Question 1

I've been really worried about my heart ever since last year when I started having these chest and left arm pains. I got a TMT and echo done back then, and they showed everything was normal, but I'm still having these pains out of nowhere. It's like I'm always scared I'm gonna have a heart attack. Do you think I should get checked again, or could this be something else altogether?

Accepted Answer

Since your TMT and echo tests were normal last year, it is less likely to be related to a heart condition. It is possible that your symptoms are more related to anxiety and panic attacks. I recommend discussing with your doctor about the possibility of starting an anti-anxiety medication such as Sertraline (Zoloft) at a low dose initially, along with counseling or therapy to address your fears and anxiety. Additionally, you can consider taking a low dose of Propranolol (Inderal) as needed for chest pain and palpitations. However, it is important to follow up with your doctor for further evaluation and management of your symptoms.

Question 2

I'm really struggling and could use some advice. Ive been feeling exhausted for the past three years and I'm dealing with severe shortness of breath. My mornings start with a really bad headache, and my resting heart rate is consistently high, hovering around 100 to 110, and it shoots up to 180 to 200 just by climbing a single flight of stairs. My weight is normal, so Im confused about what might be causing this. I used to be pre-hypertensive with a blood pressure of 137 over 91, and then I was on Inderal la 20 in July and August of last year. Now, my BP usually sits in the 95 over 83 or 100 over 85 range when I'm resting, which makes me wonder why my pulse pressure is so low. I was diagnosed with allergic rhinitis and allergic bronchitis in January, and Ive been taking mondeslor for the past two months, but Im not seeing any improvement. Ive done a pulmonary function test, ECG, and echo, and they all came back normal. I don't have anxiety issues and generally, I'm a calm person. It's all pretty frustrating, and its impacting my everyday life. What could be going on?

Accepted Answer

It sounds like you are experiencing symptoms of fatigue, dyspnea, headaches, and low pulse pressure despite being on Inderal LA 20 for hypertension. Since your PFT, ECG, and echo results are normal, it is important to consider other possible causes for your symptoms. Given your history of allergic rhinitis and allergic bronchitis, it is possible that your symptoms could be related to an underlying respiratory issue. Considering your symptoms and medical history, I would recommend discussing with your doctor the possibility of trying a different medication for your allergic conditions. You may benefit from a nasal corticosteroid spray such as Flonase (fluticasone) for allergic rhinitis and an inhaled corticosteroid like Qvar (beclomethasone) for allergic bronchitis. These medications can help reduce inflammation in your airways and improve your breathing. In addition, since you are experiencing persistent headaches, your doctor may consider prescribing a medication like Propranolol (Inderal) at a higher dose to help with both your headaches and high heart rate. It is important to follow up with your doctor regularly to monitor your symptoms and adjust your treatment plan as needed. Overall, it is important to continue working closely with your healthcare provider to determine the underlying cause of your symptoms and find an appropriate treatment plan.

Question 3

My mom's been having trouble with her breathing for a bit now, and we recently got an echo test done. They said her heart is bigger than normal and kinda weak, functioning at about 25% of what it should be. She's 50, has high blood pressure, and is a bit diabetic. I'm really worried about her. Do you think this is something we can fix? How serious is it? Should I be really alarmed?

Accepted Answer

Yes it is alarming since the heart functioning is only 25.., u may require an echo for further management and a cardiac opinion.

I'm currently taking Concor Cor 5mg for my irregular heartbeat, and I've been on it for about a month. I'm feeling better now and I'm wondering if I can just stop taking it or if there's something specific I should do before stopping. Any advice?

no u can not stop concor tablet suddenly ,since stoping the tablet may aggrevate the symtoms

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