Question 1

I'm really concerned about this persistent pain in my left arm that's been going on for around two months. I've had an ECG, ECHO, and TMT, and the doctor said everything looks good, but its still there. I found out my triglyceride cholesterol levels are a bit high, around 300. I've been on Rosufit10 for about the same time, but I'm not sure how long I need to keep taking it. I tried taking Gabapin Plus 100 for the muscle pain, did it for a month, but that didnt seem to help much. Now I'm considering going for a CT angio to get a clearer picture. Are there any side effects or risks I should know about?

Accepted Answer

For your high triglyceride levels, continue taking Rosufit10 as prescribed by your doctor. Typically, statin medications like Rosufit10 are taken long-term to manage cholesterol levels effectively. - Since Gabapin Plus 100 did not help with your muscle pain, you may discuss alternative medications with your doctor. They may consider prescribing a different muscle relaxant or pain reliever based on your specific symptoms. - CT angiography is generally a safe procedure, but like any medical test, it carries some risks. These risks include exposure to radiation, potential allergic reactions to contrast dye, and a small risk of kidney damage in individuals with pre-existing kidney conditions. It's important to discuss these risks with your healthcare provider before undergoing the procedure.

Question 2

I've been diagnosed with coronary heart disease and my doctor recommended bypass surgery but I've also heard about EECP and chelation therapy as alternatives. I'm really confused about which option to choose and worried about the costs. One source said EECP costs around 70-80 thousand but a local hospital quoted 2.5 lakh rupees. Can you help me understand the pros and cons of each treatment and why there's such a big difference in the cost?

Accepted Answer

Bypass surgery is a major decision. EECP is non-invasive and more affordable, but bypass surgery may offer more immediate results. The cost difference is often due to location, equipment, and the type of care provided at the hospital.

Question 3

I've been experiencing this odd pin-pricking sensation on the left side of my chest for the past couple of days. It's happening now and then, not consistently. I remember having similar pain about three years ago, but it went away on its own back then. Should I be worried this time? What might be causing this sensation?

Accepted Answer

pin-pricking sensation in the left side of the chest can be unsettling. Given that you've experienced similar pain 3 years ago, which resolved on its own, it's essential to take this incident seriously and explore possible explanations.

_Possible Causes_

1. _Costochondritis_: Inflammation of the cartilage that connects the ribs to the breastbone can cause sharp, stabbing pains.
2. _Musculoskeletal issues_: Strained or pulled muscles in the chest wall can lead to pin-pricking sensations.
3. _Gastrointestinal issues_: Gastroesophageal reflux disease (GERD), acid reflux, or stomach ulcers can cause chest pain.
4. _Cardiovascular concerns_: Although less likely, it's essential to rule out cardiovascular issues, such as angina or pericarditis.

_What to Do Next_

1. _Consult a doctor_: Schedule an appointment with your primary care physician to discuss your symptoms.
2. _Monitor your symptoms_: Keep a journal to track when the pin-pricking sensation occurs, how long it lasts, and any potential triggers.
3. _Avoid heavy lifting or strenuous activities_: Until you've consulted with your doctor, avoid any activities that may exacerbate the discomfort.

If you experience any of the following, seek immediate medical attention:

- Severe chest pain or pressure
- Difficulty breathing
- Dizziness or fainting
- Pain radiating to your arms, back, or jaw

I'm really concerned about my mom's health. Her ESR levels are incredibly high, sitting at 155, and she's been struggling with rheumatoid arthritis. Could you help me understand whether this is something we should be worried about and what potential impacts this might have on her condition?

Causes of high esr includes infections like t.b, hepatitis, cancer , bacterial ifections, anaemia and arthritis..etc.. other investigations include RA factor and anti ccp tests is advised..

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