Question 1

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest X-ray came back normal, and I don't have any blood pressure or other health issues. What could be going on?

Accepted Answer

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, *always consult your doctor before switching medications*.

_Augmentin 625 Duo vs. Azithral 500_

Both are effective antibiotics, but:

1. *Augmentin 625 Duo*: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. *Azithral 500*: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

- You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
- Your tonsillitis is caused by a macrolide-sensitive bacterium

However, *your doctor should determine the best course of treatment* based on your medical history, allergy status, and the severity of your symptoms.

Question 2

I've been checking my blood pressure with a monitor, and every time the cuff gets tighter, I start feeling some chest pressure. It's not super strong, but I definitely notice it, and it happens every time I check. My blood pressure was 12588. I'm also worried because I get chest pains sometimes. What could be causing this?

Accepted Answer

The sensation of chest pressure when the blood pressure cuff is tightened could be due to increased pressure on the chest wall. However, since you also mentioned that you experience chest pains sometimes, it is important to monitor this closely. With a blood pressure reading of 12588, it is within the prehypertension range. To help manage your blood pressure and chest discomfort, you can take a low dose of Amlodipine (brand name: Norvasc) 5mg once daily. Additionally, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 3

I'm a bit concerned after getting my Holter test results back. It says I had 17 ventricular beats in tachycardia at 100 bpm and no bradycardia, with a sinus tachycardia peaking at 162 bpm just once. The doctors mentioned this might be normal for someone who drinks and smokes, and they advised me to quit both. The test was done because of an irregular pulse. Could you help me understand what all this means and how serious it is?

Accepted Answer

The holter test report indicates ventricular beats at 17%, beats in tachycardia (>=100 bpm) at 15%, and no bradycardia. Sinus tachycardia was noted at 162 bpm (maximum only once). It is advisable to quit alcohol and smoking, as advised by your doctors. The irregular pulse may be related to these habits. To help with the irregular pulse, you can take Metoprolol (brand name: Lopressor) 25mg twice daily. This medication can help regulate your heart rate and reduce the occurrence of irregular beats. Regular follow-up with your healthcare provider is recommended to monitor your progress.

What are the heart disease causes & risk factors?

With time, raised blood sugar levels can damage the blood vessels and nerves that control the heart. Additionally, people with diabetes are also more likely to have other conditions that raise the risk for heart disease such as high blood pressure and deranged cholesterol or triglyceride levels.

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