Question 1

I'm really concerned about my mom's health. She's had a history of cardiac attacks and has been on various medications since her last one. Right now, she takes Arkamin in the morning and night, and Ecosprin 75 in the afternoon. She also uses Nexpro 40 and Ganaton 50mg for acidity. The problem is that her blood pressure is consistently around 160-170100 throughout the day, even with medication. There are times it might drop to 13070, but it doesn't last. We've had all these tests done, like Thyrocare X, ECG, and ECO, and everything comes back normal.

What's puzzling and worrying is that she's very sensitive to light and sound, her heartbeat increases when exposed to these, especially in the evening. Plus, she feels like her heart skips a beat when there's noise. She's been eating really light and avoiding spicy food, following her angiography back in 2013 where the doctor recommended sticking to medication. I'm really trying to understand why these symptoms are persisting now and what steps we should take next. Any insights?

Accepted Answer

It seems like your mother is experiencing uncontrolled high blood pressure despite taking Arkamin and Ecosprin. Given her symptoms of sensitivity to light and sound, along with the fluctuating blood pressure readings, it is important to address this issue promptly. Considering her history of cardiac issues, it is crucial to optimize her blood pressure control. I would recommend adding a medication like Telma 40mg once daily to help lower her blood pressure more effectively. Additionally, since she is experiencing acidity, she can continue taking Nexpro 40 for that. In order to address her sensitivity to light and sound, it may be beneficial to consult with an ophthalmologist and an ENT specialist to rule out any underlying issues. It is also important to continue monitoring her blood pressure regularly and make lifestyle modifications such as reducing stress, maintaining a healthy diet, and engaging in regular physical activity. Overall, the addition of Telma 40mg to her current medication regimen may help better control her blood pressure and alleviate some of her symptoms. Regular follow-up with her healthcare provider is essential to monitor her progress.

Question 2

I'm really worried about my husband. He's been on amlopres 5 for his blood pressure for about four years, and it's been normal for a while now. Do you think it's okay for him to stop taking it? Also, he's been taking tonac 5 for his cholesterol, which is at the borderline. Does he need to take that every day? Could you please advise?

Accepted Answer

yes u can take

Question 3

I'm really worried about my mom's 2D Echo report that mentions Aortic Valve Sclerosis. It also states LV Diastolic Dysfunction, Mild TR, Mild PAH, and Trivial MR AR, but no Intracardiac Masses or pericardial effusion. What caught my eye was the doctor's advice for an angiogram. Is that truly necessary? What kinds of risks are we looking at if we don't go for it? Would appreciate your guidance on whether this is a standard procedure or if alternative approaches exist.

Accepted Answer

yes angiogram is advised .

Visit Physician for evaluation and appropriate management

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