Question 1

I've noticed my blood pressure is usually around 10462 during the day, but when I'm resting or sleeping, it drops into the 9050s range. I've been keeping an eye on it for about a month and the pattern seems pretty consistent. I had an echocardiogram earlier this year, and it showed I have a diastolic relaxation abnormality. I'm wondering if this could be causing my low blood pressure? Could it lead to more heart-related complications, or is it normal for blood pressure to drop like this at night? I've been feeling really fatigued and low on energy no matter how much I sleep, and it's a bit worrying. What do you think?

Accepted Answer

Low blood pressure during rest or sleep can be influenced by various factors, including underlying conditions such as diastolic dysfunction. In your case, the diastolic relaxation abnormality noted in your echocardiography may contribute to the lower blood pressure readings, especially during periods of rest. This can potentially lead to symptoms of fatigue and lack of energy. To address this issue, it is important to manage the underlying diastolic dysfunction. In addition, ensuring an adequate intake of fluids and electrolytes can help stabilize blood pressure. If symptoms persist, medications such as Midodrine or Fludrocortisone may be prescribed to raise blood pressure levels, especially during periods of rest or sleep. However, it is crucial to consult with your healthcare provider for a proper evaluation and personalized treatment plan.

Question 2

What is a heart cough?

Accepted Answer

Heavy breathing accompanied by spells of wet cough with frothy sputum that may be tinged with blood is called as "Cardiac cough or Heart cough". It is a sign of congestive heart failure. Additional symptoms such as shortness of breath on exertion or rest, leg swelling, waking up from sleep in the middle of night gasping and coughing differentiate heart cough from cough due to lung conditions.

Question 3

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?

Accepted Answer

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.

I'm wondering if Preva and Ecosprin AV are actually the same thing or if they're different medications. I'm also a bit concerned about the side effects. Does one have more side effects than the other? Could you help me understand this better?

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