Question 1

My uncle has been advised to undergo MICS technique heart surgery for his heart blockages by Dr Sathyaki Nambala at Apollo Bangalore. He's a bit worried since it's a newer technique and there aren't many reviews online. Is MICS safe compared to conventional heart surgery? What are the risks or specific concerns he should know about before deciding? Would you recommend going ahead with MICS or sticking to the traditional method?

Accepted Answer

What is the CAG report All will depend on the findings of that plus other diseases he is suffering MICS is minimally invasive cardiac surgery It's a newer technique and includes balloon angioplasty, stenting and minimally invasive cardiac surgery CABG Either of the above is to be chosen depending on CAG findings and other co morbidities

Question 2

I'm feeling a bit worried because I've been experiencing chest pain again. A few months ago, I had a TMT and it was negative, and my echo was normal. I don't have a history of any major diseases and I dont smoke or drink alcohol. But today, the pain came back, and I've been having some breathlessness because of my asthma. Could the asthma be causing this chest pain or should I be concerned about something else?

Accepted Answer

Given that your TMT and echo were normal three months ago, and you have a history of asthma, your chest pain and breathlessness might be related to asthma exacerbation rather than a cardiac issue. Asthma can cause chest tightness and breathlessness, especially during physical activity. It is important to manage your asthma effectively with your prescribed medications and follow your asthma action plan. If the chest pain persists or worsens, consult your healthcare provider to rule out any other potential causes and ensure your asthma is well-controlled.

Question 3

I'm 36, and my blood pressure is pretty high at 142 over 94. I'm worried that if I start taking blood pressure meds, it might lead to erectile dysfunction or affect my sex life somehow. I'm getting married in four months, so this is really on my mind, especially since I haven't had morning erections for the past five months. I already walk about 2 km every day, but can I manage this with lifestyle changes alone? What's the best way forward?

Accepted Answer

Starting blood pressure medication is important to manage your blood pressure and reduce the risk of complications. Some blood pressure medications, such as beta-blockers and diuretics, may have side effects like erectile dysfunction. However, there are other options like calcium channel blockers or ACE inhibitors that are less likely to cause this issue. Lifestyle changes such as maintaining a healthy diet, regular exercise, limiting alcohol intake, and managing stress can also help control blood pressure and improve erectile function. I recommend discussing with your doctor about starting a blood pressure medication that is less likely to cause erectile dysfunction, such as a calcium channel blocker like Amlodipine 5mg once daily. Additionally, continue with your daily walks and consider incorporating other healthy habits to improve your overall health and sexual function.

I'm experiencing shortness of breath at night when I'm trying to sleep, and it sometimes happens while I'm eating too. Could this be related to fluid in my lungs? What could be causing this?

Yes it causes difficulty in breathing. ADvised chest x-ray and plueral fluid for ADA and culture and sensitivity.

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