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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diabetes And High Bp

i am diabetic and have BP.I am taking medication since 2002.8months back I did stress test and echo ,all are normal. Last week as regular check up I did stress test and shown as ST depression after 15 min walk at 3rd stage.Doctor told it may be due to High BP 200/110 at 3rd stage. Yesterday i lifted 22kg weight .I felt discomfort in my heart.I felt I am not get enough oxygen and my pulse rate was high.I felt tremor in my hands.I was panic ,I sat down in a chair for 15 min.I felt that i was not able to step a foot ,might be i will fall down and no energy also.After 20 min with courage i stood and slowly started walking.May be i felt anxiety also.But today also I have spasm feeling in trachea down area of the neck.I am on medication as follows Kompyglyx;diamicron 30;concor 2.5;Xforge ;simvastat;aspirin Last week i did echo and was found normal.What may be the cause of my discomfort like spasm
Wed, 27 Aug 2014
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Diabetologist,  's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

The obvious answer is what you said yourself, a possible cardiac issue. However I would agree with your cardiologist, it should not be too significant. Still the only way to confirm it is by angiography. This gives you the option of coronary angiography or ct angiography. I would suggest the former cause in case the ct angiography is inconclusive, former will have to be done.

There may be a psychological effect as well. I mean you started having symptoms on the day after the stress test. Did you have the symptoms before? I doubt that. Therefore a psychological effect cannot be ruled out.

However I always say Better safe than sorry. So I suggest angiography.

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
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Suggest Treatment For Diabetes And High Bp

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query The obvious answer is what you said yourself, a possible cardiac issue. However I would agree with your cardiologist, it should not be too significant. Still the only way to confirm it is by angiography. This gives you the option of coronary angiography or ct angiography. I would suggest the former cause in case the ct angiography is inconclusive, former will have to be done. There may be a psychological effect as well. I mean you started having symptoms on the day after the stress test. Did you have the symptoms before? I doubt that. Therefore a psychological effect cannot be ruled out. However I always say Better safe than sorry. So I suggest angiography. I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck.