Question 1

I'm really worried about my health and wanted to ask about my cholesterol levels. My LDL is 108, HDL is just 27, and my total cholesterol is 127. I had gallbladder removal surgery back in 2013. I'm wondering, given these numbers, how at risk am I for heart disease? Also, my weight is 103 kilos and I'm 176 cm tall. What steps should I take to improve my situation and get my levels to where they should be?

Accepted Answer

Your LDL cholesterol level of 108 mgdL and HDL cholesterol level of 27 mgdL, along with a total cholesterol of 127 mgdL, indicate a relatively low risk of heart disease. However, since you have a history of gallbladder surgery in 2013, it's important to take proactive steps to maintain heart health. To improve your cholesterol levels and reduce the risk of heart disease, you can consider lifestyle modifications such as following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking. Additionally, your healthcare provider may recommend medications such as statins to further manage your cholesterol levels. It's essential to continue monitoring your cholesterol levels regularly and follow up with your healthcare provider for personalized recommendations based on your medical history and risk factors.

Question 2

I'm really concerned about my 17-year-old brother. His blood pressure reading came back as 154 over 90, but his other test results were all normal. What could this mean? Should he start taking medication for it? I'm just trying to figure out what the best course of action is.

Accepted Answer

for a 17-year-old with a blood pressure reading of 15490, the high blood pressure could be due to various factors such as stress, poor diet, lack of exercise, or genetics. It is important to monitor his blood pressure regularly to see if it remains high. In some cases, lifestyle changes such as improving diet and exercise may be enough to lower blood pressure. However, if his blood pressure remains high, medication may be necessary to prevent complications. I recommend starting with lifestyle changes and monitoring his blood pressure closely. If medication is needed, he may be prescribed a medication like Amlodipine 5mg once daily.

Question 3

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

I'm dealing with an anxiety disorder, and my doctor prescribed me 12 Ciplar LA 20. Unfortunately, it's out of stock, but I found Ciplar 10 instead. I'm wondering if they're the same or if I should do something different. Can you help me figure this out?

YES. Continue same treatment.

More Cardiology Health Queries

I'm really concerned about my 17-year-old brother. His blood pressure reading came back as 154 over 90, but his other test results were all normal. What could this mean? Should he start taking medication for it? I'm just trying to figure out what the best course of action is.

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