Question 1

I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?

Accepted Answer

"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."

Question 2

I'm really worried about my mom, she's 40 and has been dealing with rheumatic heart disease. She had valve replacement surgery and is now on various medications, including something called cotton, but she's still facing issues like shortness of breath and a fast heart rate. I'm wondering if it's safe to try Ayurvedic treatment instead? Are there any risks if she stops her allopathy medicine in favor of Ayurvedic options?

Accepted Answer

Switching from allopathy (conventional medicine) to Ayurvedic treatment for a serious condition like rheumatic heart disease, especially after valve replacement surgery, should be done cautiously and under the guidance of healthcare professionals. Ayurvedic medications may have interactions with the current medications she is taking, so it is important to consult with her cardiologist before making any changes.

Question 3

I'm really worried about my dad. About a month ago, he had 2 stents put in, and since then, it's been tough for him. He can't eat much, has a dry cough, and feels weak all the time. Plus, whenever he takes pantoprazole before breakfast, he gets a headache. What could be going on? Is there anything we should be doing differently?

Accepted Answer

It sounds like your father may be experiencing side effects from the medication he is taking. The dry cough and weakness could be related to the stents or the medications he is on. The headache after taking pantoprazole could be a side effect of the medication. I would recommend discussing these symptoms with his doctor. In the meantime, he can try taking pantoprazole after breakfast to see if that helps with the headache. Additionally, he can try taking medications like Clopidogrel (Plavix) and Aspirin to prevent blood clots after stent placement.

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