Stenosis means abnormal narrowing of blood vessels or any other tubular organ. Some examples of diseases caused due to stenosis are coronary artery stenosis, renal artery stenosis, mitral valve stenosis, aortic valve stenosis, pyloric stenosis, spinal stenosis, and esophageal stricture.

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What is the role of calcium in blocking blood vessels?Is it reversible?

Query: Hi doctor, My medical condition, background information, current lifestyle and medications are as follows. My cardiac calcium score was over 4,500 before four years and is now over 9,400. Angioplasty before six months revealed mid right coronary artery stenosis of less than 50% and diffused LAD 20% ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns.  Read Full »

My mother was advised of esophagus surgery frequently for her shrunken esophagus. What are the side effects of frequent surgeries?

Query: Hello doctor, My mother ingested a toilet cleaner a few months ago and she has received the required treatment. She is now fitted with a nasal tube for food intake. Now the doctor wants to do a stomach and esophagus surgery. The doctor says the esophagus has shrunk a lot, and it needs to be replace...  Read Full »

Dr. Pandian. P

Answer: Hello, Welcome to This is something complicated problem. Esophageal stenosis is the problem. The time of surgery and the amount of surgery depend mainly upon the stenosis length. Also, the country in which you are doing the surgery plays the main role in deciding the amount. But there...  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. BP 140/80, pulse 96/ min, creatinine 1.3, fasting sugar 125, postprandial 157. For a few months, my mother has been suffering from chest pain. The doctor said it is chronic stable angina. All ot...  Read Full »

Dr. Ilir Sharka

Answer: Hi, Welcome to 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 ca...  Read Full »

How to cure left-sided paralysis in my mother?

Query: Hello doctor, My mother has left side paralysis since three years. At the very instant she had it, we started physiotherapy. At that time, we also got an MRI of the brain done, reports of which I am attaching. In the report, it was mentioned that both the ICA are normal and we continued the physiot...  Read Full »

Dr. Nene Devavrat Harihar

Answer: Hello, Welcome to I have seen the reports (attachment removed to protect patient identity). The neck doppler needs to be done to estimate the size of the stenosis. If it is more than 70 %, you will need to take her for a carotid endarterectomy procedure. Right now, I suggest the ...  Read Full »

Please check my coronary angiogram and suggest the recommended medicines.

Query: Hello doctor,I am 45 years old. I had a coronary angiogram, and the first diagnosis showed proximal mild to moderate disease. LCX is a nondominant vessel, proximal mildly ecstatic, and it gives rise to three branches, only 3 OM has moderate proximal stenosis, OM 3 and OM 1 are normal. Please advice ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to I can well understand you are worried about your cardiac health. I have gone through the details and before getting to the personalized answer, I want you to please spare some time to add more information about, 1. Why did you felt a need for going to the cardiologi...  Read Full »

Can you interpret the results of my 2D echo test?

Query: Hi doctor,I just received the results of my 2D echo, and the MV annulus is out of range with a reading of 1.6, the normal range being 3.5 to 4.5. What does this mean? Otherwise, everything is normal.  Read Full »

Dr. Pramod Bhanudas Narkhede

Answer: Hello, It means that the annulus of one of the valves on left side, called mitral valve, is reduced in diameter. So, there is an obstruction to the flow of blood from the low-pressure chamber to the high-pressure chamber, that is, from the left atrium to the left ventricle, which can give rise to sy...  Read Full »

I have pain and numbness in the left leg, and thigh. What is causing my pain?

Query: Hello doctor, I have attached lumbar spine MRI. I had sciatica for three months with severe pain in the left leg when I walk and stand. Better when I lean forward or sit. Pain is in the left leg, thigh, and upper thigh under groin. Numbness and tingling down leg calf to the foot. I have pain in the...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to From your symptoms, it sounded like LC stenosis but having looked at your MRI, and it is evident that there are disc bulges prolapse at multiple levels on the left side leading to your remaining sided symptom. L4/5 and L5/S1 showed lateral canal stenosis and possibly...  Read Full »

Is minor calcification in proximal LAD reversible?

Query: Hi doctor, I am 36 years old. 18 months ago, I experienced some mild chest pain and went to the ER. I had all the blood tests done and it was determined that no heart attack and no blood clots. Followed up with a local cardiologist in my place. He had me undergo a CT angiogram. He called later and...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Firstly, this disease will not cause any symptoms so none of your symptoms are related to this. However, there is a definite minimal plaquing with calcification (although they did not quantify it calcium score or percentage stenosis), which needs to be addressed. So...  Read Full »

Does the MRI show the cause of my lower back pain?

Query: Hi doctor, I have lower back pain and right buttock pain. I have consulted a doctor for this, but I am not satisfied with the explanations. I have undergone MRI as per advice and here is the result. Posterior disc bulge with annular tear, moderate to severe stenosis of both neural foramina and mil...  Read Full »

Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to You have mentioned that you have pain in lower back region with radiation of pain to right buttock region. Along with this, you have also mentioned about your MRI reports (attachments removed to protect patient identity) which show degenerative disc disease at multip...  Read Full »

Is delaying angioplasty a risk?

Query: Hello doctor, My father, who is 62 years, had a heart attack before two months. He was admitted to the hospital and the first aid was given. His angiography was done after four days and the diagnosis was single vessel disease with Mid LAD 90% stenosis. Doctor has advised him 20 days of medicine and ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have reviewed your health query regarding your father and can well establish the sensitivity of the issue. Yes, he is out of the danger now. After a heart attack, next 48 to 72 hours are very crucial as there can be a fatal attack of deranged heart rhythms. Yes, the cou...  Read Full »

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