Question 1

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Question 2

I've been feeling kind of uncomfortable in my chest, mostly at night, and sometimes the pain stretches out to my left arm. On top of that, I've been dealing with this left side neck pain and a bit of an ache in my upper back. Do you think I should be worried about this or is it something that might go away on its own? What could it be?

Accepted Answer

The symptoms you are describing could be indicative of a heart-related issue. It is important to seek medical attention immediately. In the meantime, you can take Aspirin 325mg for potential heart-related chest pain. Please chew the tablet for faster absorption. Remember to call emergency services or go to the nearest emergency room for further evaluation and treatment.

Question 3

I'm 33 and my blood pressure can fluctuate - sometimes it's around 13590, other times closer to 13085. I've noticed that my heart rate isn't always consistent; sometimes I can really feel it, and other times not so much. It seems to get worse at night. Should I be worried about this? Is it something risky?

Accepted Answer

Your blood pressure readings are slightly elevated, but not in the high risk range. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and managing stress.

I'm feeling a tightness in my chest since this morning and breathing heavily. There's also this ache at the back, and I'm yawning a lot to catch my breath. Should I be worried about this?

Ecg and x-ray chest pa view is advised to the patient.

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