Health Q&A
High bp for no reason

Good evening doctor, I am suffering from health anxiety and continuous bp checking. Last 5 days my wisdom teeth aches due to wrong feeling during this time I use muscle relaxant for chronic pain. After 2 days I have severe pain and bp is around 170-160/105-95 for full day and go to other dentist he removed filling I got relief in pain after that same day  my bp is around 132-128 to 84-79 without any medicine and dentist gives my Amoxicillin 500 and declofanic pottasium paracetamol sp and dexona. After last 2 days my bp increase is around 160-154 to 104-95 without no reason. No teeth pain no fever. I am so much worried and confused. Today I measured bp about 100 times my bp all time in lying position is around 164-146 to 104-94 in normal position. Only few reading out of 100 show 135/86. What should I do so much worried. I do all low impact exercise yoga but nothing work for me. One more thing previously my bp is in range of 130-115 to 82-72 all time still normal position. please help.

Increased heart palpitations

Since more than a week I was having this weird feeling in my chest or a small dull pain in between. Friday when I was coming back home I went to the ER because my heart rate increased, I was scared and my chest pain increased (left side of the chest). The doctors said the ecg does have a few changes but could be old or psychological too. Trop I test was 0.90 so they mentioned this could most probably be an anxiety attack so I was suggested to visit a cardio to get a review. I was suggested Pan 40 twice a day before food and Concor 2.5 after food twice a day. I stopped as per the 3 day course however I couldn't get the appointment for my cardiologist so I haven't been to the cardiologist yet. Today i smoked but when I was smoking while leaving I was told that smoking leads to increased palpitations and I guess my body panicked but my palpitations increased. I came home and had concor 2.5, my bp was 143/93 with heart rate of 102. Now my bp is 117/84 with 82 heart rate. Possible reason?

High triglycerides

Thank you, Doctor, for your guidance. Regarding my diagnosis of CIHD, it was mentioned in my medical claim form, but I have not yet undergone an ECHO or a Treadmill test. I will proceed with arranging these tests immediately as you have advised, despite some challenges with insurance coverage. I appreciate your expert recommendation.

Regarding high triglycerides

I am a 38-year-old male recently diagnosed with Chronic Ischaemic Heart Disease. My recent laboratory results show very high triglyceride levels at 563 mg/dL and total cholesterol at 249 mg/dL. Although I do not currently have chest pain, I have been experiencing palpitations and shortness of breath while running or talking 10 miniutes, sometimes accompanied by syncope. I am currently prescribed LIPANTHYL (Fenofibrate) 145 mg and ASTATIN (Atorvastatin) 10 mg. Since my insurance has not approved further investigations, could you please advise if an echocardiogram is strictly required for my condition or if there are alternative steps I should take?

Slow heart rate

My heart rate is generally on a higher side due to weight. However since last few days my heart rate while working in office is between 60-65. I feel dizzy frequently but itsjust for seconds mostly. And during sleep it is going as low as 52.is it normal?

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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