Question 1

I'm a bit concerned because I've been managing my blood pressure and diabetes for a while. I used to take lobet 100mg and alphadopa 500mg twice a day for a month, but I stopped the BP meds two months ago because I was feeling dizzy and had blurred vision. My BP readings were fine after that, but lately, I've been getting mild headaches, and today my BP was 160100. I've been advised to see a doctor. I'm worried about whether starting BP medication again after the consultation might cause any issues. Could you please give me some guidance on this?

Accepted Answer

It is important to manage your blood pressure to prevent complications. Since you have a history of experiencing giddiness and blurred vision with your previous medication, it is crucial to consult your doctor before starting any new medication. Your doctor may prescribe a different class of antihypertensive medication such as Amlodipine 5mg once daily or Losartan 50mg once daily to help lower your blood pressure without causing the same side effects. Regular monitoring and follow-up with your doctor are essential to ensure the effectiveness and safety of the new medication.

Question 2

I've been using my MI band to keep track of my heart rate while I'm exercising and working out. Lately, I've noticed that my heart rate sometimes drops suddenly and steeply according to the fitness tracker. I've got a specific heart rate record from one of my workouts attached here. Should I be worried about this? What might be causing these changes, and are there other symptoms I should be on the lookout for?

Accepted Answer

Sudden and steep drops in heart rate during exercise can be concerning. It is important to rule out any underlying heart conditions. The probable causes could include dehydration, overexertion, medication side effects, or an underlying heart rhythm disorder. Other symptoms to watch out for may include dizziness, lightheadedness, chest pain, or shortness of breath. I recommend consulting a healthcare professional for a thorough evaluation and appropriate management.

Question 3

I'm feeling really anxious because I've been having some breathlessness and gastric issues. I had an ECG done and it showed sinus tachycardia along with a small inferior wave. The report mentioned something about a borderline ECG and that an infarct can't be excluded. The doctor said the ECG's normal and there's nothing to worry about if the acidity improves. But I'm still a bit concerned. Should I be worried about the sinus tachycardia or the possibility of an infarct? Are there any other tests I should consider?

Accepted Answer

"Based on your ECG report showing sinus tachycardia with a small inferior wave, along with concerns about borderline ECG and the possibility of infarct not being excluded, it is important to further evaluate your cardiac health. Sinus tachycardia is often a normal response to various factors such as stress, anxiety, or caffeine intake. However, in some cases, it can be related to underlying heart conditions. To assess the situation further, I recommend additional tests such as a cardiac enzyme test to rule out any potential heart damage, a stress test to evaluate your heart's function under exertion, and possibly a coronary angiography to assess the blood flow to your heart. These tests will provide more information about your heart health and help determine if any further treatment or monitoring is necessary. In the meantime, managing your gastric symptoms and acidity is important. You can take medications like omeprazole for acidity relief. Additionally, lifestyle modifications such as avoiding spicy foods, eating smaller meals, and avoiding lying down after eating can help alleviate gastric issues. It's essential to follow up with your doctor for a comprehensive evaluation and to discuss the results of these additional tests."

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