I had piles surgery back in 1980 and have been fine since then, but lately I've noticed bleeding when I squat. I'm also a heart patient currently on meds like Nitrocontin, Ecosprin, Ator, Dilzem SR, and Losar. Is it safe for me to take Pause 500 twice a day for this issue?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

kindly visit a general surgeon for clinical examination

Dr. Kamran Suggests...

Consult a Cardiologist

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Answered 14/08/2025

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I'm really concerned about my father's heart condition. His report says the LVEF is 25, which I read somewhere is quite low, and theres mention of severe LV systolic dysfunction. The terms like "Grade mitral regurgitation" and "moderate pulmonary arterial hypertension" caught my attention. Can you help me understand what all this means? Also, what should we be doing next to manage or improve his heart health?

That seems to your father is at risk of serious cardiac disease with this report no need to worry its conservative management,follow cardiologist advice and reduce physical activity.

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I've been experiencing some strong side effects like muscle pain, dizziness, and shaky hands and legs from taking Rozavel and Pivasta. Are there any realistic alternatives or supplements in the Indian market that could lower my LDL by around 15-20% without serious side effects? I've heard about things like Coeveleselam, but I'd love to know more.

U can try exercise and diet control with low dose artorvastatin

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I've accidentally taken two tablets of Olmesar 40 mg instead of one. Should I be worried about any side effects or issues? What should I do now?

U can take one tablet only for the next dosage..

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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.