Just for emphasis, I put MRMs and tobras posts together into a simple directive:

She has to go to her regular doc and get a referral to a cardiologist.

Tell her not to delay this. Delay would be many days, not many hours.

Tell her to pitch a fit if she needs to. Well, a low BP type fit...

She should be prudent.

that 'grunt' or push on the pot..
is referred to/called..
Vasalva maneuver / test..

alas..
have picked up many fool laying next to the pot..
as...
pop goes that vessel / clot..
so lets take it easy ..

Rika

shut up!! really??