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 ?
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
On Friday her bp was 115/84 and pulse 80
Now her bp is 166/107
What to do... We have checked 3 times after every 5 mins... It's still showing high.
What should we do ?
In my echo ...DT time shows 941 ms...
Which is extremely high...what is this...
Something serious
In echo it says normal
Please guide
My father got a heart attack last week, and stent implantation was done. Now he has suffered with loose motions, can I use sporlac or lopermide for controlling that.
