Question 1

I've been experiencing this off-and-on chest tightness and shortness of breath for several years now. It's like I can't catch my breath sometimes, and I have to take deep breaths to feel okay. I don't have any medical history, and Im not on any meds. I saw a couple of doctors, and they said it might be panic attacks. My ECG came back normal, but it seems to get worse when I lie down. Occasionally, I feel like I need to yawn to fully catch my breath. Could you help me understand what's going on?

Accepted Answer

take anxiety tablets

Question 2

I had a heart attack a couple of months ago and I'm 47. They put in a stent and I've been doing okay. I walk about 5km every morning without any issues. Is it safe for me to start using a treadmill or go for some cycling now? Also, what should my pulse rate be on the treadmill panel? My resting heart rate is usually around 53. Would really appreciate your advice.

Accepted Answer

It's great that you are staying active after your heart attack. With a stent in place and your regular walking routine, you can gradually incorporate treadmill and cycling into your exercise regimen. When using the treadmill, aim to keep your heart rate within a safe range. For your age, a target heart rate during exercise is typically around 50-85% of your maximum heart rate. To calculate this, subtract your age from 220. So, for you, (220-47) = 173 beats per minute (bpm) is your estimated maximum heart rate. During treadmill exercise, aim to keep your heart rate between 85-147 bpm to ensure you are exercising safely. As for cycling, it is also a great cardiovascular exercise. Start slowly and gradually increase the intensity as tolerated. Pay attention to how your body responds and adjust accordingly. Remember to listen to your body, and if you experience any chest pain, dizziness, or unusual symptoms, stop exercising and seek medical attention.

Question 3

I've been experiencing this really painful, pinching sharp heartache that makes it hard to breathe. It's mostly in the upper part of my left chest and lasts around 2 minutes. It's happened a couple of times even when I was on an empty stomach or just had some warm lemon water. I've had it at night before dinner too. I got some blood tests done, and they said my lymphocytes were high, but sugar was normal. I often feel short of breath while sitting too, and climbing stairs always makes me breathless. This month, its happened like three times. Do you have any ideas about what this could be?

Accepted Answer

Could be due to a condition called angina. Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. Given your symptoms and the fact that it has occurred multiple times, it is important to consult a healthcare professional for a proper evaluation and diagnosis. However, based on the information provided, you may benefit from taking medications such as Nitroglycerin sublingual tablets for immediate relief during episodes of chest pain. The usual dosage is 0.3 to 0.6 mg sublingually or chewed at the first sign of chest pain. Additionally, you may also be prescribed medications like Aspirin to prevent blood clot formation and reduce the risk of heart attack. The usual dosage is 75-325 mg once daily. It is important to follow up with a healthcare provider for further evaluation and management of your symptoms.

I've been taking a tablet every day for my blood pressure, and now my doctor has also prescribed stemetil MD 5 mg twice a day for 5 days. I'm just wondering if there are any interactions or side effects I should be aware of with this combination?

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