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 worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told she needs to go for a CAG angiogram test. I'm just trying to understand how serious her condition might be. Could there be a severe blockage? What do these tests tell us about her heart health?

Accepted Answer

Given the information that your mother's TMT (treadmill test) result is strongly positive and she has had chest pain along with an abnormal ECG, it suggests a significant likelihood of coronary artery disease (CAD). An angiogram (CAG - coronary angiography) is the next appropriate step as it will provide a detailed view of the coronary arteries to identify the presence, location, and severity of any blockages. This test is crucial for determining the best treatment plan, which may involve medications, angioplasty, or coronary artery bypass grafting (CABG) depending on the findings. Please follow your cardiologist's recommendations and proceed with the angiogram for a definitive diagnosis and treatment plan.

Question 3

I take Tazloc Trio 40 mg in the morning right after breakfast, and I've noticed that about 10-15 minutes later, when I start driving to work, I get this drowsy feeling. It's a bit concerning, especially because I do an intense workout on my bike for an hour before breakfast, and my heart rate is usually around 145-150 bpm. Sometimes I don't sleep well at night because of restless legs, but I still push myself to cycle every morning before taking my medication. My blood pressure used to be pretty high at 160120, and my doctor switched me from CETANIL M 50 to Tazloc Trio. Could this drowsiness be related to the medication or my morning routine? What should I do about it?

Accepted Answer

According to the World Health Organization's (WHO) new guidelines, the number of doses required for the rabies vaccine has been reduced.

- *Pre-exposure prophylaxis*: 2 doses of rabies vaccine are recommended for individuals at high risk of exposure, given on days 0 and 7 .
- *Post-exposure prophylaxis (PEP)*: For individuals who have not been vaccinated against rabies before, 4 doses of rabies vaccine are recommended over 2 weeks, given on days 0, 3, 7, and 14. Additionally, rabies immunoglobulin is recommended on the day of the first dose or soon after .
- *Intradermal vaccination*: WHO recommends a one-week, 2-site intradermal PEP schedule with 0.1mL of vaccine injected on days 0, 3, and 7 .

It's essential to consult with a healthcare professional for personalized advice on rabies vaccination.

Thats due to Gastritis,follow your doctors advice and consume bland food and maintain healthy lifestyle

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