I'm really worried about my dad's health. He's been dealing with diabetes for about 20 years now, and he also has hypertension and CKD. His creatinine level is at 2.1. We're considering giving him GTN Sorbitrate CR 2.6 for his angina, but I'm concerned about any potential side effects it might have on his kidney and liver. Could this possibly lead to an increase in his creatinine levels? I'm just not sure if it's safe for him given his conditions.

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Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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Answered 25/07/2025

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I've been having this stabbing chest pain for the past couple of days, especially when I laugh or cough. I've already tried taking Rantac and Gelusil, but it hasn't helped at all. It's making me feel really uneasy. Can you tell me what's going on or what I should do?

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I've been having this sharp pain at the bottom of my chest and when I talked to a doctor about it, they mentioned it might be due to gas. They advised getting an ECG, which I did, and I've attached the results here. I smoke about 3 to 4 cigarettes a day and have been eating out quite a bit recently because of work travel. I'm 75kgs and 5 feet 7 inches tall. What should I do next?

The sharp pain in the bottom of your chest could be due to gastritis caused by excess gas. Based on your ECG report, there are no significant abnormalities detected. However, smoking and consuming hotel food frequently can exacerbate your symptoms. To alleviate the gas and chest pain, you can take an over-the-counter antacid like **Ranitidine** 150mg twice daily before meals. Additionally, you should try to quit smoking or at least reduce the number of cigarettes per day. It is also advisable to avoid spicy and oily foods, and opt for a more balanced diet with plenty of fruits and vegetables. Regular exercise and maintaining a healthy weight can also help improve your symptoms.

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