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  • female
  • 65 Years
  • 14/08/2025

My mom has severe aortic stenosis and the doctor suggested valve replacement surgery. We're unsure whether to go for open heart surgery or TAVR. Since we lost my dad to COVID and she's a homemaker, cost is a big concern. What would be the best option for her?

Doctor 1

Answered by 1 Apollo Doctors

CTVS opinion advise.

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 14/08/2025

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I'm getting these weird feelings where it seems like my heart is struggling to beat at times. Sometimes, out of nowhere, I get these intense palpitations that eventually settle down, but it's really unsettling. Another thing I've noticed is that just when I'm about to burp, the palpitations get much stronger and faster, which honestly freaks me out a bit. Any idea what might be happening?

These symptoms could be related to acid reflux causing irritation of the esophagus, which in turn can trigger palpitations. I recommend trying over-the-counter antacids like Tums (500mg) or Maalox (5ml) to help with the acid reflux. Additionally, you can try avoiding trigger foods like spicy or fatty foods, caffeine, and alcohol. If the symptoms persist, it's important to consult with a healthcare provider for further evaluation and management.

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I've been keeping track of my blood pressure, and it usually falls between 130140 and 8090 over the last month. I'm not keen on starting any medication right now and wonder if I can get it back to normal with a healthy diet. I don't smoke or drink, and I sleep well. I weigh 86 kg and am working on getting it down below 75 kg. I'm thinking being overweight might be the only reason for my high BP since my sugar levels and kidney function are normal. I get mild headaches approximately once every two weeks. Do you think focusing on weight loss and diet could help stabilize my blood pressure?

Maintaining a healthy diet can definitely help in managing your blood pressure. In addition to a healthy diet, it is important to maintain a healthy weight and engage in regular physical activity. Since you are already working on reducing your weight, that is a positive step towards improving your blood pressure. While being overweight can contribute to high blood pressure, it is not the only factor. Other factors such as diet, physical activity level, stress, and genetics can also play a role in blood pressure levels. I get mild headache once in two weeks or so. Mild headaches can sometimes be associated with high blood pressure. However, it is important to monitor your headaches and consult with a healthcare professional if they become more frequent or severe. As you are not currently on any medication and prefer to manage your blood pressure through lifestyle changes, I recommend focusing on a diet rich in fruits, vegetables, whole grains, and lean proteins. Additionally, reducing your sodium intake can also help in managing blood pressure. Regular physical activity and stress management techniques can further support your efforts in maintaining a healthy blood pressure level.

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I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a history of panic attacks that started back in 2015 with a very fast heartbeat, and I was told it might have been due to acid reflux. It happened again in 2019. I'm really scared of traveling, especially late at night during long journeys. I get these terrible thoughts about what if I have an attack and theres no one around to help, like if the train is passing through a jungle. These thoughts just make my heart race even more, and I end up feeling extremely scared. Can you please help me understand what's going on and how I can handle this?

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

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