Question 1

I'm a bit worried because I have anemia and my ESR levels are raised. I generally do slow-paced walking covering an average of 45 km, but my resting heart rate seems to be in the range of 48 to 65. My last two ECG readings were 53 and 48. I'm not experiencing any fainting spells or dizziness, but is this okay and considered normal?

Accepted Answer

Your resting heart rate of 48-65 beats per minute is within the normal range for adults, especially for individuals who engage in regular physical activity like slow pace walking. Anemia and raised ESR (Erythrocyte Sedimentation Rate) may indicate an underlying inflammatory condition. Since you do not experience faint spells or dizziness, it is reassuring. However, it is important to further investigate the cause of anemia and raised ESR. I recommend consulting a doctor for a complete evaluation and appropriate management.

Question 2

I've been dealing with anxiety-induced tachycardia and my resting heart rate used to be around 100-130 with a blood pressure of 130-14070-80 for the past year. My doctor prescribed Ciplar LA 40 mg and Amitone 10 mg, which I've been taking for the past four days. I've noticed my resting heart rate has dropped to between 70-85 and my blood pressure is now around 11080. There's another option, Metoprolol 25 mg, and I'm curious if it's a better choice for me to use just for a month. What would you suggest?

Accepted Answer

For anxiety-induced tachycardia, both Ciplar LA (propranolol) 40 mg and Metoprolol 25 mg are commonly used beta-blockers to help control heart rate and blood pressure. In your case, since you have already started taking Ciplar LA 40 mg and have noticed an improvement in your resting heart rate and blood pressure within 4 days, it seems to be working well for you. Therefore, I would recommend continuing with Ciplar LA 40 mg for the next month as prescribed by your doctor. It has shown effectiveness in reducing your heart rate and maintaining a normal blood pressure range. Make sure to follow your doctor's instructions regarding dosage and duration of treatment.

Question 3

I've been feeling this pinching kind of mild pain on the left side of my chest that lasts for like 46 seconds or so. At those moments, I can really feel my heart beating faster when I put my hand on my chest. I did talk to a cardiologist about it, and they recommended an ECG, which turned out normal. But I'm still really worried. Could these be warning signs, and should I consider getting more heart-related tests just to be on the safe side?

Accepted Answer

Given your symptoms of intermittent, mild, left-sided chest pain lasting 4-6 seconds, accompanied by an awareness of a rapid heartbeat, and a normal ECG result, your cardiologist may recommend further tests, such as a stress test, echocardiogram, or Holter monitoring, to rule out potential causes like arrhythmias, pericarditis, or cardiac anxiety, and provide reassurance, but in the meantime, pay attention to any triggers or patterns, and consider maintaining a symptom journal to discuss with your doctor.

I'm a bit worried because my mom accidentally took her stamlo 5mg dose in the evening too, even though she's only supposed to take it in the morning. Is it still okay for her to take her regular morning dose tomorrow?

Yes she can take her regular dose no need to worry

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