Rheumatic Heart Disease Treatment

Health Q&A
Hypercholesterolemia

Im having elevated ldl cholesterol above 190mg/dl from past 3 yrs , with lifestyle modification and diet changes i have reduced my weight by 7kg and ldl cholesterol to 158mg/dl. Despite of the changes im having borderline high ldl  cholesterol. I have also done lipoprotein a test which is also on the higher side . Do I require to take statins for indefinite period or I can decrease cholesterol levels further by diet and exercise alone.

Anxiety issue or something else

Whenever I feel stress , even day to day life stress causes chest tightness and heavy breathing. I feel numbness in my legs and hands. Sometimes my legs start shaking and my hand also shivers and automatically my fist closes or tries to hold something and close fist tightly. I sleep a alot . Even then after some hours I feel sleepy. After my breakfast either my head feels heavy or light and my eyes starts closing and I feel so sleepy that I can't resist it for too long and then I sleep again .

Cholesterol levels

I took cholesterol test my report is like cholesterol levels Iis 152 triglycerides 46 hdl cholesterol is 48 ldl cholesterol is 94.8 vldl cholesterol is 9.2 cholesterol hdl ratio is 3.2 non hdl cholesterol is 104

Blood Pressure Medication

In Feb'26  I got stressed out and became very anxious. I was put on Concor 2.5mg. All test 2D Echo and ECG were done and normal. Then at the same time I developed a UTI infection and after I got better I was put on Concor 5T as in the doctor office my BP went 150/100 whereas at home it has been 115-145/72-86 in that range, Now my BP is always between 110-118/62-76. I have been taking Concor 5T since a month now. Can I reduce and completely stop the medication as I never had BP before in my life, only during the time of my anxiousness it went up and only whenever my BP is checked at a doctor's place it goes up with the fear.

Help Please

On my left centre chest side, sharp, pinching pain is occuring while i breathe deeply, yawn, burp and during bending. It started from 1-1:30 hour before..

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Doctors
Dr. James Karas - Cardiologist
Dr. James Karas Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine) 36 years experience Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin - Pediatrician
Dr. John P Kovalchin Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2) 37 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner - Internal Medicine
Dr. John Jay Warner Internal Medicine (Medical School, Residency) 34 years experience The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh - Cardiologist
Dr. Fareed Raza Shaikh Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2) 29 years experience Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis - Internal Medicine
Dr. Lee R Davis Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973) 53 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS