Question 1

My grandmother has been taking Montek LC for about three months now because she started having a mild cough after her cardiac surgery, due to pleural effusion. I'm just a bit worried about whether there might be any side effects from using this medication for such a long period. Also, can it affect her kidneys in any way?

Accepted Answer

Montek LC, which combines montelukast and levocetirizine, is generally safe for long-term use, but prolonged use can sometimes cause mild side effects like dry mouth, drowsiness, or dizziness. It is not typically harsh on the kidneys, but it's important to monitor kidney function, especially in older adults, during extended use. Regular follow-ups with her doctor would be helpful.

Question 2

I've been tracking my triglycerides, and they were around 260. Lately, I've started doing a brisk walk every day for about 1.5 hours, just following what my doctor suggested. After about 20 days, my triglycerides dropped to 156. Is it normal for them to fall that much, or should I think about getting retested? Also, I'm curious whether high lipid profiles from before can get stuck in the arteries, or do they clear out once the levels go down?

Accepted Answer

It is possible for your triglyceride levels to decrease with regular exercise like brisk walking. However, it is advisable to repeat the test to confirm the improvement. As for the second part of your question, high lipid profiles can contribute to the buildup of plaque in your arteries over time. Lowering your lipid levels, such as triglycerides, through lifestyle changes and medication can help reduce this buildup and lower the risk of cardiovascular diseases.

Question 3

I'm really worried after finding out from my CT coronary angiography that I have soft plaque in the proximal LAD causing moderate narrowing, and there's bridging in the mid LAD. Thankfully, my heart scan and 2D echo are normal. But now I'm kind of stressed about what precautions I should be taking and what medicines might help. I just feel unsure about the next steps and would love some guidance. What should I do to manage this situation?

Accepted Answer

Its understandable to feel concerned, but with your CT angiography showing mild narrowing (60%) and normal 2D echo, it suggests your heart function is still intact. For now, focus on lifestyle changes such as a heart-healthy diet, regular exercise, stress management, and medications like aspirin or statins as prescribed by your doctor to prevent further plaque buildup. Stay in close contact with your cardiologist for regular check-ups and guidance.

I'm feeling a pulse in the right side of my neck, especially noticeable when I'm lying down. Is this something I should be worried about? Could it be a sign of something serious? Just want to know if there's anything suspicious going on.

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

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