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Suggestion for Bypass surgery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   My mother is suffering from diabetic since 15 years also she has a problem for heart diseases
Doctor :   Hi
Doctor :   I am Dr... here
User :   few days back doctor has examine RBB blocked
User :   Hi Dr
User :   please suggest
Doctor :   ok
Doctor :   May I know her age?
User :   55
Doctor :   Ok
Doctor :   Was it detected after doing an ECG?
User :   yes
User :   Also she is taking insulin
Doctor :   Ok
User :   please suggest for possible treatment
User :   she is current in home town but coming ... this weekend
Doctor :   First of all Right Bundle Branch Block is not a disease
Doctor :   it is a conduction problem
Doctor :   which can be present even in normal healthy individuals
Doctor :   if there is no associated problem along with that
Doctor :   then there is nothing to worry about it
User :   hmm .... also from past 1 month she has alot of pain in chest... whenever she tried to walk even few steps ...
Doctor :   some of the things which have to be looked for are
Doctor :   hronic lung disease, cardiomyopathy, atrial and ventricular septal defects
Doctor :   for this a chest x-ray and echo shall be necessary
User :   we have cunsolted a heart doctor and he suggested for bypass surgery ?
Doctor :   Ok
Doctor :   Only RBB is not an indication for bypass
Doctor :   I can tell you that
User :   what about pain in heart/ chest
Doctor :   that has to be evualuated for any problem in the heart
User :   even few years back when she was getting treatment in AIIMS that time doctor suggested for Angiography
Doctor :   like the valve defects, cardiomyopathy and also any blockage in the coronary vessels
Doctor :   ok
Doctor :   Was angiography done?
User :   no
Doctor :   Ok
Doctor :   without doing that, as per my knowledge, bypass surgery need cannot be opined
Doctor :   apart from ECG, what other tests were done?
User :   as of now only ECG has done... expect some blood test
Doctor :   ok
User :   can u suggest hospital in ... where we can consult ?
Doctor :   further echo, Stress test(if applicable)
Doctor :   and further doubt
User :   no
Doctor :   Angio shall have to be done
Doctor :   AIIMS is a very good hospital
Doctor :   other than that
Doctor :   Escorts heart institute, is good
User :   please suggest in terms of money prospective ...
Doctor :   First of all, let the condition be diagnosed
User :   Can u please let me know the cost for Bypass surgery in Escort ?
Doctor :   then for higher end treatments
Doctor :   you should think of it
Doctor :   right now, the diagnosis is yet to be made
Doctor :   for mild blockages(if detect on Angiogram)
Doctor :   Angioplasty shall be done
Doctor :   which costs around 1-1.5 lacs
Doctor :   bypass shall be around 3 lacs in a private hospital
Doctor :   in a govt. set up
Doctor :   you can get it done in 1.5-2 lacs
User :   ok
Doctor :   First do the necessary tests
Doctor :   and then take a second opinion before opting for surgery
User :   she has the dibetic background... isn't a problem for bypass?
Doctor :   that shall be controlled
Doctor :   and most of the cases are
Doctor :   hence that is common
User :   and how much time it take to re-cover ?
User :   after bypass
Doctor :   around 1 month post surgery
Doctor :   full activity later gradually
User :   thanks doctor Bhart for suggesion
User :   this will help us
Doctor :   You are most welcome
Doctor :   bye for now
Doctor :   Good luck
User :   bye
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