Appearance
question:my bp is 148/98 and pulse 100 resting. This is sudden. One month ago, 120/80 pulse around 78. My chest feel tight and pain in the center of my back between shoulder blades. My resting pulse was at 113 last night. What would cause the sudden increa?
answer:hellowelcome to HCMsuch sudden increase of bp is mostly due to secondary causes likesevere anxiety atherosclerosisdiseases of aortaconns etc.i should advise you to have a ECG,ECHO,CXR PA VIEW,PLASMA RENIN LEVELand also consult a cardiologist with the reports,hope this is helpfulregards.
question:How soon is RSV contagious? My grandson was diagnosed with it yesterday but has has cold like systems for two weeks. I have a sister 47 and going threw cemo. Should we be worried about her? Also have 2 pregnant ppl one almost due and one 3 months should we worry about them?
answer:Hello dear, thanks for your question on HCM.I can understand your situation and problem.Yes, RSV (respiratory syncytial virus) is contagious and able to transmit from patient to nearby individuals.So pregnant females and cancer patients on chemotherapy are at risk for RSV infection if RSV positive patient is sharing the same home.So better to give mask to your grandson and also to the pregnant women and cancer patient to avoid cross transmission.
question:I have had a severe cough that comes and goes every few weeks for around 3 months, am also experiencing pain in the left side of my neck which has been there for the same amount of time as well as severe pain when I breathe or cough which lasted for about a week, are these symptoms related to some sort of chest infection, or cancer?
answer:Hello dear, thanks for your question on HCM.In my opinion you should definitely consult pulmonologist and get done1. Chest x ray2. PFT (pulmonary function test).There are few possibilities in your case.1. Lower respiratory tract infection (LRTI)2. Bronchitis.So chest x ray is needed to rule out LRTI (pneumonia). Possibility of cancer is very less. But chest x ray will help in ruling out cancer also.PFT is needed to rule out bronchitis.So better to consult pulmonologist and first diagnose yourself and start appropriate treatment.
question:Hello. About 2 weeks ago, I broke both my right hip and two ribs on my right side in a car accident. It still hurts a bit to move around too much but for some reason, when I m just resting in bed, I ll get a sharp, unbearable pain in my ribs. Is there something wrong or is it just the healing process? Is it just soreness? This is my first time ever breaking a rib, so I m pretty lost. I don t know if it has anything to do with anything but I just recently turned 16 so I don t know, maybe taking into consideration I m still growing/developing or something. Thanks.
answer:Thanks for your question on HCM.I can understand your situation and problem.In my opinion you are having blunt chest trauma.And following are the possible complications of blunt chest trauma.1. Rib fracture2. Pneumothorax3. Pulmonary contusions4. Muscular injury.So better to get done chest x ray to rule out pneumothorax and contusions. As both of these are common with rib fractures.And rib fracture will take atleast 21 days for healing.So you may feel pain for another 2-3 weeks.You can do following things for better symptomatic relief.1. Avoid strenuous exercise.2. Avoid heavyweight lifting.3. Avoid bad postures in sleep. Avoid movements causing pain.4. Apply warm water pad on affected site.5. Start painkiller and muscle relaxant.
question:Hello Doctor Two days back my father after eating food at night complained of dizziness & sweating. He went to a MD, HIS bp was 80/130 . Doctor gave him medicine. After medicine & Injection He had a vomit, We consulted another doctor , he too k BP WHICH WAS 90/150, PULSE WAS 74 & He had ECG , DOCTOR SAID THE ecg was normal. He gave medicines, Stemetile, Aten, & one more. Next Morning the BP WAS 80/110. I am Concerned what is Your advise . He had Lipid Profile done a month back which is normal. His age 59
answer:Is this happened for first time or happening repeatedly. is there history of chest pain on exertion, does he smoke, family history of heart disease.This can simply be gastritis, however since being elder should be evaluated.First blood pressure should be monitored for at least a week three times a day and make a chart.Normal ecg doesn't rule out heart problems so one stress is indicated if any of above risk factors are present.Try some antacid, avoid spicy, oily, too heavy meals, regular brisk walking.get sugar level tested once.
question:I have pain across my left shoulder blade radiating though into the middle of my chest. The pain started about 3 weeks ago and is less painful at times and extremely painful at others but has never left completely. Is it something I should be concerned about?
answer:Thanks for your question on HCM.In my opinion you should definitely consult doctor and get done1. ECG2. Stress test3. 2d echo To rule out cardiac cause.Because left sided shoulder pain with chest pain is seen commonly in cardiac cause like coronary artery disease.So get done above investigations to rule out cardiac cause.If all are normal then no need to worry much for cardiac cause.It is mostly due to muscular cause. So take painkiller and muscle relaxant.