Question 1

I'm still experiencing this pin-pointing chest pain even though my ECG was normal and my cholesterol level dropped from 207 to 140 after some diet changes. I also got a TMT done and it was negative. But now, the pain seems to be spreading to my left hand too. What could be causing this?

Accepted Answer

"Based on your symptoms and test results, it is possible that you may be experiencing musculoskeletal pain or nerve-related pain rather than a cardiac issue. You can try taking over-the-counter pain relievers like acetaminophen for the chest and left hand pain. Additionally, you can use a muscle relaxant like Flexeril (cyclobenzaprine) to help with any muscle tension contributing to the pain. It is also important to continue following a healthy diet and lifestyle to maintain your cholesterol levels. If the pain persists or worsens, it would be advisable to follow up with your healthcare provider for further evaluation and management."

Question 2

I'm really worried about my dad's health. He's been dealing with high blood pressure for a while and has been on medication. Lately, his blood pressure has been spiking a lot, so we got an ECG and echo done, which showed mild concentration LVH. He's been taking the meds shown in the report, and he's also been having trouble sleeping, so there are meds for that too. Even with all this, he still has some sleeping issues. Do you think he might need surgery, or can this situation be stabilized with just meds? What would you suggest as the next step?

Accepted Answer

To help stabilize his blood pressure and improve his sleep, the ideal next step would be to optimize his current medication regimen. In addition to his current medications, adding a medication like Amlodipine 5mg once daily for blood pressure control and prescribing a sleep aid like Zolpidem 5mg at bedtime for his sleep issues can be considered. Surgery is not typically indicated for mild LVH and can usually be managed with medications and lifestyle modifications. It's important for your father to continue monitoring his blood pressure regularly, follow a healthy diet, engage in regular physical activity, and manage stress effectively. Regular follow-up with his healthcare provider is essential to adjust his treatment plan as needed.

Question 3

I've been dealing with palpitations since 2009, and although I've had some treatment, they haven't completely stoppedjust reduced in frequency. The doctor advised me to take Rivotril when they start, since they never seem to stop on their own. I'm worried about why they persist and if there's something else I could try? Could there be long-term effects if I'm taking Rivotril for so long? Any advice would be appreciated.

Accepted Answer

Since you have been experiencing palpitations since 2009 and have been advised to take rivotril when they occur, I recommend discussing with your doctor about trying beta-blockers such as Metoprolol at a low dose to help manage the palpitations more effectively. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted based on your response. Beta-blockers are commonly used to reduce the frequency and severity of palpitations by regulating the heart rate and rhythm.

Yes continue that medicine and follow your doctors advice,no need to worry you will be fine

More Cardiology Health Queries

I'm still experiencing this pin-pointing chest pain even though my ECG was normal and my cholesterol level dropped from 207 to 140 after some diet changes. I also got a TMT done and it was negative. But now, the pain seems to be spreading to my left hand too. What could be causing this?

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