Paroxysmal Nocturnal Hemoglobinuria Treatment

Health Q&A
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

Cholesterol levels

I took cholesterol test my report is like cholesterol levels Iis 152 triglycerides 46 hdl cholesterol is 48 ldl cholesterol is 94.8 vldl cholesterol is 9.2 cholesterol hdl ratio is 3.2 non hdl cholesterol is 104

Low bp and digestive issue

As soon as I drink water or eat something I'm getting burps immediately, getting stools daily but feels like incomplete evacuation and since 2-3 days my bp is around 95/65. My b12 is 155 Iron is 43 Hb is 11.5 Rbc 3.69 Calcium 7.81 ESR 26 Rest cbc, lft, kft, thyroid profile, lipid profile were fine. I took iron and b12 tablets for 20-25 days but there is no increment. I tested for celiac disease too but it's negative. What's causing this burp and low bp? Is it the gut issues or heart issue?

Tingling in hands upper skin and in body

Dear Sir, Suffering from mid spine bearable pain, but tingling in hands and legs and face jaw, some time feel like I'll faint but not yet fainted, imbalance feeling but I can walk and drive bike normal, my body weight 108kg height 5ft 7 inch, no sugar, blood report and ecg normal, 2decho normal, ...iam just worried of tingling in hands upper skin, and imbalance feeling it's irritating. Please help with your suggestions why this happens and root cause.

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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