- female
- 65 Years
- 22/01/2025
I'm really worried about my mom. She had bypass surgery back in September 2022, and every now and then she gets this angina-like pain near the stitches in her chest. It's really unsettling. Plus, she's dealing with type 2 diabetes and thyroid issues too. Can you help me figure out what's going on and what we should do about it?
Answered by 1 Apollo Doctors
It is important to manage angina pain effectively, especially after bypass surgery. I recommend she takes Nitroglycerin sublingual tablets as needed for chest pain. The dosage is usually 0.3 to 0.4 mg every 5 minutes for up to three doses. Additionally, she can take Aspirin to help reduce the risk of blood clots and relieve chest pain. The usual dosage is 81mg to 325mg once daily. Since she is diabetic, it's crucial to control her blood sugar levels. She can take Metformin to help manage her diabetes. The usual starting dose is 500mg or 850mg once daily with meals. For her thyroid condition, she can continue taking Levothyroxine to regulate her thyroid hormone levels. The dosage will depend on her TSH levels as determined by her doctor.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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I've been having a tough time over the past couple of years with losing my job and family issues. Lately, I've been feeling this crushing sensation in my chest at times. A few years back, I was told I have mild mitral valve prolapse, but I never started any medication for it. I feel mild pain sometimes, but it never lasts more than two weeks. I'm trying to figure out if this chest pain is because of stress or my MVP. Ive also been feeling really down and anxious, especially at night, often ending up in tears. Some people close to me think I might have some psychological issues. What should I do?
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Answered by 1 Apollo Doctors
The echo report shows severe MS with MVA 0.7 cm2 and high gradient 23/16 mmHg along with severe PAH at 92 mmHg - is heart surgery like MVR absolutely necessary or can we still try managing with medications for now given there's normal LV function and no RWMA
ecardiology opinion.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.