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Attaching The Report For Evaluation

Posted on Thu, 25 Jul 2024

Question: done my health check up and attaching the report for evaluation. few results are not normal. Please suggest what medication needs to be done.

current medication.

melmet 500 SR 1- 0 - 1 (after food)

Follow up: Dr. Vaishalee Punj (3 minutes later)

apart from some body pain on joints, i fee little some kind of vibration on the middle chest at times and it last for few seconds and chest area feels heavy most of the time. no issue in breathing.

Answered by Dr. Vaishalee Punj (2 hours later)

Brief Answer:
Get an ECG and chest X-Ray PA view done

Detailed Answer:
Hello and welcome

I have seen the attached report and here is my advice:

- Lipid profile is normal
- Diabetes is under control
- Liver function test is normal
- Kidney function test is normal
- Thyroid function test is normal
- Vitamin B12 and D are little low. Can take these supplements. If taking Vitamin D supplements, keep a check on its levels in blood, as it can ccumulate in body.
- High RBC and hemoglobin values could be associated with high blood pressure and alcohol intake.

Please check your blood pressure. It could be causing chest heaviness. Other reasons of chest heaviness could be lung or heart issues or anxiety. Take fatty foods in moderation only. Do regular exercise/walk/yoga.

Hope this helps. Let me know if I can assist you further.

Regards,
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaishalee Punj (12 hours later)

I will come back with chest xray PA and ECG reports in 2-3 days.. looks like you missed to add the vitamin supplements to correct the levels. Please advice them. I don't have any alcohol habit and during this health checkup they have monitored my BP, that was normal.

Answered by Dr. Vaishalee Punj (8 hours later)

Brief Answer:
Supplements as below

Detailed Answer:
Hi again,

Thanks for reverting back.

Vitamin supplements are as below:
- Tab Neurobion Plus once a day for 3 months
- Tab Shelcal 500 mg once in two days for 3 months

Repeat vitamin D and vitamin B12 levels in 3 months

Just keep a regular check on your blood pressure levels at home too.
Let me know if you feel stressed

Regards
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaishalee Punj (23 hours later)

Dear Ma'am,

Thank you, here are the ECG and XRAY report attached. also visited a physician at the hospital as they will not allow the test to be dome without any doctor consultation.

he checked the XRAY report and told it's normal, where as the BP was little high when i was at hospital and the heart rate was found high on the ECG... hence advised some medicine.. attaching his prescription for your referance.

Answered by Dr. Vaishalee Punj (1 hour later)

Brief Answer:
Need to take care of cardiovascular health

Detailed Answer:
Hi again,

Currently your hemoglobin, hematocrit, blood pressure, heart rate, RBC count, LDL cholesterol are somewhat high. You need to monitor your cardiovascular health (the abnormal parameters) regularly (maybe every 6 months. Keep a track of your blood pressure at home. These parameters may affect heart in long run (after maybe 20 or 30 years). I would still suggest lifestyle measures like healthy diet and regular exercise. May do yoga and meditation to relax from stress. Although currently medicines maybe taken for short term (maybe).

Regards,
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Vaishalee Punj (1 hour later)

May be the last question. along with your suggested vitamin supplements should i continue the suggested medication

Concor COR 2.5 Tablet - 1- 0 - 1 ( for 10 Days)
Atorfit CV 10 Capsule - 0 - 1 -0 ( for 30 Days)

are these medications to be continued lifetime if yes, then any alternative medication can be advised for a short term ?

i do walk but it was not regular. will try do it regularly. and every 6 months i'll follow health check up and meet physician.

Answered by Dr. Vaishalee Punj (4 hours later)

Brief Answer:
Currently I dont see the need for regular medicines

Detailed Answer:
Hi again

As per your reports and description, I donot see the need to regular medicines. Atorfit CV is a lipid lowering drug plus blood thinner. It is meant to prevent heart attacks. Your lipid profile is normal, so you may take second opinion from a cardiologist. I dont understand the reason for this medicine in your reports for continuing it for life.

Concor cor is meant for lowering blood pressure. So you may regularly monitor your blood pressure. How much was it in hospital?

Regards,
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Vaishalee Punj (16 hours later)

Dear Ma'am.

At hospital they checked my BP twice 1st one 130/100 (measured by nurse) and when doctor checked post ECG it was 130/88.

should i continue with those medicines (Atorfit CV and Concor cor ) or consult with cardiologist before taking those ?

Thanks.
Dwarup

Answered by Dr. Vaishalee Punj (45 minutes later)

Brief Answer:
Blood pressure is normal

Detailed Answer:
Hi again

If we consider these readings as three separate measurements - during test, by doctor and by nurse, I will consider this as NO hypertension. Since it is not hypertension, I would not suggest the BP medicines. Lifestyle measures are still the best for you.
Since you have some chest heaviness, you may visit the cardiologist to figure out the cause for it. It is likely to be due to musculoskeletal, angina or anxiety. If it is angina, then also cardiologist will be able to suggest further. So cardiologist visit should happen to find out cause for chest heaviness.

Regards,
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Vaishalee Punj (19 minutes later)

Thank you very much Ma'am. Appreciate your support.

Answered by Dr. Vaishalee Punj (1 hour later)

Brief Answer:
Thanks

Detailed Answer:
Thanks for consulting me online

Take care

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Vaishalee Punj