Question 1

I'm a 33-year-old guy, weighing 70 kg and standing at 5'10". I've noticed that my diastolic blood pressure has been consistently between 90 to 100 for the past few months. Do you think I should start taking medication for this? I'm really not sure what the best course of action is and could use some guidance.

Accepted Answer

Hello, as your diastolic blood pressure has been consistently between 90 to 100 mmHg for several months, it is recommended to start medication to help lower your blood pressure and reduce the risk of complications. You can start taking Amlodipine 5mg once daily to help lower your diastolic blood pressure. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and maintaining a healthy weight.

Question 2

I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?

Accepted Answer

It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.

Question 3

I'm really worried about my dad. About a month ago, he had 2 stents put in, and since then, it's been tough for him. He can't eat much, has a dry cough, and feels weak all the time. Plus, whenever he takes pantoprazole before breakfast, he gets a headache. What could be going on? Is there anything we should be doing differently?

Accepted Answer

It sounds like your father may be experiencing side effects from the medication he is taking. The dry cough and weakness could be related to the stents or the medications he is on. The headache after taking pantoprazole could be a side effect of the medication. I would recommend discussing these symptoms with his doctor. In the meantime, he can try taking pantoprazole after breakfast to see if that helps with the headache. Additionally, he can try taking medications like Clopidogrel (Plavix) and Aspirin to prevent blood clots after stent placement.

I'm feeling a bit concerned because I was diagnosed with a complete right bundle branch block, but never had any symptoms before. Recently, I've been experiencing insomnia due to palpitations, dizziness, and weakness. Can you help me understand what's happening to me?

refer to cardiologist

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