My cardiac markers are high, and I have bronchial asthma. Please help interpret my reports.

Hi,

Welcome to icliniq.com.

Thanks for writing to us.

I hope you are not in much discomfort. The chest x-ray is normal (attachment removed to protect patient identity) and the small dots are perihilar blood vessels and they are not an abnormality. As you are an asthma patient and in the COVID situation, many doctors will like to know whether you have chest pain. COVID can cause problems not only in the lungs but also in the other organs including the heart. The following areas might be of interest in your blood report.

You have mildly low hemoglobin. The fasting blood glucose and HbA1c are mildly increased. Iron levels are decreased and Vitamin B 12 is mildly increased. Immunoglobulin E (IgE) and high-sensitivity C-reactive protein (hs-CRP) value is increased. Vitamin K is mildly increased. Hetrazan (Diethylcarbamazine) is a standard line of treatment for your symptoms. In standard doses, it can be taken for a time duration as told by your doctors. Usually, it does not cause side effects but if you feel any new symptoms after taking Hetrazan then please discuss with your doctors.

Vaio Gold is a multivitamin supplement and it will provide you nutrients. There are so many multivitamins in it and most of them are good. You can take an iron supplement along with Vaio Gold and it is not a problem. Please increase the amounts of iron in fruits and food by choosing what is suitable for you.

As you have consulted an ear, nose, and throat specialist (ENT) for your new symptoms of face and mouth, it helps to know your current health condition after doing clinical evaluation and whether you have any infection in the paranasal sinuses. As allergies and rhinitis can cause a sensation of facial pain and discomfort, DNS (deviated nasal septum) is treated by doing surgery when significant. Constipation and gas problems can occur due to your previous gastroesophageal reflux disease (GERD) and piles. Please have a follow-up below.

Hi,

Welcome back to icliniq.com.

Thanks for writing back. Hetrazan is unlikely to cause an anaphylactic reaction. But taken with any medicine and food, it can cause an extremely rare anaphylactic reaction and it cannot be ruled out. Even if it occurs, it will take place usually in the first few days. If you have taken them for more than a week and feel comfortable, then anaphylaxis will not happen. It is not an absolute necessity to keep an adrenaline pen. I suggest you check with your doctor immediately if you have any of the following side effects.

The most common side effects are itching and swelling of the face, especially the eyes. The less common side effects are fever, painful and tender glands in the neck, armpits, or groin, and skin rash. The other side effects are loss of vision, night blindness, and tunnel vision. The suggested medicine works for your problems. But taking it for a longer duration needs the supervision of your doctor. I suggest that you do not need a detailed cardiac evaluation purely based on the results.

But at any time if you have any chest discomfort or pain then a basic cardiac evaluation can be done. The COVID vaccination is manufactured by many brand names. We have taken Covishield and many known people have taken Covaxin. As per reports, Covishield helps in travel purposes. As such vaccines are to protect the subject and rare reactions can happen in one in a million humans. Clinical trials for Covishield are more reliable. Multivitamin supplements can be taken in small doses. It will not cause any serious problems over a long time. However, you can always change vitamin supplements once in a while if you feel.

Extra vitamin B 12 will not cause a serious problem for you. Your husband has mildly decreased hemoglobin and mildly increased triglycerides. His fasting glucose and HbA1c (glycated hemoglobin) levels are mildly increased. If there is a family history of diabetes then I suggest he have a regular follow-up. Eventration of the diaphragm will not cause any vaccination problems. I also suggest he get a pulmonologist's opinion and review lung function for his breathing and eventration of the lung. Bandy-Plus (Ivermectin and Albendazole) can be taken by adults and children at the recommended dose.

For adults, it is usually a single dose. The tablet strength of Bandy-Plus is 6 mg of Ivermectin and 400 mg of Albendazole. For children, a single dose of Bandy-Plus suspension of 10 ml is given. I suggest you consult his pediatrician as needed for any health concerns that you might have. Ultracid can be continued for your gastritis. Esoz-D (Domperidone and Esmoprazole) is a good substitute for Pan-D (Pantoprazole) and you can start taking it if it is given by your doctors.

Regards and thanks.

Hello,

Welcome back to icliniq.com.

I saw the X-ray reports attached. The X-ray does not show any serious problems that should be of any concern to you. I hope you have got two doses of COVID-19 vaccination. In most people who got the vaccine, there are mild symptoms of COVID-19 infection. A SpO2 of 98 % is normal and does not indicate any problem. However, I suggest you consult your doctor for medications as you are having asthma.

Regards and thanks.

Hello,

Welcome back to icliniq.com.

The area on both sides is the lung hilum, and vessels branch into smaller parts in these areas. The dots are the end on views of hilar vessels and are due to the vessels branching in multiple directions, and some of the branches are angulated such that you see a dot-like structure. This is not a true nodule. COVID -19 is showing mild symptoms in most people, and there is a good recovery in the third wave. Therefore if you are doing near normal, then it looks like you will not have any worsening symptoms.

I hope your son is doing well. The rapid antigen test (RAT) test usually comes negative in most patients one week or ten days after infection. If he is free from symptoms, then he is recovering.

Regards and thanks.