Question 1

I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?

Accepted Answer

It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.

Question 2

I'm managing my diabetes pretty well, but I've been taking Stresnil for sleep issues. I started with 0.25mg, which worked okayI'd get about 5 hours of sleep. Because the 0.25mg wasn't available recently, I've switched to 0.5mg for the last 10 days. Now, I'm not sleeping properly and I've been feeling kind of faint in the mornings. Also, I just found out my blood pressure is 16090, but I've never had high BP before. I've attached my ECG report too. Could you help me figure out what's going on?

Accepted Answer

"Due to non availability of Stresnil 0.25, you have switched to Stresnil 0.5 and experiencing sleep disturbances and light fainting sensations in the morning. Your blood pressure is elevated at 16090 mmHg. Based on your symptoms and history, I recommend the following: - Switch back to Stresnil 0.25 if possible, as it was providing better sleep quality. - In the meantime, you can try taking a lower dose of Stresnil 0.5, such as half a tablet, to see if it improves your sleep without causing fainting sensations. - Monitor your blood pressure regularly and consider consulting a cardiologist to further evaluate the elevated BP. - Based on the attached ECG report, there are no significant abnormalities noted. - If the symptoms persist or worsen, seek medical attention promptly for further evaluation and management."

Question 3

I'm having this tender chest pain right in the middle of my chest, and it's getting me worried. I did an ECG, and everything seemed fine. My TMT test was negative too, which was a relief at first. But now, I'm sometimes feeling short of breath and there's a pain in my left hand. I even had a CT Coronary Angiography last year that showed normal results. What could be going on? Could you help me figure this out?

Accepted Answer

take treatment

I've just found out that my triglycerides are really high at 690, and my total cholesterol is at 200. Could you please suggest what medication I should consider for this? I'm quite concerned and looking for some guidance.

tab fenofibate 160 mg bed time for 3 months .review after 3 months with lipid profile tests

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