Question 1

My mom was diagnosed with chest pain on December 7, 2018. She's in the hospital, and the doctor did an angiography and is suggesting a bypass. I'm really worried and just want to know if the bypass is absolutely necessary and how long we can safely delay it. She's had blood pressure for about 10 years and diabetes for the last 4 years. Could you please advise?

Accepted Answer

"Hi Nirav, based on the information provided, if your mother has been diagnosed with chest pain and the doctor has recommended bypass surgery after performing Angiography, it is likely that the bypass surgery is necessary to improve blood flow to the heart. Given her history of high blood pressure and diabetes, it is important to follow the doctor's recommendation in a timely manner to prevent any further complications. I would recommend discussing any concerns or questions about the timing of the bypass surgery with the treating physician to determine the best course of action. In the meantime, it is important for your mother to continue taking her prescribed medications for blood pressure and diabetes as directed. For chest pain relief, she can take medications like Aspirin and Nitroglycerin as prescribed by the doctor. It is important to follow the doctor's advice regarding the dosage and frequency of these medications. Regular follow-up appointments with the doctor are also essential to monitor her condition and make any necessary adjustments to her treatment plan. If you have any further questions or concerns, feel free to ask. Take care."

Question 2

I've been on Axcer 90 along with Aspirin 75 since September 2018 until September 2019. After that, from September 2019 to May 2020, I switched to Axcer 60 with Aspirin 75 mg. I stopped taking Axcer 60 about 20 days ago, and now I'm feeling a bit uneasy in my chest sometimes at night. I had a heart attack back in September 2018 and I've had a preventative stress echo twice in the last 18 months, which came out fine. Is it possible that this uneasiness is some kind of withdrawal effect from stopping Axcer?

Accepted Answer

It is possible to experience withdrawal symptoms when stopping Axcser (clopidogrel) abruptly, especially after long-term use. Symptoms may include chest pain or discomfort, shortness of breath, weakness, dizziness, or palpitations. Since you have a history of heart attack, it is important to consult your doctor before making any changes to your medication regimen. To manage any potential withdrawal symptoms, your doctor may recommend gradually tapering off the Axcser dosage instead of stopping it suddenly. Additionally, they may provide alternative medications or adjust your treatment plan to ensure the best outcomes for your heart health.

Question 3

Is there a difference in total lipid profile results when a test is done fasting versus non-fasting? A week ago, I got my lipid profile checked and all the parameters were within the range. But after taking another blood test post-meal seven days later, the values were outside the desired range. Could you guide me on whether fasting or non-fasting results are more accurate?

Accepted Answer

There won't be much variation, ideally fasting results and considered to be valid, In your scenario, that could be lab error also, visit your doctor for evaluation and appropriate management

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