Recently Answered Questions
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Do I need a cardiac MRI while under treatment for stable angina?
Query: Hello doctor, I am a 70-year-old male. I am under treatment for stable angina for the past three years. 80 % small artery blockage, and 50 % large in certain areas. I am taking Clopidogrel, Nitrates, Amlodipine, etc., with tiny sublingual Nitro, averaged 25 Nitro pills over three months. Occasional ... Read Full »
Answer: Hello, Welcome to icliniq.com. You have had stable ischemic heart disease for the last three years. You are taking medicines and want to know about the heart in detail for which you want cardiac MRI (magnetic resonance imaging). You have 50 % blockage in the major coronary artery. As far as your h... Read Full »
I have severe pain in my lower abdomen. Please help.
Query: Hi doctor, I have had a migraine for the past three days and have difficulty breathing. I also have severe pain in the lower abdomen and under the chest bone area. On consulting a doctor, it was said that it was a pulled-back muscle in the lower abdomen, and he gave me a tablet of Naproxen 500 mg. T... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Cardiac and gastric symptoms often mimic each other. Sometimes recurrent heartburn can be a sign of stable angina and can lead to myocardial infarction. So some tests should be done to rule out the possibility of coronary artery disease. I sugge... Read Full »
Can we schedule CABG in a patient with severe anginal pain?
Query: Hi doctor, My father was suffering from stable angina, so he had an angiography 10 months before in which he was told that he had three arteries blocked and was suggested CABG. But he was afraid, now he suffers from severe angina pain with little activity and sometimes while resting or sleeping. H... Read Full »
Answer: Hello, Welcome to icliniq.com. I have sent the attachment. (attachment removed to protect patient identity). Yes, he will need bypass surgery, but no need to worry. His medicines need to be optimized and anti-anginal drugs need to be added. Along with Aspirin, Clopidogrel and statin like Atorvasta... Read Full »
Is coronary angiography required in chronic stable angina?
Query: Hello doctor, My mom is 56 years old. She is a patient with hypertension, diabetes, and mild nephropathy. Her BP is 140/80 mmHg, pulse is 96 beats per minute, creatinine is 1.3 mg/dL, fasting sugar is 125 mg/dL, postprandial is 157 mg/dL. For a few months, my mother has been suffering from chest pai... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. With these kidney function tests, she can perform coronary angiography. I agree with her doctor's recommendation because this would help identify possible coronary artery stenosis and perform angioplasty, if necessary. Another test that can he... Read Full »
Are the tightness in my chest and labored breathing due to walking?
Query: Hello doctor,Five years ago, I quit smoking. I am a 34-year-old male who weighs 220 lbs. I had health anxiety and had asthma tests, ECG, EKG, and chest x-rays done. I drank fairly often for four years. Over the last three months, the frequency picked up, and I was getting really drunk. Over the four... Read Full »
Answer: Hello, Welcome to icliniq.com. Please answer a few questions so I can assess better. Does this occur only during exercise and is relieved with rest? Do you still smoke? Do you have any other symptoms of gastritis and reflux, like nausea, abdominal pain, chest burning, etc.? This can occur just due... Read Full »