Health Q&A
Idk what is this

So, I went to a doctor and he told me that it is gastritis, which is some due to eating too much spices. And I agree with that. But I still have two questions : If it is due to spicy still there is a moment when I felt like heaviness in my cheat, unable to breathe, feeling smthn and getting nervous and thinking what it is even when i didn't eat anything spicy. Second it even happend when I was watchin a show and some scene made me nervous and I started feeling it again, but I wanna ask, since I study in a college where I don't need to go regularly, so I sleep around 6 am in the morning and wake up around 4 pm (also coz I have been depressed 2 years ago), and then when I wake up I have my lunch and have dinner around 12 am or smthn. I just wanna know since my family hates this schedule of mine, but I am like this only and I feel comfortable too (GEN Z LIFESTYLE yk) do you think this schedule is not okay? and it could be a reason of what I feel? or what.

Hypercholesterolemia

Im having elevated ldl cholesterol above 190mg/dl from past 3 yrs , with lifestyle modification and diet changes i have reduced my weight by 7kg and ldl cholesterol to 158mg/dl. Despite of the changes im having borderline high ldl  cholesterol. I have also done lipoprotein a test which is also on the higher side . Do I require to take statins for indefinite period or I can decrease cholesterol levels further by diet and exercise alone.

Angina?? Neck n jaw burn

Since the past two days have been having some weird pressure and deep burning ache in my neck and jaw- I was also having occasional chest pressure, but I knew it was due to GERD but this neck n jaw issue is new I consulted my regular cardiologist, who did ECG, echo and some blood test, which were completely normal - I also have a history of a normal invasivea angiogram done a year ago He gave me medicines for GRD and dysphasia mentioning that GERD issues can present in several atypical ways But my mind remains fixed on cardiac side - since all the investigations have been done, I don't know if I should go for any other test

EECP vs Other non surgical options

EECP vs Better Non-Surgical Options: 61F Post-Pulmonary Edema (TVD, 42% EF) 61F. Frail/thin. Hospitalized last week for 1st time with acute pulmonary edema (now resolved). Currently stable: lungs clear, SpO2 98%, Pulse 82-85, FBS 155, PPBS 198. Has intense thirst and fragmented sleep. Angiogram: Severe TVD. LMCA 30-40% stenosis; LAD total occlusion (filling via active collaterals); Distal LCX 90-95% stenosis; RCA total occlusion (retrograde filling). Surgeons advised against CABG/PCI due to frailty; recommended medical management as collaterals are compensating. 2D Echo: EF 42%, mild PAH, multiple hypokinetic LV segments. Chambers/IVC normal. Meds: Axcer 90mg BID, Aspirin AV 75/40, Bisoprolol 1.25mg, Angispan 2.6mg, Oxra 10mg, Tab Leni 40mg (1.5 tabs/day). NovoRapid (10-10-8) + Lantus (10u at 10 PM). Strict 1L fluid limit, zero-salt diet. Questions: Can EECP safely mature her collaterals, or does increased venous return risk re-inducing pulmonary edema so soon?

Fatigue after intense play

He has been taking 5ng rosuvasatin for last 6 months every alternate day for ldl of 130 and tg of 370. He has been playing tennjs for 2 years without any problem..but for some months..jhe has looked tired...now 1 month back he played for 2 hours...and after that he has been very fatigued...he rested for 3 weeks and again played for 1 hour...now its been 4 days...he still looks fatigued alot....is this caused by overexertion plus rosuvastatin?

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Doctors
Dr. Jeffrey  Zangmeister - Internal Medicine
Dr. Jeffrey Zangmeister Internal Medicine (Fellowship, Residency, Medical School, Internship, Residency in Internal Medicine, Clinical Fellowship in Hematology and Medical Oncology, Medical Education, Fellowship 2, Residency - ID, Class of 1981) 45 years experience Zangmeister Cancer Center
Columbus 43222, COLUMBUS
Dr. Taral  Patel - Internal Medicine
Dr. Taral Patel Internal Medicine (Fellowship, Residency, Medical School, Internship, Medical College, Residency - ID, Fellowship 2, Clinical Fellowship in Hematology and Medical Oncology, Residency in Internal Medicine, Class of 1989) 37 years experience Zangmeister Cancer Center
Columbus 43219, COLUMBUS
Dr. Basem Magdy Youssef William - Oncologist
Dr. Basem Magdy Youssef William Oncologist (Medical degree, DO, Residency in Internal Medicine, Clinical Fellowship in Hematology and Medical Oncology) 30 years experience OhioHealth Doctors Hospital
Forest Park West, COLUMBUS
Dr. SAMEH  MIKHAIL - Internal Medicine
Dr. SAMEH MIKHAIL Internal Medicine (Medical School) 23 years experience Ohio State Outpatient Care East
Shepard, COLUMBUS
Dr. Ashley Elizabeth Rosko - Internal Medicine
Dr. Ashley Elizabeth Rosko Internal Medicine (Medical School, Residency, Residency - ID, Fellowship 2, Medical degree, DO, Class of 2000) 20 years experience The Ohio State University Wexner Medical Center
Weinland Park, COLUMBUS