apollo
  • male
  • 45 Years
  • 20/02/2025

I've been having this discomfort in my left arm and shoulder that doesn't get worse when I exercise, and resting doesn't seem to help either. Plus, I've been experiencing sudden breathing difficulties along with sweating every couple of evenings, and it's really exhausting, but strangely, no chest pain like a heart attack. These symptoms were there about a year ago but felt less frequent. Now, it's been more than a month and it's happening more often. A year back, my ECG, ECHO, TMT, and Holter tests came back normal, along with normal TSH, lipid profile, vitamin D levels, etc. The doctor thinks it might be panic attacks, but why do I still have this persistent arm pain? If it was a heart issue, shouldn't there have been complications by now? What do you think I should do?

Doctor 1

Answered by 1 Apollo Doctors

Persistent discomfort in your left arm and shoulder, along with symptoms like sudden breathing difficulties, sweating, and exhaustion, can be concerning. While it's reassuring that your ECG, ECHO, TMT, and Holter tests were normal, and your doctor suggested panic attacks, persistent and worsening symptoms warrant further evaluation. It's important to follow up with your healthcare provider to reassess your condition and rule out other potential causes, such as musculoskeletal issues, nerve compression, or even conditions like GERD or anxiety disorders. Discuss your ongoing concerns with your doctor to ensure a comprehensive evaluation and appropriate management plan.

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 04/07/2025

0

0

Sick? Talk to a doctor now

More Cardiology Health Queries

View all

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?

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.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I just got my ECG report back, and it says "sinus rhythm with marked sinus arrhythmia." Should I be concerned about this? Do I need to see a specialist or get a further consultation? How serious could this be?

Sinus rhythm with marked sinus arrhythmia is a common finding in ECG reports and is usually not a cause for concern. It typically does not require any specific treatment unless it is causing symptoms such as dizziness or fainting. In most cases, it does not indicate a serious underlying heart condition. If you are not experiencing any symptoms, no further consultation is necessary.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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?

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.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.