instruction: hello doctor I am a hypertensive person and I take medicine olsar 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 my and my 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
output: 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 egg 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 hotter monitoring which is 24 your egg monitoring because egg taken during the symptoms can only reliably rule out cardiac arrhythmia alternatively you may attach mobile based egg monitors like kardia device or other devices another thing you should take be medications regularly as you are not measuring be all the time and be may go up during that time which would damage the internal organs also measure be frequently you should also get your vitamin and thyearoid tested for body aches