Question: I am a 59 year old man with obesity and intestinal flatulence due to gas. I take Gelucil/Digene often. My height is 5ft 7in and weight is 89Kgs.

I am with a stent in my heart's lower downward artery since 2014. Recently due to my cardio physician being out of XXXXXXX I had gone for a six monthly consultation to a new cardio physician who replaced my years old BP medicine Telma to Olmezest.

I am facing severe hypertension and my daily BP count has increased from 120/80 to 150/90. My cardio says it will take some time to re adjust.

!) Should I go back to taking Telma 40mg instead of Olmezest 40mg?

2) I was also taking post angio-plasty these 3 drugs, a) Clopitab A75, b) Rosuvastatin 20mg, c) Starpress XL 50mg and d) Tryptomer 10 mg on a daily basis.

The new cardio has asked me to discontinue Starpress XL 50mg and Tryptomer 10mg. Will the stopping of these two have detrimental effect on my heart?

Thank You.

Shyamal XXXXXXX XXXXXXX

Dear Dr. Saxena,

Thanks for your initial answer.

I have missed Starpress XL for three days now and have taken a single tablet moments after seeing your alarm! Thank you again!

Tryptomer was advised 9 months ago after I had reported to my cardiologist that I had experienced anxiety and heavy headedness after severe flatulence together with twitching in my upper eyelids. He had prescribed this drug and had advised me to take only occasionally a 5 mg dose of Zapiz/Lonazep in severity to feel relieved.

I do not take Zapiz/Lonazip but do take Tryptomer.

One more information that may describe my gas problems.

Since angioplasty I am on a strict diet of boiled unspiced food and avoid eating
fried snacks, bakery products, egg yolk and drinking coffee.

But the initial heart drugs Prasugrel and Ecosprin (prescribed by my cardio-surgeon who had planted the stent in my heart's LDA) were stopped by me after six months of intestinal bleeding, evidenced by the pathology tests of my suddenly
black hued faeces. I also had started bleeding excessively on shaving cuts and nicks.

Stopping the above two drugs changed the hue of the faeces and (as per pathology reports) the intestinal bleeding to a great extent. I still pass occasionally black hued faeces and am in constant flatulence which sometimes causes the BP to rise and does not get permanently cured even after daily empty stomach intake of Pantocid DSR. In emergencies doctors at hospitals have sent me home with an intravenous injection of pantoprazole as a stand by measure of relief.

Does inflation of the abdomen due to flatulence contribute to rise in BP and later cause heart attacks?

Thanks

Shyamal XXXXXXX XXXXXXX