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Hello Shane, I am Dr. Arun and will be helping you today.What did your following investigations show (if these were done);Stress cardiac test Heart ultrasoundPeripheral blood smearCholesterol / triglycerides / Lipid profileThyroid function tests.Do you have any significant past medical history / previous surgery or family history?Were you prescribed any medication for high blood pressure?
I only had 3 ecg´s: one normal and two during visits to ER when i thought i had heart attack. They all showed normal reading. Tomorrow ill go to another internist and ill request for stress test and heart ultrasound.
Only had blood test where they tested for heamtrocits, hemoglobin, MCHC, total WBC, granulocytes, lymphs + monos, paltelets. They all come in normal range. What is peripheral blood smear?
Tommorow before going to internist ill get another blood work, i hope my GP included Cholesterol / triglycerides / Lipid profile in it. And for tyhroid, i only got it checked up by ultrasound which showed no irregularities. I suppose ultrasound isnt enough?
I had anemia caused by iron deficiency, had inguinal hernia surgery and gastritis.
I didnt get any medication for blood pressure. I check my blood pressure at home. My systolic is bit higher(from 130 to 145) but diastolic rarely reaches 80. I know for my age that this is still high for systolic but when i mentioned this to my GP, she said this is due to stress. Only times my BP went higher was during this visits to ER. Could this be due to panic?
And if my hemoglobin readings are normal, would that mean that i dont suffer from anemia?
The most common causes of anemia are;
1) iron deficiency (with or without blood loss),
2) chronic disease/inflammation
3) chronic kidney disease
4) deficiencies of folate or vitamin B-12,
5) diseases of the bone marrow
6) hypothyroidism, hypersplenism, and hemolytic anemia
So investigations for anemia entail;
1) Complete blood count (CBC)
2) Peripheral blood film / smear; this is blood spread on a slide and seen under microscope for looking at the size and configuration of the blood cells.
3) Vitamin B-12
5) Reticulocyte count
7) Thyroid-stimulating hormone
8) Serum creatinine and estimated glomerular filtration rate
9) Serum ferritin
10) Serum iron
11) Total iron-binding capacity.
It seems that you had a panic reaction because of the symptoms and also because it is a undiagnosed issue. Since you are taking blood pressure regularly and monitoring it, medication may not be required.
a) Patients with the mild high blood pressure / hypertension do need to restrict table salt which is considered as a prime regulator of the blood pressure. It is advised to reduce sodium intake to no more than 2.4 g sodium or 6 g sodium chloride per day. It is also advised that adequate intake of dietary potassium (approximately 90 mmol/d), helps in reducing the blood pressure.b) Following dietary and nutrition measure are strongly recommended to bring down the blood pressure;A diet rich in fruits, vegetables, and low-fat dairy products may lower blood pressure by 10-16 mm Hg. Oral potassium supplement may lower both systolic and diastolic pressure. Calcium and magnesium supplements, too, decrease the in blood pressure.Low alcohol consumption lowers the blood pressure.Stop smoking, if you do and reducing intake of dietary saturated fat and cholesterol benefits tremendously in overall cardiovascular health.Following reduce and regulate the blood pressure:
2) Fish oil
3) Herb Hawthorn
4) Coenzyme Q10 (CoQ10).
Ultrasound is not good enough investigation for the thyroid and a blood work for the thyroid should be done for your symptoms. You need to get all the other tests too which we had discussed. Possibilities of the diagnosis in your case can be;
1) Thyroid abnormality
2) Acid reflux
3) Pinched nerves in neck
4) Esophageal (food pipe) motility disorder.
Some of these above conditions can be concomitant. I am not worried about an heart condition in your case but I suggested heart tests as these should be done for the cautionary purpose and to categorically rule out heart as a culprit.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.
Thanks for reply. Im going to see the internist tomorrow and hopefully get diagnosis from blood work. Thank you for your help.