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