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1.Am getting pain in near wrist joint during radial deviation. 2.During tension am getting pain in chest region. Can you please suggest a solution for my problems. Thank You.
Sir this is about my sister she is 49 years old and obese, 4 years ago she suffered from tumor in her right kidney and that kidney has been removed since then she is surviving with one kidney absolutely no problem. Last a week ago she developed breathless while walking even few steps and chest pain, immediately she rushed to the Dr. She had under gone all tests ECG, ECHO and treadmill which she cannot even walk for more then 56 min's. Based on this without any further discussions Dr's are asking directly to my sister are you ready for heart operation. Shall we go ahead. I request kindly give me an clear cut opinion whether operation is required or not.
Dear sir, before 2 days my health was not well today I have check my bp i. E. 180/90 suggest what to do ?
What is the main cause of slow heart rate of below 45bpm. I am a patient of bradycardia since 20 years .doctors are advising me for e p study. Sir please Guide me as my age is 54.
I am 64 years and diabetic. My sugar level is under control due to intake of insulin. I have knee problems. I find it very difficult to ascend or descend stair cases. Is this problem due to me being diabetic. I have no cholesterol or bp problems. I do have ed problem. Please suggest as to what I should do. Thanks
Main jab vi thora sa kam karta hoon ya fer thora jor se bat karne se ya thora walk karne se mare ko saans lene taklif hota hain aur mera heart beat bar jata hai. Bahut pasina vi hota hain. please suggest what can I do.
Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.
Heart disease patients tend to fast during ramadan but they have many questions:
1. Cardiac patients can fast?
The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.
Common types of cardiac conditions as follows:
A. Patients who had heart attack or recent stenting or open heart surgery
Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.
B. Patients with low pumping of heart i. E, reduced ejection fraction
Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.
C. Patients with high blood pressure.
Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.
2. How to take their cardiac drugs during this month?
Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.
3. Lifestyle during ramadan
Avoid over eating while breaking the fast
Avoid exercise after a large meal
4. Can cardiac patients do hajj pilgrimage?
Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj
Full medical workup is mandatory before hajj.
Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.
Take home messages-:
A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.
B. Comply to medication
C. High risk patients should avoid fasting
D. Unfit cardiac patients should not try hajj pilgrimage.