Question 1

I'm experiencing some discomfort after meals. Whenever I eat a heavy meal, I get this left-sided chest pain, and I notice my resting heart rate shoots up to around 100, even though it's usually about 70. It gets worse with any kind of light activity like walking or climbing stairs but seems to settle down after a few hours. I did have some heart tests, like an ECG, echo, and TMT about six months ago, and they all came back normal. My blood tests are fine toono anemia, high blood pressure, or sugar issues. Should I be considering any other tests or looking into something else? Its starting to worry me.

Accepted Answer

It sounds like you may be experiencing symptoms of gastroesophageal reflux disease (GERD) or acid reflux. The chest pain after eating heavy meals, along with the increased heart rate and chest discomfort with light activity, are common symptoms of GERD. Since your heart tests were normal, it is less likely to be related to a cardiac issue. I recommend trying over-the-counter antacids like Tums or Rolaids to see if they help alleviate your symptoms. You can also try avoiding heavy meals, eating smaller meals more frequently, and avoiding lying down immediately after eating. Additionally, you may benefit from medications like omeprazole (Prilosec) or ranitidine (Zantac) to reduce stomach acid production. If your symptoms persist despite these measures, you may consider undergoing an upper endoscopy to further evaluate the cause of your symptoms. This procedure can help identify any inflammation or damage in the esophagus or stomach. Overall, it is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 2

I'm really curious about something regarding a heart failure patient who has COPD, severe LV dysfunction, hypothyroidism, hypertension, and hyponatremia. Why would Montair LC be prescribed in this case? I've heard it being used for respiratory conditions, but I'm not sure how it fits into the treatment for someone with such a complex medical history. Could you help me understand?

Accepted Answer

Montair LC is given to heart failure patients with COPD, severe LV dysfunction, hypothyroidism, HTN, and hyponatremia to help manage their asthma symptoms. Montair LC is a combination medication containing Montelukast and Levocetirizine. Montelukast helps in reducing inflammation in the airways, which can be beneficial for patients with COPD and asthma. Levocetirizine is an antihistamine that can help relieve symptoms such as sneezing, runny nose, and itching caused by allergies. The dosage of Montair LC can vary depending on the patient's condition, so it is important to follow the prescribed dosage by your healthcare provider.

Question 3

I'm really worried after finding out from my CT coronary angiography that I have soft plaque in the proximal LAD causing moderate narrowing, and there's bridging in the mid LAD. Thankfully, my heart scan and 2D echo are normal. But now I'm kind of stressed about what precautions I should be taking and what medicines might help. I just feel unsure about the next steps and would love some guidance. What should I do to manage this situation?

Accepted Answer

Its understandable to feel concerned, but with your CT angiography showing mild narrowing (60%) and normal 2D echo, it suggests your heart function is still intact. For now, focus on lifestyle changes such as a heart-healthy diet, regular exercise, stress management, and medications like aspirin or statins as prescribed by your doctor to prevent further plaque buildup. Stay in close contact with your cardiologist for regular check-ups and guidance.

If TMT is normal Better to under screening Angiogram,do not neglect,visit Cardiologist for the same

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