Question 1

I'm really struggling to manage my high blood pressure and I'm feeling worried about the side effects I'm experiencing. Right now, I'm taking Amlopres AT 25 in the morning and plain Amlodipine 2.5 in the evening, but I just don't feel fresh and there's this persistent pain in my ankle. I did try switching to Metaprolol, but it only made my BP and heart rate go up. I also attempted using Telmesartan with Amlodipine, which controlled my BP, but then my heart rate increased. I'm feeling stuck and a bit lost about what to do next. My lipid profile is under control with cholesterol at 150 and triglycerides at 76, and my fasting blood sugar is 106. Could you suggest a better medication plan or any other advice?

Accepted Answer

Take Temsan AM for 15 days , and check BP after 15 days

Question 2

I've been dealing with a recurrent pericardial effusion and had it removed twice already. After the second removal, I was given steroids but stopped them after a month, and now the effusion is happening again. I've also been on TB medications for four months. I'm really concerned about this recurring issue. Can you suggest any permanent solutions or steps I should take next?

Accepted Answer

It sounds like you are dealing with recurrent pericardial effusion despite previous treatments. Since you have been diagnosed with tuberculosis (TB) and have been taking TB medications for the past 4 months, it is important to continue with your TB treatment as prescribed by your healthcare provider. In addition to TB treatment, your healthcare provider may consider prescribing colchicine to help prevent recurrent pericardial effusion. Colchicine has been shown to be effective in reducing the recurrence of pericardial effusion in patients with a history of recurrent episodes. Please consult with your healthcare provider to discuss the possibility of adding colchicine to your treatment regimen for a more permanent solution to your recurrent pericardial effusion.

Question 3

I'm 32 and weigh 45 kg, and I've been experiencing frequent breathlessness and sometimes chest pain. My doctor recommended some tests like an ECG, an echocardiogram, and a blood test. I'm really worried because I've heard that getting an echocardiogram might not be safe for the heart. I'm scared of going through with it. What should I do?

Accepted Answer

Echocardiogram is a safe and commonly used test to assess the structure and function of the heart. It uses sound waves to create a moving picture of the heart, allowing doctors to see how well the heart is pumping blood and detect any abnormalities. It is a valuable tool in diagnosing various heart conditions. In your case, since you are experiencing symptoms like breathlessness and chest pain, it is important to follow your doctor's recommendations for further testing. The information obtained from the echocardiogram, along with the other tests like ECG and blood test, will help your doctor make an accurate diagnosis and determine the appropriate treatment plan for you. There is no need to be afraid of the echocardiogram test as it is a non-invasive procedure and does not involve any radiation exposure. It is important to follow through with the recommended tests to ensure your heart health is properly evaluated.

I've been having a heavy feeling and some pain on the left side of my chest, close to my heart, since this morning. I'm really concerned that it could be something related to my heart, even though I'm only 28. Should I be worried about this, or could it be something else?

yes an ECG along with cardiac markers are advised to the patient

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