How to treat wheezing and shortness of breath during a cold?
Hello doctor,
I have a wheezing problem and breathing shortness when I suffer from cold. I noticed I have dust allergy also. Day by day my problem is increasing. Now I have to take Levolin inhaler three times in a day. Is there any measure to control my problem?
07 May 2024 - 1 min read
What is white coat hypertension?
Hi doctor,
This concerns my mother's BP (blood pressure). She is nearly 154 pounds in weight and has been on BP (blood pressure) treatment for the last four months, and here I am giving a summary regarding her BP treatment. Four months ago, the first time the treating physician checked her BP for the first time. It was around 190/90, and the doctor prescribed Telmipil AM (1-0-0) for the first month. After 30 days of Telmipil AM (1-0-0), when her BP got checked once again, there was no improvement in reading, so the doctor changed to Telmipil trio (40/5/12.5) for the second month. After 30 days of Telmipil trio (40/5/12.5), again her BP got checked, and again it was the same, only around 190/90, and the doctor prescribed Terminal CT (40/12.5) with Cardio retard 10 (1-1-1) for the third month. After 30 days of Telmipil CT (40/12.5) with Cardio retard 10 (1-1-1), her BP got checked, and that time around 180/90, and again, not that much improvement. This time doctor prescribed Telmipil ct (40/12.5) with Nicardia retard 20 (1-0-1) with Nicardia retard 10 (0-1-0) for the fourth month. After ten days of Telmipil CT (40/12.5) with Nicardia retard 20 (1-0-1) with Nicardia retard 10 (0-1-0), the doctor once again checked her BP. That time it came around 170/80 mmHg, and based on this value, he increased the dose of Nicardia retard 20 and asked her to continue Telmipil CT (40/12.5) with Nicardia retard 20 (1-1-1) for the fourth month. After 30 days of Telmipil CT (40/12.5) with Nicardia retard 20 (1-1-1) yesterday, we visited him, and to our surprise, when he checked his BP, it was 200/100. So this time also no effect of the medicines as mentioned above. Instead, her BP got increased this time. I asked him whether should she go for renal arteries doppler ultrasound or what? as her BP was not reducing and, he said, no need. This time he added one more medicine named Arkamin 100 mcg (0.5-0.5-0.5). So this time, he asked her to continue Telmipil CT (40/12.5) with Nicardia retard 20 (1-1-1) with Arkamin 100 mcg (0.5-0.5-0.5) for the fifth month and asked us to visit after 30 days. so here my concern is, with the latest prescribed BP medicines, would you think of any improvement in her BP value after 30 days? After four months of taking a variety of BP medicines, as discussed above, there is no effect at all, sometimes decreasing a little bit, sometimes increasing, sometimes neutral (no effects), so why no effects of any BP medicines so far? Also, despite this much higher BP of 200/100 mmHg as per the latest prescription, no symptoms were observed of high BP in her, and she can do her activities like a normal person only without any problem. Also, the treating physician is saying no need for renal arteries doppler ultrasound test despite no improvement. So, here I seek your valuable opinion and according to you if any tests like I mentioned above are needed to check for anything suspicious. So kindly suggest what should be done for her BP to bring it down to normal. Your perfect and accurate opinion will matter a lot. Also, is any improvement needed in current BP treatments, according to you? Thank you.
06 May 2024 - 1 min read
What causes ankle edema after delivery in a heart patient?
Hello doctor,
My daughter was pregnant and had extreme edema. The doctors said it was normal. As it turned out she was sent by ambulance to another hospital as she went into heart failure, her BNP levels were extremely high and the baby had to be induced. She is now back to her original hospital. The edema around her ankles is severe and nothing is being done about this. What can I do?
29 Apr 2024 - 1 min read
Does heart rate increases with anxiety or panic attack?
Hello doctor,
I suffer from anxiety and my anxiety is always centered on my heart. With anxiety or panic alone, can my heart rate go too high that I cannot calm it down?
29 Apr 2024 - 1 min read
What causes profuse perspiration, nausea, and tremors?
Hello doctor,
An episode of profuse perspiration with nausea and mild trembling legs occurred in the morning today. ECG conducted within an hour is normal. Cholesterol level is also normal. Please advice further course of action required. The other tests performed were lipid profile, KFT, LFT, and Iron profile.
22 Apr 2024 - 1 min read
