- Male
- 25 Years
- 29/01/2025
I've been noticing that when I'm lying down, I can hear my heartbeat clearly, and it's even visible through my shirt and in my stomach area. At night, while trying to fall asleep, I sometimes feel a sense of fear in my chest and stomach. What could be causing this?
Answered by 1 Apollo Doctors
These symptoms could be due to anxiety or stress, which can cause palpitations (feeling of heart beating fast or irregularly), visible pulsations in the abdomen, and a sensation of fear or unease in the chest and stomach. It is important to manage stress and anxiety through relaxation techniques, exercise, and possibly counseling. Additionally, you can take a beta-blocker like Propranolol 20mg to help reduce palpitations and visible pulsations. Make sure to consult with a healthcare provider for proper evaluation and management.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm worried because about a month ago he got dizzy during the night and fell when he got up to use the washroom. Afterward, he felt sweaty but didn't have any chest pain. The next day, his blood pressure was really high at 180110 and his sugar levels were up too. The doctor mentioned RWMA but everything else looked good, and they're suggesting an angiography. Is that really necessary, or are there other options we could consider? He's never had issues like this before, and it all started a month ago when he began these medications: Zilarta 40, Metsmall 1000, Rosurica A 75, and Synx 500. What do you think?
The symptoms of dizziness, sweating, high blood pressure (180110), and elevated sugar levels, along with the doctor's recommendation for angiography, indicate a need for further evaluation of the cardiovascular system. Angiography is a common procedure used to visualize the blood vessels and identify any blockages or abnormalities in the heart. Given the patient's symptoms and test results, angiography may be necessary to assess the extent of any potential heart-related issues, such as coronary artery disease. It is important to follow the doctor's recommendation for further evaluation and treatment to ensure the best possible outcome for the patient's health.
Answered by 1 Apollo Doctors
I'm feeling really worried because I've been dealing with fatigue for about 20 days now, and it just doesn't seem to go away. I've also had some headaches on and off. Could these be signs of a heart attack?
Fatigue and headache are not specific symptoms of a heart attack. However, it is important to pay attention to any unusual symptoms you may be experiencing. Fatigue and headache can be caused by various factors such as stress, lack of sleep, dehydration, or underlying medical conditions. It is recommended to consult a healthcare professional for a proper evaluation and diagnosis.
Answered by 1 Apollo Doctors
I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.
Answered by 1 Apollo Doctors
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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.