Questions & Answers

Q&A

Answered by Dr. Amiya Kumar Chattopadhyay

Does fasting cause low-heart rate in overweight people?

Hello, Welcome to icliniq.com. Thanks for reaching out, and I understand your concerns completely. Your symptoms may be related to your weight and stress levels. If you work toward reaching your ideal BMI (body mass index, which should be around 25) and manage your stress effectively, you should feel better overall. Follow a balanced diet and cut down your carbohydrate and fat intake by about 20 percent until you reach your target weight.

June 24, 2026

How to manage aspiration pneumonia?

Hello, Welcome to icliniq.com. Regarding the diet restrictions, common salt intake should be within one teaspoon daily. Salt intake is to be maintained strictly. Avoid strenuous activities. She should be on rest till she improves.

June 2, 2026

What are the ways to manage heart valve regurgitation?

Hi, Welcome to icliniq.com. I understand your concern. Her echocardiogram (attachment removed to protect patient identity) shows that three heart valves have been affected: mitral regurgitation (MR), tricuspid regurgitation (TR), and aortic regurgitation (AR). Her left ventricular ejection fraction (LVEF) is 38 percent, indicating that her heart contractile function is significantly below the normal level, contributing to her health problems. Additionally, her potassium level is high and requires immediate treatment.

May 19, 2026

I am 29. How do I manage breathing difficulty due to lupus?

Hello,Welcome to icliniq.com.I understand your problem.You have done a series of tests about your disease. Reports are inconclusive. You have to undergo a right heart catheterization.

March 11, 2026

What causes a high pulse rate in young adults?

Hello, Welcome to icliniq.com. Your main concerns appear to be an increased resting heart rate and the presence of heart murmurs. The combination of tea, tobacco, and caffeine can elevate your heart rate. It seems that your father's heart attack is weighing on your mind, contributing to persistent stress and anxiety. As a precautionary measure, I suggest eliminating all four risk factors, which should help normalize your heart rate.

March 9, 2026

Is surgery the only option for treating my ASD?

Hello,Welcome to icliniq.com.According to your test reports (attachment removed to protect patient identity), you have an ASD (atrial septal defect), which can only be corrected through surgical closure. It is usually asymptomatic, but once symptoms appear, surgery may no longer be an option. You may consult another cardiac surgeon for a second opinion, but ultimately, surgery is recommended.Do not worry, you will be fine.

March 5, 2026

How to treat for abnormal echocardiographic observations?

Hi, Welcome to icliniq.com. I understand your concern. Let us discuss the echocardiographic findings. LVEF (left ventricular ejection fraction) is 55 percent, which is good. It is the capacity of the heart.

November 27, 2025

What could cause shortness of breath?

Hello,Welcome to icliniq.com.I suggest that you have some blood tests done, including free T4, T3, TSH (thyroid-stimulating hormone), hemoglobin (Hb%), fasting blood sugar (FBS), and Holter monitoring to evaluate your maximum and minimum heart rate and identify any other abnormalities. Ensure that your blood pressure is adequately controlled, and continue taking Metoprolol, adjusting the dose based on your blood pressure.Regards..

November 25, 2025

Can GERD cause chest and back pain?

Hi, Welcome to icliniq.com. I have reviewed the attachment (attachment removed to protect patient identity). Your reports related to the heart problem are normal. The symptoms you are experiencing now may be due to GERD (gastroesophageal reflux disease). You can take a capsule of Itopride along with Pantoprazole, one capsule before breakfast for four weeks.

November 11, 2025

Is Montelukast effective for managing asthma in the elderly?

Hello, Welcome to icliniq.com. You have not provided a specific query regarding your health issue. From what I understand, your average pulse rate is around 67 beats per minute, and your blood pressure usually varies from 110/70 to 120/80 mmHg. However, it has been higher recently. This elevation may be related to stress from the resurfacing of your asthma, which I understand is being managed with Fluticasone.

June 16, 2025

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