apollo
  • Male
  • 25 Years
  • 23/01/2025

I'm struggling with high cholesterol levels and I'm trying to figure out what to do. My total cholesterol is sitting at 221, with an LDL of 146, HDL is 36, and VLDL is 39. Plus, my triglycerides are at 280. I also smoke, but I've been cutting back bit by bit. Do I need to start taking statins because of this? And if I do start them, is it possible to stop once my cholesterol levels go down?

Doctor 1

Answered by 1 Apollo Doctors

Yes you have to start statins and quit smoking completely,maintain healthy lifestyle and stay physically active,use statins for a period of 3 months and check your lipid profile for followup

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about my brother who's just 18. He's been having mild chest pain and his blood pressure is pretty high, like 14090. The general medicine doctor suggested some tests, which we've done and uploaded the reports. Can you help me understand what's going on with him? Why would he have high blood pressure at such a young age? He's already on medication for it, and I'm just trying to figure out what might be causing this.

The excessive intake of painkillers has likely led to kidney damage, causing the kidneys to shrink. This condition is known as analgesic nephropathy . To address this issue, it's essential to stop the use of painkillers that are harming the kidneys. *Treatment Options:* - _Acetaminophen_: This pain reliever is considered safer for patients with kidney disease. However, it's crucial to follow the recommended dosage and consult with a doctor . - _Non-opioid analgesics_: Medications like pregabalin, gabapentin, and duloxetine can be used to manage pain, but require careful dosing and monitoring due to potential side effects . - _Alternative pain management techniques_: Encourage your father-in-law to explore non-pharmacological approaches, such as physical therapy, exercise, yoga, or acupuncture, to manage pain . *Lifestyle Changes:* - _Hydration_: Encourage your father-in-law to drink plenty of water to help flush out toxins and reduce the risk of further kidney damage. - _Dietary changes_: A balanced diet low in salt, sugar, and unhealthy fats can help manage kidney health. *Medical Consultation:* It's crucial to consult with a nephrologist

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.

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.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm a bit worried because I did a routine ECG and it mentioned Normal Sinus Rhythm with a Right Bundle Branch Block and labeled it as an abnormal ECG. What does that mean? Should I be concerned about the Right Bundle Branch Block? Is it something serious?

I can explain what these findings mean. A Normal Sinus Rhythm means your heart's basic electrical pattern is normal, with impulses starting in the right place (the sinus node). Right Bundle Branch Block (RBBB) is a fairly common condition where there's a delay in the electrical signal as it travels to the right side of your heart. While the ECG is marked as "abnormal" due to the RBBB, this finding can be completely benign in many people, especially if you have no symptoms. However, since I can't see your actual ECG and don't know your medical history, it would be best to discuss these results with your healthcare provider. They can properly interpret the findings in the context of your overall health.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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