Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome back again on HCM!

I carefully passed through your question and would explain that pain in left limbs is not related to any cardiac disorder.

I would recommend consulting with your doctor for a careful physical examination and some tests:

- a cervical column X ray study to exclude possible cervical column bulging disc that may cause similar symptoms
- performing inflammation tests (complete blood count, PCR, sedimentation rate) and muscular enzymes levels (CPK) to exclude musculo-skeletal pain and inflammation which could lead to this symptomatology.

Regarding your skipped heart beats, if your cardiac tests have result normal, there is nothing to worry about, because they can happen in every healthy person. If the problem persists I would recommend further tests to investigate for the possible cause:

- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged period and exclude possible cardiac arrhythmia
- some blood lab tests (complete blood count for anemia, thyroid hormone levels for possible thyroid dysfunction and blood electrolytes for possible electrolytes imbalances) to exclude possible metabolic causes that could cause skipped heart beats.

If all the above tests result normal, you should consider anxiety as the main cause of this clinical scenario. This is the only possible cause which could related pain in left limbs and palpitations or skipped heart beats.

In such case you should consult with a specialist of this field to help you manage better anxiety.

Hope to have been helpful!

Best wishes,

Dr. Iliri

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Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

I carefully reviewed your test report and would explain that your cholesterol levels are above the normal ranges.

This means that you are not at a high risk for cardio-vascular disease ( no increased risk for stroke or heart attack).

But, some studies have shown a clinical relationship between low cholesterol levels and anxiety or depression.

So, anxiety could be the cause of your symptoms.

I recommend consulting with a specialist of the field for a proper management and treatment.

Meanwhile, I would recommend taking a balanced diet (vitamins, proteins, carbohydrates and lipids) and perform a lot of physical activity (aerobics, recreational sports, etc.) which are really helpful for a normal function of the body and mind.

I would also advise avoiding caffeine or energy drinks, which can trigger this symptoms.

Hope to have been helpful!

Best wishes,

Dr. Iliri

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