apollo
  • male
  • 45 Years
  • 29/01/2025

I've been feeling some pressure and uneasiness in my heart for the past week, and it usually lasts about an hour. Sometimes it feels a bit better when I cough, but it's only a temporary relief. I'm not experiencing chest pain or getting tired when I work out, which is puzzling. Could this be related to stomach gas or something else? I also got my lipid profile checked, and things seem a bit off with high triglycerides and non-HDL cholesterol. What could be causing these symptoms, and are there any changes I should make to my diet?

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms and lipid profile, the uneasiness and pressure at the heart lasting for about an hour could be related to your high triglyceride levels. The cough providing temporary relief may be due to associated gastric reflux. To address this, you should consider making some dietary changes to improve your lipid profile and overall heart health. I recommend reducing your intake of saturated fats, trans fats, and cholesterol-rich foods. Increase your consumption of fruits, vegetables, whole grains, and lean proteins. Additionally, incorporating foods rich in omega-3 fatty acids like fatty fish, flaxseeds, and walnuts can help lower triglyceride levels. In terms of medication, you may benefit from a prescription medication such as Atorvastatin (brand name Lipitor) to help lower your LDL cholesterol levels and reduce the risk of cardiovascular events. The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust this based on your lipid profile and response to treatment. It is important to follow up with your healthcare provider for further evaluation and management of your lipid profile and heart symptoms. Regular monitoring and adherence to lifestyle modifications and prescribed medications are crucial in managing your condition.

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been dealing with these palpitations for the past three years. I've gone through all the heart-related tests like ECG and 2Decho, and everything seems to be normal. I recovered from jaundice about five years ago, and I don't smoke or drink or have insomnia. But every time I eat or lie down comfortably, I start feeling this sensation in my throat and the back of my head. My blood pressure is typically around 12585, and my pulse is usually 100. But after meals, my BP creeps up to 13590, and my pulse hits 120. Doctors have suggested I take propranolol 10mg, but it doesnt seem to help. What could be going on?

Considering your symptoms and the ineffectiveness of propranolol, you may benefit from a calcium channel blocker such as Verapamil. I recommend taking Verapamil 120mg twice daily to help control your palpitations and regulate your heart rate. Additionally, practicing stress-reducing techniques and maintaining a healthy lifestyle can also help manage your symptoms.

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I'm experiencing heart palpitations quite a bit lately, and I'm not really sure why. Should I be looking into some specific tests to understand what's going on, or is there anything specific you would recommend checking out? I'm starting to get a bit concerned about it.

Yes there are many reasons for palpitations,get your thyroid profilr and ecg done,visit Cardiologist for appropriate management

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I'm a bit concerned because my ECG showed some middling left axis deviation and my cholesterol levels aren't great either. On top of that, I've been having this back pain that seems to radiate to my hand. Could these issues be related somehow? Should I be worried about any underlying health problems connecting these symptoms? Any advice on what steps I should take next?

Based on your description of middling left axis deviation on ECG, high cholesterol levels, and radiating back pain to your hand, it is important to address these issues. For middling left axis deviation on ECG, it is recommended to consult a cardiologist for further evaluation and management. For high cholesterol levels, you can start taking Atorvastatin (brand name Lipitor) at a dose of 10-20 mg once daily to help lower your cholesterol levels. For your back pain radiating to your hand, you can take Ibuprofen (brand name Advil) at a dose of 400 mg every 4-6 hours as needed for pain relief. Additionally, you may benefit from physical therapy to address the underlying cause of your back pain. It is important to follow up with your healthcare provider for a comprehensive evaluation and personalized treatment plan.

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