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Suggest Remedy For Acid Reflux In An Elderly Person
Question: Hi my dad is 63 had chest pain dr said it was MI and went for angipplasty on 4th nov
dr's said 90% blockage(proximal lad 90% lesion)
Medicens given: ticagler 90mg / ecosprin / tonact 80 mg / pantosec d / furusomide
When can he can get in normal routine, what diet should he folow and what exercise plan.
What precautions shoukd be taken.
He now faces gatric prolem gas passes and littel heavy XXXXXXX near heart. Please suggest.
Thanks
dr's said 90% blockage(proximal lad 90% lesion)
Medicens given: ticagler 90mg / ecosprin / tonact 80 mg / pantosec d / furusomide
When can he can get in normal routine, what diet should he folow and what exercise plan.
What precautions shoukd be taken.
He now faces gatric prolem gas passes and littel heavy XXXXXXX near heart. Please suggest.
Thanks
Brief Answer:
Plain tab pantodac (40) at night along with pantodac D in morning
Detailed Answer:
Hello Mr Acharya,
I am Dr. Mody and I would be addressing your concern.
Considering that he had recent myocardial infarction and on recovery period I would recommend the following measures
1) successful angioplasty to Lad lesion has been done so you need not worry about the same
2) the medication he is on is optimum and no change is recommended at present
3) As previously he must not be taking any major medication, do many meds at one go , will cause gastric upset . However let me tell you each medication is important at present.
Also your doctor has prescribed pantosec d , which you mentioned for the gastric upset .
He may take plain pantodac at night before dinner along with pantosec d in the morning
4) as he is on furosemide it means that the heart pumping must have gone down due to myocardial infarction , so I'm terms of diet .
-salt restriction less than 3 gms per day
-water to be consumed less than 1500 ml per day depending on his ejection fraction
-rest in the initial part let him take all he likes so he gets back the strength.
Later no oily , preserved food . More fruits and green vegetables in his diet . Small meals .
No red meat , egg yolk and 2 servings of fish per day .
The heaviness is transient and would wean of in sometime, however if it increases with exertion you may consult your cardiologist
he may get back to his work by next week , however no stress should be taken for work .
In terms of exercise he can start with stretching exercise as early as now . Along with that aerobic exercise, brisk walking , yoga , swimming may be considered. However if he didn't have an active lifestyle before infarction , tell him to go slow and gradually built up stamina . A cardiac rehabilitation programme would be very effective in these circumstances.
Let me know if any further clarification is needed , as your questions were too vast answering it in a written forum is difficult.
Regards Dr Priyank Mody, Cardiologist. XXXXXXX
Plain tab pantodac (40) at night along with pantodac D in morning
Detailed Answer:
Hello Mr Acharya,
I am Dr. Mody and I would be addressing your concern.
Considering that he had recent myocardial infarction and on recovery period I would recommend the following measures
1) successful angioplasty to Lad lesion has been done so you need not worry about the same
2) the medication he is on is optimum and no change is recommended at present
3) As previously he must not be taking any major medication, do many meds at one go , will cause gastric upset . However let me tell you each medication is important at present.
Also your doctor has prescribed pantosec d , which you mentioned for the gastric upset .
He may take plain pantodac at night before dinner along with pantosec d in the morning
4) as he is on furosemide it means that the heart pumping must have gone down due to myocardial infarction , so I'm terms of diet .
-salt restriction less than 3 gms per day
-water to be consumed less than 1500 ml per day depending on his ejection fraction
-rest in the initial part let him take all he likes so he gets back the strength.
Later no oily , preserved food . More fruits and green vegetables in his diet . Small meals .
No red meat , egg yolk and 2 servings of fish per day .
The heaviness is transient and would wean of in sometime, however if it increases with exertion you may consult your cardiologist
he may get back to his work by next week , however no stress should be taken for work .
In terms of exercise he can start with stretching exercise as early as now . Along with that aerobic exercise, brisk walking , yoga , swimming may be considered. However if he didn't have an active lifestyle before infarction , tell him to go slow and gradually built up stamina . A cardiac rehabilitation programme would be very effective in these circumstances.
Let me know if any further clarification is needed , as your questions were too vast answering it in a written forum is difficult.
Regards Dr Priyank Mody, Cardiologist. XXXXXXX
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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