Question 1

I'm really concerned about my 6-month-old who's been diagnosed with an 8 mm ostium secundum ASD and a left to right shunt. What kind of treatment options are available for this, and what might the costs be? Are there hospitals in Kerala known for handling such cases? I'm kind of unsure how serious this is and what our next steps should be.

Accepted Answer

the primary approach is usually observation and monitoring, as many small ASDs close on their own over time. However, if the ASD is large or causing symptoms, it may require intervention. In such cases, the surgical closure of the ASD may be recommended. One common medication used before surgery to manage symptoms and prevent complications is Furosemide. The typical dosage for a 6-month-old would be around 1-2 mgkg per dose, given 1-2 times per day. For the surgical closure of the ASD, hospitals in Kerala that specialize in pediatric cardiology and cardiac surgery can provide the necessary treatment. Some renowned hospitals in Kerala known for their pediatric cardiac care include AIMS (Amrita Institute of Medical Sciences), Sree Chitra Tirunal Institute for Medical Sciences and Technology, and Aster Medcity. As for the cost, it can vary depending on the hospital, the specific treatment plan, and any additional complications. It is best to directly contact the hospitals mentioned above and inquire about the cost estimation for the surgical closure of an 8 mm ostium secondum ASD in a 6-month-old child.

Question 2

I've been dealing with this regular mild chest pain that's been moving aroundsometimes it's in my upper abdomen, other times it shifts to the left or right side. I've gone through all the tests like ECG, chest X-ray, lipid profile, USG of the abdomen...

Accepted Answer

Since you have already been taking PAN 40 regularly for your mild chest pain which is suspected to be due to gas, but have not found relief, I would recommend adding another medication to help with your symptoms. You can try taking **Ranitidine (Zantac)** 150mg twice daily before meals. This medication can help further reduce the production of stomach acid and alleviate your discomfort. Make sure to follow the dosage instructions provided on the packaging. Additionally, continue to monitor your symptoms and follow up with your doctor if the pain persists or worsens.

Question 3

I've been dealing with this weird tingling pain in my fingers and arms on both hands for the last 3.5 months now. It all started out of nowhere after I had some saline in my left arm. On top of that, my stomach constantly feels bloated, and I'm havin...

Accepted Answer

The symptoms you are experiencing, such as tingling pain in fingers and arms, bloating, palpitations, and sensations in the stomach and throat, could be related to nerve issues or underlying medical conditions. It is important to consult a healthcare professional for a proper diagnosis. However, to alleviate the symptoms, you can try taking Vitamin B complex supplements like Neurobion Forte once a day for nerve health. Additionally, you can take Omeprazole (brand name Prilosec) 20mg once daily before breakfast to help with bloating and stomach discomfort. Make sure to follow up with a healthcare provider for further evaluation and management.

Question 4

So my 76-year-old mom, who's diabetic, has been diagnosed with a triple vessel block and just had an acute anterolateral wall MI. I'm really worried and trying to figure out whether a stent or a bypass would be the better option for her. Could you he...

Accepted Answer

For a 76-year-old diabetic patient with triple vessel blockage and acute anterolateral wall MI, treatment options include:

Stent Placement

1. Percutaneous Coronary Intervention (PCI): Stenting can improve blood flow, but may require multiple procedures.
2. Advantages: Minimally invasive, quicker recovery.
3. Disadvantages: Higher restenosis risk, potential for stent thrombosis.

Bypass Surgery (Coronary Artery Bypass Grafting - CABG)

1. Surgical option: Bypass grafts reroute blood flow around blocked arteries.
2. Advantages: Higher success rate, lower restenosis risk, suitable for complex cases.
3. Disadvantages: Invasive, longer recovery, potential for graft failure.

Question 5

My sister has been feeling sick and weak for months, with chest pain and nausea. It got worse yesterday, so we took her to the hospital. They did an ECG, echo, and chest X-ray. Her echo report shows she has grade 1 diastolic dysfunction. I read this ...

Accepted Answer

Thats unusual at her age but it is reversible,ask her to have a healthy life style good foofd and adequate rest,follow your doctors advice

Question 6

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and ...

Accepted Answer

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

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Related Questions

I've been dealing with this regular mild chest pain that's been moving aroundsometimes it's in my upper abdomen, other times it shifts to the left or right side. I've gone through all the tests like ECG, chest X-ray, lipid profile, USG of the abdomen...

I've been dealing with this weird tingling pain in my fingers and arms on both hands for the last 3.5 months now. It all started out of nowhere after I had some saline in my left arm. On top of that, my stomach constantly feels bloated, and I'm havin...

So my 76-year-old mom, who's diabetic, has been diagnosed with a triple vessel block and just had an acute anterolateral wall MI. I'm really worried and trying to figure out whether a stent or a bypass would be the better option for her. Could you he...

My sister has been feeling sick and weak for months, with chest pain and nausea. It got worse yesterday, so we took her to the hospital. They did an ECG, echo, and chest X-ray. Her echo report shows she has grade 1 diastolic dysfunction. I read this ...

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and ...

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