Answered by Dr. Prashant Valecha

Answered by Dr. Prashant Valecha

How to treat postural orthostatic tachycardia?

Hello doctor,

I have been recently diagnosed with postural orthostatic tachycardia by my family doctor. I have been experiencing lightheadedness, fainted a few times after standing. My BP is really high 186/102 mmHg on average with a normal pulse while lying down, then as soon as I sit or stand up my BP drops quite low 104/75 mmHg on average. I have also been experiencing severe fatigue, my whole body just aches all the time and I constantly feel short of breath and get chest tightness and on and off pains. I have reoccurring tremors in my left arm and fingertip numbness. I become very foggy minded usually at night and I get words mixed and my speech gets slurred and stuttered. The worst most uncomfortable feelings I have is shortness of breath and have difficulty trying to breathe. I cannot sleep feeling like this. I have a 3-month-old baby to take care of, but I need some advice on getting at least some temporary relief with my breathing and chest pains until I see the cardiologist. Please help. I am currently taking Celexa 40 mg at night for depression.

08 May 2024 - 1 min read

What could cause pain below the heart on the rib side?

Hi doctor,

My father had mild chest pain. The doctor did an angiogram, and they told there is a block in the blood pumping vessel and it is closed. We planned for placing a stent. The next day, the doctor tested again and told the blood vessel is opened and it is normal. So, the stent was not placed. After a few days, my father had pain below the heart which was on the rib side, and he told something is holding in the heart. So, again we went to the cardiologist. The doctor examined him and said he is fine and there is nothing to worry. Whenever he got this pain, we consulted the cardiologist, and he said there is no problem in the heart. He got this pain for about three times till now. Again, we tested for a gastric problem and a neurological problem. That was also fine after the examination. But, still he is experiencing the same pain, and he is willing to do angiogram now. I cannot understand the problem. Please suggest.

06 May 2024 - 1 min read

How to treat loose stools and food poisoning?

Hi doctor,

I had food poisoning last week. My nausea has subsided, but I still have runny stools multiple times daily. Kindly help.

30 Apr 2024 - 1 min read

Are fluctuating pulse levels on a pulse oximeter normal?

Hello doctor,

My 9-year-old daughter has symptoms of a viral infection (low fever, sore throat, stuffy nose). When she went to sleep, I checked her blood oxygen level with a pulse oximeter. Her blood oxygen level is normal, but her pulse fluctuates from 69 to 98 pretty quickly. Is this normal?

26 Apr 2024 - 1 min read

Is angiography must in case of cough and fast breathing?

Hi doctor,

My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Please suggest whether she needs angiography as a further investigation. Her doctor advised Ecosprin 150 and GTN 2.6, which she is taking from yesterday.

24 Apr 2024 - 1 min read

Education

MD PHYSICIAN., PGDCC ( IGNOU)

Specialties

Cardiology

Specialized Treatments

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