Question 1

I'm really concerned about my mom's blood pressure. It's been over 160 for the last couple of weeks. She's currently taking Telma 40 and Cilacar 10, but it doesn't seem to help. Before she switched meds, she was on Amlogard 5 mg and Metosartan 50, but her doctor stopped those since she has ILD Lungs Disease. What should we do next?

Accepted Answer

Hi, based on your mother's condition of high blood pressure and ILD, it seems like her current medication regimen may not be effectively controlling her blood pressure. I would recommend consulting with her physician to discuss adjusting her medication. In addition to Telma 40 and Cilacar 10, her doctor may consider adding a medication like Amlodipine 5 mg (brand name: Amlogard) or Metoprolol 50 mg (brand name: Metosartan) to help lower her blood pressure. It's important to closely monitor her blood pressure and make any necessary changes under the guidance of her healthcare provider.

Question 2

My mom, who's 75, has been having this center chest pain for 25 days now. Last week the doctor gave her met xl 12.5 and veloz d to take every morning after looking at her ECG report, but it hasn't helped with the pain. Today, after checking her 2D echo, they suggested she take Mucaine syrup and Sucrafil three times a day for a month. She's also on telmikind am 80 (half a tablet) and rosuless c 10 every night. I'm really worried since it's been more than a week without improvement. Do you have any idea what might be causing this pain?

Accepted Answer

Based on the medications your mother is currently taking and the symptoms described, the chest pain could be due to acid reflux or gastroesophageal reflux disease (GERD). The medications prescribed such as Veloz D, Mucaine, and Sucrafil are commonly used to treat symptoms of acid reflux. It is possible that the pain is related to acid irritation in the esophagus. To further alleviate the symptoms, you can consider adding a proton pump inhibitor (PPI) such as Esomeprazole (brand name: Nexium) or Pantoprazole (brand name: Protonix) to reduce stomach acid production. The usual dosage for Esomeprazole is 20-40mg once daily before a meal, and for Pantoprazole, it is 40mg once daily in the morning. Additionally, lifestyle modifications such as avoiding trigger foods, eating smaller meals, avoiding lying down after eating, and maintaining a healthy weight can also help in managing acid reflux symptoms. It is important to continue the current medications as prescribed and follow up with your doctor for further evaluation if the chest pain persists.

Question 3

I'm trying to make sense of some health concerns and could use a bit of guidance. I recently had an abnormal ECG that showed RBBB with sinus tachycardia, and my CT angiogram revealed 0 calcium deposits. But I'm still feeling some discomfort in my chest and experiencing breathlessness. Could I still have some kind of heart problem even with these results?

Accepted Answer

1) Despite the absence of calcium deposits on the CT angiogram, it is still possible to have a cardiovascular issue. Given your symptoms and abnormal ECG findings, further evaluation is necessary. I recommend starting treatment with a beta-blocker like Metoprolol (25-50mg) to help with the sinus tachycardia and chest discomfort. 2) The chest discomfort and breathlessness you are experiencing may be related to your cardiac condition. In addition to the beta-blocker, you can also take Aspirin (81mg) daily to reduce the risk of cardiovascular events. However, it is important to follow up with a cardiologist for a comprehensive assessment and management plan.

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