apollo
  • male
  • 30 Years
  • 29/01/2025

I'm really struggling and could use some advice. Ive been feeling exhausted for the past three years and I'm dealing with severe shortness of breath. My mornings start with a really bad headache, and my resting heart rate is consistently high, hovering around 100 to 110, and it shoots up to 180 to 200 just by climbing a single flight of stairs. My weight is normal, so Im confused about what might be causing this. I used to be pre-hypertensive with a blood pressure of 137 over 91, and then I was on Inderal la 20 in July and August of last year. Now, my BP usually sits in the 95 over 83 or 100 over 85 range when I'm resting, which makes me wonder why my pulse pressure is so low. I was diagnosed with allergic rhinitis and allergic bronchitis in January, and Ive been taking mondeslor for the past two months, but Im not seeing any improvement. Ive done a pulmonary function test, ECG, and echo, and they all came back normal. I don't have anxiety issues and generally, I'm a calm person. It's all pretty frustrating, and its impacting my everyday life. What could be going on?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you are experiencing symptoms of fatigue, dyspnea, headaches, and low pulse pressure despite being on Inderal LA 20 for hypertension. Since your PFT, ECG, and echo results are normal, it is important to consider other possible causes for your symptoms. Given your history of allergic rhinitis and allergic bronchitis, it is possible that your symptoms could be related to an underlying respiratory issue. Considering your symptoms and medical history, I would recommend discussing with your doctor the possibility of trying a different medication for your allergic conditions. You may benefit from a nasal corticosteroid spray such as Flonase (fluticasone) for allergic rhinitis and an inhaled corticosteroid like Qvar (beclomethasone) for allergic bronchitis. These medications can help reduce inflammation in your airways and improve your breathing. In addition, since you are experiencing persistent headaches, your doctor may consider prescribing a medication like Propranolol (Inderal) at a higher dose to help with both your headaches and high heart rate. It is important to follow up with your doctor regularly to monitor your symptoms and adjust your treatment plan as needed. Overall, it is important to continue working closely with your healthcare provider to determine the underlying cause of your symptoms and find an appropriate treatment plan.

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

0

0

Sick? Talk to a doctor now

More Cardiology Health Queries

View all

I'm a bit confused about my liver function test results. My total cholesterol is at 230, and I've gotten different opinions from doctors. Some suggest medication, while others say it's nothing to worry about. Should I be concerned about this level? When exactly should I start taking action or medication?

A total cholesterol level of 230 is considered borderline high, which means you're at risk of developing heart disease. The American Heart Association recommends aiming for a total cholesterol level below 200 milligrams per deciliter (mgdL). Here are some conditions where you should take care: Liver-Related Conditions - Fatty Liver Disease: Excess fat accumulation in liver cells can disrupt liver function and increase cholesterol levels. - Non-Alcoholic Steatohepatitis (NASH): A more severe form of fatty liver disease characterized by inflammation and scarring. - Cirrhosis: Late-stage liver disease where liver tissue is replaced by scar tissue, affecting cholesterol metabolism [1). Lifestyle Changes To manage your cholesterol levels: - Exercise Regularly: Aim for 150 minutes of moderate-intensity exercise weekly. - Follow a Healthy Diet: Focus on whole grains, fruits, vegetables, and lean protein sources. - Maintain a Healthy Weight: Excess weight contributes to high cholesterol [1).

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my dad. He doesn't have any symptoms of a heart attack, but his cholesterol and triglyceride levels are pretty high. His total cholesterol is at 251 mgdl, triglycerides at 625 mgdl, HDL is 46 mgdl and LDL is 110 mgdl. Do you think lifestyle changes could help bring these numbers down, or should we be considering surgery like some people have suggested? I'm really unsure about what direction we should take.

With those cholesterol and triglyceride levels, lifestyle modifications are definitely the first step in managing the situation. Your dad should focus on a heart-healthy diet, regular exercise, and weight management. Additionally, medications like Atorvastatin 20mg can be prescribed to help lower cholesterol levels. Surgery is usually considered only when lifestyle changes and medications are not effective in controlling cholesterol levels or if there are other significant risk factors present. It's important to consult with a healthcare provider for personalized advice and monitoring of his condition

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm a bit confused and worried after seeing my recent health checkup report. It mentions Grade 1 diastolic dysfunction, but everything else like chamber dimension, RWMA, and LV systolic function looks normal. The report also notes trivial MR and TR, with no PAH, clot, or vegetation, and my EF is 70. Can you help me understand what Grade 1 diastolic dysfunction really means and if there's anything I should do about it?

grade 1 diastolic dysfunction could be due to hypertension , electrolyte imbalance and due to ischaemic heart disease.Salt restricted diet and DASH diet is advised.Also regular aerobic exercises is advised..Alcohol and cessation of smoking is advised

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.