Question 1

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 2

I'm having these weird experiences when I'm about to fall asleep, like when I'm in that transition phase. It's like I feel this single, really strong heartbeat that kind of moves my whole body. Its kind of freaking me out. Ive attached my ECG  can yo...

Accepted Answer

it could be due to a premature ventricular contraction (PVC). This is when the heart's lower chambers (ventricles) contract earlier than normal, causing an extra, abnormal heartbeat. It may feel like a strong thump in your chest. Based on the ECG you provided, it confirms the presence of PVCs. To manage this condition, you can take a beta-blocker medication such as Metoprolol (25-50mg) to help regulate your heart rhythm and reduce the occurrence of PVCs. It is important to follow up with your healthcare provider for further evaluation and monitoring.

Question 3

My dad's 76 and a few years back he was diagnosed with triple vessel coronary artery disease and lmca disease. Three years ago, he had an angioplasty and got a stent put in for one of his major artery blocks. The cardiologist suggested we manage the ...

Accepted Answer

Isolazine is not recommended for patients with kidney issues, as it can potentially worsen kidney function and cause fluid retention, which may present as leg swelling. It is advisable to stop Isolazine and consult with the cardiologist for an alternative medication that is safer for kidney function. In the meantime, it is important to monitor his blood pressure closely and manage any fluid retention symptoms.

Question 4

I'm really concerned about this left chest pain I've been experiencing for the past 10 days. It's mostly just a feeling of heaviness in my chest, and I'm finding it really difficult to breathe properly. What could be causing this, and should I be worried?

Accepted Answer

Hi. It sounds like you may be experiencing symptoms of a heart-related issue. It is important to seek medical attention immediately. In the meantime, you can take Aspirin 325mg to help with any potential heart-related pain. Please take one tablet with a glass of water.

Question 5

I've been taking olmezest 40 for my blood pressure, but I'm feeling really fatigued. My BP is currently 14085 after stopping Aten two days ago. Do you think olmezest 40 is the best option for me, or would you suggest a different BP tablet? I'm a bit ...

Accepted Answer

visit dermatologist for evaluation and appropriate management

Question 6

What does a borderline ECG with an unconfirmed diagnosis mean on an ECG report? Is it something I should be worried about? My heart rate is 93, PR is 99, QRS duration is 82, QT is 330, and QTC is 411. Could you help me understand what these numbers i...

Accepted Answer

Borderline ECG unconfirmed diagnosis means that there are some findings on the ECG that are not definitive enough to make a clear diagnosis. In your case, with a heart rate of 93, PR interval of 99, QRS duration of 82, QT interval of 330, and QTc interval of 411, these values are within normal limits. However, it is important to follow up with your healthcare provider for further evaluation and interpretation of the ECG results. No specific medication is needed based on this information.

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I'm having these weird experiences when I'm about to fall asleep, like when I'm in that transition phase. It's like I feel this single, really strong heartbeat that kind of moves my whole body. Its kind of freaking me out. Ive attached my ECG can yo...

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