Zanax – Cardiology doctors online

Archive for the ‘IBS’ Category

Question: I ask for guidance in the right choice when Lipitor giperholesterimii – until he took Zokora 10, but effectively reduce cholesterol was not; now 2 months. take Lipitor 10, appeared in muscle weakness, tremor, and the impact is obvious, cholesterol was = 4. Can it act Lipitor? Back to the low efficiency of Zokora? My choice? Thank you for your reply.

Answer: Atorvastatin – one of the most effective current drugs for lowering cholesterol. Unfortunately, perhaps the relationship between intake of atorvastatin (Lipitor) and the development of weakness in the muscles (myopathy). I recommend you pass the biochemical analysis of blood to the definition of CPK. If the activity of this enzyme increased by more than 10 times, then, unfortunately, this drug you should not drink. This side effect is relatively non-hazardous (to be held after the cancellation). There is option to suspend (a month) to drink the drug, and then again to resume. In any case, you need to report suspected side effect of the doctor who prescribed you the drug.

Question: Is it true that egilok and betalok affect the potency? What to do?

Answer: Can influence.

Question: I am 32 years old. Height 178 cm Weight 90 kg. Pressure on average 140/90. No clear reasons have pain in the chest – most stinging pain and a little oppressive. Severe weakness in the legs. The whole body is thrown into the heat and cold. All this lasted 40 minutes, was quiet, and after 10 minutes again. Took 2 times nitromint helped a little, and began again. Chest pain (burning) appears discomfort burning pain (swelling and palpation in the region of the stomach and navel hurt). Burning may be subject to the right. Burning of the day may be just 5-6raz or regular short intervals. Burning sensation in the chest does not depend on anything. Burning is very strong. At night and early in the morning everything is fine – nothing. Give that it is. In the Internet say that it can be spontaneous angina or spine or the gastrointestinal tract. What CAS is not excluded? 1) echo Doppler. PV-66%. 2) Pathology net3 ECG) treadmill test (3 times did) otritsatelnyy4), Chap. bottom – norma5) Holter-isolated supraventricular and ventricular ekstrosistoly. brief pause due to sinus tahikardii6) X-ray light-without focal infiltration patologii7) MRI of the brain-goal without signs of focal patologii8) FGS-difuzny gastritis. functional insufficiency of the cardia. chronic gastritis with erosions. hernia under. 9) echo-es mixing net10) duplex scanning e-artery disease net11) hollow. Scanning the abdominal aorta and its branches-pathology net12) EEG alone, without pathologies. cortical rhythm sohranena13) REG-dimensional pulse blood supply has not changed at all basseinah14) MRI of the spine-cervical-thoracic osteochondrosis with multiple Schmorl's hernia. thoracic kyphosis expressed. Skalioz. 15) vessels of the lower extremities, seals and atherosclerosis net16), thyroid gland, smooth contours. structure differentiation. Neodnorodna17) X-ray WGC-without focal and infiltrative izmeneniy18) Ultrasound of the kidneys and abdominal organs, without osobennostey19) cal I / fluke-not obn20) electrolytes-4. 6mmol / l sodium-14521) biochem anal blood creatinine-urea-100-5. 4mmol / L bilirubin-19. 3mkmol / l ast alt-17ed-19ed obsh protein 81g / L amylase-73 sugar-5. 1mmol / l cholesterol-6. 00mmol/Triglitseridy-1. 75mmol / l LDL-3. 99mmol/llpvp-1. 2mmol / L CA-4. 022) TSH for 16 months (4. 0 5. 8 6. 6 12. 1mmmol) t3svob (11. 2 12. 2 11. 7 11. 4) 23), coronary angiographic signs of coronary bed, no

Answer: We examined you, Sergey, specifically. Can you say with a high probability the following. 1. You do not have CHD. 2. Your symptoms – from hiatal hernia. Sleep with a raised head end, is not 3 hours before sleep, lose weight 10 kg, avoid fatty foods, chocolate, peppermint, alcohol, coca-cola, red wine, orange juice, smoking. Avoid compressing clothing. When you receive full-time physician you designate a group of drugs proton pump inhibitors like omeprazole. This should help. 3. If you lower your cholesterol, then in 10 years will really hurt my heart. This – the first bell. Hypocholesterolic diet (found on the Internet), exercise – brisk walking, biking, swimming, lose weight (!). 4. Spine bad, look for a competent specialist in degenerative disc disease, manualschika can be (but Target and reviews of friends, but not for advertising, it does not help everyone).

