apollo
  • male
  • 27 Years
  • 14/08/2025

I have a small perimembranous VSD and got checked by a doctor a year ago who said everything was normal. Should I keep getting follow-ups every 2 years or do I need surgery or device closure? Also, can you suggest affordable hospitals for the procedure since I'm from a middle-class family?

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I've been noticing that my blood pressure levels fluctuate between 13090 and 14095, and they tend to be higher in the evenings. I'm currently on Telmisartan 40 mg and take it every morning. I'm a bit worried about whether I should keep the dosage the same or if it would be better to adjust it or even change the medication altogether. What do you think would be the best course of action?

Yes you need a combinantion of medicines,visit general physician for appropriate management and maintain healthy life style

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I've been having chest pain for a couple of days now, and it's pretty constant, especially when I'm just sitting or lying down. Plus, sometimes I get this pain in my shoulder and neck, and even occasionally a stomach ache. I'm 20, I don't smoke or drink, and I'm not overweight. Could this be something serious like a heart attack or angina? I'm kinda worried and not sure what to do.

Based on your symptoms and age, it is less likely to be a heart attack or angina. However, chest pain should never be ignored. It is important to rule out any serious conditions. You may be experiencing musculoskeletal pain or acid reflux. I recommend taking over-the-counter antacids like Tums for stomach ache and trying ibuprofen for pain relief. If the symptoms persist or worsen, please consult a healthcare professional for further evaluation and management.

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I've been smoking for a few years, and I've recently started feeling this mild pain in my heart, especially when I'm lying down. I'm pretty sure it's connected because I've been smoking more than usual this week. Do you think this is just a temporary thing, or could there be a more serious condition going on? Also, should I be getting any specific tests done, like a cancer screening or something? I really want to quit smoking, but I can't handle gums, and patches just don't seem to work for me. What should my next steps be?

quit smoking and do regular breathing exercises

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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.