Question 1

I'm having this sharp pain in my chest, kind of in the middle but a little to the left, but it really only hits when I move my shoulder forward. Lately, I've also noticed this chest pain and feeling of unease when I'm lying down, though it seems to go away if I start walking or just stand up. I'm getting a bit worried. Could this be related to my heart or lungs?

Accepted Answer

It sounds like you may be experiencing musculoskeletal chest pain, especially since the pain worsens with shoulder movement. However, given your recent chest pain and uneasiness while lying down, it's important to rule out any heart or lung issues. I recommend you take an over-the-counter pain reliever like ibuprofen (e.g., Advil) for the musculoskeletal pain. If the chest pain persists or worsens, or if you experience any other concerning symptoms, please seek medical attention for further evaluation and possible imaging tests like an ECG or chest X-ray.

Question 2

My husband's cholesterol levels have been a bit high for a couple of years now. His most recent test in March 2018 showed total cholesterol at 233 and LDL at 145. He was prescribed rozat 20 mg, but I'm wondering how often we should be checking his cholesterol levels?

Accepted Answer

Cyproheptadine and Dexomethasone Discontinuation

_Common Issues After Stopping Medication_

1. _Weight loss_: Expected, as the medications promoted weight gain.
2. _Loss of appetite_: Cyproheptadine, an appetite stimulant, can cause decreased appetite when discontinued.

_Strategies to Manage Weight Loss and Appetite_

1. _Gradual tapering_: If possible, consult your doctor about gradually tapering off the medication to minimize side effects.
2. _Dietary changes_: Focus on nutrient-dense foods, and consider consulting a registered dietitian for personalized guidance.
3. _Appetite stimulants_: Certain foods, such as nuts, dried fruits, and avocados, can help stimulate appetite.
4. _Stay hydrated_: Drink plenty of water throughout the day to help manage appetite and overall health.

_Health Monitoring_

1. _Regular check-ups_: Schedule follow-up appointments with your doctor to monitor your weight, appetite, and overall health.
2. _Watch for signs of malnutrition_: If you experience persistent weight loss, fatigue, or weakness, seek medical attention.

Question 3

My dad is 66 and had a CABG around 16 months ago. He's been really diligent with his exercises, simple yoga, and diet as advised by his surgeon. Lately, though, he's been having sudden pains on the left side that extend to his wrist, fingers, chest, upper back, and neck. Using ointment seems to help after a bit, but these pains have become more frequent. The doctor mentioned it might be muscle pain, but since it's been 1.5 years since his surgery, we're getting worried. Can you offer any advice on what might be going on?

Accepted Answer

It sounds like your dad may be experiencing angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Given his history of CABG surgery and the symptoms you described, it's important to take this seriously. I recommend discussing with his doctor about the possibility of increasing his anti-anginal medication. He may benefit from medications such as Nitroglycerin sublingual tablets to help relieve the chest pain. It's important to follow the prescribed dosage and instructions for taking this medication. If the pain persists or worsens, seeking medical attention promptly is crucial.

ortho opinion

More Cardiology Health Queries

My husband's cholesterol levels have been a bit high for a couple of years now. His most recent test in March 2018 showed total cholesterol at 233 and LDL at 145. He was prescribed rozat 20 mg, but I'm wondering how often we should be checking his cholesterol levels?

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