Question 1

I'm really worried about my brother. He's been having this chest pain and it's like the bones in his chest are hurting too. We went to a general physician who thought it could be gas-related, but the tablets he prescribed haven't helped after a week. I've noticed his chest bones seem to be swelling a bit, and he describes it as feeling like there's a heavy weight there. Interestingly, he sometimes feels relief and no pressure on his chest after he passes bowel movements. Also, he has a sitting job as securitycould that be making his chest pain worse? Should we get an X-ray to find out what's going on, or is there a specific medication you might recommend?

Accepted Answer

Patient is advised tab pan d orally ,once daily and syrup sucralfate 10 ml thrice daily for 14 days .Tab augmentin duo 625mg ,orally ,thrice daily for 5 days advised to the patient.Also syrup salbutamol 10ml thrice daily for 7 days is advised to the patient.Steam inhalation is also advised twice daily.If symptoms persists orthopedic opinion is advised to the patient.

Question 2

I've been having this discomfort in my left arm and shoulder that doesn't get worse when I exercise, and resting doesn't seem to help either. Plus, I've been experiencing sudden breathing difficulties along with sweating every couple of evenings, and it's really exhausting, but strangely, no chest pain like a heart attack. These symptoms were there about a year ago but felt less frequent. Now, it's been more than a month and it's happening more often. A year back, my ECG, ECHO, TMT, and Holter tests came back normal, along with normal TSH, lipid profile, vitamin D levels, etc. The doctor thinks it might be panic attacks, but why do I still have this persistent arm pain? If it was a heart issue, shouldn't there have been complications by now? What do you think I should do?

Accepted Answer

Persistent discomfort in your left arm and shoulder, along with symptoms like sudden breathing difficulties, sweating, and exhaustion, can be concerning. While it's reassuring that your ECG, ECHO, TMT, and Holter tests were normal, and your doctor suggested panic attacks, persistent and worsening symptoms warrant further evaluation. It's important to follow up with your healthcare provider to reassess your condition and rule out other potential causes, such as musculoskeletal issues, nerve compression, or even conditions like GERD or anxiety disorders. Discuss your ongoing concerns with your doctor to ensure a comprehensive evaluation and appropriate management plan.

Question 3

I've been having these random chest pains for the last three months and just did a TMT test today. I couldn't go past 7 minutes, and my heart rate shot up to 190 really fast, so they stopped the test early. The doctor said it's nothing to worry about, but I'm still feeling a bit heavyheaded and stressed. I also have anxiety and my heart rate was already at 114 before the test even started. Does all this sound normal or okay?

Accepted Answer

It sounds like you experienced some discomfort during the TMT test due to your anxiety and elevated heart rate. Since the doctor mentioned that there is nothing to worry about, it is likely that the symptoms you experienced were related to your anxiety rather than any underlying heart issue. However, it is important to address your anxiety to prevent such symptoms in the future. To help manage your anxiety and heart rate, you can consider taking a beta-blocker medication such as Metoprolol. The usual dosage for anxiety-related tachycardia is 25-100mg once daily. This medication can help lower your heart rate and reduce symptoms of anxiety. Additionally, you may benefit from an anti-anxiety medication such as Alprazolam. The usual dosage for anxiety is 0.25-0.5mg three times daily. This medication can help alleviate feelings of anxiety and reduce physical symptoms such as rapid heart rate. It is important to follow up with your doctor to discuss your symptoms and explore treatment options for your anxiety. Regular exercise, stress management techniques, and therapy can also be beneficial in managing anxiety and improving overall heart health.

I'm really concerned because my blood pressure has shot up to 14492 since it got colder. I'm already on Ivabrad for my heart rate, but I've used Prolomet XL 12.5 in the past as a beta blocker for blood pressure. Can I start taking Prolomet XL 12.5 again while I'm on Ivabrad 5 mg?

Yes you can take it maintain salt restricted diet and follow your doctors advice

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