Question 1

My aunt has a heart problem and doctors recommended a heart valve replacement, including Dr Anil Bhan last year. We couldn't afford it then, but now she's admitted at SKIMS Hospital in Srinagar and her condition is serious. She has young daughters, so we really need to figure this out. Can you tell me the approximate cost for the valve replacement surgery, including hospital stay and medicines? We need to arrange funds quickly to save her life.

Accepted Answer

Heart has 4 valves in all . I would need to see a 2 D Echo and then decide what surgery and then predict appropriate cost

Question 2

I'm really concerned about this persistent pain in my left arm that's been going on for around two months. I've had an ECG, ECHO, and TMT, and the doctor said everything looks good, but its still there. I found out my triglyceride cholesterol levels are a bit high, around 300. I've been on Rosufit10 for about the same time, but I'm not sure how long I need to keep taking it. I tried taking Gabapin Plus 100 for the muscle pain, did it for a month, but that didnt seem to help much. Now I'm considering going for a CT angio to get a clearer picture. Are there any side effects or risks I should know about?

Accepted Answer

For your high triglyceride levels, continue taking Rosufit10 as prescribed by your doctor. Typically, statin medications like Rosufit10 are taken long-term to manage cholesterol levels effectively. - Since Gabapin Plus 100 did not help with your muscle pain, you may discuss alternative medications with your doctor. They may consider prescribing a different muscle relaxant or pain reliever based on your specific symptoms. - CT angiography is generally a safe procedure, but like any medical test, it carries some risks. These risks include exposure to radiation, potential allergic reactions to contrast dye, and a small risk of kidney damage in individuals with pre-existing kidney conditions. It's important to discuss these risks with your healthcare provider before undergoing the procedure.

Question 3

Today I experienced some heat in my chest area, which is unusual for me, and it wasn't during my regular walks or runs either. I've been feeling mild chest pain on and off for the last eight months, but my tests like the echo ECG in April were normal, and my TMT in August came back negative too. I'm pretty active, walking daily and running, and haven't changed my dietno junk or spicy foods. Seeing the cardiologist got me a list of medications like Escitalopram, Gastoflora, and Alprazolam, among others, but I'm curious about this new sensation. Is it something to worry about, or could it be a side effect of the medications?

Accepted Answer

The heat on the chest area that you are feeling could be due to various reasons, including anxiety or musculoskeletal issues. The medications prescribed to you by the cardiologist are as follows: 1) Escitalopram tablets - 1 tablet in the evening 2) Gastoflora tablet - 1 tablet in the evening 3) Alprazolam tablet - 12 tablet in the morning and 12 tablet in the evening 4) Duloxetine capsule - 1 capsule after breakfast 5) Retizyme capsule - 1 capsule in the morning and 1 capsule in the evening 6) Etoricoxib soft gelatin capsule - 1 capsule in the morning and 1 capsule in the evening 7) Difen Gel ointment These medications suggest that the cardiologist may suspect an underlying anxiety or gastrointestinal issue. It is important to follow the prescribed dosage and schedule as advised by the doctor. If you continue to experience chest pain or any concerning symptoms, please follow up with your cardiologist for further evaluation.

Ejection fraction of the heart is very low , causes would be heart attack,cardiomyopathy,coronary artery disease, high blood pressure,aortic stenosis, mitral regurgitatin,myocarditis,arrhythmia etc , u can continue the same medications . An echocardiogram is advised and a cardiac opinion.

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