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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness, High BP, Gastric, Chest Pain Occasionally. History Of Angioplasty. On Pareit, Coverseal, Concor, Aspirin, Crestor. Need Opinion

hi doctor,
im a heart patient,engoplastry done with one stent in 2009. im also suffering from severe gastric and taking pareit tablet daily alongwith 5mg coverseal,5 mg concor,75mg aspirin and 75mg crestor. since last 2 weeks im having my blood pressure going up during the day and night.i went hospital doctors asked me to have 10 days measurement then they will decide what to do. they took my blood tests all is ok and they say heart is ok. please advice what should i do? i feel dezziness 3 or 4 times a day and sometimes chest pain. thanks
Sat, 20 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
You are suffering from Coronary artery disease and was treated with PCI that is angioplasty asnd stent placement, which is good revascularization process and your treatment with ACE inhibitor( Coversyl), Beta Blocker (ConCor), Aspirin, Rosuvastatin is along standard line of management.
If your BP is high please monitor BP carefully and take care of diet taking less salt if BP persists high you medicine dose can be escalated.
If you are having Gastritis it could be drug induced or H.Pylori which you can test easily and treated accordingly.
Pareit is PPI which should take care of your gastritis part but if you are taking and not free of symptoms discuss with doctor or see Gastroenterologist.
Few patients may not tolerate aspirin where alternative like clopidogrel may be used with consultation of your Cardiologist.
It is nice that your blood work up is normal.
Please take care
Good Luck
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Dizziness, High BP, Gastric, Chest Pain Occasionally. History Of Angioplasty. On Pareit, Coverseal, Concor, Aspirin, Crestor. Need Opinion

Hi, Welcome to HCM, You are suffering from Coronary artery disease and was treated with PCI that is angioplasty asnd stent placement, which is good revascularization process and your treatment with ACE inhibitor( Coversyl), Beta Blocker (ConCor), Aspirin, Rosuvastatin is along standard line of management. If your BP is high please monitor BP carefully and take care of diet taking less salt if BP persists high you medicine dose can be escalated. If you are having Gastritis it could be drug induced or H.Pylori which you can test easily and treated accordingly. Pareit is PPI which should take care of your gastritis part but if you are taking and not free of symptoms discuss with doctor or see Gastroenterologist. Few patients may not tolerate aspirin where alternative like clopidogrel may be used with consultation of your Cardiologist. It is nice that your blood work up is normal. Please take care Good Luck