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,
I am 47 yrs ,male with hypertension,on medication Telmisartan 40 mg.
My CT calcium score is 70.
Coronary artery
Agatston score
Left main (LM) 8.2
Left anterior descending (LAD) 32.3
Left circumfex (LCx) 30.5
Right coronary artery (RCA) 0.0
TMT
Stress test is negative .
My BP 140/ 90 remain constant during 9 min TMT
2D Echo
Normal .except ,Left atrium 300 mm
I am on medication for hypertension Telmisartan 40 mg.
Lipid profile,all normal except HDL 34
Please suggest how critical is CT calcium score and overall heart health?
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
I have felt heaviness mildly in past 2 weeks and very mild and occasional chest pain and I had pain in my centre back for continuous 2 days 2 weeks back. .. what shall I do
Hi,
I done test with below level elevated_I have fatigue,tingling weakness like symptoms
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
CRP: 6.63 mg/L
Vitamin D: 12.69 ng/mL
LDL Cholesterol: 123 mg/dL
Non-HDL Cholesterol: 142.10 mg/d
