Question 1

I've been having left chest pain for the past two weeks and also feel this pulsating sensation in my stomach. I'm worried because I have high blood pressure too. Initially, I was thinking of getting a 2D echo for my chest pain, but now I'm wondering if I should also get a 2D scan for my abdomen to check on my abdominal aorta. Do you think that's necessary, or should I be considering a CT scan for my stomach instead? Any advice would be really helpful.

Accepted Answer

A 2D echocardiogram is primarily used to evaluate the heart, so it may not provide detailed information about the pulsating sensation in your stomach. For your stomach symptoms, a CT scan of the abdomen may be more appropriate to assess the abdominal aorta and other structures in the abdomen. Given your history of high blood pressure and chest pain, it is crucial to rule out any potential issues with the abdominal aorta. I recommend consulting with your healthcare provider to determine the best course of action and to discuss the need for further imaging studies such as a CT scan of the abdomen.

Question 2

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest X-ray came back normal, and I don't have any blood pressure or other health issues. What could be going on?

Accepted Answer

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, *always consult your doctor before switching medications*.

_Augmentin 625 Duo vs. Azithral 500_

Both are effective antibiotics, but:

1. *Augmentin 625 Duo*: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. *Azithral 500*: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

- You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
- Your tonsillitis is caused by a macrolide-sensitive bacterium

However, *your doctor should determine the best course of treatment* based on your medical history, allergy status, and the severity of your symptoms.

Question 3

I'm experiencing this weird needle-like pricking sensation in my right chest and arms, but it only happens at night, and Ive noticed it seems to occur when I drink alcohol. My blood pressure seems to range from 8095 to 120140 in the evening, but its normal in the morning. This has been going on for months now. I had an ECG done and the doctor said my heart seems fine, but he mentioned symptoms of high blood pressure over the past few months. Should I be worried about this, or is there something I could do to help with the symptoms?

Accepted Answer

This sensation in your right chest and arms, especially occurring at night after drinking alcohol, could be related to nerve irritation or inflammation. Given your fluctuating blood pressure readings, it is important to manage your blood pressure effectively to prevent any complications. I recommend you to take a low dose of Amlodipine (brand name: Norvasc) 5mg once daily to help control your blood pressure. Additionally, you can take Acetaminophen (brand name: Tylenol) 500mg for relief from the needle-like sensation in your chest and arms. However, it is important to limit or avoid alcohol consumption as it can exacerbate your symptoms and negatively impact your blood pressure. Please make sure to follow up with your doctor regularly to monitor your blood pressure and adjust your treatment plan as needed.

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