Recently Answered Questions
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What can the cause of my generalized body pain, fever, and headache?
Query: Hello doctor, My mother, aged 64, has ischemic cardiomyopathy. Her angina and breathlessness are reduced, and they only occur when she exerts herself. But, she is feeling nauseous and dizzy even though she takes food every two hours. Her random blood sugar test is done, and the values are between 41... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, your mother seems to have issues with her blood sugar and thyroid together along with the heart problems. This makes a vicious circle leading to symptoms getting interrelated thereby creating a worse scenario. She is having high TSH (thyroid-stimulating hor... Read Full »
Why is my urine low and creatinine level high after CABG?
Query: Hello doctor,My father has undergone CABG (bypass surgery of heart) since then he is on the medicine. During this operation, we came to know that he is also hepatitis B antigen positive. Ayurvedic treatment is continuing and things are under control. In last week accidentally he has broken bone of h... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. From what you mentioned, your father has sustained acute kidney failure, the cause is not clear (may be due to bleeding and losing a large amount of blood). Dialysis is required if there is volume overload (lower limb edema and chest congestion), also if there is high pot... Read Full »
Can Carloc and Cardace lower BP?
Query: Hello doctor, My wife was operated for CABG a year back and is taking Carloc 3.125 mg and Cardace 2.5 mg twice a day, among other medicines. Presently sometimes her BP goes down to 100/60 mmHg. Is it due to the above-mentioned tablets? Should the dose be halved for relief? Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Firstly, her heart function being low 25 to 30 percent, she has the tendency for low BP. So her BP will remain low. Over and above, Carloc (Carvedilol) and Cardace, both lower the BP. B... Read Full »
What is the cause behind breathlessness after CABG?
Query: Hello doctor, My father had undergone a CABG x3 a year ago, but for the last three days, he is feeling breathlessness. What could be the reason? Read Full »
Answer: Hello, Welcome to icliniq.com. How much is his ejection fraction in echo? The likely cause for his shortness of breath is an accumulation of fluid in lungs which occurs in patients with heart diseases. This is especially common in patients with reduced ejection fraction. I guess he does not ha... Read Full »
My father who is a diabetic,underwent CABG and the wound is taking long time to heal. Please help.
Query: Hello doctor, My father is diabetic and had MI with a heart block. He underwent CABG surgery and sternal debridement before three years. The wound has not healed still now. He is on Meropenem 1000 mg medication, and Colistimethate Sodium is also being used. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. As your father is diabetic, he has low immunity against infection. Wound healing may take some time. Deep sternal wounds are very common after CABG (Coronary artery bypass grafting). Both antibiotics he is using are very powerful. If they are not effective, then I wo... Read Full »
Is it advisable to switch blood thinners due to numbness?
Query: Hello doctor, This query is about my father. He had suffered a right side hemiparesis about 16 years back and was admitted in a hospital. He recovered well and also started driving. Though his right side is now more sensitive to weather changes and sometimes he feels tingling or stiffness. He also u... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all I do not think there is something wrong or right in the current or prior treatment. From my personal expertise, I found combination of Aspirin and Clopidogrel more tolerable to the patient while the side ... Read Full »
My father's platelet count has decreased. Please help.
Query: Hi doctor,My father underwent CABG for six months. Till then he was on Clopilet alone. His platelet would remain at 150000. After CABG, he has been put on Ecosprin and after that, his platelets remain at 110000 to 140000. Is that fine? He has no other complaints. Is there something we can do to impr... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on our query, my opinion is as follows: Platelet count at any time above 100000 per microliter of blood is always good. The minimum platelet count, most of us expect is 50000, below which mild risk of bleeding starts. Hence, 110000 to 140000 per microliter of ... Read Full »
For heart block, which is better - bypass or stent?
Query: Hi doctor, My brother-in-law went for angiography, and he has two blockages 60% and 80%. Now, his doctor saying that it is urgent to get an operation and they will fix two stents. What will you suggest? Is it fine to go with a stent? Will it work lifetime? Or shall we opt bypass? Read Full »
Answer: Hi. Welcome back to icliniq.com. If the individual is free of diabetes, they may consider undergoing stent placement. However, it's important to note that Angioplasty, including stent placement, does not provide a lifetime guarantee. Typically, angioplasty can yield positive results for around a de... Read Full »
My father had three blocked arteries. Can a CABG help?
Query: Hello doctor, I want to get a second opinion for my father. He was recently hospitalized for a myocardial infarction resulting from blocked three coronary arteries: the left anterior descending artery, circumflex artery, and right coronary artery. Due to complete stenosis, a percutaneous coronary in... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I reviewed your father's history. However, since I could not watch your father's moving coronary angiography images, I cannot say whether coronary vessels will be grantable for CABG (coronary artery bypass surgery).... Read Full »
What medicines to take for chest pain while urinating?
Query: Hello doctor, My father aged 78 years is suffering from heart artery blockage with COPD. He underwent an angiogram, ECG, and related blood tests. Currently, he is taking the following medications for the last six months as per the doctor's advise. He takes Nitrocontin 6.4 mg two times, Concor Cor 2.... Read Full »
Answer: Hello, Welcome to icliniq.com. Medication wise, your father is on the maximum dosage. You could also try adding Flavedon MR (Trimetazidine) 35 twice a day. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. But, I strongly feel after going... Read Full »