suddenly is incredibly challenging, and it's natural to have questions and seek answers about what happened.

Question 3

I'm really concerned about my grandfather lately. He's been dealing with high blood pressure and hypertension, but now his feet are swelling and he's having chest pains too. He's currently taking gtn sorbitrate 2.6 cr twice a day and amlokind 10 mg, plus he uses a quikhale 250 sf inhaler. Could you help me understand why his feet might be swelling and suggest a medication that might help?

Accepted Answer

Swelling in the feet can be a common symptom in patients with high blood pressure and hypertension, especially in elderly individuals. It can be due to fluid retention caused by the heart's inability to pump blood effectively. In this case, considering your grandfather's age and existing conditions, it is important to address the underlying cause of the swelling. To help reduce the swelling in his feet, I recommend prescribing a diuretic medication such as Furosemide (Lasix) 20mg once daily. This medication will help to remove excess fluid from his body and alleviate the swelling in his feet. Additionally, given his chest pains, it is crucial to ensure that his heart health is well managed. I suggest adding Aspirin 81mg once daily to help reduce the risk of blood clots and relieve chest pain. Please consult with your grandfather's healthcare provider before starting any new medication to ensure it is safe and appropriate for his specific medical condition.

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