Some days, while just sitting, driving, or even laying watching TV, my heart rate is upper 80s-100. Then other days it s low 60s and 70s while doing same things, and on those days it takes much longer during excercise to even get my heart rate close to my aerobic target rate. After stopping excercise, my heartrate comes way back down within 2-3min while other days stays around 100 even for hours after excercising. Should any of this cause me concern? I m 43, 165lbs, 5 9 . Have always been athletic and active, though with ups and downs over time. Have lost a solid 45lbs in the last 3years through excercise and better diet .

Generally this is not much of concern unless your exercise tolerances also fluctuate. It will depend on so many things such as your stress level. Caffeine and nicotine intake and many such factors. If everything else remains fine except for your rate than you don't have to be concerned.

Having light periods with brown bleeding. Experiencing pregnancy symptoms. Pregnancy test negative. Suggestions?

MY PERIODS HAVE BEEN REGULAR FOR THE LAST 20 YEARS, LAST MONTH IN JAN MY PERIOD WAS ONLY ONE DAY AND VERY LIGHT. THIS MONTH I HAD WHAT SEEMED TO BE A PERIOD BUT WAS MAINLY BROWN SOME DARK RED BUT MOST BROWN LASTED ABOUT 4 DAYS. I HAVE TAKEN PREGNANCY TEST BUT ALL ARE NEGATIVE I HAVE TERRIBLE HEARTBURN , VOMITING , CONSTIPATION , FATIGUE AND SORE BREASTS AT NIGHT PLEASE HELP.

Hello..Brown period discharge around period due date has two possibilities and these include early sign of miscarriage or implantation bleeding and old endometrial tissue with co-existence of vaginal infection or hormonal imbalance. Above clinical features are also seen in early week of pregnancy.

Here, you should undergo one blood test for beta HCG & TVS scan (around 4-5 weeks) to confirm product of conception at the earliest. Early pregnancy test may give negative result.

After that, you can consult with gynecologist for next line of management for this condition. In exclusion of pregnancy, other relevant investigations like complete hormone assay, blood sugar, vaginal swab test, endometrial biopsy etc are needed to be carried out.

For direct consultation with me, you may visit my profile on http://www.healthcaremagic.com/doctors/dr-soumen-patra/63326. Here, you can upload image for more suggestion.

Be well.

Hi, I was diagnosed with anus fissure 1.5 years back after the delivery of my baby. Examining doctor says fissure is healed,it s been almost six months since then. I am taking prune juice to soften stools daily 150 ml in morning and 150 ml at night. Is it ok to take this much prune juice daily. Also, can the fissure return even after the doctor says its completely healed since 6 months.please prescribe some natural laxative.

An anal fissure or rectal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper, sometimes in the toilet. 

some natural remedies are-
1. Psyllium husk powder. If you do not know, it is a fibre. It made the difference. We began with 1 teaspoon a day mixed in a glass of water, and gradually over a two week period work up to 1 tablespoon a day.
2.Milk of Magnesium works, the salts in it keep more water in your stool as it passes through your system.
3.Drink loads of water
4.Most acute fissures need some home treatment, including soaking in a shallow tub of warm water (sitz bath) 2 or 3 times a day, increasing fiber in the diet, and taking stool softeners or laxatives

following above will help in relieving the pain,also the fissure can return if you have excessive strain,constipation or stool problems.
but you can fix that by following the above tips.

thank you,
wishing you good health