Question 1

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 2

My dad's been on Gardenal for nearly 10 years now, and since he's been taking it regularly, he hasn't had any seizures for a long time. A couple of days ago, he had an angiogram and they found out he has triple valve disease. We've been told to figure out whether he should keep taking Gardenal or if it's okay to stop. Any advice or thoughts on this would be really helpful?

Accepted Answer

There is no indication to stop the medicine continue the medication and follow your doctors advice for triple vessle disease

Question 3

Can you help me understand if Gabapentin and methylcobalamin tablets are actually meant for pedal edema? My grandmother thinks it helps reduce her swelling, but I thought it was for her neuropathic pain from cervical spondylosis. She's also dealing with grade 2 diastolic heart failure, and her cardiologist prescribed this. I'm just worried if we're using it right and if it really helps with edema, any advice?

Accepted Answer

No there is no role of this drug in resolving pedeledma ,and is used to neuropathic pain,continue that medicine

What should we do when BP is high?

You must be evaluated and started on medications appropriately. Do some lifestyle modifications too such as low salt diet, physical activity daily and quit smoking, alcohol.

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