Question 1

I'm really concerned about my grandfather lately. He's been dealing with high blood pressure and hypertension, but now his feet are swelling and he's having chest pains too. He's currently taking gtn sorbitrate 2.6 cr twice a day and amlokind 10 mg, plus he uses a quikhale 250 sf inhaler. Could you help me understand why his feet might be swelling and suggest a medication that might help?

Accepted Answer

Swelling in the feet can be a common symptom in patients with high blood pressure and hypertension, especially in elderly individuals. It can be due to fluid retention caused by the heart's inability to pump blood effectively. In this case, considering your grandfather's age and existing conditions, it is important to address the underlying cause of the swelling. To help reduce the swelling in his feet, I recommend prescribing a diuretic medication such as Furosemide (Lasix) 20mg once daily. This medication will help to remove excess fluid from his body and alleviate the swelling in his feet. Additionally, given his chest pains, it is crucial to ensure that his heart health is well managed. I suggest adding Aspirin 81mg once daily to help reduce the risk of blood clots and relieve chest pain. Please consult with your grandfather's healthcare provider before starting any new medication to ensure it is safe and appropriate for his specific medical condition.

Question 2

I've been keeping an eye on my blood pressure, and it was reading 14496 when I saw a doctor. He told me to take Telma 20 for six weeks, which I did, but now I can't get back to see him. This morning, my BP was 13496. What should I do next? Do I need to keep taking the medication or make any changes?

Accepted Answer

Since you have been taking Telma 20 (Telmisartan 20mg), continue to take it as prescribed by your physician. In addition, you can also focus on lifestyle modifications such as reducing salt intake, maintaining a healthy weight, exercising regularly, and managing stress. If you experience any side effects or have concerns, it's important to follow up with your physician for further guidance.

Question 3

I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?

Accepted Answer

Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.

Seroflo rotahaler sos for breathing difficulty is advised to the patient.

More Cardiology Health Queries

I've been keeping an eye on my blood pressure, and it was reading 14496 when I saw a doctor. He told me to take Telma 20 for six weeks, which I did, but now I can't get back to see him. This morning, my BP was 13496. What should I do next? Do I need to keep taking the medication or make any changes?

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