Education: MBBS., DTM&H., DIPLOMA CARDIOLOGY., PGDCHC
Professional Bio: Dr. Amiya Kumar Chattopadhyay is a Cardiologist. He completed his MBBS from West Bengal Medical Council the Calcutta University in 1977. He studied Diploma In Tropical Medicine and Hygiene at the Scho...
This doctor is not available for online consultations on the platform anymore.Hi doctor,
I am a 26 year old male, and I work as an engineer for a consultancy firm. A few weeks back, I noticed that my blood pressure is slightly on the higher side. I checked my BP every day at night for about 2 to 3 weeks and found that 90 % of the time, it is in the range of 135 to 150/80 to 100 mmHg. Also, I noticed in this period, that sometimes I feel mild pain on the left side of my chest. Mostly, the pain is on the lower left side and sometimes on the upper center. The pain is radiating type, and I feel discomfort on the left side of my chest. Two days ago, I was in the office, and suddenly I felt a cold sweat running through my body along with vertigo. It continued for about 4 to 5 minutes, then things were normal. Searching my symptoms on the internet made me even more scared, and I decided to go for a blood checkup.
I received my blood test reports today, and I found that my homocysteine, total cholesterol, and CRP, are slightly on the higher side. Vitamin D and folic acid are below normal. Please advise whether there is some serious underlying problem. What should I do? I am attaching my reports. My other problem is chronic tension-type headaches, since the past six years and IBS, which was diagnosed eight years ago. Also, I do get a lot of acid reflux problem and take Digene frequently. Also, I would like to point out that, for the past 1 to 2 months, it has been very stressful for me. My sleep is also not proper, as I get only 5 to 6 hours of sleep on weekdays. I feel drowsy during the day.
Hi,
Welcome to icliniq.com.
I have seen your reports (attachment removed to protect the patient's identity). Your BP (blood pressure) is on the higher side as per current international guideline. It may be due to persistent anxiety. Cardiac pain is mostly seen as central chest pain and increases on exertion and reduces on rest. The kind of chest pain that you are experiencing might be due to acid reflux. High cholesterol may be due to the intake of junk food. Vitamin D deficiency is because of less exposure to sunlight. CRP (C-reactive protein) isolated has no significance. I suggest you do the following things. Stress management, walk for 30 minutes daily, it will also help in maintaining vitamin D level from sun exposure. Breathing exercise for 10 minutes, two times daily. Do recreational activities. Avoid fatty, fried, spicy food, alcohol, tobacco, etc. For chronic tension-type headache and IBS (irritable bowel syndrome), do yoga and above exercises. Coming to the medicines, I suggest you try the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Take Capsule Rablet-IT (Itopride and Rabeprazole), once daily before breakfast for a month. Take Calcirol (Cholecalciferol) sachet, weekly for eight weeks. Take Capsule Bio D3 plus (combination of Elemental Calcium and Calcitriol), daily for two months. Take Tablet Fluner (Flunarizine), daily for two months and Tablet Grenil (Paracetamol and Domperidone), for headaches. After a month, you can review for further treatment. Hope you get some relief. The cause of the problem is anxiety, sedentary lifestyle, and taking junk food.
Hi doctor,
I agree with what you said. I wanted to clarify that, was the episode of cold sweating with vertigo normal? I just hope they are not the warning signs of a cardiac arrest.
Hi,
Welcome back to icliniq.com.
The cause of the episode of cold sweating and vertigo cannot be precisely ascertained, but it may be due to numerous causes. To exclude cardiac cause, I suggest you get the following tests done such as TMT (treadmill test), echocardiogram, holter monitoring and X-ray of the cervical spine, to detect cervical spondylosis. It might cause vertigo. Consult a local doctor to clear your doubts and for further tests.
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