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 ?
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.
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!!
26-year-old female, gym-goer since 2018 with a weightlifting coach. Breathlessness on brisk walking, and occasional irregular periods. Mother has arthritis and diabetes. No family history of early heart disease. Took one emergency contraceptive pill 2 months ago.
Reports (11 Oct 2026):
Thyroid: TSH 4.24 (high), T4 4.52 (low), T3 72.8 (low)
Lipids: total cholesterol 235,
LDL 134.7,
non-HDL 193,
triglycerides 292,
HDL 41.9,
ApoB 129,
ApoA1 137
hs-CRP 3.69 (high), ESR 10 (normal)
Sodium 133.9 (low), B12 919 (high), lymphocytes 46% (high)
Normal: HbA1c 5.2%
fasting glucose 97,
haemoglobin 12.8
My Triglycerides are 485. Cholesterol 236.I dnt have gestational diabetes. Gestational thyroid on 12.5 mcg. No fatty liver. Hb1ac 5.3. Avg glucose 105. Is it normal in pregnancy or need medication?
