- 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?
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
More Cardiology Health Queries
View allMy dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.
Correct anemia first then can think to do stress echocardiography....to confirm..but If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done Anyways need insight on all these & need to see the TMT strips to suggest the next best step.
Answered by 1 Apollo Doctors
I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he was on Brilinta, but they told him to stop because his platelet count dropped to 58,000. He's having chest pain now, and I'm wondering what we should be doing here? Is his health in serious risk? What steps should we take to manage this situation?
Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition
Answered by 1 Apollo Doctors
I'm trying to figure out the difference between the MK4 and MK7 forms of vitamin K2. I'm particularly concerned about which one might be more beneficial for cardiovascular health. Can you help clarify this for me?
-Vitamin K2 comes in two main forms: MK-4 and MK-7. MK-4 is a shorter-acting form found in animal products, while MK-7, derived from fermented foods, has a longer half-life and stays in the body longer. MK-7 is generally considered better for cardiovascul
Answered by 1 Apollo Doctors
Health Articles for you
View all
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.