Question 1

What are the 4 stages of congestive heart failure?

Accepted Answer

Stage 1-Ordinary physical activity does not cause dyspnea ,fatigue and palpitations .
 Stage 2-comfortable at rest but ordinary physical activity cause dyspnea ,fatigue and palpitations .
 stage 3-comfortable at rest ,less than ordinary physical activity cause dyspnea ,fatigue and palpitations .
 Stage 4-uncomfortable at rest ,unable to carry out any physical activity without discomfort .

Question 2

My mom's blood pressure is reading 10090, and the doctor told her to take Losar 50. Should she take it in the morning or at night? A couple of months ago, she was on Amlodipine 5, but she'd stop when her blood pressure looked normal. Is that okay, or should she stick with the medication even if she feels better?

Accepted Answer

Unwanted 72 is an emergency contraceptive pill.

_Frequency of Use_

1. _Not recommended for frequent use_: Unwanted 72 is designed for emergency situations, not regular contraception.
2. _Maximum frequency_: Not more than 2-3 times in a year, as frequent use can lead to hormonal imbalances.

_Twice in a Month_

1. _Not recommended_: Taking Unwanted 72 twice in a month can disrupt your menstrual cycle and hormonal balance.
2. _Potential problems_:
    - Irregular periods
    - Heavy or prolonged bleeding
    - Mood swings
    - Breast tenderness
    - Nausea and vomiting
    - Headaches

_Long-term Consequences_

1. _Hormonal imbalance_: Frequent use can lead to hormonal imbalances, affecting fertility and menstrual regularity.
2. _Impact on fertility_: Repeated use may affect ovulation and fertility.

_Alternative Contraception Methods_

1. _Consult a gynecologist_: Discuss long-term contraception options, such as oral contraceptives, IUDs, or condoms.
2. _Regular contraception_: Switch to a regular contraception method to avoid frequent use of emergency contraceptive pills.

Question 3

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.

it means the report is NORMAL .

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