Question 1

I'm having this weird experience where I feel a pulse in my butt when I'm sitting or lying on the bed. It comes out of nowhere, and once I pay attention to it, the pulse is perfectly in sync with my heart rate. It's like it won't stop as long as I focus on it. I also have high cholesterol and sometimes feel this pulsing in my ankle and the sole of my foot. I'm honestly really confused because some doctors say it's nothing, while others online mention it might be peripheral artery disease. I'm just 21, and the thought of this possibly being something serious is making me super anxious. What should I do?

Accepted Answer

At your age (21) and with a normal heart rate and no other major symptoms, this sensation is very unlikely to be a sign of something dangerous. Its likely related to the circulation in the area. However, its always good to get checked by a healthcare professional for peace of mind. Keep monitoring your cholesterol, and dont hesitate to ask your doctor for more tests if you continue to feel uncertain.

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've been experiencing a rapid heartbeat and palpitations with no specific timing. Sometimes it feels like my heart is sinking. I've had an ECG and TMT, and both came back normal. I also have hypothyroidism, and my doctor thinks it might be due to anxiety. I'm wondering if I should get any other tests to rule out heart disease. What do you think?

Accepted Answer

Based on your symptoms and the normal ECG and TMT results, it is likely that your palpitations and fast heart rate are indeed related to anxiety, especially given your history of hypothyroidism. However, if you still have concerns about ruling out any underlying heart disease, you may consider getting a Holter monitor test to monitor your heart rhythm continuously for a period of time. This can help detect any irregular heartbeats that may not show up on a standard ECG. Additionally, an echocardiogram may be considered to assess the structure and function of your heart. In the meantime, managing your anxiety through relaxation techniques, regular exercise, and stress-reducing activities can also help alleviate your symptoms.

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

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