Question: Hello Doctor! I went ehoobsled and Doppler. Diagnosis: coronary heart disease angina, dysmetabolic cardiomyopathy, AG 2 tablespoons risk 4. Appointed: veroshpiron, kardiket – for pain in the heart, egilok – until the end of life, kardiomagnil – until the end of life, preduktal to drink – the beginning of the pressure drop. The lowest was 64-45, and stopped taking kardiket veroshpiron-was better, but the pressure began to jump – is 169/91, then 97/72. Pain in the heart are not as long and strong, but still there. Please advise what else you can take?

Answer: Dear Ariadna, a diagnosis of angina by echocardiography and Doppler not put this clinical diagnosis. For angina unusual with nagging pain in my left side lasting all day, I recommend that you seem neurologist. As pressure surges, they are linked to neotregulirovannostyu regime supplementation. Kardiket not need to drink until you. There must Egilok 25 mg 2 times a day, then be up to 50 mg, kardiomagnil, preduktal – it's all necessary. If possible, do a daily blood pressure monitoring, then we will adjust the dose. Unfortunately, not seeing you, I can not advise on anything else so little information that you provided.

Question: Please advise what pain behind the breastbone and a sense of lack of air in the clinical diagnosis: coronary artery disease, angina pectoris 2.3 FC, postinfarction cardiosclerosis krupnoochagovogo perednerasprostranennogo after acute myocardial infarction, left ventricular / December 2007. A course of treatment from October 5, TG:-Injections: Actovegin, Mildronate, Pirotsetam 5 ml – 10 days. -Tablets: thrombo-Ass 50 mg, Monochinkve 50 mg, Prestarium 4 mg, 1.2 g. riboksin-patch: Депонит 10 in 3 days. However, the pain behind the breastbone decreased, but still worried, feeling of lack of air left. Inform the survey data for 20 October this year:-EKG-sinus rhythm of 56 beats / min. EOS is not rejected. Ventricular extrasystoles. Diffuse violation of repolarization. Are changing. -Echocardiography: Atherosclerotic Manifestation in the wall of the AO, valvular apparatus, are changing, BPH. Dilatation LP. Lack MK – 1 degree, the AK-1 degree. -Pressure 140/75 mm Hg. Art. Please give your practical advice on the continuation of treatment. I am 70 years old, the usual pressure of 120/70 mm Hg. Art.

Answer: Dear Edward, something I do not see you on the list of designated drugs beta-blockers. So many nitrates (monochinkve, plaster депонит) are useless, they can develop tolerance. I recommend you discuss with the doctor the appointment of beta-blockers (metoprolol, bisoprolol).

Question: Good day! 10. 07. 09 I had a heart attack. Agree Concor 5 mg, omakor, kardiomagnil 150 mg, preduktal-MB 2 x 35 mg, 10 mg tulip. Periodically, I hand over a blood test. Growing bilirubin total: 8. 09. 09 – 23,8; 19. 10. 09 – 26,3. Bilirubin direct – 3,2 and 4,5. ALT and AST were normal. The doctor said a month not to take tulip, then re-check the bilirubin. Seems tulip planting the liver. If you do not take tulip, what is the probability of formation of plaques in the vessels of the heart and the recurrence of a heart attack?

Answer: Dear Victor, a sign of toxic liver injury is not increased bilirubin and increased AST and ALT. You are normal, so to speak of "planting liver wrongfully. Statins should be taken, it prolongs life. When you receive a statin is considered normal AST and ALT levels increased up to 2 rules. Believe me, in the food we eat every day, much more "chemistry" than in the statin pill.

Question: Good day! Operated for stenosis of 2 arteries in February 2009. Performed CABG surgery. Condition generally normal, but often oppressive nature of pain in the shoulder. After the massage shoulder pain immediately goes away, but some time later reappears. This year, resting in a sanatorium in Kislovodsk. This pain was almost constant. Took narzan baths. ECG did not deteriorate. By Holter without drugs pose coronary artery disease and angina of 1 degree. Shortness of breath no. Pressure is now only in the morning – from 130/70 to 157/90, afternoon and evening – the norm. Agree Concor 5 mg, amlodipine 5 mg, aspirin-Cardio 100 mg, Crestor 5 mg. I love skiing and this year in December we will be leaving for Switzerland. How do you think this is my benefit or harm? I am 56 years old, weight is normal.

Answer: Margaret, I would be in your place in the mountainous areas has not left yet. Specific air, variations in atmospheric pressure may increase the frequency of angina attacks you.