Question 1

I've been having this chest pain that comes and goes for the past few days. It's mostly on the left side, near the center of my chest, and sometimes my breast hurts too, but they look normal. I also had this back pain between my spine and shoulder blade on the left side, but that went away, and the chest pain came back. It feels worse when I get up, like when you have an injury and start moving after resting. Any idea what could be causing this?

Accepted Answer

Possible Diagnosis*

1. *Costochondritis*: Inflammation of the cartilage connecting ribs to the breastbone, causing left-sided chest pain.
2. *Musculoskeletal strain*: Strained muscles in the chest or back, leading to pain and discomfort.
3. *Gastroesophageal reflux disease (GERD)*: Stomach acid flowing back up into the esophagus, causing chest pain and discomfort.

*Treatment Options*

1. *Pain management*: Over-the-counter pain relievers like acetaminophen or ibuprofen to alleviate pain and discomfort.
2. *Heat or cold therapy*: Applying heat or cold packs to the affected area to reduce pain and inflammation.
3. *Muscle relaxants*: Medications like cyclobenzaprine to relax muscles and reduce pain.
4. *Antacids or acid reducers*: Medications like ranitidine or omeprazole to alleviate GERD symptoms.

*Advice*

1. *Rest and relaxation*: Avoid heavy lifting, bending, or strenuous activities that may exacerbate the pain.
2. *Maintain good posture*: Avoid slouching or bending, which can put strain on your muscles and exacerbate the pain.
3. *Avoid triggers*: Identify and avoid triggers that may worsen GERD symptoms, such as citrus fruits, tomatoes, or spicy foods.
4. *Monitor your symptoms*: Keep track of your symptoms, including when they occur, how long they last, and any factors that trigger or relieve them.

Question 2

I'm really worried about my blood pressure because even though I'm taking telma 40, austin cv, and dilgem 90 at night, my bp still isn't under controlit's currently 13797 with a pulse rate of 108. I also discovered I have a 2-80 block in my angiography, though my ECG seems normal. What should I do, and should I be concerned about anything else?

Accepted Answer

Your current blood pressure reading of 13797 is still elevated, especially with a pulse rate of 108. Since you have significant blockage in one of your coronary arteries, it is important to manage your blood pressure effectively. I recommend adding a calcium channel blocker to your current medication regimen. You can ask your doctor about adding a medication like Amlodipine (brand name Norvasc) 5mg once daily to help lower your blood pressure. Additionally, lifestyle modifications such as reducing salt intake, regular exercise, and stress management can also help in controlling your blood pressure.

Question 3

I'm really worried about my dad's health. He's been dealing with diabetes for about 20 years now, and he also has hypertension and CKD. His creatinine level is at 2.1. We're considering giving him GTN Sorbitrate CR 2.6 for his angina, but I'm concerned about any potential side effects it might have on his kidney and liver. Could this possibly lead to an increase in his creatinine levels? I'm just not sure if it's safe for him given his conditions.

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

I've been taking Ciplar 60 LA daily for the past 34 years as part of my antidepressant therapy as advised by my psychiatrist. My ECG always shows an abnormal T wave progression. Is this something I should be worried about, or is it normal in my case?

More Cardiology Health Queries

Health Articles for you

Understanding Bypass Surgery

How to Reduce High Blood Pressure: A Simple Guide

New Generation Pacemakers: Smarter, Safer Heart Care

What Leads To High Heart Rate

Signs Of Do You Know The Warning Signs And Signs And Of Congestive Heart Failure