Question 1

I'm 26 and I've been experiencing a weird situation recently. Whenever I try to take a nap during the day, I notice that my heart starts racing, but it usually settles down after a bit. However, after waking up, the palpitations come back for a while, which is really unsettling. This only seems to happen in the daytime, not at night. I recently finished treatment for a panic attack, including psychiatric counseling. Since I'm still having these palpitations, I'm unsure what to do next. Could you help me figure out what's going on?

Accepted Answer

Based on your symptoms and history of panic attacks, it is possible that you are experiencing residual anxiety leading to palpitations. I recommend trying a beta-blocker medication such as Propranolol. You can take Propranolol 10mg to 20mg once daily as needed to help reduce the palpitations and anxiety symptoms. However, it is important to consult with your healthcare provider before starting any new medication.

Question 2

Hey doc, I've been dealing with this sharp chest pain whenever I sneeze or have a really hard cough, and sometimes it happens if I quickly flex my chest muscles during a workout. It's been almost a year now and I notice a slight pain if I press hard on the sore spot. I'm starting to get a bit worried about what's going on. Any ideas?

Accepted Answer

You may be experiencing costochondritis, which is inflammation of the cartilage that connects a rib to the breastbone. To help alleviate the pain, you can take over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil) or naproxen (Aleve) as directed on the package. Additionally, applying a warm compress to the area may provide some relief. Make sure to rest and avoid activities that worsen the pain. If the symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management.

Question 3

I've been experiencing this really strong heartbeat almost every day, and it's not like palpitations. It happens for no reason, even when I'm just sitting or trying to relax. It's so intense that, for a second, it feels like my heart has stopped. It's really uncomfortable, and I'm not sure what's going on. Could there be a reason for this?

Accepted Answer

ecg ,cardiac biomarkers is advised and to review in the opd is advised to the patient,if any changes in the ecg cardiac opinion

I've been checking my blood pressure over the past few days and my average reading is around 14090. When I checked it a second time, it was showing 13089. Is this something I should be concerned about? Can you give me some advice?

check BP for another 2 days , if more than 14090 mmhg u may require anti hypertensive medications..

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