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Suggest Treatment For Persist Shoulder Pain
Question: Hi Sir,
My mother is suffering from pain near her left shoulder. so we took her for body checkup along with ECG and TMT as per the guidance of general physician. She is taking Rosuvas 10, Thyronorm 50 and MetXL 50/5 medications regularly. please review the reports and kindly suggest me if there is any need of changing the current medication and also if there is any emergency to rush her to hospital. Thanks in advance.
Best Regards, XXXXXXX XXXXXXX K
My mother is suffering from pain near her left shoulder. so we took her for body checkup along with ECG and TMT as per the guidance of general physician. She is taking Rosuvas 10, Thyronorm 50 and MetXL 50/5 medications regularly. please review the reports and kindly suggest me if there is any need of changing the current medication and also if there is any emergency to rush her to hospital. Thanks in advance.
Best Regards, XXXXXXX XXXXXXX K
Brief Answer:
Please upload the reports
Detailed Answer:
Hello,
I think you have not uploaded the reports. Please do upload for opinion.
Please upload the reports
Detailed Answer:
Hello,
I think you have not uploaded the reports. Please do upload for opinion.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
please find them attached
Brief Answer:
please mail me on YYYY@YYYY
Detailed Answer:
I guess there is problem in system as I checked repeatedly, but I am able to find reports.
You please mail me on YYYY@YYYY . I have also reported problem to administrators.
please mail me on YYYY@YYYY
Detailed Answer:
I guess there is problem in system as I checked repeatedly, but I am able to find reports.
You please mail me on YYYY@YYYY . I have also reported problem to administrators.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you so much for providing the mail Id. I forwarded the attachments just now. Kindly review and suggest me accordingly.
Best Regards, XXXXXXX XXXXXXX K
Best Regards, XXXXXXX XXXXXXX K
Brief Answer:
Reports are normal
Detailed Answer:
Hello,
I have gone through all the reports which you have attached. All reports are normal including TMT.
It's better if you can upload the tmt ecg tracing if possible but not absolutely necessary as they have summarized in the end as no symptoms and no ST T changes, which means it is normal.
However, her bp was on higher side. So need to monitor resting bp Thrice a day for a week with electronic bp apparatus and if most of the readings are above 140/90 then her medicine needs to be hiked up. Also, have low salt diet and regular exercises like brisk or normal walking atleast 30 min a day. So overall no need to worry. Hope this helps you and get back if you have any doubts.
Reports are normal
Detailed Answer:
Hello,
I have gone through all the reports which you have attached. All reports are normal including TMT.
It's better if you can upload the tmt ecg tracing if possible but not absolutely necessary as they have summarized in the end as no symptoms and no ST T changes, which means it is normal.
However, her bp was on higher side. So need to monitor resting bp Thrice a day for a week with electronic bp apparatus and if most of the readings are above 140/90 then her medicine needs to be hiked up. Also, have low salt diet and regular exercises like brisk or normal walking atleast 30 min a day. So overall no need to worry. Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you so much for your reply. Can you also please suggest if we should still follow using the medicines for cholesterol control and Thyroid treatment or can you suggest us with the dosage if we can reduce it as i observed the thyroid value being reduced from 16 to 1.8 over a period a 2 months. Thanks.
Best Regards, XXXXXXX XXXXXXX K
Best Regards, XXXXXXX XXXXXXX K
Brief Answer:
Yes needs to be continued
Detailed Answer:
For thyroid, medicine needs to be continued lifelong as it's a supplement to deficient hormone in the body. Regarding dosage, our aim is tsh less than 5 and preferably less than 2.5. Between 2.5 and 5 is acceptable. So at the moment you continue the same dose and repeat tsh after 4 weeks and if tsh is further decreasing then we ll decrease the dose.
Also, regarding rosuvastatin if lipids level is controlled then dose can be decreased to 5 mg once a day bedtime and it's better to continue with low dose as it has multiple beneficial effects on the heart other than cholesterol lowering action. So it's recommended to continue this medicine for prevention of heart disease.
All the best.
Yes needs to be continued
Detailed Answer:
For thyroid, medicine needs to be continued lifelong as it's a supplement to deficient hormone in the body. Regarding dosage, our aim is tsh less than 5 and preferably less than 2.5. Between 2.5 and 5 is acceptable. So at the moment you continue the same dose and repeat tsh after 4 weeks and if tsh is further decreasing then we ll decrease the dose.
Also, regarding rosuvastatin if lipids level is controlled then dose can be decreased to 5 mg once a day bedtime and it's better to continue with low dose as it has multiple beneficial effects on the heart other than cholesterol lowering action. So it's recommended to continue this medicine for prevention of heart disease.
All the best.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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