Rheumatic mitral valve disease

Health Q&A
Homocysteine is 17.86 & vitamin D 12.69

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

PERIPARTUM CARDIOMYOPATHY

My wife is pregnant its about 8 months in last echo we found some impressions like Chambers look volume overloaded. Borderline dilated LV. Overall EF= 46%. Mild MR/ Mild+ TR. Mild PAH(PAP =43 mmHg) IVC normal size & shows normal respiratory variation. We are planning for c section Is she safe or there can be some serious situations.

High bp, weakness

On Friday her bp was 115/84 and pulse 80 Now her bp is 166/107 What to do... We have checked 3 times after every 5 mins... It's still showing high. What should we do ?

Doubt about having RCM

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

1 Stent implantation last week due to he

My father got a heart attack last week, and stent implantation was done. Now he has suffered with loose motions, can I use sporlac or lopermide for controlling that.

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Doctors
Dr. James Michael Kleman - Internal Medicine
Dr. James Michael Kleman Internal Medicine (Residency, Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Class of 1987) 39 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Albert J. Kolibash - Internal Medicine
Dr. Albert J. Kolibash Internal Medicine (Fellowship, Medical School, Internship, Residency, Class of 1967, Internship, Transitional Year, Residency, Internal Medicine, Medical Education) 59 years experience Delivery OSU hospital
Weinland Park, COLUMBUS
Dr. Allan J Nichols - Internal Medicine
Dr. Allan J Nichols Internal Medicine (Fellowship, Residency, Medical School, Medical Education, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Medical degree, DO) 46 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Judson S Millhon - Internal Medicine
Dr. Judson S Millhon Internal Medicine (Medical School, Residency, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Fellowship in Interventional Cardiology) 36 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Nicholas James Davakis - Cardiologist
Dr. Nicholas James Davakis Cardiologist (Medical School, Residency - ID, Fellowship in Cardiovascular Diseases, Fellowship 2) 45 years experience Mount Carmel Grove City
South Central Hilltop, COLUMBUS