Dear XXXXXX

Thanks for posting query to us.

I have viewed the reports. It seems you have attached the lipid profile reports of your father and not your mother. So I shall wait to comment on it once you are able to upload your mother's report.

As far as ECG is concerned she has
1. Marginally increased heart rate or tachycardia (hear rate more than 100/min).
2. ECG is grossly low voltage - Does she have history of thyroid problems or myocarditis?
3. Antero lateral wall myocardial old ischemia (inversion of T waves in chest lead of ECG)

These reports are not very concerning now and you can ask her to follow the below advice strictly
- Regular take anti hypertensive prescribed by your doctor.
- Aspirin + clopidogrel combination once a day in bed time may be needed. I am not sure if she is already on this drug. If she reports of chest pain nitroglycerine (NTG) capsule can be taken after discussing with your treating physician.
- It is also important she follows a healthy diet consisting of low calorie, low oil diet as specified to your father.
- Mild physical exercise such as walking, XXXXXXX breathing exercise, meditation can also be useful.
- Getting her sugar examined (if not yet done) is recommended.

Hope I have answered your query. If you have any further questions I will be happy to help
If you do not have any clarifications, you can close the discussion and rate the answer and write a review.

Wish you good health

Regards
Dr Sourav Ganguly

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Hi,

Thanks for posting your query.

Nice to hear that you are impressed with our service

I was able to view the attached reports and my comments on them are as follows:
1. Yes, her blood sugar (both fasting and post prandial) and thyroid function test reports are within normal limit
2. Like your father she also has high total cholesterol, LDL-cholesterol, Total cholesterol/HDL ratio. And as you know we term them as dyslipidemia.

For dyslipidemia avoid all kind of spicy food, excess mustard oil in food, red meat, food containing excess amount of fat, etc. Regular walking, free hand exercise and yoga can be practiced. In addition to this she also may need to take hypolipidemic drug of statin group. Consult her physician who can start her on these drugs

As the thyroid functions are under limits, she can continue her current thyronorm dose. Follow up with her physician once or twice a year with repeat thyroid functions - dose can be adjusted accordingly.

I think her improper response / perhaps tremors in hands and palm can be due to anxiety. Melanxit tablet are useful in such conditions. She may continue with it.

Hope I have answered your query. If you have any further questions I will be happy to help.
If you do not have any clarifications, you can close the discussion and please rate the answer and write your feed backs.

Wish you and your family good health.

Regards
Dr Sourav Ganguly

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Hi XXXXXX

Thanks for posting your query.

The doctor prescription is perfectly alright.

I just want to know did she stop thyronorm?

About hand tremor, as I told earlier it may be anxiety symptoms where Melanxit acts efficiently. But please remember in her age group there are three other causes of hand tremor they are-benign essential tremor, Parkinson’s disease, cerebellar problems. So please consult a neurologist for evaluation and opinion regarding diagnosis and treatment.

Hope I have answered your query. If you have any further questions I will be happy to help.

If you do not have any clarifications, you can close the discussion and rate the answer and please write a review.

Wish you good health.

Thanks,
Dr Sourav Ganguly

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Hi,

Thanks for the confirmation.

That’s fine. Continue thyronorm and take a neurologist opinion.

Hope I have answered your query. If you have any further questions I will be happy to help.

If you do not have any clarifications, you can close the discussion and rate the answer and write a review.

Wish you good health.

Thanks,
Dr Sourav Ganguly

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