Question 1

I've been having a tough time over the past couple of years with losing my job and family issues. Lately, I've been feeling this crushing sensation in my chest at times. A few years back, I was told I have mild mitral valve prolapse, but I never started any medication for it. I feel mild pain sometimes, but it never lasts more than two weeks. I'm trying to figure out if this chest pain is because of stress or my MVP. Ive also been feeling really down and anxious, especially at night, often ending up in tears. Some people close to me think I might have some psychological issues. What should I do?

Accepted Answer

It sounds like you are going through a lot of stress and emotional turmoil. The chest pain you are experiencing could be related to both stress and your history of mild mitral valve prolapse. It is important to address both the physical and emotional aspects of your health. For the chest pain related to mitral valve prolapse, you should consult with a doctor to determine if any medication or treatment is necessary. In the meantime, you can take over-the-counter pain relievers like acetaminophen to help with the pain. To address the stress and emotional issues you are facing, it would be beneficial to seek therapy or counseling to help you cope with your feelings of depression and anxiety. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga can also be helpful in managing stress. In terms of medication, you can consider taking an antidepressant such as sertraline at a low dose to help with your depressive symptoms. It is important to consult with a doctor before starting any new medication to ensure it is safe for you. Remember to prioritize self-care, reach out to supportive friends and family members, and consider joining a support group to connect with others who may be going through similar experiences. Take care of yourself and know that it is okay to seek help when needed.

Question 2

I'm worried about my pulse oximeter readings. It's been showing my pulse rate between 112 and 120, and my oxygen saturation levels are at 92 to 94. I've noticed my heart beats really fast occasionally over the past month. Considering my age and other health issues, do you think this is something I need to be concerned about?

Accepted Answer

A pulse rate between 112 and 120 with oxygen saturation of 92-94, especially if you're experiencing a fast heartbeat intermittently, can be concerning, particularly with your existing health conditions. It would be wise to consult your doctor to rule out any underlying issues, as it might indicate a need for further evaluation.

Question 3

I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?

Accepted Answer

Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.

plan you diet with dietician and drink warm water and stop junk

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