- male
- 60 Years
- 22/01/2025
My dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.
Answered by 1 Apollo Doctors
Correct anemia first then can think to do stress echocardiography....to confirm..but If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done Anyways need insight on all these & need to see the TMT strips to suggest the next best step.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've been feeling this pinching kind of mild pain on the left side of my chest that lasts for like 46 seconds or so. At those moments, I can really feel my heart beating faster when I put my hand on my chest. I did talk to a cardiologist about it, and they recommended an ECG, which turned out normal. But I'm still really worried. Could these be warning signs, and should I consider getting more heart-related tests just to be on the safe side?
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I've been having chest pain and got a 2D echo, ECG, blood work, and an X-ray done. The doctor said everything looks normal, but I noticed some black marks on the left side of the diaphragm in the X-ray. Could you tell me what these might be? I'm a bit concerned.
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I'm really worried about my brother who's just 18. He's been having mild chest pain and his blood pressure is pretty high, like 14090. The general medicine doctor suggested some tests, which we've done and uploaded the reports. Can you help me understand what's going on with him? Why would he have high blood pressure at such a young age? He's already on medication for it, and I'm just trying to figure out what might be causing this.
The excessive intake of painkillers has likely led to kidney damage, causing the kidneys to shrink. This condition is known as analgesic nephropathy . To address this issue, it's essential to stop the use of painkillers that are harming the kidneys. *Treatment Options:* - _Acetaminophen_: This pain reliever is considered safer for patients with kidney disease. However, it's crucial to follow the recommended dosage and consult with a doctor . - _Non-opioid analgesics_: Medications like pregabalin, gabapentin, and duloxetine can be used to manage pain, but require careful dosing and monitoring due to potential side effects . - _Alternative pain management techniques_: Encourage your father-in-law to explore non-pharmacological approaches, such as physical therapy, exercise, yoga, or acupuncture, to manage pain . *Lifestyle Changes:* - _Hydration_: Encourage your father-in-law to drink plenty of water to help flush out toxins and reduce the risk of further kidney damage. - _Dietary changes_: A balanced diet low in salt, sugar, and unhealthy fats can help manage kidney health. *Medical Consultation:* It's crucial to consult with a nephrologist
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.