Question 1

I've been feeling some movement on the left side of my chest, and I've already had an ECG and a 2D echo done. The ECG showed sinus tachycardia, probably because I was feeling anxious at that moment, along with right axis deviation and a borderline result. But the 2D echo came back normal. I'm also checking my heart rate often to see if it's palpitations, but it's normal, around 70-80. I'm not sure what's causing these movementscould it be gas or maybe something to do with nerve movements? What do you think?

Accepted Answer

It sounds like you are experiencing some discomfort in your left side chest area. Based on your ECG and 2D echo reports, it is good to know that your heart seems to be functioning normally. The sinus tachycardia with right axis deviation and borderline ECG findings may be related to your anxiety at that moment. Since your heart rate is normal (around 70-80), the movements you are feeling in your chest may not be related to palpitations. It is possible that the discomfort could be due to gas or muscle movements. To help with the discomfort, you can try taking an antacid like **Ranitidine** 150mg for gas relief. Additionally, you can also consider taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle spasms that may be causing the movements in your chest. Make sure to follow the recommended dosage instructions for these medications and if the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation.

Question 2

I'm feeling really anxious about some things I've noticed. My recent ECG showed some non-specific T wave changes, and I'm not sure what that means. On top of that, I've been dealing with chronic pain in my left arm and I've also been experiencing tac...

Accepted Answer

Non-specific T wave changes on an ECG can have various causes, including cardiac issues, electrolyte imbalances, or even be a normal variant. Given your symptoms of chronic left arm pain and tachycardia, it is important to further evaluate the underlying cause. In this case, you may benefit from a thorough cardiac evaluation and possibly a medication like Aspirin for heart protection, along with a beta-blocker like Metoprolol to help control your heart rate. Additionally, addressing any underlying issues such as high blood pressure or cholesterol levels may also be necessary. It is important to follow up with your healthcare provider for further assessment and management.

Question 3

I'm a bit confused about my liver function test results. My total cholesterol is at 230, and I've gotten different opinions from doctors. Some suggest medication, while others say it's nothing to worry about. Should I be concerned about this level? W...

Accepted Answer

A total cholesterol level of 230 is considered borderline high, which means you're at risk of developing heart disease. The American Heart Association recommends aiming for a total cholesterol level below 200 milligrams per deciliter (mgdL).

Here are some conditions where you should take care:

Liver-Related Conditions

- Fatty Liver Disease: Excess fat accumulation in liver cells can disrupt liver function and increase cholesterol levels.
- Non-Alcoholic Steatohepatitis (NASH): A more severe form of fatty liver disease characterized by inflammation and scarring.
- Cirrhosis: Late-stage liver disease where liver tissue is replaced by scar tissue, affecting cholesterol metabolism [1).

Lifestyle Changes

To manage your cholesterol levels:

- Exercise Regularly: Aim for 150 minutes of moderate-intensity exercise weekly.
- Follow a Healthy Diet: Focus on whole grains, fruits, vegetables, and lean protein sources.
- Maintain a Healthy Weight: Excess weight contributes to high cholesterol [1).

Question 4

I've been on storvas 20 for the past couple of months, and I'm wondering if I should keep taking it or not. The reports came back, and I'm really not sure how to interpret them. Could you please help me out with this?

Accepted Answer

Storvas 20 is a brand name for atorvastatin, which is commonly used to lower cholesterol levels. It is important to continue taking it as prescribed by your doctor, especially if it has been effective in managing your cholesterol levels. However, it is always recommended to follow up with your doctor for regular check-ups and to review your reports to ensure the medication is still appropriate for you.

Question 5

I'm worried about my father. He had angioplasty just yesterday, and now he's got this pain running from the middle of his leg down to his ankle. Is that something to be concerned about, or is it normal after angioplasty?

Accepted Answer

Pain from the mid-leg to the ankle after an angioplasty could be due to several factors, such as the site of catheter insertion (usually the femoral artery in the groin) or the use of a vascular closure device. While mild discomfort and bruising can be normal, significant pain should be evaluated to rule out complications like hematoma, arterial injury, or deep vein thrombosis (DVT). Please consult your father's healthcare provider promptly to assess the cause of the pain and ensure appropriate management.

Question 6

I've been dealing with high cholesterol and triglyceride levels for about three years now, and I've been keeping track of them regularly. I'm really concerned and would like some advice on medications that might help manage these levels. What would y...

Accepted Answer

Hi, for high cholesterol and triglyceride levels, you can consider taking Atorvastatin (brand name Lipitor) at a starting dose of 10-20 mg once daily. Additionally, Fenofibrate (brand name Tricor) can be added at a dose of 145 mg once daily to help lower triglyceride levels. It is important to follow up with your healthcare provider regularly to monitor your levels and adjust the dosage if needed.

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I'm feeling really anxious about some things I've noticed. My recent ECG showed some non-specific T wave changes, and I'm not sure what that means. On top of that, I've been dealing with chronic pain in my left arm and I've also been experiencing tac...

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