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I Underwent A Bypass Surgery 4 Months Back , Now

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Posted on Thu, 29 Nov 2018
Question: I underwent a bypass surgery 4 months back , now i m advised ecospirin gold20
Revelolxl 25 calchek 5 and telma 40 , i want yo understand if i have done bypass then why such heavy dose of b/p now i m not taking telma , i was advised ramcor 5 but im coughing a lot so i stopped and i fund telma 40 a high dose , please advise should i take


Now i m taking ecospiringold 10 calchek2.5 reveloxxl 25 and i m suppose to take amlopin 2.5 but my coughing doesnt stop and chest xray is clear ( surgery done on 9 th XXXXXXX 4 graft) so i have not started yet bp is bet 138/86 to 94
doctor
Answered by Dr. Bhanu Partap (43 minutes later)
Brief Answer:
bypass surgery is done to create a new track

Detailed Answer:
Hello

After going through the medical details provided by you I can understand your concern and I would like to tell you that bypass surgery is done to create a new track for the blood to flow to your heart muscle. It’s not done to reduce blood pressure.

However after bypass surgery it becomes even more important to keep blood pressure under proper control so as to avoid damage to the grafts.

Now coming to medications, as mentioned by you that you are taking calchek, it basically contains amlodipine only and it doesn’t causes cough.

As your blood pressure is maintained so it’s advisable to continue with the medications which you are taking and keep taking low salt and low fried diet.

For cough I would like to suggest you to take steam inhalation 3 times a day for 5 days. If it doesn’t settle with this then consult a chest specialist for evaluation and advise.

Hope to have been helpful.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhanu Partap (27 hours later)
I have already mentioned that chest cray is clear , this should not b considered as follow up question as question is not properly understood
doctor
Answered by Dr. Bhanu Partap (50 minutes later)
Brief Answer:
Hello Again

Detailed Answer:
Dear your query was well understood and thoroughly answered. Having a clear chest X-ray doesn’t mean there can’t be any respiratory issues.

His cough could be due to upper respiratory tract infection (X-ray remain clear) or could be due to the irritation caused by mucosal healing of the tracheal tract which is common with intubation during surgery.

Nebulise him thrice a day and give him like warm water to drink hopefully he will be fine.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4730 Questions

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I Underwent A Bypass Surgery 4 Months Back , Now

Brief Answer: bypass surgery is done to create a new track Detailed Answer: Hello After going through the medical details provided by you I can understand your concern and I would like to tell you that bypass surgery is done to create a new track for the blood to flow to your heart muscle. It’s not done to reduce blood pressure. However after bypass surgery it becomes even more important to keep blood pressure under proper control so as to avoid damage to the grafts. Now coming to medications, as mentioned by you that you are taking calchek, it basically contains amlodipine only and it doesn’t causes cough. As your blood pressure is maintained so it’s advisable to continue with the medications which you are taking and keep taking low salt and low fried diet. For cough I would like to suggest you to take steam inhalation 3 times a day for 5 days. If it doesn’t settle with this then consult a chest specialist for evaluation and advise. Hope to have been helpful. Kind Regards Dr Bhanu Partap