Question 1

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 2

I recently had a 2D echo and ECG done on the 5th of Jan and they came out normal. Now I'm having neck and shoulder pain and I'm worried. Could this be a sign of a stroke? I'm a patient who had an ASD device closure.

Accepted Answer

Neck and shoulder pain can have various causes and may not necessarily be a sign of a stroke. However, given your medical history as an ASD device closure patient, it is important to monitor any new symptoms closely. To address your neck and shoulder pain, you can take over-the-counter pain relievers such as acetaminophen (e.g. Tylenol) at a dose of 500mg to 1000mg every 4 to 6 hours as needed for pain. Additionally, you can apply a warm compress to the affected area and practice gentle neck and shoulder stretches. If the pain persists or worsens, it is advisable to follow up with your cardiologist or healthcare provider for further evaluation and management.

Question 3

I've been really worried about some medication I took a while back. In 2015, I was prescribed dexa 0.5 mg for about two months to help with weight gain. At the time, I didn't really think about the side effects, but now I'm concerned about how it might be affecting my heart. I've had tests like TMT, echo, and ECG, and they're all normal, but I'm still dealing with dyspnea and fatigue quite a bit. Could these issues be lingering side effects from the dexamethasone I took, even if my heart tests are coming out fine?

Accepted Answer

"Based on your history of taking dexamethasone 0.5 mg regularly for 2 months in 2015 and your current symptoms of dyspnea and fatigue, it is important to consider the potential long-term effects of dexamethasone on your heart. While your TMT, echo, and ECG are normal, prolonged use of dexamethasone can still have implications on cardiovascular health. To address your symptoms and concerns about potential heart side effects, I recommend consulting with a cardiologist for further evaluation and monitoring. In the meantime, you can consider medications like ACE inhibitors or beta-blockers to help manage any potential cardiac issues associated with dexamethasone use. It is important to prioritize your heart health and seek appropriate medical guidance to ensure comprehensive care tailored to your individual needs."

I'm curious about homeopathy as a treatment for blocked arteries and was wondering if it's effective? I've also noticed a burning sensation in my feet and hands and I'm scared if it's related. Could you shed some light on this and recommend what I might do?

u can decide on homeopathy or allopathy tt , i would suggest allopathy treatment.

More Cardiology Health Queries

I recently had a 2D echo and ECG done on the 5th of Jan and they came out normal. Now I'm having neck and shoulder pain and I'm worried. Could this be a sign of a stroke? I'm a patient who had an ASD device closure.

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