Question 1

I'm curious about why I need to fast for 12 hours before a lipid profile test. Also, is it okay if I drink water during this fasting period?

Accepted Answer

Infrequent bowel movements and stomach pain can be uncomfortable.

_Possible causes:_

1. _Constipation_: Infrequent bowel movements can lead to constipation.
2. _Diet_: Low fiber intake, dehydration, or a diet high in processed foods can contribute to constipation.
3. _Lifestyle_: Sedentary lifestyle, stress, or irregular bowel habits can also play a role.

_Suggestions for regular bowel movements:_

1. _Increase fiber intake_: Eat more fruits, vegetables, whole grains, and legumes.
2. _Stay hydrated_: Drink plenty of water throughout the day.
3. _Exercise regularly_: Engage in physical activity, such as walking or yoga, to stimulate bowel movements.
4. _Establish a bowel routine_: Try to go to the bathroom at the same time each day to train your bowels.
5. _Consider a fiber supplement_: Psyllium husk or methylcellulose can help regulate bowel movements.

_For stomach pain on the right side:_

1. _Consult a doctor_: Stomach pain can have various causes, and a doctor can help determine the underlying reason.
2. _Avoid trigger foods_: Identify and avoid foods that may be causing the pain.
3. _Stay hydrated_: Drink plenty of water to help with digestion.
4. _Manage stress_: Stress can exacerbate stomach pain; try relaxation techniques like deep breathing or meditation.

_Consult a doctor if:_

1. _Severe stomach pain_
2. _Blood in stool_
3. _Persistent constipation_
4. _Other concerning symptoms_

Question 2

I'm really concerned about my mom's blood pressure. It's been over 160 for the last couple of weeks. She's currently taking Telma 40 and Cilacar 10, but it doesn't seem to help. Before she switched meds, she was on Amlogard 5 mg and Metosartan 50, but her doctor stopped those since she has ILD Lungs Disease. What should we do next?

Accepted Answer

Hi, based on your mother's condition of high blood pressure and ILD, it seems like her current medication regimen may not be effectively controlling her blood pressure. I would recommend consulting with her physician to discuss adjusting her medication. In addition to Telma 40 and Cilacar 10, her doctor may consider adding a medication like Amlodipine 5 mg (brand name: Amlogard) or Metoprolol 50 mg (brand name: Metosartan) to help lower her blood pressure. It's important to closely monitor her blood pressure and make any necessary changes under the guidance of her healthcare provider.

Question 3

I'm really worried about my brother. He's been having some chest discomfort and mild pain that sometimes happens on the left side and other times in the center. He gets really nervous, and his heart rate spikes to around 90-98 bpm when this happens, but when he's more relaxed, it goes back down to about 68-72 bpm. He runs on the treadmill for 20 to 30 minutes at least five days a week and doesn't feel any discomfort during that time. Although he has an acidity and GERD problem, he's finished his course of medication and isn't taking any other tablets. His sugar and blood pressure are normal, and chest X-rays came back fine, with an orthopaedic saying it's nothing serious and just suggesting vitamins. He also feels pain at certain points when the chest is pressed. With all these symptoms, I'm wondering if it could be his heart, acidity, muscular, or maybe even a nerve issue. Do you think an angiography would be necessary given his normal reports so far?

Accepted Answer

Since all the reports are normal ,advised a psychiatric opinion for diagnosis of anxiety and other conditions..

Visit your Physician for appropriate management

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I'm curious about why I need to fast for 12 hours before a lipid profile test. Also, is it okay if I drink water during this fasting period?

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