Question 1

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart attack. Could this be cardiac anxiety, or is there something else I should worry about? Also, my blood tests were normal except my vitamin D was 13.56 Ngml and B12 was 173.8 ofml. Should I be concerned about those levels?

Accepted Answer

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:
1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

Question 2

I've been dealing with chest tightness and pain for a few months now and even after visiting a cardiologist who did an echo, ECG, blood test, and chest X-ray, they said my heart is fine but mentioned that my cholesterol is a little high and prescribed some cholesterol tablets. Can you suggest any home remedies that might help with the chest tightness and pain? I'm really curious about other ways to manage this.

Accepted Answer

Since your heart has been cleared by the cardiologist and you have been prescribed cholesterol tablets, you can try some home remedies to help relieve chest tightness and pain. 1. **Garlic**: Garlic is known to help lower cholesterol levels. You can include fresh garlic in your diet or take garlic supplements after consulting with your doctor. 2. **Omega-3 Fatty Acids**: Foods rich in omega-3 fatty acids like fatty fish (salmon, mackerel, sardines), flaxseeds, and walnuts can help reduce inflammation and improve heart health. 3. **Fiber-rich Foods**: Eating a diet high in fiber from fruits, vegetables, whole grains, and legumes can help lower cholesterol levels. 4. **Physical Activity**: Regular exercise, as recommended by your healthcare provider, can improve heart health and reduce chest tightness. 5. **Stress Management**: Practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress and chest tightness. 6. **Avoid Smoking and Limit Alcohol**: Smoking and excessive alcohol consumption can worsen chest pain and tightness. Please continue taking your prescribed cholesterol tablets as directed by your doctor and incorporate these home remedies for additional support. If your symptoms persist or worsen, please consult your healthcare provider for further evaluation.

Question 3

I'm wondering if you can help me understand what's going on with my blood pressure. It's been fluctuating a lot, sometimes shooting up to 180 over 110, and my pulse rate gets really high too. My heart and sugar levels are fine, but this blood pressure issue is worrying me. Do you have any advice or medication suggestions to help stabilize it?

Accepted Answer

Visit your Physician for evaluation and appropriate management

An echo and ecg is advised.

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