How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29642
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

Hello, I am a 21 year old male, 5·10 280 pounds. My concern

Resolved Question:

Hello, I am a 21 year old male, 5·10 280 pounds. My concern is my pulse, it's been low,, even as low add mid to low 50s, should I be concerned?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Greetings.

This may not be concerning, if you do not have any symptoms. This is called as sinus bradycardia and will need a 12-lead ECG to confirm the diagnosis. Medical treatment of sinus bradycardia is usually not indicated for asymptomatic person. If you have symptoms you would also require blood work, echocardiography and lung function tests. Accordingly medical treatment would be advised.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.
Customer: replied 1 year ago.
So you are advising me to get tests done because of this? I have had an EKG done before and echo. I have not done anything today besides sit on the couch, no physical activity or anything. Right now this pulse oxygen thing is saying that my pulse is 53.
Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello George,

If you have symptoms like dizziness, breathlessness, you would require thyroid function tests, blood glucose, electrolytes, etc. If you do not have symptoms, usually no investigations would be necessary. Since your EKG and echocardiography was normal, I would not be worried about anything serious.

It is priivlege assisting you.

Dr. Arun
Customer: replied 1 year ago.
However, I had these tests before my pulse was ever this low. I don't know if that makes a different or not. But they were done in the past year. I don't really feel dizzy or anything, and I'm not sure if it is my anxiety, but I do feel a slight shortness of breath, but nothing I find concerning. Do you think I should contact my doctor Monday, or see how I feel in a couple days.I just get worried because I don't wat it to get super low or something while I'm sleeping.
Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello George,

There is no urgency to see your doctor and your shortness of breath is likely due to anxiety. You may seek a routine appointment just to re confirm that there is nothing untoward.
Customer: replied 1 year ago.
How low would you consider to be too low for someone my size? I used to be an athlete but haven't done anything really on the past year or so. So what would be considered too low?
Expert:  Dr. Arun Phophalia replied 1 year ago.
George,

Anything lower than 50 would be consider too low. People who had done lot of physical activity or are / were athlete do have low pulse rate.
Customer: replied 1 year ago.
My pulse is now 48. But didn't stay there long, so I got up and walked around and then it went way up...I'm not sure what to think. Also my oxygen level is staying perfect between 97_99..
Expert:  Dr. Arun Phophalia replied 1 year ago.
George,

There is nothing worrisome at this point of time with this pulse rate as your oxygen saturation is normal. When you do not have symptoms; do not regularly take these parameters; as these would cause unnecessary anxiety. As we discussed there is no urgency but no harm in talking to your doctor to get the thyroid function tests etc. Let the doctor decide, if you need any medication for it. I feel, you would not require any treatment, if your investigations come out to be normal. Asymptomatic people are not treated. Again remember, symptoms are more important than these parameters, and symptoms would guide the need of treatment.
Customer: replied 1 year ago.
Hello Dr Arun, today, my bp has been high but my pulse continues to stay in the fifties. It was 171/100. This is high for me because I do take bp medication
Expert:  Dr. Arun Phophalia replied 1 year ago.
George,

This is very high BP. You medication dose may need to be increased or change in the medication may be required. Your BP medications (If you are on Beta blockers like Atenolol) also can keep the pulse low.
Customer: replied 1 year ago.
I'm not on any blockers, and take a dose of 60 mg of lisinopril a day
20 mg more than biggest dose. Plus hydrochlorozide. And my bp is not normally that high
Expert:  Dr. Arun Phophalia replied 1 year ago.
Anxiety may be a factor for the transient high blood pressure episode. Since your blood pressure is usually normal, there is nothing to worry than.
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29642
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 3 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery