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Concerns About Blood Pressure and Heart Rate: Seeking Advice

I am a 25-year-old female, and as of my last weigh-in on Friday, I am 122.8 lbs. My current medications include: - Lamotrigine/Lamictal at a dosage of 150mg daily - Quetiapine Fumarate/Seroquel at 50mg, administered twice daily (one dose around 8:30 PM and another right before sleep, totaling 100mg each day). These medications are aimed at addressing mental health challenges, specifically bipolar disorder type II, with some potential indications of borderline personality disorder and anxiety. The quetiapine also assists with sleep. Aside from my mental health, I have been diagnosed with patellofemoral malalignment syndrome following an ankle fracture. Fortunately, I have not experienced any major injuries aside from that and a few minor stitches. There have been no surgeries or additional health issues to report. I intend to visit a healthcare provider once my insurance becomes active, but in the meantime, I seek some guidance regarding my symptoms to determine if they warrant serious concern. Lately, I've found myself experiencing dizziness, particularly when I stand up quickly, and this has become more frequent and intense. At times, I notice spots in my vision when I rise. Just this past Thursday, I experienced a particularly severe episode, feeling lightheaded and dizzy for the rest of the day. Some friends, whose acquaintances have Postural Orthostatic Tachycardia Syndrome (POTS), recommended that I monitor my blood pressure and heart rate, so I purchased an Omron blood pressure monitor, noted for its clinical reliability. When seated, my blood pressure usually hovers around 100/70 in the morning, with my heart rate in the high 90s to low 100s. By evening, my blood pressure typically drops to approximately 90/65, while my heart rate decreases to the 80s. According to my Samsung Watch5 Pro, my resting heart rate generally falls between 60 and 80 beats per minute. Curious about my symptoms, I decided to conduct the NASA lean test at home a few times. On each occasion, my blood pressure elevated into the hypertension range, reaching a peak systolic reading of 130/83 and a diastolic high of 121/86. Every time I completed the test, I experienced significant dizziness and lightheadedness upon standing, along with a pronounced sensation of my heart racing. There was a noticeable increase in my heart rate, typically fluctuating by 15 to 20 beats per minute from lying down to standing. By the seven-minute mark, I usually felt nauseous, but I’m relieved to say I have not fainted during any tests. Could this be classified as normal bodily reactions, or are these signals—dizziness, lightheadedness, visual disturbances, and nausea—indicative of an underlying issue? Should I consider this enough of a concern to seek urgent care, or is it something I can simply mention in my upcoming appointment with my general practitioner? Thank you for any insights you can provide!

BronchitisENTAllergy & Immunology
Male25-34
1 day ago

Seeking Guidance for Persistent Otitis Media Despite Antibiotic Treatment

I'm a 26-year-old woman from the UK, weighing around 65kg and standing at 5'4", with no other health issues or ongoing medications. About a week ago, I began experiencing severe pain in my right ear that made me feel as though it could rupture at any moment. The discomfort was overwhelming, accompanied by dizziness and nausea. I visited urgent care, where the attending nurse informed me that my eardrum was bulging significantly, close to bursting. I was prescribed 500mg of Amoxicillin taken three times daily for five days; unfortunately, it did not alleviate my condition. Throughout that period, pressure would build in my ear to the point of near-explosion, rendering me unable to walk due to dizziness; it would then slightly drain through my Eustachian tubes, providing temporary relief before the cycle repeated. After the course of Amoxicillin, with no improvement, I returned to my doctor. He examined my ear and confirmed it still showed signs of infection, prescribing 100mg of Doxycycline. The first day involved taking it twice, followed by once daily for a duration of a week. As I finish day three of this new course, my symptoms remain unchanged, with ongoing fullness in my ear and persistent dizziness. This situation is incredibly distressing, as my ability to work is severely affected, and I'm starting to feel hopeless about my recovery. Could it be too soon to expect any alterations with the new antibiotics? I am also using NSAIDs, but they don’t seem to offer any relief. I would greatly appreciate any insights or suggestions, as I'm becoming increasingly worried that this might linger indefinitely.

Sinus CongestionENTSore Throat
Male25-34
1 day ago

Dealing with a 6 mm Stone in My Submandibular Salivary Gland: Seeking Guidance

Hello everyone, I am hoping to get some insights from the medical professionals here regarding a health concern of mine. I have had a stone measuring approximately 5-6 mm situated in my left submandibular salivary gland for over 33 years now (it may have been smaller during my teenage years). At the age of 16, I experienced symptoms such as swelling, difficulty opening my jaw, and pain. A visit to the doctor led to an X-ray that confirmed the presence of the stone. The recommendation was to remove my entire salivary gland, but as a young teenager in Belgium, this daunting procedure—with its risks including facial nerve damage and a significant 5 cm neck scar—terrified me. Consequently, I chose to leave the stone untreated and, over time, the discomfort significantly decreased, allowing me to live with it for over three decades without issue. However, I am now experiencing a range of health problems related to (peri)menopause at 49 years old. Just last year, I had to have my gallbladder removed, which was particularly troublesome after years of dealing with sludge. Following the onset of perimenopause at 45, previous health issues resurfaced with severe pain. Additionally, for nearly two years, I’ve been struggling with dry mouth, a white-coated tongue, swollen mucous membranes, and pain in the area beneath my jaw where the stone resides. I recently consulted with a doctor at a university hospital but was once again told that removal of the gland was the best course of action. I have come across information suggesting that a less invasive procedure called sialendoscopy could be an alternative for removing the stone. However, one doctor I consulted believes that no saliva is excreted from my gland when pressure is applied, claiming it is deeply embedded, essentially rendering the gland "dead" and a potential breeding ground for bacteria, thus necessitating removal. Is this perspective accurate? It seems there are no facilities in Belgium equipped with the necessary sialendoscopy tools and specialists, which means they still resort to complete gland removal. If I manage to locate a center that performs this procedure, whether in Germany, France, or potentially in Belgium, would they first attempt sialendoscopy to assess the situation? Considering that my stone is only 6 mm, I wonder if they might be able to break it into smaller pieces and remove it endoscopically, thereby allowing me to retain my gland. I am quite apprehensive about undergoing yet another surgery that involves a 5 cm scar, the risk of facial nerve damage (even if temporary), a hospital stay of two nights, difficulties with tongue mobility, challenges in eating for several days, and the resulting scar. I truly appreciate any advice or knowledge you can provide! Thank you very much for your help!!!

BronchitisENTAllergy & Immunology
Male25-34
3 days ago