Question 1

I'm really worried about my dad who's been admitted to Nayati hospital in Mathura. He just got diagnosed with complete RBBB today. I'm in a bit of a dilemma about whether we should delay the angioplasty and find a doctor in Delhi NCR or just go ahead and get it done in Mathura. What I'm really curious about is if there's much difference in the quality of angioplasty between Mathura and Delhi. Is it risky to delay the procedure or is it fine to go with the doctors here in Mathura?

Accepted Answer

In general, the quality of angioplasty procedures can vary between hospitals and regions. However, Delhi NCR is known for having a higher concentration of top-tier hospitals and experienced cardiologists compared to Mathura. If the angioplasty is needed urgently and your father's condition requires immediate attention, it may be advisable to consider getting the procedure done in Delhi NCR where there may be more advanced facilities and expertise available. As for the decision to delay the angioplasty, it is important to consult with your father's healthcare team to assess the risks and benefits based on his specific medical condition and overall health. Delaying the procedure may pose risks in certain cases, so it is crucial to follow the advice of the medical professionals overseeing your father's care. If you decide to seek a doctor in Delhi NCR for the angioplasty, you can consider consulting with specialists at reputed hospitals like AIIMS, Fortis Escorts Heart Institute, or Medanta - The Medicity for further evaluation and treatment."

Question 2

I've been having this burning sensation in my left arm for the last four months. It happens even when Im just resting and not doing anything. It's accompanied by shoulder pain, mild chest pain sometimes, and other weird pains in my upper abdomen, neck, and jaw. Ive gone through a bunch of tests like ECG, Echo, 2D X-ray, and stress TMT, and they all came back normal. I've been told it's just anxiety or maybe cervical spondylosis, but Im super scared and can't shake off this feeling that its a heart problem. Do you think these symptoms could be related to some cardiac issue, or am I just overthinking?

Accepted Answer

From your description, it sounds like you may be experiencing symptoms related to anxiety and cervical spondylosis. The burning sensation in your left arm, shoulder pain, upper abdomen pain, muscle pains, neck pain, jaw pain, and mild chest pain could all be related to these conditions. Since your ECG, 2D echo, x-ray, and stress TMT results are normal, it is less likely to be related to a cardiac problem. To help with your symptoms, you can take medications like acetaminophen for pain relief and muscle relaxants for muscle pains. Additionally, you can use anti-anxiety medications like lorazepam to help with your anxiety symptoms. For cervical spondylosis, you can take medications like ibuprofen for pain and inflammation. It is important to also practice relaxation techniques, such as deep breathing exercises and mindfulness meditation, to help manage your anxiety symptoms. Physical therapy and neck exercises can also be beneficial for cervical spondylosis. Make sure to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 3

My husband's cholesterol levels have been a bit high for a couple of years now. His most recent test in March 2018 showed total cholesterol at 233 and LDL at 145. He was prescribed rozat 20 mg, but I'm wondering how often we should be checking his cholesterol levels?

Accepted Answer

Cyproheptadine and Dexomethasone Discontinuation

_Common Issues After Stopping Medication_

1. _Weight loss_: Expected, as the medications promoted weight gain.
2. _Loss of appetite_: Cyproheptadine, an appetite stimulant, can cause decreased appetite when discontinued.

_Strategies to Manage Weight Loss and Appetite_

1. _Gradual tapering_: If possible, consult your doctor about gradually tapering off the medication to minimize side effects.
2. _Dietary changes_: Focus on nutrient-dense foods, and consider consulting a registered dietitian for personalized guidance.
3. _Appetite stimulants_: Certain foods, such as nuts, dried fruits, and avocados, can help stimulate appetite.
4. _Stay hydrated_: Drink plenty of water throughout the day to help manage appetite and overall health.

_Health Monitoring_

1. _Regular check-ups_: Schedule follow-up appointments with your doctor to monitor your weight, appetite, and overall health.
2. _Watch for signs of malnutrition_: If you experience persistent weight loss, fatigue, or weakness, seek medical attention.

An ECG with a PR interval of 102 milliseconds is within the normal range. As for cataract surgery, it is important to assess your overall health condition before proceeding. Please consult with your ophthalmologist to determine if you are a suitable candidate for cataract surgery.

More Cardiology Health Queries

My husband's cholesterol levels have been a bit high for a couple of years now. His most recent test in March 2018 showed total cholesterol at 233 and LDL at 145. He was prescribed rozat 20 mg, but I'm wondering how often we should be checking his cholesterol levels?

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