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question:Hello doctor, A few months back, I felt a shock in my heart. There was chest discomfort; I was sweating and my pulse was going down. I almost felt like a heart attack, but, after a few minutes everything was normal. The next day I went to my GP to check and in ECG he found that I had irregular heartbeats. He referred me to a cardiologist, but I cannot see him due to lack of appointment. Meanwhile, I had palpitations and so I went to emergency. There they took many ECGs, blood tests, chest x-ray, etc., and according to them, everything was normal except my heartbeat, which was a bit higher around 110. So, they gave me beta blocker of 1.5 mg. I went to see my GP again and this time my heartbeat was irregular. I decided to visit a private cardiologist. He took ECG and echocardiography and found nothing wrong except little high BP. I took my reports to my GP and he took my ECG again. My heartbeat was irregular from time to time. I feel current or shock in my heart and different parts of the body. I am confused and do not know what to make of it. I am anxious sometimes and wake up with a racing heart. Thank you.
answer:Hi. I have seen all your details. Revert with the details to a cardiologist online -->
question:Hi doctor, This is for my husband. On Saturday, he had a master health check-up and a few values are not good. I would like to hear your opinion on those. He is 35 years old. His weight is 71.9 kg and height is 168 cm. The abnormal values are as follows: 1) Serum globulin 4.2 gm/dl - High (normal range 2-3.5). 2) T4 - 11.46 ug/ml - High (normal 4.6 - 10.5) whereas T3 and TSH are normal. 3) Vitamin D - 9.65 (low). 4) Serum HDL 34.9 (low) other triglycerides and LDL values are normal. 5) Vitamin B12 - 144 (low) (normal 180-914). Also, I attached his ECG where it was mentioned unconfirmed report. Please check and let me know the outcome of the report. He is an athlete who is active in a cycling race, running and swimming. But, he was out of the sport for one year and hence gained weight around 75 kg from 68 kg. Now, again he reduced 4 kg in the last three months. But he is following bad diet plans such as paleo one week, intermittent for the next week, proper balanced normal food for one week. Hence, I am really worried about his health.
answer:Hi. I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps.
question:Hi doctor, I am 18 years old and studying for my final exams. My problem is exam phobia. I am so scared of failure during an exam and due to this, I am unable to concentrate on my studies. I am suffering from this issue for the past two years and it really affects my studies. Please help.
answer:Hi. I completely understand that you feel concerned about your performance during exams. It might be due to the experience of failure in an exam or due to any negative experience related to your academics or school. Psychological assessment by a psychologist is needed to confirm the diagnosis and investigation related to anxiety during other social or performance is required. You need to go to a psychologist for complete psychological assessment. Then, you need counseling or psychotherapy sessions to overcome your phobia and anxiety related to exams. I appreciate that you consulted at this state of extreme anxiety. You urgently need psychotherapy sessions to prevent your symptoms increasing by the time. For further information consult a psychologist counsellor online.--->
question:Hello doctor, I got disc compression problem and nerve drags from thigh to feet in the night-time. Sometimes, it gets twisted in feet and it pains a lot. There is no balance in legs to walk. Please suggest some remedy and help me
answer:Hello. Injury or overweight X-ray or MRI Revert back after two weeks to an ayurveda specialist online.--->
question:Hi doctor, My 16 weeks old baby was sick around six days ago. Ever since he has had watery diarrhea after feeds around six times a day. Today on day 6, he is having awful rotten egg burps and still has the loose stools. Do you any idea of what it could be? He was also diagnosed with silent reflux at 2 weeks old and is on Gaviscon. Thank you.
answer:Hi. For further information consult a paediatrician online -->
question:Hello doctor, I recently took a general blood test. I request you to go through my blood test report and give me suggestions. Especially, I would like to mention about high-sensitivity C-reactive protein (hs-CRP) using nephelometry mg/L, where the reference range is 4.69. Any of your proposals will be appreciated.
answer:Hi. I have gone through all your reports in details (attachment removed to protect patient identity). Revert with details to a cardiologist online -->