Dizziness and palpitations also severe headaches during night and nausea vomiting with hypi thoroydism with controlled hypertension

प्रिय सैफुल्लाह खान जी,

अगर डॉक्टर कह रहे हैं कि यह दिल से जुड़ी नहीं है, तो फेफड़ों (Pulmonology) या गैस्ट्रोइंटेस्टाइनल (GI) विशेषज्ञ से परामर्श लेना जरूरी होगा।

👉 अगला कदम

• Redo बायपास के लिए सही अस्पताल/डॉक्टर खोजें – यदि यह ही एकमात्र समाधान बताया जा रहा है, तो किसी अनुभवी कार्डिएक सर्जन से परामर्श लें।

• सही जांच कराएं – क्या आपने फेफड़ों की जांच (PFT, HRCT) या गैस्ट्रिक टेस्ट करवाया है? यदि नहीं, तो यह जरूरी हो सकता है।

⚠️ सावधानियां

• संक्रमण से बचाव – धूल, धूम्रपान और ठंडी हवा से बचें।

• आराम और संतुलित आहार – भारी भोजन से बचें, छोटे-छोटे हिस्सों में हल्का भोजन करें।

• दवाएं डॉक्टर के परामर्श से लें – बिना जांच के कोई नई दवा न लें।

• चलते समय सावधानी बरतें – सांस फूलने पर बैठकर आराम करें, जल्दबाजी न करें।

जल्द स्वास्थ्य लाभ की कामना! 

Hello Kiran,

Thank you for reaching out. Since you already have a diagnosis of 2nd-degree AV block (2:1) for one episode, it suggests you have undergone an ECG or another test. However, to determine the best course of action, I need more details:

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Key Questions for Further Assessment

1. Current Symptoms: Did you experience dizziness, fainting, palpitations, chest discomfort, or breathlessness during the episode? Have these symptoms occurred again?

2. Underlying Heart Conditions: Do you have a history of heart disease, high blood pressure, diabetes, or previous heart attacks?

3. Medications: Are you taking any medications that could contribute to the AV block?

4. ECG Details: Was the AV block transient or persistent? Did the doctor mention if any underlying condition caused it?

5. Other Medical Conditions: Any history of thyroid disorders, electrolyte imbalances, or infections (e.g., Lyme disease)?

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Recommended Next Steps & Tests

Since this was a single episode, further evaluation is crucial to determine if it was a temporary issue or a sign of a progressing conduction problem.

• Holter Monitoring (24-48-hour ECG monitoring): This is to check whether the AV block persists or recurs.
• Echocardiogram – To assess heart function and rule out structural heart disease.
• Electrolyte Panel (Blood Test) – To rule out potassium, magnesium, or calcium imbalances.
• Thyroid Function Tests (T3, T4, TSH) – To check for thyroid-related causes.
• Troponin Test (if suspected heart damage) – To evaluate possible heart muscle injury.

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Treatment Plan

The treatment depends on the test results and symptoms:

1. If the AV block was an isolated event and you are asymptomatic

• Observation & Follow-up – If the block occurred once and is not progressing, regular monitoring may be enough.
• Avoid AV node-affecting medications – If you are on beta-blockers, digoxin, or calcium channel blockers, a dose adjustment or discontinuation might be required.

2. If the AV block recurs or causes symptoms (dizziness, fainting, fatigue)

💡 Permanent Pacemaker Implantation may be required if:

• You experience recurrent syncope (fainting), extreme fatigue, or slow heart rate, which affects your daily life.
• The AV block is progressing to a higher-degree block (like a complete heart block).
• The Holter monitor shows frequent AV block episodes.

More About Pacemakers

A pacemaker is a small device implanted under the skin, usually near the collarbone, to regulate the heartbeat. It helps maintain a normal heart rate by sending electrical impulses when needed. Modern pacemakers are MRI-compatible, long-lasting (10-15 years), and minimally invasive to implant.

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Precautions & Lifestyle Changes

• Monitor Symptoms Closely – Report any dizziness, fainting, or fatigue.
• Stay Hydrated & Maintain Electrolyte Balance – Low potassium or magnesium can worsen conduction issues.
  
• Avoid Excess Alcohol & Smoking – Both can trigger abnormal heart rhythms.
• Regular Follow-Ups – Even if asymptomatic, periodic ECG and Holter monitoring are necessary.
• Emergency Awareness – Seek immediate medical attention if you experience severe dizziness, fainting, or chest pain.

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How HexaHealth Can Help You?

• 🏥 Connect with Top Cardiologists – We can arrange consultations with the best heart specialists in Hyderabad.
• 🩺 Diagnostic Assistance – We help you schedule ECG, Holter monitoring, or echocardiogram tests easily.
• 💰 Cost Transparency – Get estimates for pacemaker implantation, follow-up tests, and treatment options with no hidden charges.
• 📞 24/7 Support & Guidance – Our medical coordinators assist you at every step of your treatment journey.

Would you like us to arrange an appointment with a cardiac specialist in Hyderabad for further evaluation?

Dear Zahid Khan,

Your consistently high blood pressure (ranging from 150/90 to 110) can increase the risk of long-term complications, including damage to brain nerves, leading to headaches and other neurological issues. While Amnurite Beta (Amlodipine 5mg + Metoprolol 20mg) helps manage BP, persistent headaches could indicate uncontrolled hypertension, vascular changes, or other underlying issues.

To better manage your condition:
✅ Check your BP at home daily at the same time and maintain a record.
✅ Reduce salt intake, exercise regularly, manage stress, and ensure a balanced diet with potassium-rich foods.
✅ You may need an adjustment in your BP medication. Please consult a cardiologist or physician for an evaluation.
✅ Since you are experiencing persistent headaches, a neurological assessment (including an MRI/CT scan if needed) can help rule out serious concerns.

🔹 Consultation with a specialist is strongly advised. Based on your symptoms, you may require additional medications or investigations. Let us know if you need a consultation with a specialist or have any other health concerns.