Answered by Dr. Vivek S Narayan Pillai

Answered by Dr. Vivek S Narayan Pillai

What causes profuse perspiration, nausea, and tremors?

Hello doctor,

An episode of profuse perspiration with nausea and mild trembling legs occurred in the morning today. ECG conducted within an hour is normal. Cholesterol level is also normal. Please advice further course of action required. The other tests performed were lipid profile, KFT, LFT, and Iron profile.

22 Apr 2024 - 1 min read

How to manage high blood pressure?

Hello,

I am a 26-year-old unmarried woman who has been dealing with hypertension. There are no underlying causes identified for my condition. I have undergone all the basic tests like ECG, Eco, and Doppler, and all the tests are normal. However, my BP used to be high all the time, I came to know when I was put on ABPM, that I believe it was stress-induced. I consulted many doctors like psychiatrists, physicians, and cardiologists, now I have been taking medicine for almost a year. However, my BP is not stable now even if I take the medicines my BP goes down and I feel palpitations and fatigue, what should I do?

I believe the stressors in my previous environment, which I have since left by moving to a different country, may have contributed to my hypertension. Unfortunately, I am currently unable to reach my cardiologist as he has mentioned that he can only see me in person. Please advise me on what steps I should take.

Thank you.

09 Apr 2024 - 1 min read

What medications are required for normalizing the out-of-range lipid profile values?

Hello doctor,

I am a 74 year old female with a height of 5.4 feet, and weighs around 112 pounds. There is a slight pain near the left side of the neck (that prompted us to go for the complete blood test). There are no other symptoms and I am not on any medication. I attached the blood test reports. The lipid profile shows various values out of range: Total cholesterol - 252 mg/dL, triglycerides - 193 mg/dL, LDL - 169.4 mg/dL, VLDL -38.7 mg/dL, CHOL / HDL - 4.71 mg/dL, LDL / HDL - 3.17 mg/dL, and non-HDL cholesterol - 198 mg/dL). Please suggest if any medication or consultations are required. Appreciate it if you could also let us know what needs to be done for the serum creatinine levels. Thank you.

01 Mar 2024 - 1 min read

Why is there ankle edema even after delivery in a heart failure patient?

Hello doctor,

My daughter was pregnant and had extreme edema. The doctors said it was normal. As it turned out she was sent by ambulance to another hospital as she went into heart failure, her BNP levels were extremely high and the baby had to be induced. She is now back to her original hospital. The edema around her ankles is severe and nothing is being done about this. What can I do?

23 Feb 2024 - 1 min read

With anxiety alone, can my heart rate go too high I cannot calm it down?

Hello doctor,

I suffer from anxiety and my anxiety is always centered on my heart. With anxiety or panic alone, can my heart rate go too high that I cannot calm it down?

22 Feb 2024 - 1 min read

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