Hello doctor, I am a hypertensive person and I take medicine Olsar H 20 occasionally. From the past two weeks, I am feeling muscle pain in hands and knee joints with headache backside. Sometimes while lying down to sleep I am sensing fluttering in my chest left side for which I feel afraid and sit for a while and sleep on the right side. For the past one week I am sensing a lower abdomen pain as well both right and left. Also, I have kidney stones measuring 3 mm and 5 mm in the left and right respectively as per the test I did about six months back and was advised for Noculi suspension in water and which I took for two months. I am afraid as I am away from home. Is this any issue related to my heart and kidneys? Please advise what immediate action I need to take? Is any serious issue?
Hello. Firstly, this does not appear serious to me. However, you should get yourself evaluated. This does not appear to be related to kidneys. Your ECG (echocardiogram) is normal and lipid profile shows elevated cholesterol level, which would increase the risk of heart disease in the future. So to reduce it, you should have healthy lifestyle like avoiding fatty oily diet. Less of non-vegetarian foods and regular exercises like brisk walking or running according to the capacity. Have less fast and fried food. You should try a healthy lifestyle for eight weeks and repeat lipid profile after that to see for the response. If there is a response then it is fine or else you will need to start medications. Regarding heart fluttering, this may be an extra beat which are usually benign or may be enhanced awareness of normal heartbeats. However, to be sure you should undergo Holter monitoring which is 24 your ECG monitoring, because ECG taken during the symptoms can only reliably rule out cardiac arrhythmia. Alternatively, you may attach mobile based ECG monitors like Kardia device or other devices. Another thing, you should take BP medications regularly as you are not measuring BP all the time and BP may go up during that time, which would damage the internal organs. Also, measure BP frequently. You should also get your Vitamin D and thyroid tested for body aches.