Paroxysmal Nocturnal Hemoglobinuria Treatment

Health Q&A
Chest pain & heaviness

My Ecg is normal sinus rhythm,echo was normal done 4 months ago(ef=65%), .but tmt was positve  but my invasive coronary angiogram report is  normal arteries with slow dye clearance, microvascular angina just one year ago(2024 december,dated 21/12/24).calcium score was 0 in 2023 ct cag test report ( november, 2023)too, hs crp value is 0.48, apoa1 is 141, apoB is 50.3 HDL 54, ldl 64, tg 55, cpk mb 19( ref was <25), hb1c 5.2 done all tests in october'25 I feel discomfort and tightness, discomfort & heaviness like feeling & pain and heaviness with tightness the left chest and & at sometime even at rest.moreover feel palpitation & pain & discomfort type of sensations sometime in stress .high bass sound makes me feel very uncomfortable feeling in chest. Taking clopidogrel 75 od & rosuvastatin 10 od. Non smoker, non alcoholic, non diabetic. Is it a heart related problem? Do i need to go for another angiogram? How to get rid of this? Plz suggest doctor. Reports are attached. Thank you

Cause of burning in left side chest

Yesterday night my dad had chest burning shall i go for medical examination. He is bp sugar patient last 10 year but he is taking medicin but sugar not in control .he also taking blood thiner this is happened 1st time . Shall i go for some lab test kindle let me know

Please review my reports

Hello mam,kindly review my reports and please suggest me to overcome the issue.kindly please help ma

High chest pain with m breathing problem

Hi Doctors, Good morning. I would like to inform you that, yesterday I had a moderate to high pain around my chest area, pain on back left associated with difficulty in breathing. Yesterday I had some chicken biriyani with a glass of coke. Day before yesterday I had fish curry both are home made not outside food and I had it in regular quantity not in excess. With that in mind, I searched for home remedies and had eno, warm water. I went to toilet for 2 times and I am feeling better than yesterday night. But the pain is still on and off. Breathing is ok for now. I have some Hypogonadotrophic hypogonadism, ENT issue like tinnitus,discharge, Vertigo issue. when I recently checked my BP in hospital I got 150/90. Nurse told me that's bec of speed walk. its ok.  I request you to guide me what I need to do now, within what time I need to consult Doctor. If so which specialist do I need to consult Cardiologist or Gastro or Lung specialist. I am confused and please suggest me on this.

Query regarding medication  higher pulse

I have a query regarding medication for pulse.Iam 44 year old male taking bp medicines since almost 10 months.It started with telmisartan 40 mg then transitioned to 25 mg till it got changed again a week ago.Iam taking Rivelol 40/50 for bp and one medicine Betaloc 25 has been prescribed sos in case there are palpitations and higher pulse.Now my query is Iam checking my bp almost every other day the bp reading is normal but the pulse hovers around 90/91/92.Is this concerning.Also is it required to take Betaloc 25 in case the pulse is around 90/91/92 or should it only be taken if it crosses 100? Pls advise

Health Feed
Title: Is Your Hemoglobin Low? Here's What You Should Know

Low hemoglobin (Hb) levels can make you feel tired, weak, or short of breath — and you might not even realize it.Common causes include:Nutritional deficiencies (iron, B12, folic acid)Chronic illnesses (kidney disease, infections)Blood loss (heavy periods, ...

Say No to Steroids!

Chronic lower back pain affects millions of Americans. Many try steroid injections to ease their discomfort, but researchers now say this remedy provides only short-term relief. In their study, investigators from France focused on 135 patients with back pain seemingly caused by inflammation of ...

5 Tips to Avoid and Cure Back Pain!

Back pain is extremely common and can be caused by many simple everyday activities. Help prevent back pain and protect your spine with these important steps.Back pain can be the result of trauma, such as a fall or a car accident. But most often back pain is the result of an everyday ...

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