Question 1

I'm really worried about my father. He's had high blood pressure for about 20 days now. He's already a BP patient, but lately, his pressure is shooting up to around 16090. He was on promolate xl 25 before and now he's been switched to telvas 40 by the doctor. It doesn't seem to be helping control his blood pressure, though. Can you suggest anything that might help us manage this better?

Accepted Answer

It seems like your father's blood pressure is not well controlled with Telvas 40. In this case, the doctor may consider adding or adjusting the dosage of another medication. One common combination for high blood pressure is Telvas 40 (Telmisartan 40mg) along with Amlodipine (usually 5mg to 10mg). Amlodipine helps to further lower blood pressure by relaxing the blood vessels. However, the final decision on the medication and dosage should be made by your father's treating physician after a thorough evaluation. It is important to continue monitoring his blood pressure regularly and follow up with his doctor for further management.

Question 2

I'm trying to make sense of my recent test results and I'm a bit worried. It mentioned "borderline t abnormalities" and "inferior leads," with something about "tSt elevation" possibly being part of a normal repolarization pattern. I'm diabetic, and these terms have me a little on edge. Could you shed some light on what all this means and if it's something I should be concerned about?

Accepted Answer

diagnosis is inferior wall myocardial infarction, immediate cardiologist intervention is required.

Question 3

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

An echo is advised.Yes false positive are present in some cases ..

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