Question 1

I've been having these heart palpitations lately, like a fluttering feeling in my chest, and my local cardiologist said I should take met XL 25. I've done all the tests like ECG, Echo, and TMT and everything came out normal, but I'm really nervous about starting this medication. Can you tell me if it's okay to take and what side effects I should watch out for? I'm just really not sure about it.

Accepted Answer

yes u can use it, visit ur physician for apprpropriate managent

Question 2

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 3

I'm looking at my lipid profile and I'm a bit worried because my triglycerides are 361. My LDL is at 76, and my HDL is 35. The total cholesterol while fasting came out to 134. I'm not sure what steps I should be taking to bring my triglyceride levels down. Any advice?

Accepted Answer

To lower your triglyceride levels, you can start by making some lifestyle changes. You should focus on a healthy diet that is low in saturated fats, trans fats, and cholesterol. Increase your intake of fruits, vegetables, whole grains, and lean proteins. Regular exercise is also important in managing triglyceride levels. In addition to lifestyle changes, your doctor may prescribe medication to help lower your triglycerides. One common medication that is often prescribed for high triglycerides is Fenofibrate. The usual dosage for Fenofibrate is 145 mg once daily. Remember to always follow your doctor's advice and recommendations for managing your lipid profile.

I'm a little worried because my heart rate's been around 120 to 130, which seems pretty high. On top of that, my cholesterol levels aren't great either. My triglycerides are 417, HDL is 21, LDL is 102, Non-HDL is 179, and VLDL is 83.4. What do you think could be going on? Should I be concerned?

More Cardiology Health Queries

I'm looking at my lipid profile and I'm a bit worried because my triglycerides are 361. My LDL is at 76, and my HDL is 35. The total cholesterol while fasting came out to 134. I'm not sure what steps I should be taking to bring my triglyceride levels down. Any advice?

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