Question 1

I'm really worried about my mom. She had bypass surgery back in September 2022, and every now and then she gets this angina-like pain near the stitches in her chest. It's really unsettling. Plus, she's dealing with type 2 diabetes and thyroid issues too. Can you help me figure out what's going on and what we should do about it?

Accepted Answer

It is important to manage angina pain effectively, especially after bypass surgery. I recommend she takes Nitroglycerin sublingual tablets as needed for chest pain. The dosage is usually 0.3 to 0.4 mg every 5 minutes for up to three doses. Additionally, she can take Aspirin to help reduce the risk of blood clots and relieve chest pain. The usual dosage is 81mg to 325mg once daily. Since she is diabetic, it's crucial to control her blood sugar levels. She can take Metformin to help manage her diabetes. The usual starting dose is 500mg or 850mg once daily with meals. For her thyroid condition, she can continue taking Levothyroxine to regulate her thyroid hormone levels. The dosage will depend on her TSH levels as determined by her doctor.

Question 2

I'm really concerned because I've been experiencing some chest pain, tightness, a burning sensation, and even pain in my shoulder blade and hands. I've consulted two different doctors about this. The first doctor advised me to take Ab Flo capsules, but the second doctor was more cautious and said I should only take it if I have asthma. So the second doctor gave me Pantocid 40mg, but even after taking it for the past two days, I'm still not feeling any relief. Could you please guide me on what steps I should take next?

Accepted Answer

Probable diagnosis is GERD .Patient is advised tab pan d,orally once daily for 14 days ,syrup sucralfate 10ml thrice daily for 14 days.Also avoid spicy and hot items is advised to the patient.

Question 3

I'm having these weird palpitations and short jerks in my chest lasting just a couple of seconds, but it's not like they happen at any specific time. It really feels awkward when it happens, almost like my heart stops for a moment. What's strange is that even though I exercise regularly, I don't feel any pain in my chest. I've done ECG, 2D Echo, and Holter tests, and they all came back normal.

So, Im really wondering, do you think I might have some sort of cardiac blockage? Are these episodes a sign of something serious like a cardiac arrest in the future? Or if it's not something major with my heart, what else could be causing these jerks and palpitations?

Accepted Answer

Thta could be due to anxiety ,vsist Psychiatrist for appropriat ehelp

I'm a bit concerned about my recent ECG report. It showed a result of 800 sinus rhythm and 733 suspect inferior myocardial infarction. Could you help me understand what these numbers mean and how serious this might be? Do I need to take immediate action or get more tests done?

yes it is a concern immediate cardiologist opinion is required.

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