Question 1

I'm a 37-year-old guy weighing around 60 kg and I've been on enalapril 5 and met xl 12.5 tablets for my hypertension for the last six months. Recently, during a pre-employment medical checkup, I noticed that the RBC count and size in my blood report were highlighted as concerning by the doctor, but they didn't suggest any treatment. My family doctor is back in Kolkata while I'm currently in Oman. What should I do about this? Should I keep taking my meds as usual, or do I need to consider any other treatment or actions?

Accepted Answer

It's important to address the abnormal RBC count and size in your blood report. Since your family physician is not readily available, I recommend consulting with a local physician in Oman to further investigate the cause of the abnormal RBC findings. It's important to determine the underlying reason for this abnormality before making any changes to your current medication regimen. However, in the meantime, you can continue taking enalapril 5 and met xl 12.5 as prescribed for your hypertension. These medications help in managing high blood pressure effectively. Make sure to follow the dosage instructions provided by your healthcare provider.

Question 2

I've been having this neck pain near my carotid pulse for a few days now, and it's like this sharp pain that comes and goes. My carotid pulse feels like it's beating strongly and sometimes fast. The first time it started was when I almost got mad at ...

Accepted Answer

ecg ,cardiac markers and cardiologist opinion is advised.

Question 3

I'm having this recurring pain in my left hand that comes and goes. I got an ECG, and it came out normal. I had a full body check-up at the end of September, and everything seemed fine, except they said I had a vitamin D and B12 deficiency and low he...

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain or nerve-related pain in your left hand, possibly related to the tightness in your chest near the shoulder. Since your ECG is normal and you have a history of acidity, it is less likely to be a heart problem. The pain could be related to the vitamin deficiencies and low hemoglobin levels. To help with the pain and tightness, you can try taking a pain reliever like Tylenol (acetaminophen) as needed. Additionally, you can apply a topical pain relief cream like Volini gel on the affected area. For your acidity, continue taking Ambulax as prescribed. However, if the symptoms persist or worsen, it is advisable to consult with a doctor for further evaluation and management.

Question 4

I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG ...

Accepted Answer

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

Question 5

I've been dealing with anxiety since the pandemic started, and it's been causing my blood pressure to creep up to around 140100. I was on Metasartan 25mg for a while but stopped it following my doctor's advice. All my heart-related tests like TMT, EC...

Accepted Answer

It is good that your TMT, ECHO, ECG, and Troponin tests were normal. Your blood pressure readings seem to be within an acceptable range, although it is important to monitor them regularly. Considering your lipid profile, you may benefit from lifestyle modifications such as a healthy diet and regular exercise to improve your lipid levels. In addition, since you have a history of anxiety disorder, managing stress and anxiety through relaxation techniques or therapy may also help in controlling your blood pressure. If your blood pressure continues to fluctuate or if you have any concerning symptoms, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 6

I'm considering switching from Teleact 40 manufactured by Ranbaxy to Telmikind 40 by Mankind because the latter is more affordable. Do you think it's okay to make this change? I'm curious if there's any difference between the two in terms of effectiv...

Accepted Answer

composition is same in both the medications, .

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