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Hi Doc My Dad Is A Heart Patient And Had
Question: Hi doc
My dad is a heart patient and had sufffred acute mi which made his lvef to 35% which is the dysfuncyion. This was last year in november and he had got one stent done as it wasb100% blockage but still it was in an wmergency so doc said not to do bypass...
My dad has got sever acidity problem from past 5 yrs he has been taking several medicines for the same like panum l , rantac, sumpraz d and many antacids. He burps a lot and his upper abdomen pains a lot and it bulges out after eating. Doc adviced ro do endoscopy which did not rule out any main reason it said hernia in the food pipe and doc said that is very minor and does not require any specific treatmeant.
Since he has lot of pain in the upper abdomen whcih offen radiates back at the center and he keeps complaining of the pain and acidity a lot doc adviced for CT contrast. But i ak worried with lvef of 30% should be go and do contrast ct scan i read on the internet it affests the heart and blood vessels and may make the dysfunction more
Pls advice on the contrast ct also,, please let us know the reason for the pain and the possible tests
My dad is a heart patient and had sufffred acute mi which made his lvef to 35% which is the dysfuncyion. This was last year in november and he had got one stent done as it wasb100% blockage but still it was in an wmergency so doc said not to do bypass...
My dad has got sever acidity problem from past 5 yrs he has been taking several medicines for the same like panum l , rantac, sumpraz d and many antacids. He burps a lot and his upper abdomen pains a lot and it bulges out after eating. Doc adviced ro do endoscopy which did not rule out any main reason it said hernia in the food pipe and doc said that is very minor and does not require any specific treatmeant.
Since he has lot of pain in the upper abdomen whcih offen radiates back at the center and he keeps complaining of the pain and acidity a lot doc adviced for CT contrast. But i ak worried with lvef of 30% should be go and do contrast ct scan i read on the internet it affests the heart and blood vessels and may make the dysfunction more
Pls advice on the contrast ct also,, please let us know the reason for the pain and the possible tests
Brief Answer:
He can go for contrast CT.
Detailed Answer:
Hi,
Thanks for choosing "Ask A Doctor" service for your query, XXXXXXX used in contrast is excreted by kidney so if kidney functions are normal no need to woŕry.Lvef has as such has no direct role and 30% Lvef is not that bad.
As per his symptoms are concerned they are due to acid peptic disorder.Proper medications should be taken.This defect affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe which incorporates the return of the contents of the stomach back to the oesophagus. .Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning in the throat. The feeling can be defined as throat with a bitter, acidic taste. The burning sensation may last as long as two hours.
Test suggested-
An oesophageal impedance test to measure substance movement inside the oesophagus.
I would suggest you not to worry too much.
Take a proton pump inhibitor like Esomeprazole 80 mg twice daily along with a prokinetic drug (eg.Domperidone).Antacid like Mucaine gell can be taken for few days along with it.Any over counter probiotic should be taken for few days to provide relief in symptoms.
Follow up with reports.
Thanks!
He can go for contrast CT.
Detailed Answer:
Hi,
Thanks for choosing "Ask A Doctor" service for your query, XXXXXXX used in contrast is excreted by kidney so if kidney functions are normal no need to woŕry.Lvef has as such has no direct role and 30% Lvef is not that bad.
As per his symptoms are concerned they are due to acid peptic disorder.Proper medications should be taken.This defect affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe which incorporates the return of the contents of the stomach back to the oesophagus. .Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning in the throat. The feeling can be defined as throat with a bitter, acidic taste. The burning sensation may last as long as two hours.
Test suggested-
An oesophageal impedance test to measure substance movement inside the oesophagus.
I would suggest you not to worry too much.
Take a proton pump inhibitor like Esomeprazole 80 mg twice daily along with a prokinetic drug (eg.Domperidone).Antacid like Mucaine gell can be taken for few days along with it.Any over counter probiotic should be taken for few days to provide relief in symptoms.
Follow up with reports.
Thanks!
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Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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