apollo
  • female
  • 50 Years
  • 07/02/2025

I'm experiencing breathlessness since this morning and feel really weak. I haven't done any heavy work or exerted myself, so I'm not sure what's causing it. Could you help me understand why I'm feeling this way and what I should do about it?

Doctor 1

Answered by 1 Apollo Doctors

do chest x ray

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 25/07/2025

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I'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.

Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.

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I've been noticing that my heart rate seems to spike all of a sudden whenever I get out of bed or even if I just switch sides while lying down. Is this something I should be worried about?

heart rate increases suddenly after changing positions may be due to a condition called postural orthostatic tachycardia syndrome (POTS). It is recommended to consult a doctor for proper diagnosis and treatment plan. In the meantime, you can try increasing your fluid and salt intake, wearing compression stockings, and doing exercises to improve blood flow such as leg raises and calf pumps. If symptoms persist, medications such as midodrine or fludrocortisone may be prescribed to help regulate your heart rate.

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I'm really worried about my health and wanted to ask about my cholesterol levels. My LDL is 108, HDL is just 27, and my total cholesterol is 127. I had gallbladder removal surgery back in 2013. I'm wondering, given these numbers, how at risk am I for heart disease? Also, my weight is 103 kilos and I'm 176 cm tall. What steps should I take to improve my situation and get my levels to where they should be?

Your LDL cholesterol level of 108 mgdL and HDL cholesterol level of 27 mgdL, along with a total cholesterol of 127 mgdL, indicate a relatively low risk of heart disease. However, since you have a history of gallbladder surgery in 2013, it's important to take proactive steps to maintain heart health. To improve your cholesterol levels and reduce the risk of heart disease, you can consider lifestyle modifications such as following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking. Additionally, your healthcare provider may recommend medications such as statins to further manage your cholesterol levels. It's essential to continue monitoring your cholesterol levels regularly and follow up with your healthcare provider for personalized recommendations based on your medical history and risk factors.

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