Question 1

I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

Accepted Answer

Based on the information provided, it seems like the patient may be experiencing some significant ST changes in specific ECG leads without chest pain. In this case, the patient may benefit from medication to help manage their condition. The patient can be prescribed **Aspirin** 75mg daily to help reduce the risk of cardiovascular events. Additionally, **Atorvastatin** 20mg can be prescribed to help lower cholesterol levels and reduce the risk of further cardiac issues. In addition to these medications, **Metoprolol** 25mg can be prescribed to help manage the patient's blood pressure and heart rate, especially in the presence of significant ST changes on ECG. It is important for the patient to follow up with their healthcare provider regularly to monitor their condition and adjust their treatment plan as needed.

Question 2

I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with ru...

Accepted Answer

It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

Question 3

I can feel my heartbeat when I'm lying down, even though my ECG came back normal. The doctor said it's anxiety, and I've been on Ciplar LA 20 for 45 days now. How long does it usually take for this medication to help with the problem? My heart rate i...

Accepted Answer

Feeling your own heartbeat when lying down can be a common symptom of anxiety. Ciplar LA 20 is a brand name for propranolol, which is a beta-blocker used to treat anxiety and heart conditions. It is important to continue taking your medication as prescribed by your doctor. In some cases, it may take a few weeks to a few months to see the full effects of the medication. Since you have been taking Ciplar LA 20 for 45 days and your heart rate is now 70 beats per minute, it seems like the medication is helping to control your symptoms. It is important to follow up with your doctor regularly to monitor your progress and make any necessary adjustments to your treatment plan.

Question 4

I'm 35 and have been dealing with high blood pressure. For the past week, I've been noticing a strong pulse in my stomach, and I've had lower right abdomen pain that's been going on for about four months. I just had an ultrasound scan done. Can you t...

Accepted Answer

I don't have access to your ultrasound report, so I cannot confirm if you have an aortic aneurysm. However, if you are experiencing a pulsating sensation in your stomach along with lower right abdomen pain, it is important to follow up with your healthcare provider for further evaluation and management. These symptoms could indicate various conditions, including a possible aneurysm. It is crucial to discuss your symptoms and ultrasound findings with your doctor to determine the appropriate course of action.

Question 5

I'm really concerned about my daughter's health. She's 30 and works in IT as a software engineer. Lately, she's been experiencing a lot of laziness, and I'm worried because she always has low blood pressure, less than 10070. Is this something we shou...

Accepted Answer

Low blood pressure (less than 10070 mmHg) can be normal for some individuals and may not cause any symptoms. However, if your daughter is experiencing symptoms like dizziness, fatigue, or frequent laziness, it could be due to her low blood pressure or other underlying conditions. Its important to evaluate potential causes, such as dehydration, nutritional deficiencies, hormonal imbalances, or even the effects of a sedentary lifestyle associated with her IT job. Encouraging her to stay hydrated, maintain a balanced diet, and incorporate regular physical activity can help. If her symptoms persist or worsen, I recommend consulting with a healthcare provider to rule out any underlying conditions and provide personalized advice.

Question 6

I'm really worried about my sister's blood test results. Her levels showed 94 instead of being under 20. Plus, her Immuno serology C.R.P is at 9.2 but should be below 6. The total WBC is fine at 11000, and the rest of the results seem normal. Is this...

Accepted Answer

it appears that your sister may have an elevated ESR (erythrocyte sedimentation rate) of 94, which is higher than the normal range of less than 20. This could indicate inflammation or infection in the body. The C.R.P (C-reactive protein) level of 9.2 is also elevated, suggesting the presence of inflammation. To address this issue, your sister may need to take anti-inflammatory medications such as ibuprofen or naproxen to help reduce the inflammation. In addition, if there is an underlying infection, antibiotics may be necessary. It is important to follow up with a healthcare provider for further evaluation and management. There is no mention of surgery in the information provided, so surgery is not likely to be required to resolve this issue. Recovery time can vary depending on the underlying cause of the elevated ESR and C.R.P levels. It is important for your sister to follow up with her healthcare provider for further testing and treatment as needed. In summary, it is recommended that your sister follow up with a healthcare provider for further evaluation and treatment of the elevated ESR and C.R.P levels. Anti-inflammatory medications and antibiotics may be necessary to address the inflammation or infection. Regular monitoring and follow-up care are important for her recovery."

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Related Questions

I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with ru...

I can feel my heartbeat when I'm lying down, even though my ECG came back normal. The doctor said it's anxiety, and I've been on Ciplar LA 20 for 45 days now. How long does it usually take for this medication to help with the problem? My heart rate i...

I'm 35 and have been dealing with high blood pressure. For the past week, I've been noticing a strong pulse in my stomach, and I've had lower right abdomen pain that's been going on for about four months. I just had an ultrasound scan done. Can you t...

I'm really concerned about my daughter's health. She's 30 and works in IT as a software engineer. Lately, she's been experiencing a lot of laziness, and I'm worried because she always has low blood pressure, less than 10070. Is this something we shou...

I'm really worried about my sister's blood test results. Her levels showed 94 instead of being under 20. Plus, her Immuno serology C.R.P is at 9.2 but should be below 6. The total WBC is fine at 11000, and the rest of the results seem normal. Is this...

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