Question 1

My dad is 58 and has a lot going on with his health. He's been through CABG surgery and deals with CKD and diabetes. His weight is around 59-61 kg. Up until now, his blood pressure's been quite stable, but recently I noticed it's gone up to about 140150 over 8090. I'm getting pretty worried about it. Do you think there's something with his medication? He's on Orofer XT, Cardivas 6.25, Nefrosave forte, Alfoo tab, Ecospirin Gold, and Isolazine. Could any dietary changes help as well? Would love to know what you think.

Accepted Answer

Given your father's medical history and current medications, to help manage his increased blood pressure, you can consider adding an antihypertensive medication like Amlodipine 5mg once daily. Additionally, it's important to ensure he is following a low-sodium diet, rich in fruits, vegetables, and whole grains. Encouraging regular physical activity and stress-reducing activities can also be beneficial for his overall health.

Question 2

I'm really curious about something regarding a heart failure patient who has COPD, severe LV dysfunction, hypothyroidism, hypertension, and hyponatremia. Why would Montair LC be prescribed in this case? I've heard it being used for respiratory conditions, but I'm not sure how it fits into the treatment for someone with such a complex medical history. Could you help me understand?

Accepted Answer

Montair LC is given to heart failure patients with COPD, severe LV dysfunction, hypothyroidism, HTN, and hyponatremia to help manage their asthma symptoms. Montair LC is a combination medication containing Montelukast and Levocetirizine. Montelukast helps in reducing inflammation in the airways, which can be beneficial for patients with COPD and asthma. Levocetirizine is an antihistamine that can help relieve symptoms such as sneezing, runny nose, and itching caused by allergies. The dosage of Montair LC can vary depending on the patient's condition, so it is important to follow the prescribed dosage by your healthcare provider.

Question 3

I'm really worried about my dad. He's 73 and had angioplasty done at Ruby Hospital in Pune about a year ago, where they put in two stents. Now, we're back to the drawing board with blockages in two of his arteries again, and the doctor is suggesting another angioplasty. I'm really concerned and confused about whether this is the best option for him right now. Could you give me some clarity or advice on what steps we should consider?

Accepted Answer

The right diagnosis for your father would be Coronary Artery Disease (CAD) with restenosis of the stents. The recommended treatment in this case would be to undergo another angioplasty procedure to address the blockages in the two arteries. The doctor may also consider using medications such as dual antiplatelet therapy (e.g. Clopidogrel) and statins (e.g. Atorvastatin) to help prevent further blockages and manage his condition.

I've been feeling a pinching pain in my heart every now and then, just for a few seconds. It's got me worried. Is this something serious or is it considered normal?

confirm by taking ECG wheather is due to gastritis or heart related issue

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