Question 1

I've been having these chest pains that come and gosometimes they're just a few seconds, other times they last for a few hours. It's mostly around the left side of my chest, but I don't have any trouble breathing, even after running, and there's no pain spreading to my neck or shoulder. I've been trying Pantoprazole for a while, but it hasn't really helped. What could be going on? Any advice would be appreciated.

Accepted Answer

"Chest pain on the left side that lasts for a few seconds to a few hours and no breathing issues after running could be due to musculoskeletal pain, anxiety, or even heart-related issues. Since Pantoprazole has not been effective, I recommend trying over-the-counter pain relievers like Acetaminophen at a dose of 500mg to 1000mg every 4-6 hours as needed for pain. Additionally, you can try a muscle relaxant like Cyclobenzaprine at a dose of 5mg to 10mg three times a day. If the pain persists or worsens, it is important to seek further evaluation from a healthcare professional for proper diagnosis and management."

Question 2

I've been on Tazloc Beta 25 for about 3 years now, and I've noticed something odd with my liver function tests. I've had them done three times during this period, and each time my total bilirubin levels have been between 1.33 and 1.45. Before I started taking the BP pills, my liver tests were always normal. Do you think the medication could be affecting my liver, or could there be another reason for this change? I haven't noticed any liver-related symptoms, but it's a bit concerning. Could you shed some light on this?

Accepted Answer

The medication Tazloc Beta 25 contains Telmisartan and Metoprolol, which are commonly used to treat high blood pressure. While these medications are generally well-tolerated, they can rarely cause liver enzyme abnormalities in some individuals. Since your total bilirubin levels have been elevated since starting the medication, it is possible that Tazloc Beta 25 may be contributing to this change in your LFT results. I recommend discussing this with your healthcare provider to evaluate the need for further investigation or potential adjustment of your medication.

Question 3

I'm really worried about my brother Jiten, who was in the cardiac care unit recently. He's just 28 and now that he's home, his blood pressure keeps dropping in the evening, and he starts vomiting. After that, his skin turns pale and he experiences pain in his right calf. I'm also noticing that he's coughing a bit. The hospital stay was stable after his procedure with the AICD implant, but I'm worried about these symptoms popping up. His meds include things like concor, aldactone, and levoflox among others. Could you advise on what might help him recover better and keep these symptoms in check?

Accepted Answer

To address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough, the following adjustments can be made to the medication regimen: 1. **Low Blood Pressure and Vomiting**: Given the symptoms of low blood pressure and vomiting, it is important to review the medications that may be contributing to these side effects. In this case, Dytor 10mg (Torsemide) is a diuretic that can lower blood pressure and cause electrolyte imbalances leading to vomiting. It may be advisable to reduce the dosage of Dytor or consider an alternative diuretic. 2. **Pale Skin and Calf Pain**: The symptoms of pale skin and calf pain could be indicative of poor blood circulation. To address this, it is important to ensure adequate hydration and blood flow. Aldactone 25mg (Spironolactone) can sometimes cause electrolyte imbalances leading to symptoms like calf pain. Monitoring electrolyte levels and adjusting the dosage of Aldactone may be beneficial. 3. **Cough**: If the cough persists, it may be related to heart failure or respiratory issues. Dapaone 10mg (Dapagliflozin) is a medication used to treat heart failure. However, if the cough is persistent and bothersome, a review of the medication regimen and potential respiratory evaluation may be necessary. 4. **Overall Recommendation**: Considering the symptoms described, it may be beneficial to consult with the healthcare provider who prescribed the medications. Adjustments in medication dosages or alternative medications may be necessary to address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough effectively. Please note that any changes to the medication regimen should be done under the supervision and guidance of a healthcare professional. Regular monitoring and follow-up with the healthcare provider are essential for optimal management of these symptoms.

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