Question 1

I'm really worried about my dad. His heart's ejection fraction is only 20, and the doctor mentioned that means his heart's power is at 20. He's been on medication for the last three months, but I'm curious to know what kind of treatment might be next. Also, are there any specific precautions he should be taking right now? I'm just trying to figure out how to best support him through this.

Accepted Answer

Ejection fraction of the heart is very low , causes would be heart attack,cardiomyopathy,coronary artery disease, high blood pressure,aortic stenosis, mitral regurgitatin,myocarditis,arrhythmia etc , u can continue the same medications . An echocardiogram is advised and a cardiac opinion.

Question 2

I'm a bit worried about my health and would appreciate some advice. Recently, I've managed to reduce my high blood pressure in just 12 days, which is great, but now I'm experiencing some weird symptoms. Occasionally, I have this sharp chest pain on the left side that feels like I'm being poked with a needle. Sometimes it switches to the right side, and drinking water seems to trigger a bit of pain too. It feels like something's touching my chest inside. My shoulder also feels uncomfortable at times. I've also been passing a lot of gas and sometimes my throat feels really full. These symptoms are similar to what I experienced about two months ago. Does this sound like something serious?

Accepted Answer

The symptoms you describe, including high blood pressure, chest pain, shoulder discomfort, excessive gas, and a sensation of fullness in the throat, could be due to a combination of gastrointestinal and musculoskeletal factors, possibly exacerbated by anxiety. Conditions like gastroesophageal reflux disease (GERD) can cause chest pain and discomfort, while musculoskeletal issues could explain the needle-like pain and shoulder discomfort. To manage these symptoms, consult a healthcare provider to rule out serious conditions and confirm a diagnosis. They may recommend lifestyle changes such as a heart-healthy diet, stress reduction, and avoiding large or spicy meals, as well as medication like antacids for GERD and pain relievers for musculoskeletal pain. Monitoring your blood pressure regularly and following your doctor's advice on managing it is also important.

Question 3

Greetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.

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