Question 1

I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, but everything came back normal. I also had deficiencies in vitamin D and B12, for which I took injections and tablets. Now, for the past two weeks, I've been feeling that high gastric indigestion and chest discomfort again. Yesterday, I did another ECG, and it showed a slight ST depression in V5, but I was really anxious at the time. Could this be just anxiety, or is there something serious going on? I'm really concerned about this.

Accepted Answer

It's good to know that your previous cardiac tests and blood work have come back normal. Based on the symptoms you have described and the slight ST Depression in V5 on your recent ECG, it is important to consider both physical and psychological factors. The chest discomfort and gastric indigestion could be related to your anxiety, but it is also important to rule out any potential cardiac issues. I would recommend starting with a medication like omeprazole 20mg once daily for your gastric issues. Additionally, for anxiety, you can try taking a medication like escitalopram 10mg once daily. However, it is crucial to follow up with a cardiologist for a thorough evaluation and to discuss the ECG findings. They may recommend further tests or adjustments to your treatment plan. It's also important to continue managing your anxiety through relaxation techniques, regular exercise, and counseling support. Please continue to monitor your symptoms and seek medical attention if they worsen or if you experience any new concerning symptoms

Question 2

I'm a 28-year-old female and I've been experiencing this pain between my breastbone. It happened again today while I was sleeping, and it lasted for about 3 to 4 hours. I remember feeling the same thing around 4 months ago, but it also only happens d...

Accepted Answer

ecg,cardiac markers and x-ray is advised to the patient

Question 3

My mom had a mitral valve replacement about two and a half years ago. Now the doctor is saying there's vegetation on the mitral valve again, and she might need surgery. In the surgical procedure, will they remove the vegetation, or do they replace th...

Accepted Answer

In the surgical procedure for vegetation on the mitral valve, the approach depends on various factors such as the size of the vegetation, extent of valve damage, and presence of any complications. In some cases, the vegetation can be removed through a procedure called vegetation excision. However, if the valve is significantly damaged or if there are complications, a mitral valve replacement may be necessary. For a second-time surgery on the mitral valve, there are potential complications to consider, such as increased risk of infection, bleeding, blood clots, and damage to surrounding structures. It is important for the medical team to carefully assess the risks and benefits of the surgery in your mother's case. The specific medications and dosages prescribed will depend on the individual case and should be determined by the treating medical team.

Question 4

I'm curious about the Inderal LA 20 tablet. What exactly is it used for? Can it help with blood pressure, or is it meant for something else?

Accepted Answer

Inderal LA 20 tablet is a brand name for propranolol, which is a beta-blocker medication. It is commonly used to treat high blood pressure (hypertension), as well as to prevent chest pain (angina) and to improve survival after a heart attack. Propranolol can also be used to prevent migraine headaches and to manage symptoms of anxiety. The usual dosage for high blood pressure is 120-240 mg per day, divided into smaller doses.

Question 5

I've been having this issue since an incident a few months back. I was eating crunchy peanut butter, and it got stuck in my food pipe, which led to some pain on the left side of my chest. It's been three months now, but I still feel pain in my chest ...

Accepted Answer

It's good that you have already done ECG and Echo tests, and the results were normal. The symptoms you are experiencing may be related to esophageal irritation from the incident with the peanut butter, rather than a heart issue. To help with the chest pain and elevated heart rate, you can try taking over-the-counter antacids like Tums or Maalox to reduce acid reflux and irritation in the esophagus. Additionally, you can take a proton pump inhibitor like Omeprazole to further reduce stomach acid production. If the symptoms persist, you may also consider taking a medication like Propranolol to help with the elevated heart rate. However, it's important to follow up with your doctor for further evaluation and management.

Question 6

I'm starting to get really worried because my heart's been racing for the last day and a half. It's super uncomfortable and happens whether I'm sitting or standing. I'm not even exercising or anything, so I can't figure out what's causing it. What sh...

Accepted Answer

It sounds like you may be experiencing episodes of tachycardia. It is important to consult a healthcare professional for a proper evaluation and diagnosis. In the meantime, you can take a beta-blocker medication like Metoprolol (25-50mg) to help slow down your heart rate and reduce the discomfort. Additionally, make sure to stay hydrated and avoid caffeine and stimulants which can exacerbate the symptoms. If the symptoms persist or worsen, seek medical attention promptly.

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Related Questions

I'm a 28-year-old female and I've been experiencing this pain between my breastbone. It happened again today while I was sleeping, and it lasted for about 3 to 4 hours. I remember feeling the same thing around 4 months ago, but it also only happens d...

My mom had a mitral valve replacement about two and a half years ago. Now the doctor is saying there's vegetation on the mitral valve again, and she might need surgery. In the surgical procedure, will they remove the vegetation, or do they replace th...

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