Question 1

I'm a 37-year-old male with a height of 162 cm and a weight of 76 kg. I don't eat non-veg too often, maybe 5 to 6 times a month, and I keep my oil and fat intake pretty low. My job involves spending a lot of time at a desk, so I hardly get any exercise. I just got my cholesterol report, and it says my total cholesterol is 236, triglycerides are 258, HDL is 39, LDL is 153, and my non-HDL cholesterol is 197. The CHOLHDL ratio is 6.1 and the LDLHDL ratio is 3.9. It also showed very low-density lipoprotein at 51.6. My liver enzymes, AGT SGOT and ALTS GPT, are 25 and 49, respectively. My vitamin D level is quite low at 12.94. I'm a bit worried about all these numbers. What should I be doing next? Any advice would help.

Accepted Answer

Based on your report, your cholesterol levels are high and may require medication to lower them. In addition to medication, lifestyle changes are also important. Here is a recommended course of action for you: Cholesterol-lowering Medication: - I recommend starting a statin medication such as Atorvastatin (brand name Lipitor) at a dose of 20 mg once daily to help lower your LDL cholesterol levels. Lifestyle Changes: - Increase your physical activity level by incorporating at least 30 minutes of moderate-intensity exercise, such as brisk walking, most days of the week. - Follow a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats and cholesterol intake. - Consider increasing your consumption of omega-3 fatty acids by eating fatty fish like salmon or taking a fish oil supplement. - Aim to maintain a healthy weight by monitoring your calorie intake and portion sizes. - Get regular sunlight exposure or consider taking a Vitamin D supplement to improve your low Vitamin D levels. Follow-up: - It is important to follow up with your healthcare provider regularly to monitor your cholesterol levels and adjust your treatment plan as needed. Remember, these recommendations are based on the information provided, and individualized advice may vary.

Question 2

I'm really struggling with these intense headaches since I've been taking telmisartan 40mg with hydrochlorothiazide 12.5mg every day. Even though my blood pressure is normal around 12879, the headaches won't go away, and they're really affecting my daily life. I'm also on propranolol 40mg and flunarizine 12.5mg for my cervical spine issues, but the pain is still so bad. Is there any alternative to telmisartan that won't cause these headaches, or maybe any tips on how to avoid these side effects? I'm 52 and really need some advice on how to manage this.

Accepted Answer

This needs further evaluation like rule out causes of hypertension like renal and central causes,visit Physician for the same

Question 3

I'm looking at my ECG report which mentions I've got LVH and arrhythmia. I've been feeling quite tired whenever I climb stairs. Could you help me understand what this means?

Accepted Answer

Based on the information you provided, it seems like you have left ventricular hypertrophy (LVH) and arrhythmia as mentioned in your ECG report. These conditions can indeed cause symptoms such as fatigue, especially during physical exertion like climbing stairs. To manage these conditions, you may be prescribed medications such as Atenolol (50mg) for arrhythmia and Lisinopril (10mg) for LVH. It is important to follow up with your healthcare provider for further evaluation and management.

Angioplasty is advised and a cardiologist opinion.

More Cardiology Health Queries

I'm looking at my ECG report which mentions I've got LVH and arrhythmia. I've been feeling quite tired whenever I climb stairs. Could you help me understand what this means?

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