Peripheral Interventions

Health Q&A
Lower chest discomfort

Dear Doctor, I would like to seek your advice regarding my 80-year-old father. In 2025, he was admitted to the same hospital with heavy breathing and discomfort in his lower chest and upper abdomen. He was diagnosed with acute gastritis, and we were told that his breathing difficulty could be related to the gastric problem. In 2026, he was admitted again with almost identical symptoms, including heavy breathing and chest discomfort, but without pain or cramps in his chest, jaw or arm. This time, he was diagnosed with acute left ventricular failure (LVF). We are confused as to why similar symptoms led to different diagnoses on these two occasions. He continues to experience these episodes, particularly after lunch and his afternoon sleep. Could you please advise whether these recurring symptoms could be related to gastritis or acid reflux, or a cardiac condition ?

Numbness/3Days/Weird Feel/Left Arm & Leg

I'm Experiencing Severe Weird Sensations or Numbness Maybe in Left Leg and Left Arm since last 3 Days started around Evening while getting Ready for Workplace. Thought would Vanish on its Own, still Struggling with this. Im Severe Hypertension Patient with last BP Reading 214/125 at Doc's Hospital who suggested to start Amlip 5 Once Daily and Mecofol Once a Day for both Numbness and Weird Sensations in Left Leg and Left Arm and for Severely High BP. I have No Other Issues apart from maybe Mild Chest Discomfort usually happening after I take a Meal or when I feel Stressed about this Numbness or after taking Amlip 5 due to its known side effects. My Leg and Arm both have Sensations as in I can feel Everything its not totally Gone. I can feel Mosquito Bite, or if I Pinch or Slap, I do feel the Pain or Sensation but its not the Usual Sensation as on My Right Side which is absolutely fine. Also, Sensations are most common whenever I Move, Walk, or Touch something. What should I Do?

Hs crp and crp

I recently did my whole body checkup. Every test including ecg, echo,TMT,Lipid profile, FBS, PPBS, Hba1c, LFT, Thyroid, KFT, urine, Ultrasound abdomen ,TVS, Ultra sound breast, urine are normal except hscrp - 3.24, CRP -27and esr. I recently had a fever just 4 days before the checkup. Will the elevated range be because of fever? Please advice.

Blood pressure

Hi, my bp 10 days ago it was 152/100, then after a week 150/98 and the same day again 140/94. I was prescribed telma 20 but I do not want to take it as it will be for life. Is there any other options. Please let me know. Thank you!!

Homocysteine is 17.86 & vitamin D 12.69

Hi , Sympotms: I have sometime BP elevated and gas in stomach which supplement should i take. These are my test results. Homocysteine: 17.86 µmol/L Fasting Glucose: 110 mg/dL HbA1c: 6.8% AST (SGOT): 36 U/L ALT (SGPT): 59 U/L Alkaline Phosphatase (ALP): 183 U/L Direct Bilirubin: 0.37 mg/dL CRP: 6.63 mg/L Vitamin D: 12.69 ng/mL (low/deficient) LDL Cholesterol: 123 mg/dL Non-HDL Cholesterol: 142.10 mg/dL Vitamins: all are in range except vitamin D Vitamin B1 (Thiamin): 2.33 ng/mL Vitamin B2 (Riboflavin): 34.01 ng/mL Vitamin B3 (Nicotinic Acid): 0.82 ng/mL Vitamin B5 (Pantothenic Acid): 121.48 ng/mL Vitamin B6 (P5P): 16.15 ng/mL Vitamin B7 (Biotin): 0.89 ng/mL Vitamin B9 (Folic Acid): 5.88 ng/mL Vitamin B12: 405 pg/mL

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Doctors
Dr. James Michael Kleman - Internal Medicine
Dr. James Michael Kleman Internal Medicine (Residency, Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Class of 1987) 39 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Albert J. Kolibash - Internal Medicine
Dr. Albert J. Kolibash Internal Medicine (Fellowship, Medical School, Internship, Residency, Class of 1967, Internship, Transitional Year, Residency, Internal Medicine, Medical Education) 59 years experience Delivery OSU hospital
Weinland Park, COLUMBUS
Dr. Allan J Nichols - Internal Medicine
Dr. Allan J Nichols Internal Medicine (Fellowship, Residency, Medical School, Medical Education, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Medical degree, DO) 46 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Judson S Millhon - Internal Medicine
Dr. Judson S Millhon Internal Medicine (Medical School, Residency, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Fellowship in Interventional Cardiology) 36 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Nicholas James Davakis - Cardiologist
Dr. Nicholas James Davakis Cardiologist (Medical School, Residency - ID, Fellowship in Cardiovascular Diseases, Fellowship 2) 45 years experience Mount Carmel Grove City
South Central Hilltop, COLUMBUS