Question 1

I've been dealing with pain in my left hand and left chest even though my 2D echo, TMT, and chest X-ray all came back normal. It's been a couple of months, and I've also got these gaustic issues. I'm taking razol for it, but I'm wondering if you think I should get any more tests done. Could there be something we're missing?

Accepted Answer

Given your normal 2D echo, TMT, and chest X-ray, yet persistent left hand and chest pains, it is possible that your symptoms are related to gastrointestinal issues, especially since you have been experiencing gastric problems for the past two months and are currently taking Razo-L (rabeprazole). Gastric issues, including acid reflux, can sometimes cause chest pain that mimics heart-related pain. While your current tests are reassuring, if your symptoms persist, it may be helpful to undergo further evaluation such as an upper gastrointestinal (GI) endoscopy to assess for conditions like gastroesophageal reflux disease (GERD) or peptic ulcers. Additionally, consider consulting a gastroenterologist to further explore and manage your gastric symptoms.

Question 2

I've been having mild chest pain continuously for about 23 hours, and it's the first time I've felt anything like this. I went to the hospital and got an ECG done, which came back as a Borderline ECG, and I've attached the report. The Troponin I test result was 0.01 ngml. My heartbeat seems to be averaging around 95-110 bpm. Should I be worried about this?

Accepted Answer

It is important to address the possibility of a cardiac issue. I recommend starting treatment with Aspirin to help prevent blood clot formation and reduce the risk of heart attack. Additionally, you should take Atorvastatin to lower cholesterol levels and reduce the risk of further heart complications. It is also advisable to take Metoprolol to help regulate your heart rate and blood pressure. These medications will help manage your condition and reduce the risk of any potential heart problems. Please follow up with your healthcare provider for further evaluation and monitoring. Take care."

Question 3

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

I've noticed that my pulse rate is around 102, and when I have a fever, it jumps to 134. I'm a 34-year-old male, and I'm just a bit worried about what's going on. Is this something I should be concerned about? What might be causing these changes?

A consistently elevated pulse rate of 102 at rest and up to 134 during fever suggests an underlying issue, such as hyperthyroidism, anemia, anxiety or stress, dehydration, or an underlying infection or inflammation,

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