Question 1

I'm on Crestor 40mg and Ezetrol 10mg for my cholesterol, and here's what my latest results show: Total Cholesterol is 4.25, LDL is 2.5, HDL is 0.93, and Triglyceride is 1.82, all in mmol unit. Lately, I've been feeling really fatigued and I suspect it might be muscle pain or tiredness from the statins. I've lost some focus too. I'm thinking of reducing my statin dosage. Could you give me some advice on what to do about this?

Accepted Answer

Based on your symptoms of fatigue, muscle pain, tiredness, and difficulty focusing, it is important to discuss with your healthcare provider about potentially reducing your statin medication. It is possible that these symptoms could be related to the statins you are taking. One option to consider is switching to a different statin medication such as Atorvastatin 20mg once daily. Atorvastatin is another type of statin that may have a different side effect profile for you. However, it is crucial to consult with your doctor before making any changes to your medication regimen.

Question 2

Lately, Ive been noticing that every time I stand up or go for a walk, my heart starts racing to around 130bpm, and it doesnt calm down until I sit or lie down. My chest hurts, and my legs feel weak and shaky during these times too. I did have an iron deficiency last year, but it never made me feel like this, and even though it's still slightly low, my recent results show it's getting better. Ive had an ECG done, and that seemed fine, so I'm wondering if I should be seeing a cardiologist. Could this be something serious?

Accepted Answer

Yes, given your symptoms of a racing heart rate when standing or walking, chest pain, and weakness in your legs, it would be prudent to visit a cardiologist. These symptoms may indicate a condition called postural orthostatic tachycardia syndrome (POTS) or other cardiovascular issues that require further evaluation. Even though your ECG is fine and your iron levels are improving, it is essential to rule out any underlying heart conditions or dysautonomia. A cardiologist can perform additional tests, such as a Holter monitor, echocardiogram, or tilt table test, to better understand the cause of your symptoms and recommend an appropriate treatment plan.

Question 3

I'm really worried about my dad's health. He's been diabetic since 2003 and had a CABG in 2008. He's got moderate LVF dysfunction and was in and out of the hospital in 2015 and early 2016 because of pulmonary edema. He's also dealing with hypothyroidism and recently his serum creatine levels increased, so he's on a renal diet and taking a bunch of meds for diabetes, insulin, heart, and thyroid. Lately, since January 2016, he's losing weight and gets short of breath really easily, like after walking just 10-15 meters. His latest blood tests showed low potassium, so the doc gave him a tonic for that. But now he's feeling weak and says he can't taste his food right sometimes. I'm at a loss herehow can we improve his health condition?

Accepted Answer

Your father's health condition is complex, but based on the symptoms described, it seems like he may be experiencing symptoms of electrolyte imbalance, which could be contributing to his weakness and altered taste sensation. In addition to the tonic for increasing potassium, I would recommend adding a potassium supplement such as Slow-K (Potassium Chloride) to help normalize his serum potassium levels. The usual dosage is 20 mEq to 40 mEq daily, but this should be adjusted based on his specific needs and blood test results. To address his shortness of breath and symptoms of heart failure, his doctor may consider adding or adjusting medications such as Lasix (Furosemide) to help reduce fluid buildup in the lungs and improve breathing. The dosage will depend on his current medication regimen and kidney function. For his thyroid condition, ensuring that he is taking his thyroid medication regularly and having regular follow-ups with his endocrinologist is important to optimize his thyroid hormone levels. Given his history of diabetes, heart issues, and kidney problems, it's crucial for his healthcare team to closely monitor his kidney function and adjust his medications as needed to prevent further complications. Overall, it's important for your father to continue following his renal diet, taking his medications as prescribed, and attending regular follow-up appointments with his healthcare providers to manage his multiple health conditions effectively.

continue both the medications..

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