Question 1

I'm really worried about my dad. He's 70 and went through a pretty tough time with his aorta bursting back in January. The doctors did Bentall Surgery, and it seemed like things were getting better, but then he got a mild case of COVID on February 4th. They've been treating him for that and a bit of fluid in his left lung with antibiotics, and there have been improvements according to his chest X-rays. The problem is, he's been having a low-grade fever in the evenings, around 99-100 degrees, since the surgery. It's been more than a month now with this persistent fever. Do you think this is just a post-op thing or maybe related to COVID? I just really need to understand what's going on. It's pretty concerning for us.

Accepted Answer

In this case, the persistent low-grade fever in the evening could be due to various factors, including post-operative recovery, underlying infection, or inflammatory response. Since your father recently underwent Bentall Surgery and is also recovering from mild COVID-19 infection, it is essential to monitor his symptoms closely. To address the fever, the doctors may consider prescribing antipyretic medications such as Acetaminophen (Tylenol) at a dose of 650mg to 1000mg every 4-6 hours as needed to help reduce the fever and provide comfort. Additionally, if there are signs of ongoing infection, antibiotics such as Amoxicillin-Clavulanate (Augmentin) at an appropriate dose may be considered based on the specific infection and sensitivity. It is crucial to continue following up with the medical team to assess the underlying cause of the fever, monitor his overall condition, and adjust the treatment plan accordingly. Regular communication with the healthcare providers will help in managing his recovery effectively.

Question 2

I'm feeling pretty anxious because I recently had some chest pain and my doctor recommended a CT angiography. The report mentions something about a small segment of myocardial bridging in the mid LAD. I'm really worried about what this means. Is it a big deal? Should I rush to consult a specialist, or is this something that I can keep an eye on for now? Would really appreciate your thoughts on this.

Accepted Answer

Myocardial bridging is a condition where a segment of a coronary artery tunnels through the myocardium rather than resting on top of it. In most cases, myocardial bridging is considered a benign condition and does not require any specific treatment. However, in some cases, it can lead to symptoms such as chest pain, especially during physical exertion. In your case, since you are experiencing chest pain and have already been advised angiography, it would be best to follow up with a cardiologist. They can further evaluate your condition and determine if any additional treatment or monitoring is necessary. In the meantime, you can manage your symptoms with medications like beta-blockers or calcium channel blockers to help relieve chest pain.

Question 3

I'm taking medicine for high BP, but I'm having this recurring chest pain, and it's really concerning. On top of that, I'm dealing with severe throat pain, making it hard for me to eat or swallow anything. My blood pressure is all over the place, and I'm not sure what foods I should be eating or what precautions I should be taking. Could you provide some advice on how to handle this situation?

Accepted Answer

An echo and ecg is advised  to the patient..

Does your body warn you before a heart attack?

Yes the warning signs are Pressure, fullness, squeezing pain in the center of the chest, spreading to the neck, shoulder or jaw along with Light-headedness, fainting, sweating, nausea, or shortness of breath with or without chest discomfort, upper abdominal pressure or discomfort.

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