Question 1

I'm really concerned about my recent master checkup results. The doctor mentioned I have an abnormal heart rhythm where my heart stops for 1.8 seconds. He said it's a birth defect and suggested I get a pacemaker. I've been feeling dizzy lately, and I'm wondering if that's related to my heart issue. Do you think it's a good idea to go ahead with the pacemaker? Are there any other treatments or alternatives you would recommend?

Accepted Answer

Yes, the dizziness could be related to the abnormal heart rhythm causing brief pauses in the heart's electrical activity. A pacemaker is commonly recommended for individuals with significant heart rhythm abnormalities like yours to help regulate the heart's rhythm and prevent pauses that can lead to symptoms like dizziness. Alternative treatments may include medications to help control the heart rhythm, but in cases where there are significant pauses in the heart rhythm, a pacemaker is often the most effective and safest option to prevent complications and improve quality of life. It is advisable to follow your doctor's recommendation to have a pacemaker implanted to help regulate your heart rhythm and prevent further symptoms like dizziness.

Question 2

I'm feeling a bit worried about a sensation I have in the middle of my chest, like something might be blocked. A few days ago, there was pain, but now it's just this light pressure, especially when I lay down. I also have this discomfort in my left breast, like something is blocked, but I can't pinpoint exactly what it is. Could this be something serious, like a blood clot in my lungs or pulmonary embolism, or maybe myocarditis? The weird part is that exercise or taking a deep breath doesn't seem to bother it, but laying down sometimes makes me feel this fullness or pressure. What could it be?

Accepted Answer

It is important to evaluate your symptoms further to determine the underlying cause of your chest discomfort. The sensation of something being blocked in the middle of your chest, along with pressure and discomfort in the left breast, could be due to various reasons. While it is difficult to provide a definitive diagnosis without a physical examination and additional tests, the symptoms you described could potentially be related to conditions such as gastroesophageal reflux disease (GERD), musculoskeletal issues, or even anxiety. Given that you do not experience worsening symptoms with exercise or deep breathing, it is less likely to be related to a blood clot in the lungs (pulmonary embolism) or myocarditis. However, it is still important to seek medical attention for a proper evaluation and diagnosis. I recommend consulting with a healthcare provider for a thorough evaluation, which may include a physical examination, imaging studies, and possibly an ECG to rule out any cardiac issues. In the meantime, you can consider taking over-the-counter antacids for possible GERD symptoms and practicing relaxation techniques to help with anxiety-related symptoms.

Question 3

I'm really concerned about my mom's health. She's had a history of cardiac attacks and has been on various medications since her last one. Right now, she takes Arkamin in the morning and night, and Ecosprin 75 in the afternoon. She also uses Nexpro 40 and Ganaton 50mg for acidity. The problem is that her blood pressure is consistently around 160-170100 throughout the day, even with medication. There are times it might drop to 13070, but it doesn't last. We've had all these tests done, like Thyrocare X, ECG, and ECO, and everything comes back normal.

What's puzzling and worrying is that she's very sensitive to light and sound, her heartbeat increases when exposed to these, especially in the evening. Plus, she feels like her heart skips a beat when there's noise. She's been eating really light and avoiding spicy food, following her angiography back in 2013 where the doctor recommended sticking to medication. I'm really trying to understand why these symptoms are persisting now and what steps we should take next. Any insights?

Accepted Answer

It seems like your mother is experiencing uncontrolled high blood pressure despite taking Arkamin and Ecosprin. Given her symptoms of sensitivity to light and sound, along with the fluctuating blood pressure readings, it is important to address this issue promptly. Considering her history of cardiac issues, it is crucial to optimize her blood pressure control. I would recommend adding a medication like Telma 40mg once daily to help lower her blood pressure more effectively. Additionally, since she is experiencing acidity, she can continue taking Nexpro 40 for that. In order to address her sensitivity to light and sound, it may be beneficial to consult with an ophthalmologist and an ENT specialist to rule out any underlying issues. It is also important to continue monitoring her blood pressure regularly and make lifestyle modifications such as reducing stress, maintaining a healthy diet, and engaging in regular physical activity. Overall, the addition of Telma 40mg to her current medication regimen may help better control her blood pressure and alleviate some of her symptoms. Regular follow-up with her healthcare provider is essential to monitor her progress.

I'm currently taking Telma 40 in the morning and half a tablet of Ivabradine 5 in the evening, both after meals. I'm wondering if I could possibly take both the Telma and the half Ivabradine together in the morning after breakfast instead of spreading them out. Would that be okay?

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