I was given a Holter monitor for 24 hours and changed my blood pressure medicine from labetalol to metoprolol tartrate. The Holter monitor results showed an average heart rate of 125 bpm, a low of 47 bpm, and a high of 242 bpm. The doctor diagnosed mild tachycardia due to anxiety and prescribed Wellbutrin. I have been trying to lose weight and manage my high blood pressure, which tends to rise with stress. I am concerned about the wide range in heart rate and whether the high reading of 242 bpm could be due to movement or if it indicates something more serious. Should I wait a month for a cardiologist referral, or is it safe to taper off beta blockers and Wellbutrin?

May 5th, 2024

I have been experiencing diarrhea for nearly three months, despite taking Imodium, Buscopan, and Ciprofloxacin. I also had been on Metformin 1000mg since July 2013, but stopped recently. I still have watery rumbling in my belly and need to defecate immediately. What could be causing this and what should I do?

October 22nd, 2024

I have a pain under my heel that started with a little swelling on the right side and then moved to the left side and underneath the foot. The pain is mostly when walking and was about a 9 initially, but now it's around a 4. I'm 34 years old and recently walked up and down stairs a lot at work. I'm concerned it might be related to heart disease. What could be causing this pain and what should I do?

May 21st, 2024

Is it true that androgens get aromatized in fat cells and then are used up, or is the aromatization ongoing? If the latter, does this mean I need to worry about extra androgens in fat cells creating estrogen when I drink wine? Given that AI's work for women larger than me, does this mean the 25 mg dosage can cover 4 glasses of wine a day for a month? Also, why do obese women have issues with AI's and might need to consider tamoxifen? And finally, do female rats make androgens in their adrenals, and if not, why might this be relevant?

September 9th, 2023

I have erectile dysfunction (ED) and have tried Viagra, Cialis, and another medication without success. I am currently on medications including canofaxing, lyrica, and others like adulation, asa81mg, levocarb, ativam, zopiclone, lipitor, metformin, landis, and humalog. I am not allergic to any medications and have not used my penis for 24 years. What investigations and treatments should I consider for ED?

March 15th, 2023