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What Does My Holter Monitor Test Report Indicate?

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Posted on Wed, 15 Feb 2017
Question: Thank you for your quick response Dr. I will do my best to stay away from hot chocolate, but can't promise it, as it's the only thing that has helped. I do not drink coffee as it tears my stomach up. I have tried coconut water but it does not give me the same result, maybe I will try coconut milk.

I am very sensitive to changes in my body and I think you are on the money thinking I'm still having symptoms when my potassium is normal. I was testing positive for pvc's at 3.4 which the Dr. said is not typical. I had a holter monitor for 48 hours. When my potassium was 2.7, the nurse said it's probably lower but they just can't see it. At the time of my admission for three days my blood pressure was 140/95 and I had a terrible headache and felt like I would die and the Dr. said that pressure isn't high either. My body is really sensitive. I forgot to say that I have had several urinalysis done and my creatinine is normal and GFR, but it always comes back high epithelial cells, sometimes with crystals and sometimes with casts. Also I've been told I had a possible uti a few times but they weren't sure because there were only a couple of markers and I didn't have any symptoms. If I take magnesium and potassium together I am bouncing off the walls like my body is starved of it.

I've had my thyroid tested so many times I can't count and it always comes back normal. Tsh is under 3 and T4 in a good range, however, my mother is hypothyroid as well as her mom and both on Synthroid.

Should I be alarmed my urine comes back cloudy?

I'm married to a paramedic and I know how to read most of the tests so that's why I'm so detailed. Plus I'm scared because I have fainted once and hit my head. One last thing, I had my aldosterone tested because the Dr. wanted to see if that was pushing my potassium out. The level came back at 10. I am sorry for so much info, I don't want to have a heart attack and die this early in my life. Cheers
doctor
Answered by Dr. Saumya Mittal (6 hours later)
Brief Answer:
Suggestions
Detailed Answer:
Hi

Thanks for your details.
Testing of thyroid was just a suggestion.
As was the urine and creatinine tests.
However, the ultrasound is still left.
In view of the other changes in the urine, i would suggest testing a 24 hour urine protein. I am still not satisfied with the tests done for urine yet.

Since you felt good with the hot chocolate, i would suggest moderating the quantity (as explained why you need to do so). You may add the coconut water as told before.
Please be aware that too much of potassium also has adverse effects on the heart.

All this does seem to suggest that you indeed do have the syndrome. So i would suggest that you keep a regular dietary supplement of potassium as you are doing now.

I am not sure what you meant by 'you are probably on money thinking'. So i am reserving my comments on that for now. Bp of 140/95 is actually borderline high, and usually nothing to worry about. Could you describe the headache however? I would also like to know more about the time when you have fainted. And how are your periods?

Last time you wanted to know if you should visit a nephrologist. I am still not sure about that. But i think meeting an endocrinologist may be of help.

Best of luck, Dr Mittal

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Saumya Mittal (40 hours later)
My periods are normal as of now. When I fainted I had a tunnel like sensation and fell over backwards and hit my head and was then takem to the hospital. They said it wasn'ts seizure but that I was probably hyperventilating. I didn't agree with that because I don't recall having anything to hyperventilate over.

The expression, "On the money," means I believe you are more than likely correct and that it makes sense. I feel very lethargic today and no appetite. Ever since that steroid I have not felt right. It's hard to explain. Thank you Dr!
doctor
Answered by Dr. Saumya Mittal (1 hour later)
Brief Answer:
Suggestions

Detailed Answer:
thanks for your response.
the tubular vision and falling is suggestive of a syncope.
it has nothing to do with hyperventilation.
I think it would be good to continue with the same things as we discussed before.
best of luck.
Dr Mittal
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Does My Holter Monitor Test Report Indicate?

Brief Answer: Suggestions Detailed Answer: Hi Thanks for your details. Testing of thyroid was just a suggestion. As was the urine and creatinine tests. However, the ultrasound is still left. In view of the other changes in the urine, i would suggest testing a 24 hour urine protein. I am still not satisfied with the tests done for urine yet. Since you felt good with the hot chocolate, i would suggest moderating the quantity (as explained why you need to do so). You may add the coconut water as told before. Please be aware that too much of potassium also has adverse effects on the heart. All this does seem to suggest that you indeed do have the syndrome. So i would suggest that you keep a regular dietary supplement of potassium as you are doing now. I am not sure what you meant by 'you are probably on money thinking'. So i am reserving my comments on that for now. Bp of 140/95 is actually borderline high, and usually nothing to worry about. Could you describe the headache however? I would also like to know more about the time when you have fainted. And how are your periods? Last time you wanted to know if you should visit a nephrologist. I am still not sure about that. But i think meeting an endocrinologist may be of help. Best of luck, Dr Mittal