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Detected 'osteopenia in dual femur', prescribed cardiac evaluation after ischemic test. Advice - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:This is Dr XXXXXXX
User:hellow, this is XXXXXXX
Doctor:How are you doing?
User:I am fine, thanks
Doctor:How can I help you?
User:wanted to know about the finding in my health checkup -'Osteopenia in dual femur'
User:what is this and how can this be treated
Doctor:How old are you XXXXXXX
Doctor:How much milk/yoghurt do you take daily?
User:i do not like milk, so take shelcal tablet twice a week
Doctor:This tablet has been prescribed or you take it on your own?
User:on my own
Doctor:What about your menstrual cycles?
User:it is proper, mostly 8 days before the date
Doctor:See XXXXXXX
Doctor:we have a certain calcium requirement which I believe is not getting met in your case
Doctor:Also, There could be a possible deficiency of vitamin D
Doctor:For this
Doctor:there are a few things you need to do
User:yes, for that i make sure I am in the sun for at least 15 mnts
Doctor:Between what time?
Doctor:It needs to be between 10 am and 12 pm
User:2 to 2.30pm
User:i see
Doctor:Osteopenia means that the bone is getting less dense
User:any recommendations?
Doctor:Secondly, you need to take a calcium XXXXXXX diet
Doctor:Yogurt is a good substitute for milk
Doctor:You can also take flaoured soy milk
User:ok, what else
Doctor:Tablet Shelcal 500mg one tablet daily
Doctor:This needs to be taken for 6 weeks to start with
Doctor:Fourth, I want you to exercise regularly
Doctor:So you can go for a walk for 30-40 minutes daily
Doctor:Also, strength training needs to be done
Doctor:as in picking a few weights
Doctor:so that needs to be done at a local gym
Doctor:Thats what we need to start off with
User:ok, thanks doctor
Doctor:Lets see after 6 months
User:have one more query
User:in the stress test. there was some ischemic test done
User:and suggested cardiac evaluation
Doctor:what was the result of the stress test
User:do not have the reports in front of me, but the test was positive and doctor is suggesting cardiac evaluation
Doctor:Please get it done then XXXXXXX
Doctor:My guess is that you tested positive for reversible ischemia
User:does this mean I have some heart bockages?
Doctor:Probably yes
User:what kind of treatment is there on this?
Doctor:What is your weight and height?
Doctor:The treatment would depend on subsequent testing
User:weight 58kh height - 5ft
Doctor:The next step would be a CT angiography
Doctor:or a regular angiography
Doctor:If they find a significant block there, they can suggest either an angioplasty or a bypass
Doctor:Are you diabetic ?
User:think so, the report give colestorol range as 212...above the normal range
Doctor:What about the sugar levels?
User:that is normal
Doctor:Then you are not diabetic
Doctor:You will need to restrict the oil and fried food that you are consuming
Doctor:Exercising is important
Doctor:Include lots of green leafy vegetables in your diet
Doctor:This will help take care of the cholesterol leves
User:yes, need to seriously start with this
Doctor:why dont we do this XXXXXXX
Doctor:Email the reports to me
Doctor:I'll call you back and we'll discuss the parameters in detail
User:sure, will do that
Doctor:Email at YYYY@YYYY
Doctor:In the subject line
Doctor:Write Attention to Dr XXXXXXX
User:ok, will send these reports to you in the next week
Doctor:You can send to me tomorrow as well
Doctor:I'll be available till 1:30 pm
Doctor:Do whatever is convenient for you
User:ok, doctor, thanks a lot
Doctor:Dont worry
Doctor:We'll fix this
Doctor:Have a good day ahead
Doctor:Bye for now
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