Question 1

I've been feeling this dull pain near my shoulder or armpit, and I'm starting to worry if it might be cardiac-related. Though, it could just be a muscle strain, like what WebMD is suggesting. I wanted to get some opinions to understand what might be going on. Could it really be something related to the heart, or is it more likely muscular?

Accepted Answer

Cold Sensation in Left Side Brain and Face

_Possible Causes_

1. _Migraine or tension headache_: Cold sensations can be a symptom of migraines or tension headaches.
2. _Trigeminal nerve issues_: The trigeminal nerve controls facial sensations; issues with this nerve can cause cold sensations.
3. _Sinus pressure or infection_: Sinus issues can cause referred pain or sensations in the face and head.
4. _Dental problems_: Toothaches or abscesses can cause radiating pain or sensations.
5. _Neurological conditions_: Certain conditions like multiple sclerosis, neuropathy, or stroke can cause abnormal sensations.

_Recommendations_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a neurologist.
2. _Keep a symptom journal_: Record when the cold sensations occur, their duration, and any potential triggers.
3. _Try relaxation techniques_: Stress can exacerbate symptoms; try relaxation techniques like meditation, deep breathing, or yoga.
4. _Maintain good oral hygiene_: Regular dental check-ups and good oral hygiene can help rule out dental causes.

_Urgent Medical Attention_

1. _Sudden severe headache_: If you experience a sudden, severe headache, seek immediate medical attention.
2. _Facial weakness or numbness_: If you experience facial weakness, numbness, or difficulty speaking, seek urgent medical attention.

Question 2

I'm dealing with post-traumatic stress disorder and anxiety, and my pulse rate is pretty much always over 90. My doctor has me on Ciplar LA 40 once a day for a few months. I've read that stopping this medication can cause heart attacks and other scary stuff. Is it really safe for me to be on this? I'm also taking Ecospirin 75 at night to help with blood flow. What should I do?

Accepted Answer

While Propranolol (Ciplar LA) and Aspirin are generally safe when prescribed together, it's crucial to follow your doctors recommendations for proper management. If you're ever in doubt or feel uncomfortable about the medication, dont hesitate to have a thorough discussion with your healthcare provider to address your concerns and explore options.

Question 3

I'm wondering if it's normal for my heart rate to go up to 150-160 when I'm doing cardio at the gym or climbing stairs, and then drop to around 110 when I go for a walk. I've had several ECGs done and just had an echo two days ago, and everything seems fine. My resting heart rate usually falls between 55 and 100. Should I be concerned about these numbers?

Accepted Answer

It is normal for your heart rate to increase during physical activities like gym cardio, climbing stairs, and walking. Your heart rate of 150-160 during intense exercise and 110 during walking is within a normal range for physical exertion. Since your ECG and echo results are normal, there is likely no underlying heart condition causing these heart rate variations. It is important to stay hydrated and listen to your body during exercise. If you experience any chest pain, dizziness, or fainting, please stop the activity and seek medical attention.

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