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 ?
I recently did my whole body checkup. Every test including ecg, echo,TMT,Lipid profile, FBS, PPBS, Hba1c, LFT, Thyroid, KFT, urine, Ultrasound abdomen ,TVS, Ultra sound breast, urine are normal except hscrp - 3.24, CRP -27and esr. I recently had a fever just 4 days before the checkup. Will the elevated range be because of fever? Please advice.
26-year-old female, gym-goer since 2018 with a weightlifting coach. Breathlessness on brisk walking, and occasional irregular periods. Mother has arthritis and diabetes. No family history of early heart disease. Took one emergency contraceptive pill 2 months ago.
Reports (11 Oct 2026):
Thyroid: TSH 4.24 (high), T4 4.52 (low), T3 72.8 (low)
Lipids: total cholesterol 235,
LDL 134.7,
non-HDL 193,
triglycerides 292,
HDL 41.9,
ApoB 129,
ApoA1 137
hs-CRP 3.69 (high), ESR 10 (normal)
Sodium 133.9 (low), B12 919 (high), lymphocytes 46% (high)
Normal: HbA1c 5.2%
fasting glucose 97,
haemoglobin 12.8
In my echo
LA - 40 mm
E/A - 1.5
Tr velocity- 2.3
No pah
Ef- 64%
Lv wall - 1.1 cm
All chambers normal
My concern is why my LA is that bigg like upper limit...does this is a sign of progressing RCM...because I have read that RCM is the one of the reason of increasing of LA...
Please guide
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
