Submitted by Dr T on June 30, 2011 – 11:29am in Cardiac Risks Question: Sir, presently I found hypertension during traveling, So I checked my BP. It was higher 100/160. so I checked blood and found triglyceride 293mg/dl. So I want to know which exercise, food and medicine for reducing the triglyceride and what types of routine check up I …
Swollen feet after a sunburn many years ago
Submitted by Dr T on June 30, 2011 – 11:11am Question: When I was 26, I got a severe sunburn on my feet. Later that day, they started swelling and got small red “pinprick” size spots; no blisters. They swelled so big, I could barely wear flip-flops. My doctor back then gave me hydrochlorothiazide (I believe 25 mg). The swelling …
What is pitting edema and what can be done about it?
Submitted by Dr T on June 30, 2011 – 11:02am Peripheral Edema is a swelling, usually of the legs, due to excessive fluid in the tissues. Standing for an extended period of time or sitting with your legs left hanging for prolonged period of time, especially in hot weather, causes excess fluid accumulation in your legs and ankles. Other conditions …
Evaluation and treatment of Pancoast Tumors
Evaluation and treatment of Pancoast Tumors Introduction Several weeks ago a very close friend of mine contacted me with the news he had been diagnosed with lung cancer, with a prediction by his doctor not much could be done. Since we live on opposite sides of the (Atlantic) Ocean, all subsequent discussions were done by phone and without the benefit …
Could my Chest discomfort be caused by Costochondritis?
Submitted by Dr T on June 28, 2011 – 9:12am Question: Hello. I’m a 44 year old male, mildly overweight, and have hypertension. I am treated for hypertension and take very small dose of Plendil (5mg) daily which generally keeps my blood pressure at around 125/80 (pulse around 70). For years, I’ve had chest discomfort that will come and go …
Pause in heart rate, LVH and my risk of heart failure
Submitted by Dr T on June 28, 2011 – 8:47am Question: Hi Dr T, I am a 35 year old female who was diagnosed with pvc’s and LVH 2 years ago. I have been taking Tenoretic 50/25 for about 4 years now and was kept on this medication after getting diagnosed. Recently I started having some unusual symptoms. When I …
Light headed with Palpitations
Submitted by Dr T on June 27, 2011 – 1:24pm in Your heart rhythm Question: I have a history palpitations and fast heart rate. I have had Echo, 6 EKGS w cardiac monitoring, Holtor and event monitors, blood work ( metabolic panels, CBC, thyroid, ect)and chest x-ray. The only real diagnosis was a heart rate that is faster than normal …
Palpitations and side effects from other medications
Submitted by Dr T on June 25, 2011 – 5:21pm Question: I’m a 45 year old female, 5’-8”, 130 lbs. Back in February I had a bad reaction to Allegra allergy medication that sent my heart racing. I’ve used allergy meds since I was 20 years old. In late Feb, I began experiencing dizziness/vertigo, palpitations, racing and PVC’s. I was …
New onset low blood pressure and chest pain and the risk of heart disease
Submitted by Dr T on June 24, 2011 – 8:50am in Chest Pain Question: Hi Dr T, A good friend recently lost a significant amount of weight and started a walking program over a 10 week period. He has been on medication for high blood pressure, however, now his blood pressure is in the range of 90/60 routinely. He has …
How to read an EKG
Submitted by Dr T on June 24, 2011 – 8:34am in Your heart rhythm Question: Hi Dr T: My Pre-op ECG read vertical axis unusual for age but other wise normal. Can you tell me what this means (vertical axis)? I cannot identify what the unusual feature is of course, but this explains the vertical axis of an EKG: EKG …