Question 1

I'm really concerned because my dad had an angioplasty a few days ago, and they put in a stent. Since then, he's been having a really bad dry cough at night. The doctor gave us some medicine, but it doesnt seem to be making any difference. I'm worried this might affect his stent or his heart. Could this cough be connected to the procedure or the medication? What should we do next?

Accepted Answer

There are many possible explanations
What drugs is the patient currently on.  An ACE inhibitor can cause dry cough
Also what about his heart function sometimes CHF can also cause cough  consult cardiologist

Question 2

My mom recently had a TMT test, and it showed a mild positive for inducible ischemia. The thing is, she didnt feel any pain or discomfort during the test. The doctor suggested we should go for an angiogram, but she's planning to go abroad for six months. Is it okay if we wait and do the angio after she comes back? Should we be concerned about waiting that long?

Accepted Answer

It is important to follow your doctor's advice regarding the timing of the angiogram. However, in cases of mild positive inducible ischemia without symptoms, it may be possible to wait for 6 months before undergoing the angiogram. It is important to monitor your mother's symptoms and follow up with her doctor regularly during this time. If any new symptoms develop or if there are any changes in her health status, it is important to consult with her doctor earlier.

Question 3

I'm 27 and dealing with a sugar problem, for which I'm taking Glimepiride and Metformin 11000sr tablets, two daily. Lately, I've noticed my blood pressure is 14090, and my pulse is around 92. I've also been experiencing some pain on the left side of my chest, so I decided to check my ECG. The results showed a sinus rhythm with a normal P axis and a ventricular rate between 50 and 99. There was also some ST elevation, which I've read could be a normal early repolarization pattern, but I'm still worried. The diagnostics mentioned "age 55" even though I'm only 27. Could this be a mistake, or is it something I need to be concerned about? I would appreciate any insight or advice you could give me.

Accepted Answer

I am sorry to hear about your health concerns. It seems like you are experiencing some cardiac symptoms along with your existing medical conditions. Based on the information you provided, you are currently taking Glimipride and Metformin for your sugar problem. Since you have mentioned that you are experiencing chest pain and have abnormal ECG findings, it is important to address your elevated blood pressure as well. I would recommend that you consult with your healthcare provider for a thorough evaluation and management. In the meantime, to help manage your blood pressure, you can consider taking Amlodipine 5mg once daily. This medication can help lower your blood pressure and reduce the strain on your heart. Additionally, it is important to monitor your blood pressure regularly and make lifestyle modifications such as reducing salt intake, maintaining a healthy weight, and engaging in regular physical activity. Please continue to monitor your symptoms closely and follow up with your healthcare provider for further guidance and management.

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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